护理专业学生吸烟、电子烟和大麻使用的流行情况及其决定因素：一项多中心横断面研究。

Prevalence and determinants of tobacco, e-cigarettes, and cannabis use among nursing students: A multicenter cross-sectional study.

机构信息

Tobacco Control Unit, Cancer Control and Prevention Programme, Institut Català d'Oncologia-ICO, Av. Granvia de L'Hospitalet 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Cancer Control and Prevention Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, Av. Granvia de L'Hospitalet 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Nursing School of the Medicine and Health Sciences Faculty, Universitat de Barcelona, C. Feixa llarga s/n, 08907 L'Hospitalet del Llobregat, Barcelona, Spain.

Tobacco Control Unit, Cancer Control and Prevention Programme, Institut Català d'Oncologia-ICO, Av. Granvia de L'Hospitalet 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Cancer Control and Prevention Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, Av. Granvia de L'Hospitalet 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain; Health Sciences Studies Department, Universitat Oberta de Catalunya, Rambla de Poblenou, 156, 08018, Barcelona, Spain.

出版信息

Nurse Educ Today. 2019 Mar;74:61-68. doi: 10.1016/j.nedt.2018.11.018. Epub 2018 Dec 7.

DOI:10.1016/j.nedt.2018.11.018

PMID:30583124

Abstract

BACKGROUND

Nurses are important agents in public health, which includes being active in tobacco control. Studies show that nurses who smoke are less inclined to offer smoking cessation aid. Nursing students, as the future labor force of nursing, are one of the key groups to monitor.

OBJECTIVES

To identify the prevalence and determinants of use of several tobacco products, e-cigarettes, and cannabis among nursing students in Catalonia.

DESIGN

Cross-sectional multicenter study.

SETTINGS

15 university nursing schools in Catalonia (Spain) in 2015-2016.

PARTICIPANTS

Nursing students attending class at the day of the survey.

METHODS

An anonymous, self-administered questionnaire based on the Global Health Professional Survey was designed. The questions included information on consumption of several tobacco products (manufactured cigarettes, roll your own cigarettes, etc.), e-cigarettes, and cannabis. We estimated the prevalence of use (%) and computed multilevel logistic regressions models, at two levels, to calculate the odds ratios (OR) and their corresponding 95% confidence intervals (CI), adjusting for several individual sociodemographic variables and the nursing school as a grouping variable.

RESULTS

4381 students participated in the study (57.2% of Nursing students in Catalonia at the time of the survey). 29.7% (95%CI: 27.2-32.2) were smokers (18.4% daily and 11.3% occasionally). 66.4% smoked manufactured cigarettes, 47.0% roll your own cigarettes, 10.0% waterpipe, and 0.4% e-cigarettes. The main predictors of smoking were: being ≥25 years (OR = 2.57, 95%CI: 2.03-3.26) and belonging to other Spanish regions (OR = 1.82, 95%CI: 1.30-2.54). 71.5% had low nicotine dependence as defined by the Heavy Smoking Index. Among 11.5% (95%CI: 10.6-12.4) of students used cannabis (daily or occasionally), and men presented higher odds of use (OR = 2.81, 95%CI: 2.11-3.73) than women.

CONCLUSIONS

Tobacco and cannabis use is high among nursing students. It is necessary to carry out early tobacco and cannabis cessation programs among young nursing students.

摘要

背景

护士是公共卫生的重要参与者，包括积极参与控烟工作。研究表明，吸烟的护士不太倾向于提供戒烟帮助。护理学生作为护理行业的未来劳动力，是需要重点监测的关键群体之一。

目的

确定加泰罗尼亚护理学生使用几种烟草制品、电子烟和大麻的流行率和决定因素。

设计

横断面多中心研究。

地点

2015-2016 年在西班牙加泰罗尼亚的 15 所大学护理学校。

参与者

在调查当天上课的护理学生。

方法

设计了一个基于全球卫生专业人员调查的匿名、自我管理问卷。这些问题包括对几种烟草制品（成品香烟、自卷香烟等）、电子烟和大麻的消费信息。我们估计了使用率（%），并计算了多水平逻辑回归模型，在两个水平上，调整了几个个体社会人口统计学变量和护理学校作为分组变量，计算了比值比（OR）及其相应的 95%置信区间（CI）。

结果

4381 名学生参加了这项研究（调查时加泰罗尼亚护理学生的 57.2%）。29.7%（95%CI：27.2-32.2）为吸烟者（18.4%为每日吸烟，11.3%为偶尔吸烟）。66.4%的人吸成品香烟，47.0%的人吸自卷香烟，10.0%的人吸水烟，0.4%的人吸电子烟。吸烟的主要预测因素为：年龄≥25 岁（OR=2.57，95%CI：2.03-3.26）和来自西班牙其他地区（OR=1.82，95%CI：1.30-2.54）。71.5%的人尼古丁依赖程度低，符合重度吸烟指数的定义。在 11.5%（95%CI：10.6-12.4）的学生中使用过大麻（每日或偶尔使用），男性使用大麻的几率高于女性（OR=2.81，95%CI：2.11-3.73）。