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Psonka Y, Vannimenus C. [Perception of ENDS among French high school students in Nord and Pas-de-Calais]. Rev Mal Respir 2023; 40:743-750. [PMID: 37633810 DOI: 10.1016/j.rmr.2023.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 07/13/2023] [Indexed: 08/28/2023]
Abstract
INTRODUCTION Electronic nicotine delivery systems (ENDS) have been gaining popularity for over a decade, particularly among young people. The aim was to understand how these devices were perceived, in general and according to different characteristics: gender, smoking status, experimentation or possession of SEDEN. METHODS A cross-sectional observational study was conducted by an online questionnaire to 15 high schools between 14 May and 23 October 2021. Perception was assessed by a constructed score. RESULTS In total, 772 responses from 10 high schools were analysed; 44.7% had already experimented with ENDS. The main reason for use was pleasure (33.8%). Only 15% of smokers or former smokers reported using ENDS to stop smoking as their main reason. The majority of ENDS (72.8%) are perceived as harmful. This negative perception is more important among women, non-smokers, non-experimenters and non-owners of ENDS. More than 50% of the respondents consider ENDS as distinct from tobacco. CONCLUSIONS ENDS are perceived as potentially harmful and their use is often motivated by pleasure. Their perception as a practice distinct from smoking, combined with unknown long-term consequences, justifies increased vigilance in the face of the emergence of these new uses.
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Affiliation(s)
- Y Psonka
- Unité tabacologie, clinique de pneumologie, institut cœur-poumon, CHU de Lille, boulevard du Pr-Jules-Leclercq, 59000 Lille, France.
| | - C Vannimenus
- Unité tabacologie, clinique de pneumologie, institut cœur-poumon, CHU de Lille, boulevard du Pr-Jules-Leclercq, 59000 Lille, France
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Rousseau C, Pourchez J, Leclerc L, Nekaa M, Raia-Barjat T. [Pregnant women's use of tobacco and electronic cigarettes: A cross sectional survey]. Gynecol Obstet Fertil Senol 2023; 51:455-462. [PMID: 37482190 DOI: 10.1016/j.gofs.2023.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 07/17/2023] [Accepted: 07/18/2023] [Indexed: 07/25/2023]
Abstract
OBJECTIVES The article aims to describe tobacco and e-cigarette use among pregnant women: estimate the prevalence, identify the determinants and motivations of these behaviours. METHODS Cross-sectional, multicentre, descriptive observational study using self-administered questionnaires for pregnant women who visited ELENA healthcare centers in May 2021. RESULTS Of 223 patients, 38% were smokers before pregnancy and 16% continued to smoke during pregnancy. Nearly all the smokers (98%) declared that they had reduced or stopped their tobacco use, mostly without help. Young age, lack of professional activity, an unfavourable reaction to the announcement of the pregnancy, heavy smoking before the pregnancy and the presence of a smoker spouse were associated with smoking during pregnancy. Our study identified 10% of vapers before pregnancy and 7.2% during pregnancy. Of those who vaped during pregnancy, 81% were smokers before pregnancy. Most of them used a nicotine containing liquid and 38% of vapers combined smoking and e-cigarettes during pregnancy. There was no association between vaping during pregnancy and smoking cessation. A minority of women had received information about smoking during pregnancy. CONCLUSIONS The use of electronic cigarettes by pregnant women is a poorly-known reality in France, yet it concerns approximately 7% of the women in our sample. Prospective studies on larger numbers are needed to assess the prevalence of vaping among French pregnant women and its evolution during pregnancy.
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Affiliation(s)
- C Rousseau
- Département de gynécologie-obstétrique, centre hospitalier universitaire de Saint-Étienne, Saint-Étienne, France.
| | - J Pourchez
- Centre CIS, Mines Saint-Étienne, université de Lyon, université de Jean Monnet, Inserm, U1059 Sainbiose, 42023 Saint-Étienne, France
| | - L Leclerc
- Inserm, U 1059 Sainbiose, centre CIS, Mines Saint-Étienne, université Lyon, université Jean-Monnet, 42023 Saint-Étienne, France
| | - M Nekaa
- Laboratoire ECP, éducation, cultures, politiques (EA 4571), université Jean-Monnet, Saint-Étienne, France
| | - T Raia-Barjat
- Département de gynécologie-obstétrique, centre hospitalier universitaire de Saint-Étienne, Saint-Étienne, France; Inserm U1059 Sainbiose, université Jean-Monnet, Saint-Étienne, France
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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] [What about the content of this article? (0)] [Affiliation(s)] [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.
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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
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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] [What about the content of this article? (0)] [Affiliation(s)] [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.
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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
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Pougnet R, Chapalain D, Fortin C, Loddé B, Eniafe-Eveilard BM, Pougnet L, Dewitte JD, Le Denmat V. [Cigarette and e-cigarette use among a sample of French health students]. Rev Mal Respir 2021; 38:164-70. [PMID: 33583645 DOI: 10.1016/j.rmr.2021.01.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [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.
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Denis-Vatant C, Merieux C, Leclerc L, Duc H, Berton C, Jarrige R, Nekaa M, Vergnon JM, Pourchez J. [Relationship between vaping and smoking among 15-year-olds in high school. Results of a descriptive cross-sectional and monocentric observational study conducted in the metropolitan area of Saint-Étienne]. Rev Mal Respir 2019; 36:850-860. [PMID: 31202601 DOI: 10.1016/j.rmr.2019.04.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2019] [Accepted: 03/18/2019] [Indexed: 10/26/2022]
Abstract
INTRODUCTION The initiation of smoking among adolescents by vaping is a subject of controversy. This study focuses on the prevalence of electronic cigarette use among teenagers and its connection with the consumption of tobacco. METHODS A cross-sectional and monocentric study was conducted in the spring of 2018 and included 1435 students (15-16years old) from the metropolitan area of Saint-Étienne in France. RESULTS Nearly half of the adolescents experimented with e-cigarettes (50.30%) or tobacco (50.40%). Nearly a quarter are vapers (23.60%) or smokers (28.20%), with low daily use (3.65% for vaping and 9.40% for smoking). In regard to the link between smoking and vaping, 64.85% of adolescents are "non-smokers and non-vapers", 17.60% "smokers and vapers", 11.25% "smokers and non-vapers", and 6.30% "non-smokers and vapers". DISCUSSION The portrait-types of the vaper and the smoker are similar: boy rather than girl, educated in private school rather than public, and enrolled in a vocational rather than a general educational course. On one hand, the use of electronic cigarettes in non-smoking adolescents does not appear to be a major mode of entry into smoking or nicotine addiction. On the other hand, the use of electronic cigarettes among adolescent's smokers seems to have a beneficial effect on their smoking habit (stopping or reducing the consumption of tobacco).
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Affiliation(s)
- C Denis-Vatant
- UCT pôle DocP2 CHU Saint-Étienne, 42000 Saint-Étienne, France
| | - C Merieux
- UCT pôle DocP2 CHU Saint-Étienne, 42000 Saint-Étienne, France
| | - L Leclerc
- Inserm, U 1059 Sainbiose, Centre CIS, Mines Saint-Étienne, université Lyon, université Jean-Monnet, 42023 Saint-Étienne, France
| | - H Duc
- Inserm, U 1059 Sainbiose, Centre CIS, Mines Saint-Étienne, université Lyon, université Jean-Monnet, 42023 Saint-Étienne, France
| | - C Berton
- La Rotonde, Centre de culture scientifique et technique industrielle, Mines Saint-Étienne, 42023 Saint-Étienne, France
| | - R Jarrige
- La Rotonde, Centre de culture scientifique et technique industrielle, Mines Saint-Étienne, 42023 Saint-Étienne, France
| | - M Nekaa
- Direction des services départementaux de l'Éducation nationale Loire/HESPER EA 7425, 69008 Lyon, France; HESPER EA 7425, université Lyon, université Jean-Monnet, 42023 Saint-Étienne, France
| | - J-M Vergnon
- UCT pôle DocP2 CHU Saint-Étienne, 42000 Saint-Étienne, France
| | - J Pourchez
- Inserm, U 1059 Sainbiose, Centre CIS, Mines Saint-Étienne, université Lyon, université Jean-Monnet, 42023 Saint-Étienne, France.
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Bamberger C, Deiss V, Gros S. [How does vaping products work]. Rev Pneumol Clin 2018; 74:181-187. [PMID: 29754757 DOI: 10.1016/j.pneumo.2018.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2018] [Revised: 03/11/2018] [Accepted: 03/13/2018] [Indexed: 06/08/2023]
Abstract
To maximize the chances of replacing smoking with vaping, it is necessary to know the different types of existing devices, their characteristics and their most important settings as well as their influence on sensations. To support a user it is also important to understand the nature of the inhaled and exhaled vapor, as well as the possible mistakes that can lead to a less enjoyable experience. Highlighting e-liquids formulations and emissions can help understanding how a minimum of 95 % risk reduction compared to tobacco smoking is achieved and the influence of compounds on the user's experience. At last, a proper care, especially to refill the device and to change the resistance is the key to an effective use over time.
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Affiliation(s)
- C Bamberger
- Association indépendante des utilisateurs de cigarette électronique (Aiduce), 91560 CROSNE, France.
| | - V Deiss
- Association indépendante des utilisateurs de cigarette électronique (Aiduce), 91560 CROSNE, France
| | - S Gros
- Association indépendante des utilisateurs de cigarette électronique (Aiduce), 91560 CROSNE, France
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