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Comparación entre los estudios TAMARA I (2004) y II (2013) - Archivo PPCT

Variación temporal del tabaquismo en médicos argentinos. Comparación entre los estudios TAMARA I (2004) y II (2013);
Temporal Variation of Smoking in Argentine Physicians. Comparison between the TAMARA I (2004) and II (2013) Studies

Creators:Zylbersztejn, Horacio M., Lobo, Lorenzo M.; Hospital Militar Campo de Mayo.
Miembro Titular de la Sociedad Argentina de Cardiologia,
Director del Consejo de epidemiologia y prevencion cardiovascular SAC.
Consejo de aterosclerosis y trombosis de la SAC.
Miembro de la Fundacion Cardiologica Argentina.
Miembro de la American Heart Association.
Fellow American College of Cardiology.
Fellow European Society of Cardiology., Masson, Walter, Molinero, Graciela, Angel, Adriana, Mulassi, Andres, Giorgi, Mariano A., Garcia, Mauro A.
2017-05-24

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Descripción

Objetivos: comparar el estatus tabáquico, la formación y el consejo a sus pacientes, entre los médicos del estudio TAMARA I (2004) y el estudio TAMARA II (2013). Métodos: Se comparó el estatus tabáquico, el consejo hacia los pacientes y la formación médica en técnicas anti-tabáquicas de dos estudios observacionales de corte transversal realizados en médicos de la Argentina en 2004 y 2013. Se utilizó la misma encuesta estructurada. Se definió fumador al que consumía regularmente uno o más cigarrillos/día, al menos durante un año y que había fumado en los últimos doce meses. Se realizaron dos técnicas de ajuste, regresión logística y puntaje de propensión (PP). Resultados: Se analizaron las encuestas de 9530 médicos (TAMARA I: 6497, TAMARA II: 3033). Globalmente, la edad media fue 41,5±11 años, siendo cardiólogos el 18,6% y el 61% de sexo masculino. Utilizando los dos métodos de ajuste, los médicos encuestados en el estudio TAMARA II mostraron una menor chance de ser tabaquistas activos, una mayor probabilidad de dar consejo médico siempre y una mayor probabilidad de tener capacitación en tabaquismo con respecto a los sujetos evaluados en el TAMARA I. Entre ambos estudios, se observó una reducción significativa del tabaquismo activo del 39% (OR 0,61%, IC95% 0,54 - 0,59%, p 0,001). Conclusión: En este análisis comparativo, luego de aproximadamente una década de tiempo, se observó una disminución en la prevalencia de tabaquismo activo en la población médica, además de un cambio en la capacitación y la conducta frente al paciente fumador.

Background: For more than a decade, the Research Area of the Argentine Society of Cardiology has carried out surveys to observe the behavior of the medical population in relation to tobacco smoking. Objective: The aim of this work was to compare the smoking status, training and patient counseling among physicians of the TAMARA I (2004) and TAMARA II (2013) studies. Methods: The smoking status, patient counseling and medical training in anti-smoking techniques was compared between two observational cross-sectional studies performed in Argentine physicians in 2004 and 2013. The same structured survey was used. Smoker was defined as someone who regularly consumed one or more cigarettes/day for at least one year and who had smoked in the last twelve months. Two adjustment techniques were used: logistic regression analysis and propensity score. Results: We analyzed the surveys of 9,530 physicians (TAMARA I, n=6,497 and TAMARA II, n=3,033). Overall, mean age was 41.5±11 years, 18.6% were cardiologists and 61% were male. Using the two adjustment methods, physicians surveyed in the TAMARA II study showed a lower chance of being active smokers, an increased probability of giving medical advice at all times, and a greater probability of having training in tobacco consumption compared with subjects assessed in the TAMARA I study. Between the two studies, a significant reduction in active smoking was observed in 39% of surveyed physicians (OR 0.61, 95% CI 0.54-0.69, p=0.001). Conclusion: After approximately one decade, this comparative analysis showed a decrease in the prevalence of active smoking in the medical population, in addition to a change in training and behavior towards patients with smoking habits.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 85, No 1 (2017); 21-27, Argentine Journal of Cardiology; Vol 85, No 1 (2017); 21-27

Citación

Zylbersztejn, Horacio M. et al., “Variación temporal del tabaquismo en médicos argentinos. Comparación entre los estudios TAMARA I (2004) y II (2013),” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/9267.

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Autor

Zylbersztejn, Horacio M.
Lobo, Lorenzo M.; Hospital Militar Campo de Mayo.
Miembro Titular de la Sociedad Argentina de Cardiologia,
Director del Consejo de epidemiologia y prevencion cardiovascular SAC.
Consejo de aterosclerosis y trombosis de la SAC.
Miembro de la Fundacion Cardiologica Argentina.
Miembro de la American Heart Association.
Fellow American College of Cardiology.
Fellow European Society of Cardiology.
Masson, Walter
Molinero, Graciela
Angel, Adriana
Mulassi, Andres
Giorgi, Mariano A.
Garcia, Mauro A.

Fuente

Revista Argentina de Cardiología; Vol 85, No 1 (2017); 21-27
Argentine Journal of Cardiology; Vol 85, No 1 (2017); 21-27

Editor

Sociedad Argentina de Cardiología

Fecha

2017-05-24

Colaborador

Sin financiacion

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

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spa
eng

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info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion