Passive exposure and perceptions of smoke-free policies in hospital and university campuses among nursing students: A cross-sectional multicenter study

Introduction 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’...

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Main Authors: Marcela Fu, Yolanda Castellano, Kenza Laroussy, Antoni Baena, Mercè Margalef, Ariadna Feliu, Jordi Galimany-Masclans, Montse Puig-Llobet, Carmen Moreno-Arroyo, Raül Sancho, Albert Bueno, Antonio López, Joseph Guydish, Esteve Fernández, Cristina Martínez
Format: Article
Language:English
Published: European Publishing 2023-07-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.tobaccoinduceddiseases.org/Passive-exposure-and-perceptions-of-smoke-free-policies-in-hospital-and-university,167390,0,2.html
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author Marcela Fu
Yolanda Castellano
Kenza Laroussy
Antoni Baena
Mercè Margalef
Ariadna Feliu
Jordi Galimany-Masclans
Montse Puig-Llobet
Carmen Moreno-Arroyo
Raül Sancho
Albert Bueno
Antonio López
Joseph Guydish
Esteve Fernández
Cristina Martínez
author_facet Marcela Fu
Yolanda Castellano
Kenza Laroussy
Antoni Baena
Mercè Margalef
Ariadna Feliu
Jordi Galimany-Masclans
Montse Puig-Llobet
Carmen Moreno-Arroyo
Raül Sancho
Albert Bueno
Antonio López
Joseph Guydish
Esteve Fernández
Cristina Martínez
author_sort Marcela Fu
collection DOAJ
description Introduction 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 2) describe their support for indoor and outdoor smoking bans on hospital and university campuses. Methods 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). Results 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). Conclusions 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.
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spelling doaj.art-9cd2c7fc674f40efaa5688583980e0762023-08-02T09:42:05ZengEuropean PublishingTobacco Induced Diseases1617-96252023-07-0121July11010.18332/tid/167390167390Passive exposure and perceptions of smoke-free policies in hospital and university campuses among nursing students: A cross-sectional multicenter studyMarcela Fu0https://orcid.org/0000-0002-4962-0927Yolanda Castellano1Kenza Laroussy2https://orcid.org/0000-0002-8920-4039Antoni Baena3Mercè Margalef4https://orcid.org/0000-0001-8427-1403Ariadna Feliu5https://orcid.org/0000-0002-0033-9026Jordi Galimany-Masclans6https://orcid.org/0000-0002-2538-3787Montse Puig-Llobet7https://orcid.org/0000-0002-3893-4488Carmen Moreno-Arroyo8https://orcid.org/0000-0002-0421-0289Raül Sancho9https://orcid.org/0000-0002-5949-0863Albert Bueno10https://orcid.org/0000-0002-8374-0690Antonio López11https://orcid.org/0000-0002-0417-3764Joseph Guydish12Esteve Fernández13https://orcid.org/0000-0003-4239-723XCristina Martínez14https://orcid.org/0000-0002-0108-3288Tobacco Control Unit, Cancer Control and Prevention Program, Institut Català d’Oncologia, l'Hospitalet de Llobregat, Barcelona, SpainTobacco Control Unit, Cancer Control and Prevention Program, Institut Català d’Oncologia, l'Hospitalet de Llobregat, Barcelona, SpainTobacco Control Unit, Cancer Control and Prevention Program, Institut Català d’Oncologia, l'Hospitalet de Llobregat, Barcelona, SpainTobacco Control Unit, Cancer Control and Prevention Program, Institut Català d’Oncologia, l'Hospitalet de Llobregat, Barcelona, SpainTobacco Control Unit, Cancer Control and Prevention Program, Institut Català d’Oncologia, l'Hospitalet de Llobregat, Barcelona, SpainTobacco Control Unit, Cancer Control and Prevention Program, Institut Català d’Oncologia, l'Hospitalet de Llobregat, Barcelona, SpainDepartment of Public Health, Mental Health, and Maternal and Child Health Nursing, School of Nursing, Universitat de Barcelona, Barcelona, SpainDepartment of Public Health, Mental Health, and Maternal and Child Health Nursing, School of Nursing, Universitat de Barcelona, Barcelona, SpainDepartment of Fundamental and Medical-Surgical Nursing, School of Nursing, Universitat de Barcelona, Barcelona, SpainDepartment of Public Health, Mental Health, and Maternal and Child Health Nursing, School of Nursing, Universitat de Barcelona, Barcelona, SpainNursing Care Management, Equip d’Atenció Primària Roses, Institut Català de la Salut, Girona, SpainNursing Care Management Equip d’Atenció Primària Valls Urbà, Institut Català de la Salut, Tarragona, SpainPhilip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, United StatesTobacco Control Unit, Cancer Control and Prevention Program, Institut Català d’Oncologia, l'Hospitalet de Llobregat, Barcelona, SpainTobacco Control Unit, Cancer Control and Prevention Program, Institut Català d’Oncologia, l'Hospitalet de Llobregat, Barcelona, SpainIntroduction 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 2) describe their support for indoor and outdoor smoking bans on hospital and university campuses. Methods 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). Results 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). Conclusions 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.http://www.tobaccoinduceddiseases.org/Passive-exposure-and-perceptions-of-smoke-free-policies-in-hospital-and-university,167390,0,2.htmlattitudesnursing studentspublic healthsecondhand smoke exposuresmoke-free policies
spellingShingle Marcela Fu
Yolanda Castellano
Kenza Laroussy
Antoni Baena
Mercè Margalef
Ariadna Feliu
Jordi Galimany-Masclans
Montse Puig-Llobet
Carmen Moreno-Arroyo
Raül Sancho
Albert Bueno
Antonio López
Joseph Guydish
Esteve Fernández
Cristina Martínez
Passive exposure and perceptions of smoke-free policies in hospital and university campuses among nursing students: A cross-sectional multicenter study
Tobacco Induced Diseases
attitudes
nursing students
public health
secondhand smoke exposure
smoke-free policies
title Passive exposure and perceptions of smoke-free policies in hospital and university campuses among nursing students: A cross-sectional multicenter study
title_full Passive exposure and perceptions of smoke-free policies in hospital and university campuses among nursing students: A cross-sectional multicenter study
title_fullStr Passive exposure and perceptions of smoke-free policies in hospital and university campuses among nursing students: A cross-sectional multicenter study
title_full_unstemmed Passive exposure and perceptions of smoke-free policies in hospital and university campuses among nursing students: A cross-sectional multicenter study
title_short Passive exposure and perceptions of smoke-free policies in hospital and university campuses among nursing students: A cross-sectional multicenter study
title_sort passive exposure and perceptions of smoke free policies in hospital and university campuses among nursing students a cross sectional multicenter study
topic attitudes
nursing students
public health
secondhand smoke exposure
smoke-free policies
url http://www.tobaccoinduceddiseases.org/Passive-exposure-and-perceptions-of-smoke-free-policies-in-hospital-and-university,167390,0,2.html
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