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...
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| Format: | Article |
| Language: | English |
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European Publishing
2024-07-01
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| Series: | Tobacco Induced Diseases |
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| Online Access: | https://www.tobaccoinduceddiseases.org/Determinants-of-tobacco-use-transitions-in-smoker-nursing-students-in-Catalonia-A,189484,0,2.html |
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| author | 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 |
| author_facet | 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 |
| author_sort | Kenza Laroussy |
| collection | DOAJ |
| description | 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 nondaily
smoking, 2) non-daily to daily smoking, 3) cigarette-only use to polytobacco
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 polytobacco
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. |
| format | Article |
| id | doaj-art-967ae1de1df4495baa7900711c3f386f |
| institution | Kabale University |
| issn | 1617-9625 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj-art-967ae1de1df4495baa7900711c3f386f2025-01-24T15:27:00ZengEuropean PublishingTobacco Induced Diseases1617-96252024-07-0122July11710.18332/tid/189484189484Determinants of tobacco use transitions in smoker nursing students in Catalonia: A prospective longitudinal studyKenza Laroussy0https://orcid.org/0000-0002-8920-4039Esteve Fernández1https://orcid.org/0000-0003-4239-723XYolanda Castellano2https://orcid.org/0000-0003-4452-305XMarcela Fu3https://orcid.org/0000-0002-4962-0927Antoni Baena4https://orcid.org/0000-0001-9221-8784Ariadna Feliu5https://orcid.org/0000-0002-0033-9026Armando Peruga6https://orcid.org/0000-0002-1138-3292Mercè Margalef7https://orcid.org/0000-0001-8427-1403Olena Tigova8https://orcid.org/0000-0002-4002-116XJordi Galimany9https://orcid.org/0000-0002-2538-3787Montserrat Puig10https://orcid.org/0000-0002-3893-4488Carmen Moreno11https://orcid.org/0000-0001-8771-5129Albert Bueno12https://orcid.org/0000-0002-8374-0690Antonio López13https://orcid.org/0000-0002-0417-3764Judith Roca14https://orcid.org/0000-0002-0645-1668Judith Saura15https://orcid.org/0000-0003-3700-0293Cristina Martínez16https://orcid.org/0000-0002-0108-3288WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, SpainWHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, SpainWHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, SpainWHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, SpainWHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, SpainWHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, SpainWHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, SpainWHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, SpainWHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, SpainSchool of Nursing, University of Barcelona, Barcelona, SpainSchool of Nursing, University of Barcelona, Barcelona, SpainSchool of Nursing, University of Barcelona, Barcelona, SpainNursing care management, Equip d'Atenció Primària de Roses, Institut Català de Salut, Girona, SpainNursing care management, Equip d'Atenció Primària - Valls Urbà, Institut Català de Salut, Tarragona, SpainDepartment of Nursing and Physiotherapy, School of Nursing and Physiotherapy, University of Lleida, Lleida, SpainWHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, SpainWHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia – ICO, Barcelona, SpainIntroduction 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 nondaily smoking, 2) non-daily to daily smoking, 3) cigarette-only use to polytobacco 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 polytobacco 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.https://www.tobaccoinduceddiseases.org/Determinants-of-tobacco-use-transitions-in-smoker-nursing-students-in-Catalonia-A,189484,0,2.htmllongitudinal studynursing studentstobacco usetobacco use cessationtransition |
| spellingShingle | 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 Determinants of tobacco use transitions in smoker nursing students in Catalonia: A prospective longitudinal study Tobacco Induced Diseases longitudinal study nursing students tobacco use tobacco use cessation transition |
| title | Determinants of tobacco use transitions in smoker nursing students in Catalonia: A prospective longitudinal study |
| title_full | Determinants of tobacco use transitions in smoker nursing students in Catalonia: A prospective longitudinal study |
| title_fullStr | Determinants of tobacco use transitions in smoker nursing students in Catalonia: A prospective longitudinal study |
| title_full_unstemmed | Determinants of tobacco use transitions in smoker nursing students in Catalonia: A prospective longitudinal study |
| title_short | Determinants of tobacco use transitions in smoker nursing students in Catalonia: A prospective longitudinal study |
| title_sort | determinants of tobacco use transitions in smoker nursing students in catalonia a prospective longitudinal study |
| topic | longitudinal study nursing students tobacco use tobacco use cessation transition |
| url | https://www.tobaccoinduceddiseases.org/Determinants-of-tobacco-use-transitions-in-smoker-nursing-students-in-Catalonia-A,189484,0,2.html |
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