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Evaluation of the Influence of Medical Education on the Smoking Attitudes of Future Doctors
I. Nerína,
, D. Guillénb, A. Masb, A. Crucelaeguib
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isabelne@posta.unizar.es
Correspondence: Dr. I. Nerín. Departamento de Medicina y Psiquiatría. Facultad de Medicina. Edificio B. C/ Domingo Miral, s/n. 50009 Zaragoza. España
Correspondence: Dr. I. Nerín. Departamento de Medicina y Psiquiatría. Facultad de Medicina. Edificio B. C/ Domingo Miral, s/n. 50009 Zaragoza. España
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"apellidos" => "Nerín" "email" => array:1 [ 0 => "isabelne@posta.unizar.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "D." "apellidos" => "Guillén" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Mas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 3 => array:3 [ "nombre" => "A." "apellidos" => "Crucelaegui" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Tabaquismo, Departamento de Medicina y Psiquiatría, Facultad de Medicina, Universidad de Zaragoza, Zaragoza, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Unidad de Tabaquismo, Facultad de Medicina, Universidad de Zaragoza, Zaragoza, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. I. Nerín. Departamento de Medicina y Psiquiatría. Facultad de Medicina. Edificio B. C/ Domingo Miral, s/n. 50009 Zaragoza. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-11-11" "fechaAceptado" => "2004-03-02" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec153566" "palabras" => array:3 [ 0 => "Medical students" 1 => "Smoking" 2 => "Medical education" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153565" "palabras" => array:3 [ 0 => "Estudiantes de medicina" 1 => "Tabaquismo" 2 => "Educación médica" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To evaluate whether medical education influences the prevalence, awareness of, and attitudes to smoking of medical students in the first 3 years of their degree.</p> <span class="elsevierStyleSectionTitle">Material and Methods</span><p class="elsevierStyleSimplePara elsevierViewall">In this descriptive longitudinal questionnaire-based study of university students, data for medical and veterinary students in their first 3 years were compared.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Of the 226 registered first-year medical students, 181 (80%) returned the questionnaire. Of the 180 first-year veterinary students, 161 (89%) replied to the questionnaire. In the third year, 151 questionnaires from medical students and 139 from veterinary students were returned. There were no differences in age or sex between the 2 groups, and both had more women. The prevalence of smokers increased between the first year and the beginning of the third (from 20% to 31% among medical students and from 28% to 32% among veterinary students). An improvement in the awareness of smoking as a risk factor was observed for medical students, but no change in attitude was observed.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The influence of medical education on this health concern is limited as there is no reduction in the prevalence of smoking. Medical education also seems unable to change attitudes to smoking. More students relate smoking to risk factors for certain diseases, showing greater awareness of the health problems caused by smoking.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluar la influencia que ejerce una facultad de medicina en sus alumnos, durante el primer ciclo de la carrera, respecto a la prevalencia, los conocimientos y las actitudes hacia el tabaquismo.</p> <span class="elsevierStyleSectionTitle">Material y Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio longitudinal descriptivo mediante encuesta, en estudiantes universitarios, en el que se compararon los datos obtenidos en medicina y veterinaria durante el primer ciclo de la licenciatura.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En el primer curso, el número de matriculados en medicina era de 226 y se realizaron 181 encuestas (80%); en primero de veterinaria la cifra era de 180 y se llevaron a cabo 161 encuestas (89%); en tercer curso se efectuaron 151 encuestas en medicina y 139 en veterinaria. Las 2 muestras no presentan diferencias respecto a la edad ni en la distribución por sexo, y hay un predominio de mujeres en ambos grupos. En la evolución de la prevalencia de fumadores desde el primer curso hasta principios de tercero, observamos un incremento (pasó de un 20 a un 31% en el caso de medicina y de un 28 a un 32% en el caso de veterinaria). Se observa una mejoría en los conocimientos sobre el tabaquismo como factor de riesgo en los alumnos de medicina, pero en las actitudes no se objetivan cambios significativos.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La influencia de la facultad de medicina en este problema de salud es escasa. No ejerce cambios positivos en la prevalencia del tabaquismo. Respecto a las actitudes tampoco genera cambios; en cuanto a los conocimientos se observa un incremento de alumnos que relacionan el tabaquismo como factor de riesgo de determinadas enfermedades.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">Study funded by a SEPAR Grant (1998).</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:25 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Smoking habits and attitudes of medical students towards smoking and antismoking campaigns in fourteen European countries" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "JF Tessier" 1 => "P Freour" 2 => "J Crofton" 3 => "L Kombou" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur J Epidemiol" "fecha" => 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 2 | 6 |
| 2024 October | 30 | 16 | 46 |
| 2024 September | 33 | 9 | 42 |
| 2024 August | 60 | 41 | 101 |
| 2024 July | 30 | 21 | 51 |
| 2024 June | 38 | 22 | 60 |
| 2024 May | 36 | 29 | 65 |
| 2024 April | 25 | 25 | 50 |
| 2024 March | 30 | 13 | 43 |
| 2024 February | 18 | 23 | 41 |
| 2023 March | 2 | 2 | 4 |
| 2023 February | 14 | 24 | 38 |
| 2023 January | 18 | 34 | 52 |
| 2022 December | 23 | 22 | 45 |
| 2022 November | 23 | 27 | 50 |
| 2022 October | 29 | 32 | 61 |
| 2022 September | 23 | 19 | 42 |
| 2022 August | 19 | 37 | 56 |
| 2022 July | 27 | 43 | 70 |
| 2022 June | 22 | 34 | 56 |
| 2022 May | 16 | 39 | 55 |
| 2022 April | 29 | 19 | 48 |
| 2022 March | 21 | 38 | 59 |
| 2022 February | 24 | 25 | 49 |
| 2022 January | 15 | 33 | 48 |
| 2021 December | 20 | 59 | 79 |
| 2021 November | 12 | 38 | 50 |
| 2021 October | 25 | 36 | 61 |
| 2021 September | 18 | 49 | 67 |
| 2021 August | 11 | 36 | 47 |
| 2021 July | 13 | 32 | 45 |
| 2021 June | 12 | 33 | 45 |
| 2021 May | 11 | 23 | 34 |
| 2021 April | 28 | 22 | 50 |
| 2021 March | 19 | 26 | 45 |
| 2021 February | 9 | 11 | 20 |
| 2021 January | 10 | 17 | 27 |
| 2020 December | 8 | 11 | 19 |
| 2020 November | 8 | 18 | 26 |
| 2020 October | 9 | 12 | 21 |
| 2020 September | 5 | 4 | 9 |
| 2020 August | 9 | 10 | 19 |
| 2020 July | 13 | 18 | 31 |
| 2020 June | 6 | 7 | 13 |
| 2020 May | 11 | 11 | 22 |
| 2020 April | 11 | 6 | 17 |
| 2020 March | 9 | 14 | 23 |
| 2020 February | 14 | 15 | 29 |
| 2020 January | 10 | 11 | 21 |
| 2019 December | 8 | 12 | 20 |
| 2019 November | 6 | 10 | 16 |
| 2019 October | 12 | 3 | 15 |
| 2019 September | 19 | 8 | 27 |
| 2019 August | 19 | 4 | 23 |
| 2019 July | 36 | 14 | 50 |
| 2019 June | 33 | 6 | 39 |
| 2019 May | 31 | 5 | 36 |
| 2019 April | 4 | 12 | 16 |
| 2019 March | 10 | 16 | 26 |
| 2019 February | 8 | 13 | 21 |
| 2019 January | 1 | 8 | 9 |
| 2018 December | 9 | 19 | 28 |
| 2018 November | 19 | 7 | 26 |
| 2018 October | 32 | 10 | 42 |
| 2018 September | 17 | 16 | 33 |
| 2018 May | 4 | 0 | 4 |
| 2018 April | 13 | 4 | 17 |
| 2018 March | 5 | 3 | 8 |
| 2018 February | 8 | 5 | 13 |
| 2018 January | 6 | 7 | 13 |
| 2017 December | 5 | 5 | 10 |
| 2017 November | 2 | 3 | 5 |
| 2017 October | 3 | 8 | 11 |
| 2017 September | 2 | 3 | 5 |
| 2017 August | 7 | 9 | 16 |
| 2017 July | 3 | 2 | 5 |
| 2017 June | 9 | 15 | 24 |
| 2017 May | 4 | 5 | 9 |
| 2017 April | 4 | 2 | 6 |
| 2017 March | 0 | 1 | 1 |
| 2017 February | 0 | 2 | 2 |
| 2017 January | 1 | 3 | 4 |
| 2016 December | 15 | 10 | 25 |
| 2016 November | 13 | 7 | 20 |
| 2016 October | 16 | 8 | 24 |
| 2016 September | 5 | 4 | 9 |
| 2016 August | 4 | 3 | 7 |
| 2016 July | 7 | 4 | 11 |
| 2016 March | 3 | 0 | 3 |
| 2016 February | 1 | 0 | 1 |
| 2016 January | 1 | 0 | 1 |
| 2015 December | 1 | 0 | 1 |
| 2015 October | 28 | 1 | 29 |
| 2015 September | 28 | 12 | 40 |
| 2015 August | 25 | 10 | 35 |
| 2015 July | 19 | 9 | 28 |
| 2015 June | 21 | 7 | 28 |
| 2015 May | 30 | 6 | 36 |
| 2015 April | 19 | 8 | 27 |
| 2015 March | 32 | 12 | 44 |
| 2015 February | 20 | 4 | 24 |
| 2015 January | 21 | 6 | 27 |
| 2014 December | 21 | 4 | 25 |
| 2014 November | 16 | 5 | 21 |
| 2014 October | 26 | 15 | 41 |
| 2014 September | 15 | 6 | 21 |
| 2014 August | 27 | 9 | 36 |
| 2014 July | 17 | 11 | 28 |
| 2014 June | 27 | 9 | 36 |
| 2014 May | 29 | 7 | 36 |
| 2014 April | 41 | 6 | 47 |
| 2014 March | 38 | 9 | 47 |
| 2014 February | 37 | 8 | 45 |
| 2014 January | 25 | 7 | 32 |
| 2013 December | 33 | 10 | 43 |
| 2013 November | 20 | 2 | 22 |
| 2013 October | 23 | 12 | 35 |
| 2013 September | 27 | 9 | 36 |
| 2013 August | 31 | 9 | 40 |
| 2013 July | 36 | 13 | 49 |
| 2013 June | 28 | 5 | 33 |
| 2013 May | 33 | 10 | 43 |
| 2013 April | 14 | 7 | 21 |
| 2013 March | 5 | 1 | 6 |
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