{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T16:01:42Z","timestamp":1781020902534,"version":"3.54.1"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","funder":[{"name":"Consell de Col\u00c2\u00b7legis d\u00e2\u20ac\u2122Infermeres i Infermers de Catalunya","award":["CCIC 2016"],"award-info":[{"award-number":["CCIC 2016"]}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The knowledge and attitudes toward tobacco control among nurses are important factors in ensuring appropriate management of the tobacco dependence. Therefore, we aimed to evaluate the predictors of developing positive attitudes toward tobacco control and increasing perceptions of tobacco-related training received during the nursing degree, among a cohort of Catalan nursing students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Observational prospective study of 1,097 Catalan nursing students. Participants completed a paper-and-pencil questionnaire at baseline (2015\u20132016) and an online survey at follow-up (2018\u20132019). We examined predictors of developing positive attitudes and increasing perceptions of training using Poisson regression models to compute the adjusted prevalence ratios (aPRs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Students in their last years of studies at baseline were less likely than those in the first years to develop a positive attitude towards the exemplary role of nursing students in tobacco control at follow-up (aPR = 0.74). Former smokers were more likely than current smokers to develop positive attitudes towards the exemplary role of health care professionals (aPR = 1.55) and, together with never smokers, to come to recognize the importance of nursing students setting a good example (aPR = 2.23 and aPR = 2.32, respectively). Last year\u2019s students were also less likely than those in the first years to increase their perceptions of tobacco-related training received (all aPR &lt; 0.71). Never smokers were less likely than current smokers to increase their perception of training in pharmacological treatments other than nicotine replacement therapy (aPR = 0.81) and to consider themselves capable of helping smokers quit (aPR = 0.78).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The year of school and smoking status were strong predictors of developing positive attitudes and increasing perceptions of training in tobacco control.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/jan.0000000000000664","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T16:01:28Z","timestamp":1758297688000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of Developing Positive Attitudes and Increasing Perceptions of Training in Tobacco Control Among Catalan Nursing Students: A Follow-Up Study"],"prefix":"10.1097","author":[{"given":"Kenza","family":"Laroussy","sequence":"first","affiliation":[{"name":"Kenza Laroussy, PhD, Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, WHO Collaborating Centre for Tobacco Control, Institut Catal\u00e0 d\u2019Oncologia\u2014ICO, Barcelona, Spain."},{"name":"Kenza Laroussy, PhD, Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, Tobacco Control Research Group, Institut d\u2019Investigaci\u00f3 Biom\u00e8dica de Bellvitge\u2014IDIBELL, Barcelona, Spain."},{"name":"Kenza Laroussy, PhD, Montserrat Puig, PhD, Jordi Galimany, PhD, Carmen Moreno, PhD, and Cristina Mart\u00ednez, PhD, School of Nursing, University of Barcelona, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esteve","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Kenza Laroussy, PhD, Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, WHO Collaborating Centre for Tobacco Control, Institut Catal\u00e0 d\u2019Oncologia\u2014ICO, Barcelona, Spain."},{"name":"Kenza Laroussy, PhD, Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, Tobacco Control Research Group, Institut d\u2019Investigaci\u00f3 Biom\u00e8dica de Bellvitge\u2014IDIBELL, Barcelona, Spain."},{"name":"Esteve Fern\u00e1ndez, PhD, Marcela Fu, PhD, and Olena Tigova, MPH, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain."},{"name":"Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Respiratorias\u2014CIBERES, Madrid, Spain."},{"name":"Esteve Fern\u00e1ndez, PhD, Secretariat of Public Health, Department of Health, Generalitat de Catalunya, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yolanda","family":"Castellano","sequence":"additional","affiliation":[{"name":"Kenza Laroussy, PhD, Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, WHO Collaborating Centre for Tobacco Control, Institut Catal\u00e0 d\u2019Oncologia\u2014ICO, Barcelona, Spain."},{"name":"Kenza Laroussy, PhD, Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, Tobacco Control Research Group, Institut d\u2019Investigaci\u00f3 Biom\u00e8dica de Bellvitge\u2014IDIBELL, Barcelona, Spain."},{"name":"Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Respiratorias\u2014CIBERES, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcela","family":"Fu","sequence":"additional","affiliation":[{"name":"Kenza Laroussy, PhD, Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, WHO Collaborating Centre for Tobacco Control, Institut Catal\u00e0 d\u2019Oncologia\u2014ICO, Barcelona, Spain."},{"name":"Kenza Laroussy, PhD, Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, Tobacco Control Research Group, Institut d\u2019Investigaci\u00f3 Biom\u00e8dica de Bellvitge\u2014IDIBELL, Barcelona, Spain."},{"name":"Esteve Fern\u00e1ndez, PhD, Marcela Fu, PhD, and Olena Tigova, MPH, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain."},{"name":"Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Respiratorias\u2014CIBERES, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariadna","family":"Feliu","sequence":"additional","affiliation":[{"name":"Kenza Laroussy, PhD, Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, WHO Collaborating Centre for Tobacco Control, Institut Catal\u00e0 d\u2019Oncologia\u2014ICO, Barcelona, Spain."},{"name":"Kenza Laroussy, PhD, Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, Tobacco Control Research Group, Institut d\u2019Investigaci\u00f3 Biom\u00e8dica de Bellvitge\u2014IDIBELL, Barcelona, Spain."},{"name":"Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Respiratorias\u2014CIBERES, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olena","family":"Tigova","sequence":"additional","affiliation":[{"name":"Kenza Laroussy, PhD, Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, WHO Collaborating Centre for Tobacco Control, Institut Catal\u00e0 d\u2019Oncologia\u2014ICO, Barcelona, Spain."},{"name":"Kenza Laroussy, PhD, Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, Tobacco Control Research Group, Institut d\u2019Investigaci\u00f3 Biom\u00e8dica de Bellvitge\u2014IDIBELL, Barcelona, Spain."},{"name":"Esteve Fern\u00e1ndez, PhD, Marcela Fu, PhD, and Olena Tigova, MPH, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain."},{"name":"Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Respiratorias\u2014CIBERES, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Montserrat","family":"Puig","sequence":"additional","affiliation":[{"name":"Kenza Laroussy, PhD, Montserrat Puig, PhD, Jordi Galimany, PhD, Carmen Moreno, PhD, and Cristina Mart\u00ednez, PhD, School of Nursing, University of Barcelona, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordi","family":"Galimany","sequence":"additional","affiliation":[{"name":"Kenza Laroussy, PhD, Montserrat Puig, PhD, Jordi Galimany, PhD, Carmen Moreno, PhD, and Cristina Mart\u00ednez, PhD, School of Nursing, University of Barcelona, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Moreno","sequence":"additional","affiliation":[{"name":"Kenza Laroussy, PhD, Montserrat Puig, PhD, Jordi Galimany, PhD, Carmen Moreno, PhD, and Cristina Mart\u00ednez, PhD, School of Nursing, University of Barcelona, Barcelona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Kenza Laroussy, PhD, Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, WHO Collaborating Centre for Tobacco Control, Institut Catal\u00e0 d\u2019Oncologia\u2014ICO, Barcelona, Spain."},{"name":"Kenza Laroussy, PhD, Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, Tobacco Control Research Group, Institut d\u2019Investigaci\u00f3 Biom\u00e8dica de Bellvitge\u2014IDIBELL, Barcelona, Spain."},{"name":"Kenza Laroussy, PhD, Montserrat Puig, PhD, Jordi Galimany, PhD, Carmen Moreno, PhD, and Cristina Mart\u00ednez, PhD, School of Nursing, University of Barcelona, Barcelona, Spain."},{"name":"Esteve Fern\u00e1ndez, PhD, Yolanda Castellano, MPH, Marcela Fu, PhD, Ariadna Feliu, PhD, Olena Tigova, MPH, and Cristina Mart\u00ednez, PhD, Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Respiratorias\u2014CIBERES, Madrid, Spain."},{"name":"Cristina Mart\u00ednez, PhD, Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, California."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"issue":"3","key":"R1-20260609","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.pulmoe.2020.03.004","article-title":"Smoking behavior and secondhand smoke exposure among university students in northern Portugal: Relations with knowledge on tobacco use and attitudes toward smoking.","volume":"28","author":"Alves","year":"2022","journal-title":"Pulmonology"},{"issue":"4","key":"R2-20260609","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1093\/her\/cyaa009","article-title":"Development and evaluation of smoke-free or tobacco-free policies in university settings: A systematic scoping review.","volume":"35","author":"Bardus","year":"2020","journal-title":"Health Education Research"},{"issue":"9","key":"R5-20260609","doi-asserted-by":"crossref","first-page":"36","DOI":"10.7748\/ns.30.9.36.s44","article-title":"Attitudes to smoking and smoking cessation among nurses.","volume":"30","author":"Chandrakumar","year":"2015","journal-title":"Nursing Standard"},{"issue":"1","key":"R37-20260609","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1186\/s12912-023-01394-7","article-title":"The knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions: a cross-sectional study.","volume":"22","author":"\u010civljak","year":"2023","journal-title":"BMC Nurs"},{"issue":"8","key":"R6-20260609","doi-asserted-by":"crossref","first-page":"356","DOI":"10.12968\/bjcn.2012.17.8.356","article-title":"Health impact of smoking and smoking cessation strategies: Current evidence.","volume":"17","author":"Duaso","year":"2012","journal-title":"British Journal of Community Nursing"},{"key":"R7-20260609","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.ijnurstu.2016.10.011","article-title":"Nurses\u2019 smoking habits and their professional smoking cessation practices. 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A comparison of medical with non-medical students in China.","volume":"36","author":"Han","year":"2011","journal-title":"Journal of Community Health"},{"issue":"4","key":"R11-20260609","doi-asserted-by":"crossref","first-page":"373","DOI":"10.7205\/MILMED-D-15-00101","article-title":"\u201cLet me get you a nicotine patch\u201d: Nurses\u2019 perceptions of implementing smoking cessation guidelines for hospitalized veterans.","volume":"181","author":"Katz","year":"2016","journal-title":"Military Medicine"},{"key":"R12-20260609","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.profnurs.2022.04.008","article-title":"Determinants of participation in an online follow-up survey among nursing students.","volume":"41","author":"Laroussy","year":"2022","journal-title":"Journal of Professional Nursing"},{"issue":"7","key":"R13-20260609","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1080\/07448481.2012.681816","article-title":"Changes in smoking prevalence, attitudes, 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