1
|
Pougnet R, Lucas D, Pougnet L, Chapalain D, Fortin C, Loddé B, Dewitte JD, Eniafe-Eveillard MB, Le Denmat V. [Smoking, vaping among hospital staff during the Covid-19 pandemic: Appraisal of the "tobacco-free hospital, campus" campaign in Brest]. Rev Mal Respir 2022; 39:413-419. [PMID: 35597726 PMCID: PMC8847087 DOI: 10.1016/j.rmr.2022.01.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Accepted: 01/19/2022] [Indexed: 11/16/2022]
Abstract
INTRODUCTION In the framework of a "tobacco-free hospital and campus" campaign, we conducted a study on the prevalence of smoking and vaping among a university hospital (CHRU) staff. The study took place in late 2020 (from 1 September to 15 December), and involved self-assessment of the impact of the covid-19 pandemic on smoking. MATERIAL AND METHOD A cross-sectional study was carried out using an online questionnaire, which was distributed by email and QR code posting and included socio-professional details as well as data on participants' smoking and vaping. RESULTS There were 782 responses, representing a participation rate of 13.5%. The sample included 73.3% women and 22.7% men; 28.9% nurses, 24.9% medical staff, 3.6% nursing assistants and 42.6% other professional categories. The overall smoking rate was 13%. Sixty-two (7.9%) participants vaped; 37 (5%) vaped exclusively, 25 (3.2%) combined smoking and vaping. Men smoked more than women: 23.7% vs. 9.4% (P < 0.01). Medical staff smoked and vaped less than other categories; 6.2% vs 14.8% (P < 0.01) and 4.1% vs 9.1% respectively (P=0.02). Doctors were more often non-smokers: OR=2.71 (95% CI: 1.14-6.46). Among smokers, 25% said they had increased their cigarette consumption during the covid-19 pandemic, frequently as a means of combating stress or fatigue. CONCLUSION This study showed a lower smoking rate than in the literature, possibly due to the high participation of physicians. Ours were the initial estimates of vaping among hospital staff.
Collapse
Affiliation(s)
- R Pougnet
- Service de santé au travail du personnel hospitalier, CHRU Morvan, 2, avenue Foch, 29200 Brest, France; Laboratoires d'études et de recherches en sociologie (LABERS), EA 3149, université de Bretagne Occidentale, Brest, France.
| | - D Lucas
- Service de santé au travail du personnel hospitalier, CHRU Morvan, 2, avenue Foch, 29200 Brest, France; Optimisation des régulations physiologiques (ORPHY), EA 4324, université de Bretagne Occidentale, Brest, France
| | - L Pougnet
- Laboratoire médicale, hôpital d'instruction des Armées, Clermont-Tonnerre, Brest, France
| | - D Chapalain
- Consultation hospitalière de tabacologie, CHRU Morvan, Brest, France
| | - C Fortin
- Consultation hospitalière de tabacologie, CHRU Morvan, Brest, France
| | - B Loddé
- Service de santé au travail du personnel hospitalier, CHRU Morvan, 2, avenue Foch, 29200 Brest, France; Optimisation des régulations physiologiques (ORPHY), EA 4324, université de Bretagne Occidentale, Brest, France; Consultation hospitalière de tabacologie, CHRU Morvan, Brest, France
| | - J D Dewitte
- Service de santé au travail du personnel hospitalier, CHRU Morvan, 2, avenue Foch, 29200 Brest, France; Laboratoires d'études et de recherches en sociologie (LABERS), EA 3149, université de Bretagne Occidentale, Brest, France; Consultation hospitalière de tabacologie, CHRU Morvan, Brest, France
| | - M B Eniafe-Eveillard
- Service de santé au travail du personnel hospitalier, CHRU Morvan, 2, avenue Foch, 29200 Brest, France
| | - V Le Denmat
- Consultation hospitalière de tabacologie, CHRU Morvan, Brest, France
| |
Collapse
|
2
|
Adouard V, Menecier P, Chapalain F, Gelly B, Tamboloni JC. [Smoking prevalence among nursing students and nursing assistants in Mâcon: 2021 survey and evolution over 13 years]. Rev Mal Respir 2022; 39:328-333. [PMID: 35459586 DOI: 10.1016/j.rmr.2022.02.058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 02/02/2022] [Indexed: 12/01/2022]
Abstract
INTRODUCTION Smoking is a public health issue in France, especially among the young. Its specificities for caregivers and health students are part of a nationwide "Tobacco-free health place" strategy, underlining the importance of individual choices and the clinical roles of future health professionals. METHOD Prospective survey by online questionnaire, conducted in 2021 among 238 nursing students and nursing assistants in Mâcon, concerning their smoking habits, vaping and the impact of the Covid-19 health crisis, the objectives being to assess the prevalence of smoking in this population, and compare it to previous surveys and data from the literature. In addition, smoking-related behavior was observed. RESULTS One hundred and fifty-seven out of 238 students (66%), 95% of whom were women, responded to the questionnaire, with an average age of 25.1 years (SD: 7.7). Smoking prevalence was measured at 22%. This rate has fluctuated without declining in the surveys undertaken since 2008. Vaping was practiced by 8% of respondents, three-quarters of whom were also smokers. The health crisis appeared to have aggravated smoking habits among the future caregivers, two-fifths of whom considered it embarrassing for a caregiver to smoke, whatever their own smoking status. CONCLUSIONS Smoking prevalence has not declined in this predominantly female student population, with results similar to those elsewhere in France, Young generations of caregivers will be challenged from the standpoints of personal health and professional skills in their treatment of smokers, which it would be desirable for them to ensure without undue cognitive dissonance.
Collapse
Affiliation(s)
- V Adouard
- Unité de tabacologie, CH de Mâcon, Mâcon, France
| | - P Menecier
- Service d'addictologie, CH de Mâcon, Mâcon, France; Laboratoire DIPHE, université Lyon 2 Lumière, institut de psychologie, Bron, France.
| | - F Chapalain
- Service des urgences, CH de Mâcon, Mâcon, France
| | | | | |
Collapse
|
3
|
Oliveira Bekkers E, Ducoutumany G, Tran Luy M, Airagnes G, Limosin F, Le Faou AL. [Smoking behaviours among staff of two university hospitals in Paris, 2021]. Rev Mal Respir 2022; 39:212-220. [PMID: 35210125 DOI: 10.1016/j.rmr.2021.12.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Accepted: 12/21/2021] [Indexed: 10/19/2022]
Abstract
INTRODUCTION A survey on smoking prevalence was conducted among staff at the Georges Pompidou and Corentin Celton hospitals in the framework of the "smoke-free hospital" project. It aimed to determine the smoking status of different categories of personnel, their desire to be helped to quit and, as regards healthcare staff, whether or not they were encouraging patients who smoked to try to quit. METHODS From February to May 2021, an anonymous survey was distributed, first on paper in the occupational health unit, and then online in all wards. RESULTS All in all, 775 people, three quarters of whom were women, participated in the survey (15% of the workforce). Among the respondents, 27% said they smoked: 29.6% of the men and 26.1% of the women. Unsurprisingly, the age group with the highest prevalence was 18-24years. High prevalence was likewise found among technical and administrative staff. More than half of the smokers, who consumed an average of 8 cigarettes a day, were interested in receiving smoking cessation support. As regards smoking cessation support for patients, 49% of medical and nursing staff (70% of the doctors) frequently or systematically advised them to quit. CONCLUSION Our results illustrate a need to reach high-prevalence categories of smokers in a hospital setting, the objective being to help them to consider quitting, and also a need to train health professionals in smoking cessation counseling.
Collapse
Affiliation(s)
- E Oliveira Bekkers
- DMU psychiatrie et addictologie, AP-HP, centre-Université de Paris, Paris, France.
| | - G Ducoutumany
- DMU psychiatrie et addictologie, AP-HP, centre-Université de Paris, Paris, France
| | - M Tran Luy
- DMU psychiatrie et addictologie, AP-HP, centre-Université de Paris, Paris, France
| | - G Airagnes
- DMU psychiatrie et addictologie, AP-HP, centre-Université de Paris, Paris, France; Population-based Epidemiological Cohorts Unit, INSERM UMS 11, Villejuif, France
| | - F Limosin
- DMU psychiatrie et addictologie, AP-HP, centre-Université de Paris, Paris, France; Centre psychiatrie et neurosciences, U894, Inserm, Paris, France
| | - A-L Le Faou
- DMU psychiatrie et addictologie, AP-HP, centre-Université de Paris, Paris, France
| |
Collapse
|
4
|
[Cigarette and e-cigarette use among a sample of French health students]. Rev Mal Respir 2021; 38:164-170. [PMID: 33583645 DOI: 10.1016/j.rmr.2021.01.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Accepted: 11/11/2020] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Smoking is one of the leading causes of preventable death worldwide. Data from the literature show that caregivers and health students have a high prevalence. The purpose of this article was to study the prevalence among health students (medicine, dentistry, physiotherapy, nursing) at a University and a Teaching Hospital in France. MATERIAL AND METHOD This was a cross-sectional study using a self-administered questionnaire completed at the start of university meetings. This study was carried out as part of a campaign to combat smoking supported by the Brittany Regional Health Agency. RESULTS The participation rate was 76.4%: 1349 respondents out of 1766 health students surveyed. The prevalence of smoking 17.8% and that of vaping 5.6%. Nursing students smoked and vaped more than students in other streams: respectively, for smoking, 21.8% (73/335) vs. 16.5% (167/1014) (P<0.001), for vaping, 10.4% (35/335) vs. 4.0% (39/980) (P<0.001). Students in 3rd year nursing smoked and vaped significantly more than those in the first 2 years (P=0.02 and P<0.001). CONCLUSION The smoking rate was high, but comparable to the data for health students. Nursing students were significantly greater smokers, especially in the last year. Their vaping rate was higher than in other studies.
Collapse
|