1
|
Laroussy K, Fernández E, Castellano Y, Fu M, Baena A, Feliu A, Peruga A, Margalef M, Tigova O, Galimany J, Puig M, Moreno C, Bueno A, López A, Roca J, Saura J, Martínez C. Determinants of tobacco use transitions in smoker nursing students in Catalonia: A prospective longitudinal study. Tob Induc Dis 2024; 22:TID-22-126. [PMID: 38978612 PMCID: PMC11229088 DOI: 10.18332/tid/189484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2024] [Revised: 05/27/2024] [Accepted: 05/30/2024] [Indexed: 07/10/2024] Open
Abstract
INTRODUCTION The use of emerging tobacco and nicotine products affects tobacco use behaviors among college students. Thus, we aimed to examine transitions in tobacco use patterns and identify their predictors among smokers in a cohort of nursing students in Catalonia (Spain). METHODS We conducted a prospective longitudinal study of Catalan nursing students between 2015-2016 and 2018-2019. We examined transitions in tobacco use patterns between baseline and follow-up among smokers from: 1) daily to non-daily smoking, 2) non-daily to daily smoking, 3) cigarette-only use to poly-tobacco use, 4) poly-tobacco use to cigarette-only use, 5) between products, 6) reducing consumption by ≥5 cigarettes per day (CPD); and 7) quitting smoking. We applied a Generalized Linear Model with a log link (Poisson regression) and robust variance to identify predictors of reducing cigarette consumption by ≥5 CPD and quitting smoking, obtaining both crude and adjusted (APR) prevalence ratios and their 95% confidence intervals (CIs). RESULTS Among daily smokers at baseline, 12.1% transitioned to non-daily smoking at follow-up, while 36.2% of non-daily smokers shifted to daily smoking. Among cigarette-only users, 14.2% transitioned to poly-tobacco use, while 48.4% of poly-tobacco users switched to exclusive cigarette use. Among all smokers (daily and non-daily smokers), 60.8% reduced their cigarette consumption by ≥5 CPD and 28.3% quit smoking. Being a non-daily smoker (APR=0.33; 95% CI 0.19-0.55) and having lower nicotine dependence (APR=0.78; 95% CI 0.64-0.96) were inversely associated with reducing cigarette consumption, while being a non-daily smoker (APR=1.19; 95% CI: 1.08-1.31) was directly associated with quitting smoking. CONCLUSIONS Nursing students who smoked experienced diverse transitions in tobacco use patterns over time. Evidence-based tobacco use preventive and cessation interventions are needed to tackle tobacco use among future nurses.
Collapse
Affiliation(s)
- Kenza Laroussy
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, Spain
- Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge – IDIBELL, Barcelona, Spain
- School of Nursing, University of Barcelona, Barcelona, Spain
| | - Esteve Fernández
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, Spain
- Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge – IDIBELL, Barcelona, Spain
- School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain
| | - Yolanda Castellano
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, Spain
- Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge – IDIBELL, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain
| | - Marcela Fu
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, Spain
- Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge – IDIBELL, Barcelona, Spain
- School of Nursing, University of Barcelona, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain
| | - Antoni Baena
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, Spain
- Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge – IDIBELL, Barcelona, Spain
- Department of e-Health, School of Health Sciences, Universitat Oberta de Catalunya, Barcelona, Spain
| | - Ariadna Feliu
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, Spain
- Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge – IDIBELL, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain
| | - Armando Peruga
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, Spain
- Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge – IDIBELL, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain
- Center for Epidemiology and Health Policy, Faculty of Medicine, Clínica Alemana, Universidad del Desarrollo, Santiago, Chile
| | - Mercè Margalef
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, Spain
- Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge – IDIBELL, Barcelona, Spain
| | - Olena Tigova
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, Spain
- Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge – IDIBELL, Barcelona, Spain
- School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain
| | - Jordi Galimany
- School of Nursing, University of Barcelona, Barcelona, Spain
| | - Montserrat Puig
- School of Nursing, University of Barcelona, Barcelona, Spain
| | - Carmen Moreno
- School of Nursing, University of Barcelona, Barcelona, Spain
| | - Albert Bueno
- Nursing care management, Equip d'Atenció Primària de Roses, Institut Català de Salut, Girona, Spain
| | - Antonio López
- Nursing care management, Equip d'Atenció Primària - Valls Urbà, Institut Català de Salut, Tarragona, Spain
| | - Judith Roca
- Department of Nursing and Physiotherapy, School of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
| | - Judith Saura
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, Spain
- Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge – IDIBELL, Barcelona, Spain
- School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
| | - Cristina Martínez
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, Spain
- Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge – IDIBELL, Barcelona, Spain
- School of Nursing, University of Barcelona, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain
- Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, United States
| |
Collapse
|
2
|
Skalska K, Ziółkowski M, Zielonka TM, Empacher M. Nursing students' use of products and substances to reduce stress or improve cognition during exam periods. Nurse Educ Pract 2024; 78:103981. [PMID: 38788618 DOI: 10.1016/j.nepr.2024.103981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Revised: 01/08/2024] [Accepted: 04/22/2024] [Indexed: 05/26/2024]
Abstract
AIM The aim of the project was to evaluate the prevalence, motivation and effects of the use of substances to improve cognitive function by nursing students during examination. BACKGROUND Exam periods are among the most stressful weeks of the academic year for nursing students. During these times, some students may use substances to support cognitive functions. Some of them are used despite their potential harmfulness, even by nursing students. DESIGN This was a cross-sectional study. METHODS The study was based on a voluntary, anonymous survey including 26 questions about use of various products belonging to food, dietary supplements, drugs, alcohol and tobacco. The study population was 221 students of nursing studying at Medical University of Warsaw. RESULTS During the exam session, the most frequently used substance was strong tea. Dietary supplements are less popular. The surveyed students rarely use procognitive prescription drugs. However, consumption of alcohol, cigarettes or marijuana during the session was lower than outside of it declared by 61.5 %, 28.5 % and 6.3 % respectively (while outside of the exam session, 80.1 %, 29.0 % and 11.8 %, respectively). As for the purpose of using, most students mention improving concentration and memory, but most are not sure whether the products they use help them achieve their goals. Nearly two-thirds of students are aware of the harmfulness of stimulants and therefore do not use them and the products they do use are relatively safe for health. CONCLUSIONS Most nursing students probably are aware of the harmfulness of listed products, especially belonging to prescription drugs, alcohol and stimulants and therefore do not use them. In turn, the products they use, such as chocolate or certain dietary supplements, are relatively safe for health, i.e. they do not cause dangerous addiction or side effects that may require seeking medical help. However, it is worrying that most of them regularly drink alcohol, many of them smoke tobacco and also use marijuana. The results do not indicate that a medical university and nursing vocational schools effectively promotes a healthy lifestyle for nursing students and changes in education in this area are necessary. A wide discussion on how to improve the health habits of future nurses should be taken.
Collapse
Affiliation(s)
- Karolina Skalska
- Clinical Center of Medical University of Warsaw, Independent Public Central Clinical Hospital in Warsaw, Poland
| | - Maciej Ziółkowski
- Central Clinical Hospital in Warsaw, Medical University of Warsaw, Warsaw, Poland
| | | | - Marek Empacher
- Faculty of Computer Science and Econometrics, Warsaw University of Life Sciences, Poland
| |
Collapse
|
3
|
Neddermann-Carrillo S, Abidi L, Gea A, Bes-Rastrollo M, de la Fuente-Arrillaga C, Lahortiga-Ramos F, Martínez-González MÁ, Pardavila-Belio MI, Ruiz-Canela M. Tobacco and alcohol co-use: Lifestyle and sociodemographic factors, and personality aspects as potential predictors in the "Seguimiento Universidad de Navarra" cohort. Res Nurs Health 2024; 47:251-265. [PMID: 38217468 DOI: 10.1002/nur.22367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 11/08/2023] [Accepted: 12/24/2023] [Indexed: 01/15/2024]
Abstract
Tobacco and alcohol co-use are two major lifestyle modifiable risk factors. Understanding the determinants of both behaviors helps to develop interventions to prevent these exposures. However, previous studies have focused on predictors of individual tobacco or alcohol use. This study aims to explore the potential predictors of tobacco and alcohol co-use among Spanish university graduates from the "Seguimiento Universidad de Navarra" (SUN) cohort study. A total of 7175 participants who were co-users of tobacco and alcohol were selected for this cross-sectional analysis. Their mean age was 39.1 years (12.04 SD) and 57.3% were women. Univariate regression models were used to select the potential predictors of tobacco and alcohol co-use, and the areas under the ROC curves (AUC) were calculated. Multivariable logistic regression models were used to create a predictive model. Baseline potential predictors included sociodemographic factors, lifestyle habits, and perceived personality aspects. In the multivariable model, the main significant potential predictors of tobacco and alcohol co-use were driving under the influence of alcohol (odds ratio [OR] = 1.65 [1.43-1.90]), drinking 1-2 cups of coffee daily (OR = 1.50 [1.24-1.84]), drinking three or more cups of coffee daily (OR = 1.61 [1.35-1.91]), and doing more physical activity than recommended (OR = 1.18 [1.02-1.34]) when compared with the reference group. Conversely, those who were married (OR = 0.87 [0.75-0.99], ate at home 7 days a week (OR = 0.69 [0.60-0.80]), or had a high perceived level of competitiveness (OR = 0.83 [0.72-0.95]) had a lower risk of co-use (AUC 0.61 [confidence interval 95% 0.59-0.63]), compared to the reference group. These results could be used by healthcare professionals, especially nurses, to effectively assess patients at higher risk of tobacco and alcohol co-use. [Correction added on 16 February 2024, after first online publication: The abstract section has been revised to provide more clarity in this version.].
Collapse
Affiliation(s)
- Sofía Neddermann-Carrillo
- Department of Community Nursing and Maternal & Child Health Care, University of Navarra, Pamplona, Navarra, Spain
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
| | - Latifa Abidi
- Department of Health Promotion, Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, Limburg, The Netherlands
| | - Alfredo Gea
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Navarra, Pamplona, Navarra, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain
| | - Maira Bes-Rastrollo
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Navarra, Pamplona, Navarra, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain
| | - Carmen de la Fuente-Arrillaga
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Navarra, Pamplona, Navarra, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain
| | - Francisca Lahortiga-Ramos
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
- Department of Psychiatry and Clinical Psycology, University Clinic of Navarra, Pamplona, Navarra, Spain
| | - Miguel Ángel Martínez-González
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Navarra, Pamplona, Navarra, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain
- Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Miren Idoia Pardavila-Belio
- Department of Community Nursing and Maternal & Child Health Care, University of Navarra, Pamplona, Navarra, Spain
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
| | - Miguel Ruiz-Canela
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Navarra, Pamplona, Navarra, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain
| |
Collapse
|
4
|
Balneaves LG, Watling CZ, Strus JA, Boscow M, Davis L, Graveline K, Harrigan T, Henriquez N, Mitchell K, Thompson G. Baccalaureate nursing students' knowledge, attitudes, educational needs, and use of medical and non-medical cannabis at five institutions in Manitoba, Canada: A cross-sectional analysis. NURSE EDUCATION TODAY 2023; 130:105955. [PMID: 37677985 DOI: 10.1016/j.nedt.2023.105955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2023] [Revised: 08/15/2023] [Accepted: 08/30/2023] [Indexed: 09/09/2023]
Abstract
BACKGROUND With the legalization of non-medical cannabis in Canada, cannabis is commonly used in the community and nurses and nursing students are likely to engage in clinical practice discussions around cannabis use for both medical and non-medical purposes. However, whether having previous experience using cannabis influences nursing students' knowledge and attitudes towards cannabis remains unclear. OBJECTIVE The aim of this study was to describe nursing students' knowledge, attitudes, educational needs, and use of cannabis. DESIGN Cross-sectional survey. SETTING Five academic undergraduate nursing programs in Manitoba, Canada. PARTICIPANTS Nursing students in Manitoba. METHODS Students were asked about their use of cannabis, knowledge and attitudes regarding cannabis, clinical experiences and educational needs related to cannabis. Students' current knowledge was compared to their desired knowledge using paired t-tests. Using t-tests, attitudes towards cannabis were compared between students who had ever taken cannabis versus those with no experience. Descriptive statistics were utilized for all other questions. RESULTS A total of 327 nursing students participated in the survey with 220 students (67.3 %) reporting they had used cannabis in the past, and 123 students (37.6 %) reporting monthly use of cannabis. Students who previously used cannabis held more positive attitudes towards both medical and non-medical cannabis use in comparison to those with no experience. Students recognised that their current knowledge around cannabis was insufficient and indicated the need for greater knowledge on both medical and non-medical cannabis-related topics. Only 37.7 % of students reported receiving any education on cannabis in their nursing program. Nearly all students (92.2 %) agreed if they had more education on medical cannabis use that they would feel more comfortable discussing this in their clinical practice. CONCLUSION Education on both medical and non-medical cannabis is needed to support future nurses addressing cannabis use in their clinical practice. Nursing institutions must implement and evaluate curricula to ensure nursing students are adequately prepared to address cannabis use in their clinical practice and their own fitness to practice.
Collapse
Affiliation(s)
- Lynda G Balneaves
- 89 Curry Place, College of Nursing, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.
| | - Cody Z Watling
- 89 Curry Place, College of Nursing, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.
| | | | - Megan Boscow
- 436 7 St E, Faculty of Nursing, University College of the North, Thompson and The Pas, MB R9A 1T4, Canada.
| | - Lori Davis
- 89 Curry Place, College of Nursing, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.
| | - Kellie Graveline
- 436 7 St E, Faculty of Nursing, University College of the North, Thompson and The Pas, MB R9A 1T4, Canada.
| | - Tom Harrigan
- 2055 Notre Dame Avenue, Nursing Department, Red River College Polytechnic, Winnipeg, MB R3H 0J9, Canada.
| | - Nadine Henriquez
- 270-18th Street, Faculty of Health Studies, Brandon University, Brandon, MB R7A 6A9, Canada.
| | - Kimberley Mitchell
- 89 Curry Place, College of Nursing, University of Manitoba, Winnipeg, MB R3T 2N2, Canada; 2055 Notre Dame Avenue, Nursing Department, Red River College Polytechnic, Winnipeg, MB R3H 0J9, Canada.
| | - Genevieve Thompson
- 89 Curry Place, College of Nursing, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.
| |
Collapse
|
5
|
Laroussy K, Castellano Y, Fu M, Baena A, Feliu A, Peruga A, Margalef M, Aldazabal J, Tigova O, Galimany J, Puig M, Moreno C, Bueno A, López A, Roca J, Saura J, Fernández E, Martínez C. Transitions in smoking status in nursing students: A prospective longitudinal study. J Adv Nurs 2023; 79:3456-3472. [PMID: 36978253 DOI: 10.1111/jan.15665] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 02/09/2023] [Accepted: 03/16/2023] [Indexed: 03/30/2023]
Abstract
AIM To describe transitions in smoking status and their determining factors among nursing students between baseline (2015-2016) and follow-up (2018-2019). DESIGN Observational prospective longitudinal study of 4381 nursing students in Catalonia (Spain). METHODS We examined transitions in smoking status from: (i) current smokers to recent quitters, (ii) never smokers to new smokers and (iii) former smokers to quitters who relapsed. We fitted logistic regression models to assess the predictors of quitting smoking. RESULTS The proportion of current smokers decreased from 29.7% at baseline to 23.6% at follow-up, with a cumulative incidence rate of quitting of 28.3% during follow-up. Nondaily smokers were more likely to quit than daily smokers. Of those who were never smokers at baseline, 4.6% were smokers at follow-up, and 23.2% of former smokers at baseline had relapsed at follow-up. CONCLUSIONS Nondaily smokers were more likely to have quit smoking at follow-up among this cohort of nursing students. The early implementation of a comprehensive tobacco control program that includes tobacco-free campus policies, tobacco prevention interventions and cessation support during college years may decrease tobacco use among nursing students. IMPACT Nursing students' tobacco use is concerning, as they are the future workforce of nurses who have a key role in tobacco product use prevention and cessation. During college years, nursing students have a greater likelihood of experimenting with several smoking status changes as well as to consolidate smoking behaviors. This is the first longitudinal study to highlight the factors associated with quitting smoking among a cohort of Spanish nursing students. Being a nondaily smoker at baseline predicted quitting at follow-up. Our findings support the early implementation of a comprehensive tobacco control program that includes tobacco-free campus policies, tobacco prevention interventions and tobacco cessation support during college years to decrease tobacco product use prevalence among nursing students. REPORTING METHOD We have adhered to STROBE guidelines. No Patient or Public Contribution. This observational study has not been registered.
Collapse
Affiliation(s)
- Kenza Laroussy
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Tobacco Control Research Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Department of Public Health, Mental Health and Maternal and Child Health Nursing, School of the Medicine and Health Sciences, University of Barcelona, C. Feixa llarga s/n, L'Hospitalet del Llobregat, 08907, Barcelona, Spain
| | - Yolanda Castellano
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Tobacco Control Research Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain
| | - Marcela Fu
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Tobacco Control Research Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Department of Public Health, Mental Health and Maternal and Child Health Nursing, School of the Medicine and Health Sciences, University of Barcelona, C. Feixa llarga s/n, L'Hospitalet del Llobregat, 08907, Barcelona, Spain
| | - Antoni Baena
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Tobacco Control Research Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Department of e-Health, Faculty of Health Sciences, Universitat Oberta de Catalunya, Rambla de Poblenou 156, 08018, Barcelona, Spain
| | - Ariadna Feliu
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Tobacco Control Research Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain
| | - Armando Peruga
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Tobacco Control Research Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Faculty of Medicine, Center for Epidemiology and Health Policy, Clínica Alemana, Universidad del Desarrollo, Región Metropolitana, Lo Barnechea, Chile
| | - Mercè Margalef
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Tobacco Control Research Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
| | - Jon Aldazabal
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Tobacco Control Research Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
| | - Olena Tigova
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Tobacco Control Research Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Department of Public Health, Mental Health and Maternal and Child Health Nursing, School of the Medicine and Health Sciences, University of Barcelona, C. Feixa llarga s/n, L'Hospitalet del Llobregat, 08907, Barcelona, Spain
| | - Jordi Galimany
- Department of Public Health, Mental Health and Maternal and Child Health Nursing, School of the Medicine and Health Sciences, University of Barcelona, C. Feixa llarga s/n, L'Hospitalet del Llobregat, 08907, Barcelona, Spain
| | - Montserrat Puig
- Department of Public Health, Mental Health and Maternal and Child Health Nursing, School of the Medicine and Health Sciences, University of Barcelona, C. Feixa llarga s/n, L'Hospitalet del Llobregat, 08907, Barcelona, Spain
| | - Carmen Moreno
- Department of Public Health, Mental Health and Maternal and Child Health Nursing, School of the Medicine and Health Sciences, University of Barcelona, C. Feixa llarga s/n, L'Hospitalet del Llobregat, 08907, Barcelona, Spain
| | - Albert Bueno
- Nursing Care Management, EAP Roses, Institut Català de Salut, Crta Mas Oliva no. 23, Roses, 17480, Alt Empordà, Spain
| | - Antonio López
- Nursing Care Management, EAP Valls Urbano, c/ Vallvera no. 8, 43800, Tarragona, Spain
| | - Judith Roca
- Department of Nursing and Physiotherapy, University of Lleida, C/Montserrat Roig 2, 25198, Lleida, Spain
| | - Judith Saura
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Tobacco Control Research Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Department of Public Health, Mental Health and Maternal and Child Health Nursing, School of the Medicine and Health Sciences, University of Barcelona, C. Feixa llarga s/n, L'Hospitalet del Llobregat, 08907, Barcelona, Spain
| | - Esteve Fernández
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Tobacco Control Research Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Department of Clincial Science, School of the Medicine and Health Sciences, University of Barcelona, C. Feixa llarga s/n, L'Hospitalet del Llobregat, 08907, Barcelona, Spain
| | - Cristina Martínez
- WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Tobacco Control Research Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, Av. Granvia de L'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain
- Department of Public Health, Mental Health and Maternal and Child Health Nursing, School of the Medicine and Health Sciences, University of Barcelona, C. Feixa llarga s/n, L'Hospitalet del Llobregat, 08907, Barcelona, Spain
| |
Collapse
|
6
|
Fu M, Castellano Y, Laroussy K, Baena A, Margalef M, Feliu A, Galimany-Masclans J, Puig-Llobet M, Moreno-Arroyo C, Sancho R, Bueno A, López A, Guydish J, Fernández E, Martínez C. Passive exposure and perceptions of smoke-free policies in hospital and university campuses among nursing students: A cross-sectional multicenter study. Tob Induc Dis 2023; 21:93. [PMID: 37465255 PMCID: PMC10350793 DOI: 10.18332/tid/167390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 05/29/2023] [Accepted: 06/02/2023] [Indexed: 07/20/2023] Open
Abstract
INTRODUCTION Outdoor smoke-free regulations reduce exposure to secondhand smoke (SHS) and help to denormalize tobacco use. As future key agents in health promotion, nursing students' attitudes should agree with tobacco-control policies. The objectives of this study were: 1) assess nursing students' exposure to SHS in nursing schools, 2) explore their perceptions of compliance with the existing smoke-free regulations in acute-care hospitals; and 3) describe their support for indoor and outdoor smoking bans on hospital and university campuses. METHODS This was a cross-sectional multicenter study conducted in 2015-2016 in all 15 university nursing schools in Catalonia, Spain. A questionnaire gathered information on SHS exposure, awareness of the smoke-free regulation in acutecare hospitals, and support for smoke-free policies in indoor and outdoor areas of hospitals and university campuses. Participants were nursing students attending classes on the day of the survey. We performed descriptive analyses and calculated adjusted prevalence ratios (APR) and 95% confidence interval (CI). RESULTS Of 4381 respondents, 99.1% had seen people smoking in outdoor areas of their university campus, and 75.2% had been exposed to SHS on the campus (6.0% indoors and 69.2% outdoors). Nearly 60% were aware of the smoking regulation in place in acute-care hospitals. There was widespread support for smoke-free indoor hospital regulation (98.7%), but less support (64.8%) for outdoor regulations. Approximately 33% supported the regulation to make outdoor healthcare campuses smoke-free, which was higher among third-year students compared to first-year students (APR=1.41; 95% CI: 1.24-1.62), among never smokers (41.4%; APR=2.84; 95% CI: 2.21-3.64) compared to smokers, and among those who were aware of the regulation (38.4%; 95% CI: 1.37-1.75). CONCLUSIONS Exposure to SHS on university campuses is high. Nursing students express low support for strengthening outdoor smoking bans on hospital and university campuses. Interventions aiming to increase their support should be implemented.
Collapse
Affiliation(s)
- Marcela Fu
- Tobacco Control Unit, Cancer Control and Prevention Program, Institut Català d'Oncologia, l'Hospitalet de Llobregat, Barcelona, Spain
- Tobacco Control Research Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Institut d'Investigació Biomèdica de Bellvitge, l'Hospitalet de Llobregat, Barcelona, Spain
- Department of Public Health, Mental Health, and Maternal and Child Health Nursing, School of Nursing, Universitat de Barcelona, Barcelona, Spain
- Center for Biomedical Research in Respiratory, Madrid, Spain
| | - Yolanda Castellano
- Tobacco Control Unit, Cancer Control and Prevention Program, Institut Català d'Oncologia, l'Hospitalet de Llobregat, Barcelona, Spain
- Tobacco Control Research Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Institut d'Investigació Biomèdica de Bellvitge, l'Hospitalet de Llobregat, Barcelona, Spain
- Center for Biomedical Research in Respiratory, Madrid, Spain
- Department of Odonto-Stomatology, School of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Spain
| | - Kenza Laroussy
- Tobacco Control Unit, Cancer Control and Prevention Program, Institut Català d'Oncologia, l'Hospitalet de Llobregat, Barcelona, Spain
- Tobacco Control Research Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Institut d'Investigació Biomèdica de Bellvitge, l'Hospitalet de Llobregat, Barcelona, Spain
- Department of Public Health, Mental Health, and Maternal and Child Health Nursing, School of Nursing, Universitat de Barcelona, Barcelona, Spain
| | - Antoni Baena
- Tobacco Control Unit, Cancer Control and Prevention Program, Institut Català d'Oncologia, l'Hospitalet de Llobregat, Barcelona, Spain
- Tobacco Control Research Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Institut d'Investigació Biomèdica de Bellvitge, l'Hospitalet de Llobregat, Barcelona, Spain
- eHealth Center, School of Health Sciences, Universitat Oberta de Catalunya, Barcelona, Spain
| | - Mercè Margalef
- Tobacco Control Unit, Cancer Control and Prevention Program, Institut Català d'Oncologia, l'Hospitalet de Llobregat, Barcelona, Spain
- Tobacco Control Research Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Institut d'Investigació Biomèdica de Bellvitge, l'Hospitalet de Llobregat, Barcelona, Spain
- Center for Biomedical Research in Respiratory, Madrid, Spain
| | - Ariadna Feliu
- Tobacco Control Unit, Cancer Control and Prevention Program, Institut Català d'Oncologia, l'Hospitalet de Llobregat, Barcelona, Spain
- Tobacco Control Research Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Institut d'Investigació Biomèdica de Bellvitge, l'Hospitalet de Llobregat, Barcelona, Spain
- Center for Biomedical Research in Respiratory, Madrid, Spain
| | - Jordi Galimany-Masclans
- Department of Public Health, Mental Health, and Maternal and Child Health Nursing, School of Nursing, Universitat de Barcelona, Barcelona, Spain
| | - Montse Puig-Llobet
- Department of Public Health, Mental Health, and Maternal and Child Health Nursing, School of Nursing, Universitat de Barcelona, Barcelona, Spain
| | - Carmen Moreno-Arroyo
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing, Universitat de Barcelona, Barcelona, Spain
- Nursing Research Group, Digestive System, Diagnostics, Pharmacogenetics, Care Support and Clinical Prevention Program, Institut d'Investigació Biomèdica de Bellvitge, l'Hospitalet de Llobregat, Barcelona, Spain
| | - Raül Sancho
- Department of Public Health, Mental Health, and Maternal and Child Health Nursing, School of Nursing, Universitat de Barcelona, Barcelona, Spain
- Nursing Research Group, Digestive System, Diagnostics, Pharmacogenetics, Care Support and Clinical Prevention Program, Institut d'Investigació Biomèdica de Bellvitge, l'Hospitalet de Llobregat, Barcelona, Spain
| | - Albert Bueno
- Nursing Care Management, Equip d'Atenció Primària Roses, Institut Català de la Salut, Girona, Spain
| | - Antonio López
- Nursing Care Management, Equip d'Atenció Primària Valls Urbà, Institut Català de la Salut, Tarragona, Spain
| | - Joseph Guydish
- Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, United States
| | - Esteve Fernández
- Tobacco Control Unit, Cancer Control and Prevention Program, Institut Català d'Oncologia, l'Hospitalet de Llobregat, Barcelona, Spain
- Tobacco Control Research Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Institut d'Investigació Biomèdica de Bellvitge, l'Hospitalet de Llobregat, Barcelona, Spain
- Center for Biomedical Research in Respiratory, Madrid, Spain
- Department of Clinical Sciences, School of Medicine and Health Sciences, Universitat de Barcelona, l'Hospitalet de Llobregat, Barcelona, Spain
| | - Cristina Martínez
- Tobacco Control Unit, Cancer Control and Prevention Program, Institut Català d'Oncologia, l'Hospitalet de Llobregat, Barcelona, Spain
- Tobacco Control Research Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Institut d'Investigació Biomèdica de Bellvitge, l'Hospitalet de Llobregat, Barcelona, Spain
- Department of Public Health, Mental Health, and Maternal and Child Health Nursing, School of Nursing, Universitat de Barcelona, Barcelona, Spain
- Center for Biomedical Research in Respiratory, Madrid, Spain
- Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, United States
| |
Collapse
|
7
|
García-Suárez M, Fernández-García D, Ordás-Campos B, Fernández-Fernández JA, Méndez-Martínez C, Sánchez-Valdeón L, Casado-Verdejo I. Analysis of Knowledge of Smoking-Related Diseases in Spanish Nursing Students. Healthcare (Basel) 2023; 11:healthcare11101438. [PMID: 37239724 DOI: 10.3390/healthcare11101438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 04/08/2023] [Accepted: 05/12/2023] [Indexed: 05/28/2023] Open
Abstract
Smoking causes significant morbidity and mortality worldwide, mainly in developed countries. In addition, it is the cause of numerous diseases in the body, despite the fact that the prevalence of tobacco use is decreasing. Nursing students, as future professionals, should be aware of action plans for cessation and information designed for smokers. To determine the level of knowledge among nursing students about smoking-related diseases and analyze the prevalence of student who smoke at the University of Leon, Spain, a descriptive cross-sectional study was carried out in which students were given an anonymous questionnaire, which was previously validated, during the 2021-2022 academic year. In a sample of 477 (79.5%) nursing students, a smoking prevalence of 17.6% was obtained. In addition, students' knowledge about the diseases directly caused by tobacco consumption and others associated with exposure to environmental smoke was assessed, and in both cases (8.03 points of 9 for consumption and 5.24 of 6 to exposure), scores were obtained that allow us to state that students do not know for sure the types of diseases that are related to tobacco use and passive smoking. In spite of this, it is necessary to continue to reduce the prevalence of smoking through different programs implemented in schools and universities, as it is also necessary to improve teaching plans when explaining smoking-related diseases, so that students, in the future, will be able to advise patients correctly.
Collapse
Affiliation(s)
- Mario García-Suárez
- Health Research Nursing Group (GREIS), University of Leon, 24071 Leon, Spain
- University Hospital of Leon, 24071 Leon, Spain
- Department of Nursing and Physiotherapy, University of Leon, 24071 Leon, Spain
| | - Daniel Fernández-García
- Health Research Nursing Group (GREIS), University of Leon, 24071 Leon, Spain
- Department of Nursing and Physiotherapy, University of Leon, 24071 Leon, Spain
| | - Beatriz Ordás-Campos
- University Hospital of Leon, 24071 Leon, Spain
- Department of Nursing and Physiotherapy, University of Leon, 24071 Leon, Spain
| | - Jesús Antonio Fernández-Fernández
- Health Research Nursing Group (GREIS), University of Leon, 24071 Leon, Spain
- Department of Nursing and Physiotherapy, University of Leon, 24071 Leon, Spain
| | - Carlos Méndez-Martínez
- Health Research Nursing Group (GREIS), University of Leon, 24071 Leon, Spain
- University Hospital of Leon, 24071 Leon, Spain
- Department of Nursing and Physiotherapy, University of Leon, 24071 Leon, Spain
| | - Leticia Sánchez-Valdeón
- Health Research Nursing Group (GREIS), University of Leon, 24071 Leon, Spain
- Department of Nursing and Physiotherapy, University of Leon, 24071 Leon, Spain
| | - Inés Casado-Verdejo
- Health Research Nursing Group (GREIS), University of Leon, 24071 Leon, Spain
- Department of Nursing and Physiotherapy, University of Leon, 24401 Ponferrada, Spain
| |
Collapse
|
8
|
Action « hôpital et campus sans tabac » : évaluation à mi-parcours des connaissances de l’action et des besoins exprimés par les étudiants et les professionnels. Rev Mal Respir 2022; 39:832-838. [DOI: 10.1016/j.rmr.2022.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 10/18/2022] [Indexed: 11/06/2022]
|
9
|
Knowledge, beliefs, attitude, and practices of E-cigarette use among dental students: A multinational survey. PLoS One 2022; 17:e0276191. [PMID: 36301839 PMCID: PMC9612543 DOI: 10.1371/journal.pone.0276191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 10/01/2022] [Indexed: 11/05/2022] Open
Abstract
Background E-cigarette use is a trend worldwide nowadays with mounting evidence on associated morbidities and mortality. Dentists can modify the smoking behaviors of their patients. This study aimed to explore the knowledge, beliefs, attitude, and practice of E-cigarette use among dental students. Materials and methods This multinational, cross-sectional, questionnaire-based study recruited undergraduate dental students from 20 dental schools in 11 countries. The outcome variable was current smoking status (non-smoker, E-cigarette user only, tobacco cigarette smoker only, dual user). The explanatory variables were country of residence, sex, age, marital status, and educational level. Multiple linear regression analysis was performed to explore the explanatory variables associated with E-cigarette smoking. Results Of the 5697 study participants, 5156 (90.8%) had heard about E-cigarette, and social media was the most reported source of information for 33.2% of the participants. For the 5676 current users of E-cigarette and/or tobacco smoking, 4.5% use E-cigarette, and 4.6% were dual users. There were significant associations between knowledge and country (P< 0.05), educational level (B = 0.12; 95% CI: 0.02, 0.21; P = 0.016) and smoking status (P< 0.05). The country of residence (P< 0.05) and smoking status (P< 0.05) were the only statistically significant factors associated with current smoking status. Similarly, there were statistically significant associations between attitude and country (P< 0.05 for one country only compared to the reference) and history of previous E-cigarette exposure (B = -0.52; 95% CI: -0.91, -0.13; P = 0.009). Also, the practice of E-cigarettes was significantly associated with country (P< 0.05 for two countries only compared to the reference) and gender (B = -0.33; 95% CI: -0.52, -0.13; P = 0.001). Conclusion The knowledge of dental students about E-cigarette was unsatisfactory, yet their beliefs and attitudes were acceptable. Topics about E-cigarette should be implemented in the dental curriculum.
Collapse
|
10
|
Laroussy K, Castellano Y, Fu M, Baena A, Feliu A, Margalef M, Aldazabal J, Tigova O, Galimany J, Puig M, Moreno C, Bueno A, López A, Roca J, Fernández E, Martínez C. Determinants of participation in an online follow-up survey among nursing students. J Prof Nurs 2022; 41:108-114. [DOI: 10.1016/j.profnurs.2022.04.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 04/22/2022] [Accepted: 04/22/2022] [Indexed: 11/29/2022]
|
11
|
Ferrillo H, Watson S, Saglimbeni J. Vaping education in baccalaureate nursing curriculum and effects on practice: A cross-sectional exploratory study. NURSE EDUCATION TODAY 2022; 112:105339. [PMID: 35367863 DOI: 10.1016/j.nedt.2022.105339] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Revised: 03/14/2022] [Accepted: 03/23/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Vaping has become increasingly more prevalent, and nurses need to understand the risks, assess health effects, and provide education on vaping cessation and avoidance. OBJECTIVE The purpose of the study was to evaluate nursing students' vaping behaviors and knowledge as well as the extent that vaping education is integrated into curriculum and clinical practice. DESIGN A cross-sectional exploratory study. SETTING/PARTICIPANTS Baccalaureate nursing students from across the United States. METHODS Questionnaires were electronically delivered to nursing programs for distribution. The questionnaire assessed vaping behaviors, knowledge of health risks related to vaping and smoking, the extent to which participants integrated vaping education into their clinical practice, and vaping education in nursing curriculum. Pearson correlations and t-tests were performed to assess the relationships and differences between the variables. RESULTS The prevalence of vaping in US nursing students identified in this study exceeds most of the previous studies in this area. In the states represented, programs were more likely to teach smoking content than vaping. If vaping was part of the curriculum, most programs were more likely to teach vaping through informal class discussion versus within the formal curriculum. Correlations were noted between knowledge of vaping health outcomes and clinical practice behaviors of students. Overall, there was a correlation between comfort assessing/discussing vaping in the clinical setting and the presence of vaping curriculum, however the correlation was stronger when taught as part of the formal curriculum rather than through informal discussion. CONCLUSIONS While vaping is rapidly increasing in use, students were less likely to include vaping into their clinical practice if they lack knowledge of the effects. When formal curriculum is in place, students were more likely to include vaping assessment and education into clinical practice. Including vaping content within the formal curriculum is a warranted approach to address this growing crisis.
Collapse
Affiliation(s)
- Heather Ferrillo
- Davis and Henley College of Nursing, Sacred Heart University, 5151 Park Avenue, Fairfield, CT 06825, United States of America.
| | - Sherylyn Watson
- Davis and Henley College of Nursing, Sacred Heart University, 5151 Park Avenue, Fairfield, CT 06825, United States of America.
| | - Julia Saglimbeni
- Davis and Henley College of Nursing, Sacred Heart University, 5151 Park Avenue, Fairfield, CT 06825, United States of America
| |
Collapse
|
12
|
Adouard V, Menecier P, Chapalain F, Gelly B, Tamboloni JC. [Smoking prevalence among nursing students and nursing assistants in Mâcon: 2021 survey and evolution over 13 years]. Rev Mal Respir 2022; 39:328-333. [PMID: 35459586 DOI: 10.1016/j.rmr.2022.02.058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 02/02/2022] [Indexed: 12/01/2022]
Abstract
INTRODUCTION Smoking is a public health issue in France, especially among the young. Its specificities for caregivers and health students are part of a nationwide "Tobacco-free health place" strategy, underlining the importance of individual choices and the clinical roles of future health professionals. METHOD Prospective survey by online questionnaire, conducted in 2021 among 238 nursing students and nursing assistants in Mâcon, concerning their smoking habits, vaping and the impact of the Covid-19 health crisis, the objectives being to assess the prevalence of smoking in this population, and compare it to previous surveys and data from the literature. In addition, smoking-related behavior was observed. RESULTS One hundred and fifty-seven out of 238 students (66%), 95% of whom were women, responded to the questionnaire, with an average age of 25.1 years (SD: 7.7). Smoking prevalence was measured at 22%. This rate has fluctuated without declining in the surveys undertaken since 2008. Vaping was practiced by 8% of respondents, three-quarters of whom were also smokers. The health crisis appeared to have aggravated smoking habits among the future caregivers, two-fifths of whom considered it embarrassing for a caregiver to smoke, whatever their own smoking status. CONCLUSIONS Smoking prevalence has not declined in this predominantly female student population, with results similar to those elsewhere in France, Young generations of caregivers will be challenged from the standpoints of personal health and professional skills in their treatment of smokers, which it would be desirable for them to ensure without undue cognitive dissonance.
Collapse
Affiliation(s)
- V Adouard
- Unité de tabacologie, CH de Mâcon, Mâcon, France
| | - P Menecier
- Service d'addictologie, CH de Mâcon, Mâcon, France; Laboratoire DIPHE, université Lyon 2 Lumière, institut de psychologie, Bron, France.
| | - F Chapalain
- Service des urgences, CH de Mâcon, Mâcon, France
| | | | | |
Collapse
|
13
|
Martínez C, Castellano Y, Laroussy K, Fu M, Baena A, Margalef M, Feliu A, Aldazabal J, Tigova O, Galimany J, Puig-Llobet M, Moreno C, Bueno A, López A, Guydish J, Fernández E. Knowledge, Attitudes, and Training in Tobacco Dependence and Cessation Treatment Among Nursing Students in Catalonia (ECTEC Study): Cross-Sectional Study. Int J Ment Health Addict 2021. [PMID: 37261115 PMCID: PMC10229109 DOI: 10.1007/s11469-021-00640-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Nursing students are part of the future health labor force; thus, knowing their knowledge and participation in tobacco control is of importance. Multicentre cross-sectional study conducted to assess nursing students' knowledge, attitudes, and training in tobacco dependence and treatment at 15 nursing schools in Catalonia. We employed a self-administered questionnaire. 4,381 students participated. Few respondents (21.1%) knew how to assess smokers' nicotine dependence, and less than half (41.4%) knew about the smoking cessation therapies. Most (80%) had been educated on the health risks of smoking, 50% about the reasons why people smoke and, one third on how to provide cessation aid. Students in the last years of training were more likely to have received these two contents. Nursing students lack sufficient knowledge to assess and treat tobacco dependence and are rarely trained in such subjects. Nursing curricula in tobacco dependence and treatment should be strengthened to tackle the first preventable cause of disease worldwide.
Collapse
|
14
|
Fu M, Feliu A, Fernández E. Shishas: another way of tobacco smoking… Another source of exposure to toxic compounds. Arch Bronconeumol 2021; 57:449-450. [PMID: 35698948 DOI: 10.1016/j.arbr.2021.05.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Accepted: 10/02/2020] [Indexed: 06/15/2023]
Affiliation(s)
- Marcela Fu
- Unidad de Control del Tabaco, Centro Colaborador de la OMS para el Control del Tabaco, Institut Català d'Oncologia (ICO), L'Hospitalet de Llobregat; Grupo de Investigación en Control del Tabaco, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat; Facultad de Medicina y Ciencias de la Salud, Universitat de Barcelona (UB), L'Hospitalet de Llobregat; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain.
| | - Ariadna Feliu
- Unidad de Control del Tabaco, Centro Colaborador de la OMS para el Control del Tabaco, Institut Català d'Oncologia (ICO), L'Hospitalet de Llobregat; Grupo de Investigación en Control del Tabaco, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat; Facultad de Medicina y Ciencias de la Salud, Universitat de Barcelona (UB), L'Hospitalet de Llobregat; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain
| | - Esteve Fernández
- Unidad de Control del Tabaco, Centro Colaborador de la OMS para el Control del Tabaco, Institut Català d'Oncologia (ICO), L'Hospitalet de Llobregat; Grupo de Investigación en Control del Tabaco, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat; Facultad de Medicina y Ciencias de la Salud, Universitat de Barcelona (UB), L'Hospitalet de Llobregat; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain
| |
Collapse
|
15
|
Coelho LDS, Tony ACC, Laguardia GCDA, Santos KBD, Friedrich DBDC, Cavalcante RB, Carbogim FDC. Are symptoms of depression and anxiety in nursing students associated with their sociodemographic characteristics? Rev Bras Enferm 2021; 74:e20200503. [PMID: 34076198 DOI: 10.1590/0034-7167-2020-0503] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2020] [Accepted: 09/27/2020] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to investigate symptoms of depression and anxiety and their association with the sociodemographic characteristics of undergraduate nursing students. METHODS a cross-sectional analytical study carried out with students from the Faculty of Nursing at Universidade Federal de Juiz de Fora from June to July 019. Data were collected through a sociodemographic questionnaire and the Beck Depression and Anxiety Inventories. RESULTS 192 students participated, with a mean age of 21.44 (±3.56) years. 85.93% of participants were female. The mean depression score was 22.40 (±12.35), and anxiety was 17.56 (±11.98). There was a difference in the mean of the scales for sex and psychotropic drugs (p<0.05). Women presented moderate and severe classification for both scales. Severe symptoms prevailed among students from the 6th to the 10th semester (18.22%). CONCLUSION there was an association between depression and anxiety symptoms related to gender and psychotropic drugs.
Collapse
|
16
|
Villanueva VJ, Herrera-Gutiérrez E, Redondo-Martín S, Isorna M, Lozano-Polo A. Proyecto piloto de promoción de la salud en consumo dual de cannabis y tabaco en universitarios: ÉVICT-Universidad. Glob Health Promot 2021. [PMID: 34015999 DOI: 10.1177/17579759211007454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
INTRODUCCIÓN La universidad es el lugar de formación de los futuros profesionales de los ámbitos educativo, sanitario y social. La implementación de programas de formación, prevención de adicciones y promoción de la salud con universitarios provoca un doble impacto, sobre el propio individuo y, dado su papel mediador, sobre la comunidad universitaria en general. El objetivo del trabajo es, partiendo de un proyecto piloto de investigación-acción, establecer un marco de promoción de la salud en contraposición al consumo dual de cannabis y tabaco en el contexto universitario, involucrando a la comunidad universitaria como agente de cambio. METODOLOGÍA Estudio descriptivo de la implementación, cobertura y resultados preliminares del Proyecto piloto ÉVICT-Universidad. RESULTADOS Entre el 2018 y el 2020 se implementó el Proyecto ÉVICT-Universidad en 11 universidades. Se formó a estudiantes universitarios como mediadores y se realizaron actividades comunitarias de sensibilización e información orientadas a la promoción de la salud y la prevención del uso de cannabis y tabaco, con especial foco en el consumo dual de estas sustancias, alcanzando a un total de 1471 beneficiarios en los tres años de implementación. CONCLUSIONES La experiencia piloto permite detectar fortalezas, aspectos de mejora y resultados prometedores sobre el nivel de conocimientos, contribuyendo a la adopción de estilos de vida saludables en el ámbito universitario. En especial, se destaca la contribución a la formación como agentes promotores de salud de estudiantes y, por tanto, el empoderamiento en salud desde la propia comunidad universitaria.
Collapse
Affiliation(s)
- Víctor J Villanueva
- Facultad de Ciencias de la Salud, Universidad Internacional de Valencia, Valencia, España.,Proyecto ÉVICT, Comité Nacional para la Prevención del Tabaquismo, Madrid, España
| | - Eva Herrera-Gutiérrez
- Proyecto ÉVICT, Comité Nacional para la Prevención del Tabaquismo, Madrid, España.,Facultad de Psicología, Universidad de Murcia, Murcia, España
| | - Susana Redondo-Martín
- Proyecto ÉVICT, Comité Nacional para la Prevención del Tabaquismo, Madrid, España.,Facultad de Medicina, Universidad de Valladolid, Valladolid, España
| | - Manuel Isorna
- Proyecto ÉVICT, Comité Nacional para la Prevención del Tabaquismo, Madrid, España.,Facultad de Educación y Trabajo Social, Universidad de Vigo, Orense, España
| | - Adelaida Lozano-Polo
- Proyecto ÉVICT, Comité Nacional para la Prevención del Tabaquismo, Madrid, España.,Facultad de Medicina, Universidad de Murcia, Murcia, España
| |
Collapse
|
17
|
[Cigarette and e-cigarette use among a sample of French health students]. Rev Mal Respir 2021; 38:164-170. [PMID: 33583645 DOI: 10.1016/j.rmr.2021.01.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Accepted: 11/11/2020] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Smoking is one of the leading causes of preventable death worldwide. Data from the literature show that caregivers and health students have a high prevalence. The purpose of this article was to study the prevalence among health students (medicine, dentistry, physiotherapy, nursing) at a University and a Teaching Hospital in France. MATERIAL AND METHOD This was a cross-sectional study using a self-administered questionnaire completed at the start of university meetings. This study was carried out as part of a campaign to combat smoking supported by the Brittany Regional Health Agency. RESULTS The participation rate was 76.4%: 1349 respondents out of 1766 health students surveyed. The prevalence of smoking 17.8% and that of vaping 5.6%. Nursing students smoked and vaped more than students in other streams: respectively, for smoking, 21.8% (73/335) vs. 16.5% (167/1014) (P<0.001), for vaping, 10.4% (35/335) vs. 4.0% (39/980) (P<0.001). Students in 3rd year nursing smoked and vaped significantly more than those in the first 2 years (P=0.02 and P<0.001). CONCLUSION The smoking rate was high, but comparable to the data for health students. Nursing students were significantly greater smokers, especially in the last year. Their vaping rate was higher than in other studies.
Collapse
|
18
|
Fu M, Feliu A, Fernández E. Shishas: Another Way of Tobacco Smoking… Another Source of Exposure to Toxic Compounds. Arch Bronconeumol 2020:S0300-2896(20)30378-1. [PMID: 33160713 PMCID: PMC7550276 DOI: 10.1016/j.arbres.2020.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 09/23/2020] [Accepted: 10/02/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Marcela Fu
- Unidad de Control del Tabaco, Centro Colaborador de la OMS para el Control del Tabaco, Instituto Catalán de Oncología (ICO), L'Hospitalet de Llobregat; Grupo de Investigación en Control del Tabaco, Instituto de Investigación Biomédica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat; Facultad de Medicina y Ciencias de la Salud, Universitat de Barcelona (UB), L'Hospitalet de Llobregat; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, España.
| | - Ariadna Feliu
- Unidad de Control del Tabaco, Centro Colaborador de la OMS para el Control del Tabaco, Instituto Catalán de Oncología (ICO), L'Hospitalet de Llobregat; Grupo de Investigación en Control del Tabaco, Instituto de Investigación Biomédica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat; Facultad de Medicina y Ciencias de la Salud, Universitat de Barcelona (UB), L'Hospitalet de Llobregat; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, España
| | - Esteve Fernández
- Unidad de Control del Tabaco, Centro Colaborador de la OMS para el Control del Tabaco, Instituto Catalán de Oncología (ICO), L'Hospitalet de Llobregat; Grupo de Investigación en Control del Tabaco, Instituto de Investigación Biomédica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat; Facultad de Medicina y Ciencias de la Salud, Universitat de Barcelona (UB), L'Hospitalet de Llobregat; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, España
| |
Collapse
|
19
|
Kritsotakis G, Georgiou ED, Karakonstandakis G, Kaparounakis N, Pitsouni V, Sarafis P. A longitudinal study of multiple lifestyle health risk behaviours among nursing students and non-nursing peers. Int J Nurs Pract 2020; 26:e12852. [PMID: 32645751 DOI: 10.1111/ijn.12852] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Revised: 04/18/2020] [Accepted: 05/01/2020] [Indexed: 11/30/2022]
Abstract
AIM The aim of this paper is to compare the evolution of health risk behaviours between undergraduate nursing and social work students. BACKGROUND Nursing includes the promotion of health and the shaping of healthy behaviours. An important determinant for providing lifestyle advice is the lifestyle of nurses themselves. DESIGN Longitudinal comparative study. MEASUREMENTS We compared lifestyle risk behaviours (binge drinking, cannabis/hashish/marijuana use, smoking, oral hygiene/toothbrushing, breakfast/fruit/vegetable consumption, physical activity and screen time/sedentary behaviours) using a self-administered standardized questionnaire in nursing (n = 121) and social work (n = 140) students at the beginning (2012) and the end of their studies (2015). Adjusted multivariable logistic/Poisson regression models were performed. RESULTS There were no statistically significant differences between the departments in most risk factors in both assessments. However, in relation to their first year, both nursing and social work students displayed higher relative risk of engaging in more behavioural risk factors at the end of their studies (in delivery/junk food consumption, sunburns, hashish/marijuana use and multiple sexual partners). Social work students displayed better behaviours in physical activity and breakfast intake. CONCLUSION Nursing students share the patterns of their nonnursing peers in behavioural risk factors compromising their future health and health-promoting role. We need strategies to safeguard the professional nursing practice.
Collapse
Affiliation(s)
- George Kritsotakis
- Laboratory of Epidemiology, Prevention & Management of Diseases, Nursing Department, Hellenic Mediterranean University, Crete, Greece
| | - Evangelos D Georgiou
- University Centre for Field Studies, Department of Psychology, University of Cyprus, Lefkosia, Cyprus
| | - Georgios Karakonstandakis
- Laboratory of Epidemiology, Prevention & Management of Diseases, Nursing Department, Hellenic Mediterranean University, Crete, Greece
| | - Nikos Kaparounakis
- Laboratory of Epidemiology, Prevention & Management of Diseases, Nursing Department, Hellenic Mediterranean University, Crete, Greece
| | | | - Pavlos Sarafis
- Nursing Department, Cyprus University of Technology, Limassol, Cyprus
| |
Collapse
|
20
|
Romero-López AM, Portero-de-la-Cruz S, Vaquero-Abellán M. Effectiveness of a web platform on university students' motivation to quit smoking. Rev Lat Am Enfermagem 2020; 28:e3318. [PMID: 32609269 PMCID: PMC7332250 DOI: 10.1590/1518-8345.3731.3318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Accepted: 04/03/2020] [Indexed: 11/29/2022] Open
Abstract
Objective: to know the dependence on nicotine and the motivation to quit smoking in
Nursing and Physiotherapy students of a university in the South of Spain,
and to evaluate the impact of an intervention based on the use of
information technologies on the motivation to quit smoking. Method: a pilot study in two phases: the first being cross-sectional and the second,
a before-and-after intervention. The motivation to quit smoking was assessed
by means of the Richmond questionnaire, and the dependence on nicotine
through the Fagerström questionnaire; additionally, an intervention was
performed based on the use of a web platform to increase motivation to quit
smoking. Descriptive and inferential statistics were applied. Results: the prevalence in the use of tobacco was 4.33% (n=29). 3.45% of the
participants had a high level of dependence; and 6.90%, a high level of
motivation. The level of motivation did not change after the intervention
(p=0.10). Conclusion: most of the students have low levels of motivation to quit smoking and of
physical dependence to nicotine. The level of motivation to quit smoking
does not change after performing the intervention.
Collapse
Affiliation(s)
- Alba María Romero-López
- Universidad de Córdoba, Facultad de Medicina y Enfermería, Departamento de Enfermería, Farmacología y Fisioterapia, Córdoba, Andalucía, Spain
| | - Silvia Portero-de-la-Cruz
- Universidad de Córdoba, Facultad de Medicina y Enfermería, Departamento de Enfermería, Farmacología y Fisioterapia, Córdoba, Andalucía, Spain
| | - Manuel Vaquero-Abellán
- Universidad de Córdoba, Facultad de Medicina y Enfermería, Departamento de Enfermería, Farmacología y Fisioterapia, Córdoba, Andalucía, Spain
| |
Collapse
|