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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| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2024-07-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| 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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| Summary: | 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. |
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| ISSN: | 1617-9625 |