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Smoking among hospitalized patients: a multi-hospital cross sectional study of a widely neglected problem
- Source :
- Dipòsit Digital de la UB, Universidad de Barcelona, Tobacco Induced Diseases, Tobacco Induced Diseases, Vol 16, Iss July (2018)
- Publication Year :
- 2018
- Publisher :
- BioMed Central, 2018.
-
Abstract
- Introduction A comprehensive smoking ban was recently enacted for acute-care hospital campuses in Spain. The aim of this study was to assess the prevalence and patterns of smoking among inpatients before and during hospitalization. Methods Multi-center cross-sectional study was conducted in 13 hospitals in the province of Barcelona, Spain from May 2014 to May 2015. Participants were adults who provided informed consent. The sample size was calculated to be representative of each hospital (prevalence 29.4%, precision ± 5%, error 5%). We approached 1228 subjects, 888 accepted to participate and 170 were replaced (were not available or declined to participate). Final sample comprised 1047 subjects. We used a computer-assisted personal interview system to collect data, including sociodemographic variables and use of tobacco before and during hospitalization. Smoking status was validated with exhaled carbon monoxide. We calculated overall tobacco prevalence and investigated associations with participant and center characteristics. We performed multiple polytomous and multilevel logistic regression analyses to estimate odds ratios (ORs) and 95% confidence intervals (CIs), with adjustments for potential confounders. Results In all, 20.5% (95% CI: 18.1-23.0) of hospitalized patients were smokers. Smoking was most common among men (aOR=7.47; 95% CI: 4.88-11.43), young age groups (18-64 years), and individuals with primary or less than primary education (aOR=2.76; 95% CI: 1.44-5.28). Of the smokers, 97.2% were daily consumers of whom 44.9% had medium nicotine dependence. Of all smokers, three-quarters expressed a wish to quit, and one-quarter admitted to consuming tobacco during hospitalization. Conclusions Our findings indicate the need to offer smoking cessation interventions among hospitalized patients in all units and service areas, to avoid infringements and increase patient safety, hospital efficiency, and improve clinical outcomes. Hospitalization represents a promising window for initiating smoking interventions addressed to all patients admitted to smoke-free hospitals, specially after applying a smoke-free campus ban.
- Subjects :
- medicine.medical_specialty
Health (social science)
Cross-sectional study
Epidemiology
Psychological intervention
Medicine (miscellaneous)
lcsh:RC254-282
tobacco
smoking
03 medical and health sciences
0302 clinical medicine
Hàbit de fumar
Informed consent
Tabac
Tobacco
medicine
030212 general & internal medicine
health services
Epidemiologia
lcsh:RC705-779
Public health
business.industry
030503 health policy & services
Smoking
Public Health, Environmental and Occupational Health
lcsh:Diseases of the respiratory system
Odds ratio
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Salut pública
Confidence interval
Sample size determination
epidemiology
Smoking ban
0305 other medical science
business
Demography
Research Paper
policy
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Dipòsit Digital de la UB, Universidad de Barcelona, Tobacco Induced Diseases, Tobacco Induced Diseases, Vol 16, Iss July (2018)
- Accession number :
- edsair.doi.dedup.....b9b9aaab89b4f76b48429bb084463b48