Kenza Laroussy, Esteve Fernández, Yolanda Castellano, Marcela Fu, Antoni Baena, Ariadna Feliu, Armando Peruga, Mercè Margalef, Olena Tigova, Jordi Galimany, Montserrat Puig, Carmen Moreno, Albert Bueno, Antonio López, Judith Roca, Judith Saura, Cristina Martínez
{"title":"加泰罗尼亚吸烟护生烟草使用转变的决定因素：前瞻性纵向研究","authors":"Kenza Laroussy, Esteve Fernández, Yolanda Castellano, Marcela Fu, Antoni Baena, Ariadna Feliu, Armando Peruga, Mercè Margalef, Olena Tigova, Jordi Galimany, Montserrat Puig, Carmen Moreno, Albert Bueno, Antonio López, Judith Roca, Judith Saura, Cristina Martínez","doi":"10.18332/tid/189484","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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).</p><p><strong>Methods: </strong>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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>Nursing students who smoked experienced diverse transitions in tobacco use patterns over time. 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引用次数: 0
摘要
介绍：新烟草和尼古丁产品的使用会影响大学生的烟草使用行为。因此，我们旨在研究加泰罗尼亚（西班牙）护理专业学生群体中烟草使用模式的转变，并确定其预测因素：我们对 2015-2016 年至 2018-2019 年期间的加泰罗尼亚护理专业学生进行了一项前瞻性纵向研究。我们考察了吸烟者从基线到随访期间烟草使用模式的转变：1）每天吸烟到非每天吸烟；2）非每天吸烟到每天吸烟；3）只吸烟到使用多种烟草；4）使用多种烟草到只吸烟；5）在不同产品之间；6）每天减少吸烟≥5支（CPD）；7）戒烟。我们采用具有对数链接（泊松回归）和稳健方差的广义线性模型来确定减少吸烟量≥5支/天（CPD）和戒烟的预测因素，得出粗略和调整（APR）流行率及其95%置信区间（CI）：在基线每日吸烟者中，12.1%的人在随访时转为非每日吸烟，而36.2%的非每日吸烟者转为每日吸烟。在只使用香烟的吸烟者中，14.2%转为使用多种烟草，而48.4%的多种烟草使用者转为只使用香烟。在所有吸烟者（每日吸烟者和非每日吸烟者）中，60.8%的人减少了≥5 CPD的吸烟量，28.3%的人戒烟。非日常吸烟者（APR=0.33；95% CI 0.19-0.55）和尼古丁依赖性较低（APR=0.78；95% CI 0.64-0.96）与减少吸烟量成反比，而非日常吸烟者（APR=1.19；95% CI：1.08-1.31）与戒烟直接相关：结论：吸烟的护理专业学生随着时间的推移在烟草使用模式上经历了不同的转变。解决未来护士的烟草使用问题需要基于证据的烟草使用预防和戒烟干预措施。
Determinants of tobacco use transitions in smoker nursing students in Catalonia: A prospective longitudinal study.
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.
期刊介绍：
Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community.
The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.
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