School of Nursing, University of Verona, Verona, Italy.
Unit of Epidemiology & Medical Statistics, Department of Diagnostics and Public Health, University of Verona, Verona, Italy.
BMC Public Health. 2019 Jul 22;19(1):976. doi: 10.1186/s12889-019-7250-y.
Data on electronic cigarette (e-cigarette) use among health professional students, who can play a central role in promoting healthy habits and smoking cessation, are sparse. Moreover, the association between e-cigarettes and smoking habits is still debated. The present study aimed to investigate the diffusion of e-cigarette use among nursing students in north-eastern Italy and explore its association with tobacco smoking.
In 2015, a questionnaire focused on e-cigarette use and tobacco smoking habits was anonymously administered to 2020 students attending nursing courses held by Verona University in 5 different centres. Of these students, 1463 (72.4%) answered the questionnaire. The influence of e-cigarette ever use on both tobacco smoking initiation in all subjects and smoking cessation among ever smokers was investigated by multivariable logistic models.
Most responders were female (77.1%), and the mean (SD) age was 23.2 (4.2) years. Nearly all students (94.7%) had heard about e-cigarettes. Approximately one-third (30.3, 95% CI 27.9-32.7%) had ever used e-cigarettes, but only 2.1% (1.5-3.0%) had used e-cigarettes in the last month. Very few (2.1%) of those responders who had never used e-cigarettes were willing to try them. Prevalence values were much higher for tobacco smoking: 40.9% of responders reported being current tobacco smokers, and 10.1% reported being past smokers. Ever use and current use of e-cigarettes were reported by 57.2 and 4.4% of current tobacco smokers and by 12.0 and 0.6% of never or past smokers, respectively (p < 0.001). In multivariable analysis, students who ever used e-cigarettes had 13 times greater odds of being an ever tobacco smoker than never users, whereas they had three times lower odds of being a former smoker. Only 26 students were currently using both electronic and tobacco cigarettes, and most declared that they used e-cigarettes to stop or reduce tobacco smoking. Of note, only three students reported that they had completely stopped smoking thanks to e-cigarette use.
Use of e-cigarettes seemed to be rather rare among Italian nursing students and was mainly restricted to current smokers. E-cigarette use was not associated with smoking cessation in nursing students.
电子香烟（电子烟）在卫生专业学生中的使用数据很少，这些学生可以在促进健康习惯和戒烟方面发挥核心作用。此外，电子烟与吸烟习惯之间的关联仍存在争议。本研究旨在调查意大利东北部护理专业学生中电子烟的使用情况，并探讨其与吸烟习惯的关系。
2015 年，对维罗纳大学五个不同中心护理课程的 2020 名学生匿名进行了一项关于电子烟使用和吸烟习惯的问卷。其中，1463 名（72.4%）学生回答了问卷。通过多变量逻辑模型调查电子烟使用对所有受试者开始吸烟和既往吸烟者戒烟的影响。
大多数应答者为女性（77.1%），平均（SD）年龄为 23.2（4.2）岁。几乎所有的学生（94.7%）都听说过电子烟。大约三分之一（30.3，95%CI 27.9-32.7%）的学生曾使用过电子烟，但只有 2.1%（1.5-3.0%）的学生在过去一个月中使用过电子烟。几乎没有（2.1%）从未使用过电子烟的应答者愿意尝试使用。吸烟的流行率要高得多：40.9%的应答者报告目前为烟草吸烟者，10.1%的应答者报告为过去吸烟者。曾使用电子烟和当前使用电子烟的报告分别为 57.2%和 4.4%的当前吸烟者，以及 12.0%和 0.6%的从不吸烟或既往吸烟者（p<0.001）。在多变量分析中，曾使用电子烟的学生成为以往吸烟者的可能性是从未使用者的 13 倍，而他们成为前吸烟者的可能性则降低了 3 倍。只有 26 名学生目前同时使用电子烟和烟草，大多数人表示他们使用电子烟来戒烟或减少吸烟。值得注意的是，只有三名学生报告说他们因使用电子烟而完全停止吸烟。
在意大利护理专业学生中，电子烟的使用似乎相当罕见，主要限于当前吸烟者。电子烟的使用与护理专业学生的戒烟无关。
