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Determinants of tobacco use transitions in smoker nursing students in Catalonia: A prospective longitudinal study

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dc.contributor.authorLaroussy, Kenza
dc.contributor.authorFernández, Esteve
dc.contributor.authorCastellano, Yolanda
dc.contributor.authorFu, Marcela
dc.contributor.authorBaena, Antoni
dc.contributor.authorFeliu, Ariadna
dc.contributor.authorPeruga, Armando
dc.contributor.authorMargalef, Mercè
dc.contributor.authorTigova,Olena
dc.contributor.authorGalimany, Jordi
dc.contributor.authorPuig, Montserrat
dc.contributor.authorMoreno, Carmen
dc.contributor.authorBueno, Albert
dc.contributor.authorLópez, Antonio
dc.contributor.authorRoca, Judith
dc.contributor.authorMartínez, Cristina
dc.date.accessioned2025-01-14T15:05:16Z
dc.date.available2025-01-14T15:05:16Z
dc.date.issued2024
dc.description.abstractIntroduction: 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.
dc.description.versionVersión Publicada
dc.identifier.citationLaroussy K, Fernández E, Castellano Y, Fu M, Baena A, Feliu A, Peruga A, Margalef M, Tigova O, Galimany J, Puig M, Moreno C, Bueno A, López A, Roca J, Saura J, Martínez C. Determinants of tobacco use transitions in smoker nursing students in Catalonia: A prospective longitudinal study. Tob Induc Dis. 2024 Jul 8;22. doi: 10.18332/tid/189484
dc.identifier.doihttps://doi.org/10.18332/tid/189484
dc.identifier.urihttps://hdl.handle.net/11447/9641
dc.language.isoen
dc.subjectLongitudinal study
dc.subjectNursing students
dc.subjectTobacco use
dc.subjectTobacco use cessation
dc.subjectTransition
dc.titleDeterminants of tobacco use transitions in smoker nursing students in Catalonia: A prospective longitudinal study
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceTobacco induced diseases
dspace.entity.typePublication
relation.isAuthorOfPublicationc8b19d84-bbe4-47f8-9ece-7d68172da50f
relation.isAuthorOfPublication.latestForDiscoveryc8b19d84-bbe4-47f8-9ece-7d68172da50f

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