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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Valorar la asociaci&#243;n de la situaci&#243;n laboral&#44; el tipo de estudios y el estado civil con el consumo de tabaco en una cohorte de licenciados y diplomados universitarios espa&#241;oles&#44; donde predominan los profesionales sanitarios&#46;</p> <span class="elsevierStyleSectionTitle">Metodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; un an&#225;lisis transversal de los datos basales de los 7&#46;508 primeros participantes del Proyecto SUN &#40;Seguimiento Universidad de Navarra&#41;&#46; Los sujetos fueron clasificados seg&#250;n su consumo de tabaco&#46; Las variables independientes fueron&#58; situaci&#243;n laboral&#44; estado civil&#44; nivel m&#225;s alto de estudios completado&#44; n&#250;mero de hijos&#44; gramos de alcohol ingerido al d&#237;a&#44; &#237;ndice de masa corporal y edad&#46; En el an&#225;lisis multivariante se ajustaron 3 grupos de modelos de regresi&#243;n log&#237;stica no condicional&#58; <span class="elsevierStyleItalic">a</span>&#41; fumadores frente al conjunto formado por nunca fumadores m&#225;s ex fumadores&#59; <span class="elsevierStyleItalic">b</span>&#41; fumadores frente a nunca fumadores&#44; y c&#41; fumadores de 15 o m&#225;s cigarrillos al d&#237;a frente al conjunto formado por fumadores de menos de 15 cigarrillos&#47;d&#237;a&#44; nunca fumadores y ex fumadores&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En los varones no se encontr&#243; ninguna asociaci&#243;n entre la situaci&#243;n laboral y ser fumador en ninguna de las 3 comparaciones&#46; Por el contrario&#44; entre las mujeres se observ&#243; que haber cursado la diplomatura de enfermer&#237;a se asociaba a una mayor prevalencia de tabaquismo&#44; con una prevalencia del 48&#44;5&#37; de fumadoras actuales entre las enfermeras&#46; Entre las mujeres&#44; tambi&#233;n era m&#225;s frecuente el consumo de tabaco en las estudiantes&#46; Para las estudiantes&#44; la prevalencia de grandes fumadoras &#40;&#8805; 15 cigarrilos&#47;d&#237;a&#41; mostraba una odds ratio de 1&#44;81 &#40;intervalo de confianza del 95&#37;&#44; 1&#44;28-2&#44;57&#41;&#46; Haber realizado un doctorado se asociaba inversamente con el tabaquismo en ambos sexos&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Dentro de un gran colectivo espa&#241;ol con niveles educativos superiores&#44; la prevalencia de fumadoras actuales es mayor en las mujeres que han completado una diplomatura&#46; Es preocupante&#44; desde el punto de vista sociosanitario&#44; que entre las enfermeras la prevalencia de tabaquismo sea m&#225;s alta que en la media de las mujeres universitarias&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The objective of this study was to assess the association between employment&#44; educational level&#44; marital status&#44; and smoking in a large cohort of Spanish university graduates &#40;3- and 5-year degrees&#41;&#44; with a predominance of health professionals&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional analysis of the baseline data of the first 7&#44;508 participants in the follow-up study of the University of Navarre &#40;SUN Project&#41; was performed&#46; The subjects were classified according to their smoking status&#46; Independent variables were&#58; employment&#44; marital status&#44; highest educational level attained&#44; number of children&#44; alcohol consumption &#40;g&#47;day&#41;&#44; body mass index&#44; and age&#46; In the multivariate analysis&#44; 3 non-conditional logistic regression models were built using the following outcomes&#58; <span class="elsevierStyleItalic">a</span>&#41; smokers vs never-smokers plus exsmokers&#59; <span class="elsevierStyleItalic">b</span>&#41; smokers vs never-smokers&#59; c&#41; smokers of 15 or more cigarettes a day vs smokers of less than 15 cigarettes a day plus never-smokers and ex-smokers&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Among men&#44; no association was found between employment and smoking status in any of the comparisons&#46; In contrast&#44; among women&#44; being a nurse was associated with a higher prevalence of smoking&#46; The prevalence of current smokers among nurses was 48&#46;5&#37;&#46; Female students were also more likely to smoke and had a higher risk of being heavy smokers &#40;OR &#61; 1&#46;81&#59; 95&#37; CI&#44; 1&#46;28-2&#46;57&#41;&#46; A lower prevalence of smoking was found among participants of both sexes who had completed a doctorate&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Among a large Spanish collective with higher education&#44; the prevalence of smoking was higher in women with a shorter college degree&#46; The prevalence of smoking among nurses was higher than the average among women graduates&#44; which is a cause for concern&#46;</p>"
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                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10354532"
                            "web" => "Medline"
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                        "tituloSerie" => "J Natl Cancer Inst Monogr"
                        "fecha" => "1992"
                        "volumen" => "12"
                        "paginaInicial" => "21"
                        "paginaFinal" => "24"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1616805"
                            "web" => "Medline"
                          ]
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                        "tituloSerie" => "Prev Med"
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                        "volumen" => "26"
                        "paginaInicial" => "754"
                        "paginaFinal" => "766"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9327486"
                            "web" => "Medline"
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                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Epidemiol"
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                        "paginaFinal" => "272"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12543627"
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                      "Revista" => array:6 [
                        "tituloSerie" => "Epidemiol Rev"
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                        "paginaInicial" => "91"
                        "paginaFinal" => "99"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9762512"
                            "web" => "Medline"
                          ]
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                      "titulo" => "Mediterranean diet and stroke&#58; objectives and design of the SUN Project"
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                      "Revista" => array:6 [
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                        "paginaFinal" => "73"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11929200"
                            "web" => "Medline"
                          ]
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                      "titulo" => "Dieta mediterr&#225;nea y enfermedad cardiovascular&#58; resultados del estudio piloto del proyecto SUN"
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                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Med Univ Navarra"
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                        "volumen" => "46"
                        "paginaInicial" => "9"
                        "paginaFinal" => "16"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12685111"
                            "web" => "Medline"
                          ]
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                    0 => array:2 [
                      "titulo" => "Development and validation of a food frequency questionnaire in Spain"
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                            4 => "J&#46;C&#46; Fern&#225;ndez-Rodr&#237;guez"
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                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Epidemiol"
                        "fecha" => "1993"
                        "volumen" => "22"
                        "paginaInicial" => "512"
                        "paginaFinal" => "519"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8359969"
                            "web" => "Medline"
                          ]
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            13 => array:3 [
              "identificador" => "bib0070"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
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                      "Libro" => array:4 [
                        "titulo" => "Tabla de composici&#243;n de alimentos espa&#241;oles"
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                      ]
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                  ]
                ]
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            14 => array:3 [
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                      "titulo" => "Tabla de composici&#243;n de alimentos"
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            15 => array:3 [
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                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
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                      "titulo" => "Fallibility in estimating direct effects"
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                            0 => "S&#46;R&#46; Cole"
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                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Epidemiol"
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                        "paginaInicial" => "163"
                        "paginaFinal" => "165"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11914314"
                            "web" => "Medline"
                          ]
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                ]
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            17 => array:3 [
              "identificador" => "bib0090"
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                    0 => array:2 [
                      "titulo" => "Causal knowledge as a prerequisite for confounding evaluation&#58; an application to birth defects epidemiology"
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                    0 => array:1 [
                      "Revista" => array:6 [
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                        "paginaInicial" => "176"
                        "paginaFinal" => "184"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11790682"
                            "web" => "Medline"
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              "identificador" => "bib0095"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Defending the rationale for the twotailed test in clinical research"
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                        "tituloSerie" => "Circulation"
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                        "paginaInicial" => "3062"
                        "paginaFinal" => "3065"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12082003"
                            "web" => "Medline"
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              "identificador" => "bib0100"
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                      "titulo" => "Smoking prevalence among women in the European Community 1950-1990"
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                        "tituloSerie" => "Soc Sci Med"
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                        "volumen" => "43"
                        "paginaInicial" => "243"
                        "paginaFinal" => "254"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8844928"
                            "web" => "Medline"
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                      "titulo" => "Smoking habits in Denmark from 1953 to 1991&#58; a comparative analysis of results from three national health surveys among adult Danes in 1953-1954&#44; 1986-1987 and 1990- 1991"
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                        "paginaFinal" => "871"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1468846"
                            "web" => "Medline"
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                        "titulo" => "Prevalencia del consumo de tabaco en los profesionales sanitarios del Insalud 1998"
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              "etiqueta" => "23&#46;"
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                      "titulo" => "Do smoking and health education influence student nurses&#8217; knowledge&#44; attitudes&#44; and professional behavior&#63;"
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                        "tituloSerie" => "Soc Sci Med"
                        "fecha" => "1991"
                        "volumen" => "32"
                        "paginaInicial" => "989"
                        "paginaFinal" => "1005"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2047903"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
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              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gender and educational differences in smoking initiation rates in Spain from 1948 to 1992"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46; Schiaffino"
                            1 => "E&#46; Fern&#225;ndez"
                            2 => "C&#46; Borrell"
                            3 => "E&#46; Salto"
                            4 => "M&#46; Garc&#237;a"
                            5 => "J&#46;M&#46; Borras"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Public Health"
                        "fecha" => "2003"
                        "volumen" => "13"
                        "paginaInicial" => "56"
                        "paginaFinal" => "60"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12678315"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib0145"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Smoking behavior in a Swiss urban population&#58; the role of gender and education"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46; Curtin"
                            1 => "A&#46; Morabia"
                            2 => "M&#46; Bernstein"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1006/pmed.1997.0187"
                      "Revista" => array:6 [
                        "tituloSerie" => "Prev Med"
                        "fecha" => "1997"
                        "volumen" => "26"
                        "paginaInicial" => "658"
                        "paginaFinal" => "663"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9327474"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib0150"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Smoking and socioeconomic status in a population-based inner city sample of African-Americans&#44; Latinos and whites"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46; Siegel"
                            1 => "B&#46; Faigeles"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cardiovasc Risk"
                        "fecha" => "1996"
                        "volumen" => "3"
                        "paginaInicial" => "295"
                        "paginaFinal" => "300"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8863102"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib0155"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The validity of self-reported smoking&#58; a review and meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "D&#46;L&#46; Patrick"
                            1 => "A&#46; Cheadle"
                            2 => "M&#46;S&#46; Thompson"
                            3 => "P&#46; Diehr"
                            4 => "T&#46; Koespell"
                            5 => "S&#46; Kinne"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Public Health"
                        "fecha" => "1994"
                        "volumen" => "84"
                        "paginaInicial" => "1086"
                        "paginaFinal" => "1093"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8017530"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A descriptive model of the cigarette epidemic in developed countries"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;D&#46; L&#243;pez"
                            1 => "N&#46;E&#46; Collishaw"
                            2 => "T&#46; Piha"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Tob Control"
                        "fecha" => "1994"
                        "volumen" => "3"
                        "paginaInicial" => "242"
                        "paginaFinal" => "247"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
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Vol. 18. Núm. 2.
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Vol. 18. Núm. 2.
Páginas 108-117 (marzo - abril 2004)
Open Access
Consumo de tabaco en titulados universitarios. El Proyecto SUN (Seguimiento Universidad de Navarra)
Smoking among a cohort of Spanish university graduates. The SUN Project
Visitas
5806
Xabier Adrián García de Albéñiza, Félix Guerra-Gutiérreza, Rodrigo Ortega-Martíneza, Almudena Sánchez-Villegasa,b, Miguel Ángel Martínez-Gonzáleza,
Autor para correspondencia
mamartinez@unav.es

Correspondencia: Unidad de Epidemiología y Salud Pública. Facultad de Medicina. Universidad de Navarra. Irunlarrea, s/n. 31080 Pamplona. España.
a Departamento de Epidemiología y Salud Pública. Universidad de Navarra. Pamplona. España
b Departamento de Ciencias Clínicas. Universidad de Las Palmas de Gran Canaria. Las Palmas de Gran Canaria. España
Este artículo ha recibido

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Información del artículo
Resumen
Objetivo

Valorar la asociación de la situación laboral, el tipo de estudios y el estado civil con el consumo de tabaco en una cohorte de licenciados y diplomados universitarios españoles, donde predominan los profesionales sanitarios.

Metodos

Se realizó un análisis transversal de los datos basales de los 7.508 primeros participantes del Proyecto SUN (Seguimiento Universidad de Navarra). Los sujetos fueron clasificados según su consumo de tabaco. Las variables independientes fueron: situación laboral, estado civil, nivel más alto de estudios completado, número de hijos, gramos de alcohol ingerido al día, índice de masa corporal y edad. En el análisis multivariante se ajustaron 3 grupos de modelos de regresión logística no condicional: a) fumadores frente al conjunto formado por nunca fumadores más ex fumadores; b) fumadores frente a nunca fumadores, y c) fumadores de 15 o más cigarrillos al día frente al conjunto formado por fumadores de menos de 15 cigarrillos/día, nunca fumadores y ex fumadores.

Resultados

En los varones no se encontró ninguna asociación entre la situación laboral y ser fumador en ninguna de las 3 comparaciones. Por el contrario, entre las mujeres se observó que haber cursado la diplomatura de enfermería se asociaba a una mayor prevalencia de tabaquismo, con una prevalencia del 48,5% de fumadoras actuales entre las enfermeras. Entre las mujeres, también era más frecuente el consumo de tabaco en las estudiantes. Para las estudiantes, la prevalencia de grandes fumadoras (≥ 15 cigarrilos/día) mostraba una odds ratio de 1,81 (intervalo de confianza del 95%, 1,28-2,57). Haber realizado un doctorado se asociaba inversamente con el tabaquismo en ambos sexos.

Conclusiones

Dentro de un gran colectivo español con niveles educativos superiores, la prevalencia de fumadoras actuales es mayor en las mujeres que han completado una diplomatura. Es preocupante, desde el punto de vista sociosanitario, que entre las enfermeras la prevalencia de tabaquismo sea más alta que en la media de las mujeres universitarias.

Palabras clave:
Tabaco
Prevalencia
Profesionales sanitarios
Cohorte
Abstract
Objective

The objective of this study was to assess the association between employment, educational level, marital status, and smoking in a large cohort of Spanish university graduates (3- and 5-year degrees), with a predominance of health professionals.

Methods

A cross-sectional analysis of the baseline data of the first 7,508 participants in the follow-up study of the University of Navarre (SUN Project) was performed. The subjects were classified according to their smoking status. Independent variables were: employment, marital status, highest educational level attained, number of children, alcohol consumption (g/day), body mass index, and age. In the multivariate analysis, 3 non-conditional logistic regression models were built using the following outcomes: a) smokers vs never-smokers plus exsmokers; b) smokers vs never-smokers; c) smokers of 15 or more cigarettes a day vs smokers of less than 15 cigarettes a day plus never-smokers and ex-smokers.

Results

Among men, no association was found between employment and smoking status in any of the comparisons. In contrast, among women, being a nurse was associated with a higher prevalence of smoking. The prevalence of current smokers among nurses was 48.5%. Female students were also more likely to smoke and had a higher risk of being heavy smokers (OR = 1.81; 95% CI, 1.28-2.57). A lower prevalence of smoking was found among participants of both sexes who had completed a doctorate.

Conclusions

Among a large Spanish collective with higher education, the prevalence of smoking was higher in women with a shorter college degree. The prevalence of smoking among nurses was higher than the average among women graduates, which is a cause for concern.

Key words:
Smoking
Prevalence
Health professionals
Cohort
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Bibliografía
[1.]
J.M. McGuinnis, W.H. Foege.
Actual causes of death in the United States.
JAMA, 270 (1993), pp. 2207-2212
[2.]
J. González, F. Villar, J.R. Banegas, F. Rodríguez, J.M. Martín.
Tendencia de la mortalidad atribuible al tabaquismo en España, 1978-1992: 600.000 muertes en 15 años.
Med Clin (Barc), 109 (1997), pp. 577-582
[3.]
R. Rodríguez, A. Bueno, A. Pueyos, M. Espigares, M.A. Martínez-González, R. Gálvez.
Morbilidad, mortalidad y años potenciales de vida perdidos atribuibles al tabaco.
Med Clin (Barc), 108 (1997), pp. 121-127
[4.]
P. Guallar-Castillón, F. Rodríguez, L. Díez, J.R. Banegas, P. Lafuente, J. Del Rey.
Consumo de tabaco y salud subjetiva en España.
Med Clin (Barc), 116 (2001), pp. 451-453
[5.]
G. Paluzie, S. Sans, L. Balañà, T. Puig, González-Sastre, I. Balaguer-Vintró.
Tendencias seculares del tabaquismo según el nivel educativo entre 1986 y 1996: estudio MONICA-Cataluña.
Gac Sanit, 15 (2001), pp. 303-311
[6.]
J.A. Espinàs, V. Moreno, J.M. Borràs, C. Pujol, M. Martí.
Determinantes sociodemográficos del hábito tabáquico y de su abandono en la población de Cornellà de Llobregat.
Gac Sanit, 13 (1997), pp. 126-134
[7.]
C. Hill.
Trends in tobacco use in Europe.
J Natl Cancer Inst Monogr, 12 (1992), pp. 21-24
[8.]
K. Stronks, H.D. Van de Mheen, C.W. Looman, J.P. Mackenbach.
Cultural, material, and psychosocial correlates of the socioeconomic gradient in smoking behavior among adults.
Prev Med, 26 (1997), pp. 754-766
[9.]
L.S. Caplan, M.T. Mandelson, L.A. Anderson.
Validity of self-reported mammography: examining recall and covariates among older women in a Health Maintenance Organization.
Am J Epidemiol, 157 (2003), pp. 267-272
[10.]
W.C. Willett, G.A. Colditz.
Approaches for conducting large cohort studies.
Epidemiol Rev, 20 (1998), pp. 91-99
[11.]
M.A. Martínez-González, A. Sánchez-Víllegas, J. De Irala, A. Martí, J.A. Martínez.
Mediterranean diet and stroke: objectives and design of the SUN Project.
Nutritional Neuroscience, 5 (2002), pp. 65-73
[12.]
A. Sánchez-Villegas, J. De Irala, M.A. Martínez-González.
Dieta mediterránea y enfermedad cardiovascular: resultados del estudio piloto del proyecto SUN.
Rev Med Univ Navarra, 46 (2002), pp. 9-16
[13.]
J.M. Martin-Moreno, P. Boyle, L. Gorgojo, P. Maisonneuve, J.C. Fernández-Rodríguez, S. Salvini, et al.
Development and validation of a food frequency questionnaire in Spain.
Int J Epidemiol, 22 (1993), pp. 512-519
[14.]
J. Mataix.
Tabla de composición de alimentos españoles, Universidad de Granada, (1998),
[15.]
O. Moreiras.
Tabla de composición de alimentos.
Pirámide, (1995),
[16.]
M.A. Martínez-González, J. De Irala, F. Guillén-Grima.
¿Qué es una odds ratio?.
Med Clin (Barc), 112 (1999), pp. 416-422
[17.]
S.R. Cole, M.A. Hernán.
Fallibility in estimating direct effects.
Int J Epidemiol, 31 (2002), pp. 163-165
[18.]
M.A. Hernán, S. Hernández-Díaz, M.M. Werler, A.A. Mitchell.
Causal knowledge as a prerequisite for confounding evaluation: an application to birth defects epidemiology.
Am J Epidemiol, 155 (2002), pp. 176-184
[19.]
L.A. MoyéL, A.T.N. Tita.
Defending the rationale for the twotailed test in clinical research.
Circulation, 105 (2002), pp. 3062-3065
[20.]
H. Graham.
Smoking prevalence among women in the European Community 1950-1990.
Soc Sci Med, 43 (1996), pp. 243-254
[21.]
M. Osler.
Smoking habits in Denmark from 1953 to 1991: a comparative analysis of results from three national health surveys among adult Danes in 1953-1954, 1986-1987 and 1990- 1991.
Int J Epidemiol, 21 (1992), pp. 862-871
[22.]
Ministerio de Sanidad y Consumo.
Prevalencia del consumo de tabaco en los profesionales sanitarios del Insalud 1998, Ministerio de Sanidad y Consumo, (1999),
[23.]
H.S. Sejr, M. Osler.
Do smoking and health education influence student nurses’ knowledge, attitudes, and professional behavior?.
Prev Med, 34 (2002), pp. 260-265
[24.]
M.L. Fernández-Ruiz, M. Sánchez-Bayle.
Evolución de la prevalencia de tabaquismo entre las médicas y enfermeras de la Comunidad de Madrid.
Gac Sanit, 17 (2003), pp. 5-10
[25.]
L. Salleras, H. Pardell, J.R. Villalbí.
Epidemiología del tabaquismo en la población adulta de Catalunya. Prevalencia del hábito.
Med Clin (Barc), 85 (1985), pp. 525-528
[26.]
S. Sans, A. Rodés, G. PaliuziéG, L. Balaña, I. Balaguer.
Differential effect of education and employment on smoking behavior in men and women.
CVD Epidemiology Newsletter, 47 (1991), pp. 126
[27.]
I. Waldron.
Patterns and causes of gender differences in smoking.
Soc Sci Med, 32 (1991), pp. 989-1005
[28.]
A. Schiaffino, E. Fernández, C. Borrell, E. Salto, M. García, J.M. Borras.
Gender and educational differences in smoking initiation rates in Spain from 1948 to 1992.
Eur J Public Health, 13 (2003), pp. 56-60
[29.]
F. Curtin, A. Morabia, M. Bernstein.
Smoking behavior in a Swiss urban population: the role of gender and education.
Prev Med, 26 (1997), pp. 658-663
[30.]
D. Siegel, B. Faigeles.
Smoking and socioeconomic status in a population-based inner city sample of African-Americans, Latinos and whites.
J Cardiovasc Risk, 3 (1996), pp. 295-300
[31.]
D.L. Patrick, A. Cheadle, M.S. Thompson, P. Diehr, T. Koespell, S. Kinne.
The validity of self-reported smoking: a review and meta-analysis.
Am J Public Health, 84 (1994), pp. 1086-1093
[32.]
A.D. López, N.E. Collishaw, T. Piha.
A descriptive model of the cigarette epidemic in developed countries.
Tob Control, 3 (1994), pp. 242-247
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