{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T23:08:58Z","timestamp":1791241738260,"version":"4.1.0"},"reference-count":34,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,1,12]]},"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The aim of the study is to analyse the prevalence of smoking among resident physicians at a regional university hospital. In addition, we examined the trends in the smoking behaviour of physicians in relation to results obtained in other studies carried out previously at this hospital, as well as those published nationally and internationally<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A cross-sectional observational study evaluating tobacco consumption in young physicians was carried out at the level of secondary healthcare in a regional university hospital in Cordoba, Spain. All the study subjects were resident physicians who underwent a mandatory preliminary occupational health examination between 2012 and 2016. There was no sampling selection as anyone who took this examination was considered to be within the target population. We calculated the proportions of smokers, former smokers and non-smokers, with 95% CIs. Univariate and multivariate analyses (binary logistic regression) were used to analyse the results (P&lt;0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The response rate was 99.4%, with a sample size of 324 out of a possible 326 physicians. The average age was 28.6\u00b13.7\u2014DT\u2014(95%\u2009CI 28.2 to 29.0), and 62.3% (202\/324; 95%\u2009CI 57.3 to 67.2) were women. Smoking prevalence was 6.5% (21\/324; 95%\u2009CI 3.5 to 9.3) with a further 5.2% (17\/324; 95%\u2009CI 2.7 to 7.8) being ex-smokers. There were no significant differences in the prevalence of tobacco consumption according to age (P=0.266), sex (9.0% for men and 5.0% for women; P=0.128), medical specialty (P=0.651) or year of residency (P=0.975). A 52.7% decline in the number of young physician smokers was noted between 1986 and 2016 (95% CI \u221244.0 to \u221263.5), together with a 64.4% increase in non-smokers (95%\u2009CI 55.2 to 77.3).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We observed a significantly low prevalence of tobacco use among trainee physicians in the cohort, an effect of new antismoking laws, with positive role model implications for new physicians and medical students.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-018728","type":"journal-article","created":{"date-parts":[[2018,2,1]],"date-time":"2018-02-01T10:10:52Z","timestamp":1517479852000},"page":"e018728","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Prevalence of tobacco consumption among young physicians at a regional university hospital in southern Spain: a cross-sectional study"],"prefix":"10.1136","volume":"8","author":[{"given":"Antonio","family":"Ranchal S\u00e1nchez","sequence":"first","affiliation":[{"name":"Maimonides Institute of Biomedical Research of C\u00f3rdoba (IMIBIC), C\u00f3rdoba, Spain"},{"name":"School of Medicine and Nursing, University of C\u00f3rdoba, C\u00f3rdoba, Spain"},{"name":"Occupational Health Unit, Reina Sof\u00eda University Hospital, C\u00f3rdoba, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis \u00c1ngel","family":"P\u00e9rula de Torres","sequence":"additional","affiliation":[{"name":"Maimonides Institute of Biomedical Research of C\u00f3rdoba (IMIBIC), C\u00f3rdoba, Spain"},{"name":"School of Medicine and Nursing, University of C\u00f3rdoba, C\u00f3rdoba, Spain"},{"name":"Educational Unit on Family and Community Health, C\u00f3rdoba-Guadalquivir Health District, C\u00f3rdoba, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Santos Luna","sequence":"additional","affiliation":[{"name":"Maimonides Institute of Biomedical Research of C\u00f3rdoba (IMIBIC), C\u00f3rdoba, Spain"},{"name":"Clinical Management Unit of Pneumology, Reina Sof\u00eda University Hospital, C\u00f3rdoba, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger","family":"Ruiz-Moral","sequence":"additional","affiliation":[{"name":"Maimonides Institute of Biomedical Research of C\u00f3rdoba (IMIBIC), C\u00f3rdoba, Spain"},{"name":"School of Medicine, University Francisco de Vitoria, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,2,1]]},"reference":[{"key":"2025121513594884000_8.2.e018728.1","unstructured":"WHO. WHO report on the global tobacco epidemic, 2009: Implementing smoke-free environments. http:\/\/www.who.int\/tobacco\/mpower\/2009\/gtcr_download\/en\/"},{"key":"2025121513594884000_8.2.e018728.2","unstructured":"Consejer\u00eda de Salud. aluc\u00eda 2005-2010. (Board of Health. Andalusian regional government. Comprehensive Antismoking Plan in Andalusia) http:\/\/www.csalud.junta-andalucia.es\/salud\/sites\/csalud\/galerias\/documentos\/c_1_c_6_planes_estrategias\/plan_tabaquismo\/01_introduccion.pdf"},{"key":"2025121513594884000_8.2.e018728.3","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-7-115"},{"key":"2025121513594884000_8.2.e018728.4","doi-asserted-by":"crossref","first-page":"407","DOI":"10.4321\/S1135-57272013000400010","article-title":"Evoluci\u00f3n del consumo de tabaco en trabajadores de un hospital de Catalu\u00f1a","volume":"87","author":"Reyes Urue\u00f1a","year":"2013","journal-title":"Rev Esp Salud Publica"},{"key":"2025121513594884000_8.2.e018728.5","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7455.1529"},{"key":"2025121513594884000_8.2.e018728.6","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.gaceta.2015.08.006","article-title":"Prevalencia de consumo de tabaco en trabajadores hospitalarios: metaan\u00e1lisis en 45 hospitales catalanes","volume":"30","author":"Mart\u00ednez","year":"2016","journal-title":"Gac Sanit"},{"key":"2025121513594884000_8.2.e018728.7","first-page":"429","article-title":"Encuesta sobre el h\u00e1bito tab\u00e1quico en una poblaci\u00f3n de m\u00e9dicos hospitalarios","volume":"8","author":"Mart\u00ednez de la Iglesia","year":"1987","journal-title":"Rev Clin Esp"},{"key":"2025121513594884000_8.2.e018728.8","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.semerg.2014.07.002","article-title":"Caracter\u00edsticas del consumo de tabaco, dependencia y motivaci\u00f3n para el cambio de los especialistas internos residentes de Andaluc\u00eda (Espa\u00f1a)","volume":"41","author":"Ju\u00e1rez-Jim\u00e9nez","year":"2015","journal-title":"SEMERGEN - Medicina de Familia"},{"key":"2025121513594884000_8.2.e018728.9","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1016\/j.aprim.2014.11.009","article-title":"Prevalencia y factores asociados a la pr\u00e1ctica del consejo cl\u00ednico contra el consumo de drogas entre los especialistas internos residentes de Andaluc\u00eda (Espa\u00f1a)","volume":"47","author":"Ju\u00e1rez-Jim\u00e9nez","year":"2015","journal-title":"Aten Primaria"},{"key":"2025121513594884000_8.2.e018728.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0213-9111(03)71685-9"},{"key":"2025121513594884000_8.2.e018728.11","unstructured":"Ley 42\/2010 de 30 de diciembre por la que se modifica la Ley 28\/2005, de 26 de diciembre, de medidas sanitarias frente al tabaquismo y reguladora de la venta, el suministro y el consumo y la publicidad de los productos del tabaco. BOE n\u00famero 318 de 31 de diciembre de 2010. (Law 42 from 30 December 2010, in which Law 28 from 26 December 2005 was modified. Health measures to tackle smoking and regulate tobacco sales, supply, consumption and advertising of tobacco products. Official State Bulletin number 318 from 31 December 2010)."},{"key":"2025121513594884000_8.2.e018728.12","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/S1130-8621(07)71794-1","article-title":"Evaluaci\u00f3n del grado de implantaci\u00f3n de las intervenciones para el control del tabaquismo en la Red Catalana de Hospitales sin Humo","volume":"17","author":"Mart\u00ednez","year":"2007","journal-title":"Enferm Clin"},{"key":"2025121513594884000_8.2.e018728.13","unstructured":"Real Decreto 639\/2014 de 25 de julio, por el que se regula la troncalidad, la reespecializaci\u00f3n troncal y las \u00e1reas de capacitaci\u00f3n espec\u00edfica, se establecen las normas aplicables a las pruebas anuales de acceso a plazas de formaci\u00f3n y otros aspectos del sistema de formaci\u00f3n sanitaria especializada en Ciencias de la Salud y se crean y modifican determinados t\u00edtulos de especialista. BOE n\u00fam 190 de 6 de agosto de 2014. (Royal Decree 639, 25 July 2014, in which core subjects and specialization are regulated as well as the areas of specific training. Applicable rules are established for the yearly tests to obtain places in training courses as well as other aspects of the specialized health training system in Health Sciences. Specialist titles are determined and modified. Official State Bulletin number 190, 6 August 2014)."},{"key":"2025121513594884000_8.2.e018728.14","unstructured":"STROBE Statement. 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