Fu Marcela, Castellano Yolanda, Laroussy Kenza, Baena Antoni, Margalef Mercè, Feliu Ariadna, Galimany-Masclans Jordi, Puig-Llobet Montse, Moreno-Arroyo Carmen, Sancho Raül, Bueno Albert, López Antonio, Guydish Joseph, Fernández Esteve, Martínez Cristina
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.
Tob Induc Dis. 2023 Jul 17;21:93. doi: 10.18332/tid/167390. eCollection 2023.
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.
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).
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).
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.
户外无烟规定可减少二手烟暴露，并有助于使烟草使用不再被视为正常行为。作为未来健康促进的关键力量，护理专业学生的态度应与控烟政策相一致。本研究的目的是：1）评估护理专业学生在护理学校接触二手烟的情况；2）探讨他们对急症医院现行无烟规定的遵守情况的看法；3）描述他们对医院和大学校园室内外吸烟禁令的支持情况。
这是一项于2015年至2016年在西班牙加泰罗尼亚地区所有15所大学护理学院开展的横断面多中心研究。通过问卷调查收集有关二手烟暴露、对急症医院无烟规定的知晓情况以及对医院和大学校园室内外无烟政策的支持情况等信息。参与者为调查当天正在上课的护理专业学生。我们进行了描述性分析，并计算了调整后的患病率比值（APR）和95%置信区间（CI）。
在4381名受访者中，99.1%的人看到过有人在大学校园的户外区域吸烟，75.2%的人在校园内接触过二手烟（室内6.0%，室外69.2%）。近60%的人知晓急症医院的吸烟规定。对医院室内无烟规定的支持较为广泛（98.7%），但对室外规定的支持较少（64.8%）。约33%的人支持将户外医疗校园设为无烟区，三年级学生的支持率高于一年级学生（APR = 1.41；95% CI：1.24 - 1.62），从不吸烟者（41.4%；APR = 2.84；95% CI：2.21 - 3.64）高于吸烟者，知晓该规定者（38.4%；95% CI：1.37 - 1.75）高于不知晓者。
大学校园二手烟暴露情况严重。护理专业学生对加强医院和大学校园户外吸烟禁令的支持率较低。应实施旨在提高他们支持率的干预措施。
