Effect of the comprehensive smoke-free law on time trends in smoking behaviour in primary healthcare patients in Spain: a longitudinal observational study

Objective: This study aimed to analyse the impact of comprehensive smoke-free legislation (SFL) on the prevalence and incidence of adult smoking in primary healthcare (PHC) patients from three Spanish regions, overall and stratified by sex. Design: Longitudinal observational study conducted between...

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Autores: Pons-Vigues, Mariona, Rando-Matos, Yolanda, Rodriguez-Blanco, Teresa, Lluis Ballve-Moreno, Josep, Ripoll Amengual, Joana, Llobera Cànaves, Joan, Moran, Julio, Lopez-Jimenez, Tomas, Violan-Fors, Concepcion, Bolibar, Bonaventura
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/22668
Acceso en línea:https://hdl.handle.net/20.500.12105/22668
Access Level:acceso abierto
Palabra clave:Incidencia
Prevalencia
Femenino
Evaluación de Necesidades
Masculino
Fumar
Estudios Longitudinales
Humanos
Persona de Mediana Edad
Política para Fumadores
Evaluación de Resultado en la Atención de Salud
Atención Primaria de Salud
Adulto
Cese del Hábito de Fumar
España
Fumadores
Spain
Adult
Needs Assessment
Outcome Assessment, Health Care
Humans
Smoking
Smokers
Middle Aged
Longitudinal Studies
Male
Smoke-Free Policy
Female
Primary Health Care
Smoking Cessation
Prevalence
Incidence
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spelling Effect of the comprehensive smoke-free law on time trends in smoking behaviour in primary healthcare patients in Spain: a longitudinal observational studyPons-Vigues, MarionaRando-Matos, YolandaRodriguez-Blanco, TeresaLluis Ballve-Moreno, JosepRipoll Amengual, JoanaLlobera Cànaves, JoanMoran, JulioLopez-Jimenez, TomasViolan-Fors, ConcepcionBolibar, BonaventuraIncidenciaPrevalenciaFemeninoEvaluación de NecesidadesMasculinoFumarEstudios LongitudinalesHumanosPersona de Mediana EdadPolítica para FumadoresEvaluación de Resultado en la Atención de SaludAtención Primaria de SaludAdultoCese del Hábito de FumarEspañaFumadoresSpainAdultNeeds AssessmentOutcome Assessment, Health CareHumansSmokingSmokersMiddle AgedLongitudinal StudiesMaleSmoke-Free PolicyFemalePrimary Health CareSmoking CessationPrevalenceIncidenceObjective: This study aimed to analyse the impact of comprehensive smoke-free legislation (SFL) on the prevalence and incidence of adult smoking in primary healthcare (PHC) patients from three Spanish regions, overall and stratified by sex. Design: Longitudinal observational study conducted between 2008 and 2013. Setting 66 PHC teams in Catalonia, Navarre and the Balearic Islands (Spain). Participants Population over 15 years of age assigned to PHC teams. Primary and secondary outcomes measures Quarterly age-standardised prevalence of non-smoker, smoker and ex-smoker and incidence of new smoker, new exsmoker and ex-smoker relapse rates were estimated with data retrieved from PHC electronic health records. Joinpoint analysis was used to analyse the trends of agestandardised prevalence and incidence rates. Trends were expressed as annual percentage change and average annual percent change. Results: The overall standardised smoker prevalence rate showed a significant downward trend (higher in men than women) and the overall standardised ex-smoker prevalence rate showed a significant increased trend (higher in women than men) in the three regions. Standardised smoker and ex-smoker prevalence rates were higher for men than women in all regions. With regard to overall trends of incidence rates, new smokers decreased significantly in Catalonia and Navarre and similarly in men and women, new ex-smokers decreased significantly and more in men in Catalonia and the Balearic Islands, and ex-smoker relapse increased in Catalonia (particularly in women) and decreased in Navarre. Conclusions: Trends in smoking behaviour in PHC patients remain unchanged after the implementation of comprehensive SFL. The impact of the comprehensive SFL might have been lessened by the effect of the preceding partial SFL.BMJ Publishing Group20242024-09-1020192019-06-0120192019-06-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articlehttps://hdl.handle.net/20.500.12105/22668reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/226682026-06-12T12:43:37Z
dc.title.none.fl_str_mv Effect of the comprehensive smoke-free law on time trends in smoking behaviour in primary healthcare patients in Spain: a longitudinal observational study
title Effect of the comprehensive smoke-free law on time trends in smoking behaviour in primary healthcare patients in Spain: a longitudinal observational study
spellingShingle Effect of the comprehensive smoke-free law on time trends in smoking behaviour in primary healthcare patients in Spain: a longitudinal observational study
Pons-Vigues, Mariona
Incidencia
Prevalencia
Femenino
Evaluación de Necesidades
Masculino
Fumar
Estudios Longitudinales
Humanos
Persona de Mediana Edad
Política para Fumadores
Evaluación de Resultado en la Atención de Salud
Atención Primaria de Salud
Adulto
Cese del Hábito de Fumar
España
Fumadores
Spain
Adult
Needs Assessment
Outcome Assessment, Health Care
Humans
Smoking
Smokers
Middle Aged
Longitudinal Studies
Male
Smoke-Free Policy
Female
Primary Health Care
Smoking Cessation
Prevalence
Incidence
title_short Effect of the comprehensive smoke-free law on time trends in smoking behaviour in primary healthcare patients in Spain: a longitudinal observational study
title_full Effect of the comprehensive smoke-free law on time trends in smoking behaviour in primary healthcare patients in Spain: a longitudinal observational study
title_fullStr Effect of the comprehensive smoke-free law on time trends in smoking behaviour in primary healthcare patients in Spain: a longitudinal observational study
title_full_unstemmed Effect of the comprehensive smoke-free law on time trends in smoking behaviour in primary healthcare patients in Spain: a longitudinal observational study
title_sort Effect of the comprehensive smoke-free law on time trends in smoking behaviour in primary healthcare patients in Spain: a longitudinal observational study
dc.creator.none.fl_str_mv Pons-Vigues, Mariona
Rando-Matos, Yolanda
Rodriguez-Blanco, Teresa
Lluis Ballve-Moreno, Josep
Ripoll Amengual, Joana
Llobera Cànaves, Joan
Moran, Julio
Lopez-Jimenez, Tomas
Violan-Fors, Concepcion
Bolibar, Bonaventura
author Pons-Vigues, Mariona
author_facet Pons-Vigues, Mariona
Rando-Matos, Yolanda
Rodriguez-Blanco, Teresa
Lluis Ballve-Moreno, Josep
Ripoll Amengual, Joana
Llobera Cànaves, Joan
Moran, Julio
Lopez-Jimenez, Tomas
Violan-Fors, Concepcion
Bolibar, Bonaventura
author_role author
author2 Rando-Matos, Yolanda
Rodriguez-Blanco, Teresa
Lluis Ballve-Moreno, Josep
Ripoll Amengual, Joana
Llobera Cànaves, Joan
Moran, Julio
Lopez-Jimenez, Tomas
Violan-Fors, Concepcion
Bolibar, Bonaventura
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Incidencia
Prevalencia
Femenino
Evaluación de Necesidades
Masculino
Fumar
Estudios Longitudinales
Humanos
Persona de Mediana Edad
Política para Fumadores
Evaluación de Resultado en la Atención de Salud
Atención Primaria de Salud
Adulto
Cese del Hábito de Fumar
España
Fumadores
Spain
Adult
Needs Assessment
Outcome Assessment, Health Care
Humans
Smoking
Smokers
Middle Aged
Longitudinal Studies
Male
Smoke-Free Policy
Female
Primary Health Care
Smoking Cessation
Prevalence
Incidence
topic Incidencia
Prevalencia
Femenino
Evaluación de Necesidades
Masculino
Fumar
Estudios Longitudinales
Humanos
Persona de Mediana Edad
Política para Fumadores
Evaluación de Resultado en la Atención de Salud
Atención Primaria de Salud
Adulto
Cese del Hábito de Fumar
España
Fumadores
Spain
Adult
Needs Assessment
Outcome Assessment, Health Care
Humans
Smoking
Smokers
Middle Aged
Longitudinal Studies
Male
Smoke-Free Policy
Female
Primary Health Care
Smoking Cessation
Prevalence
Incidence
description Objective: This study aimed to analyse the impact of comprehensive smoke-free legislation (SFL) on the prevalence and incidence of adult smoking in primary healthcare (PHC) patients from three Spanish regions, overall and stratified by sex. Design: Longitudinal observational study conducted between 2008 and 2013. Setting 66 PHC teams in Catalonia, Navarre and the Balearic Islands (Spain). Participants Population over 15 years of age assigned to PHC teams. Primary and secondary outcomes measures Quarterly age-standardised prevalence of non-smoker, smoker and ex-smoker and incidence of new smoker, new exsmoker and ex-smoker relapse rates were estimated with data retrieved from PHC electronic health records. Joinpoint analysis was used to analyse the trends of agestandardised prevalence and incidence rates. Trends were expressed as annual percentage change and average annual percent change. Results: The overall standardised smoker prevalence rate showed a significant downward trend (higher in men than women) and the overall standardised ex-smoker prevalence rate showed a significant increased trend (higher in women than men) in the three regions. Standardised smoker and ex-smoker prevalence rates were higher for men than women in all regions. With regard to overall trends of incidence rates, new smokers decreased significantly in Catalonia and Navarre and similarly in men and women, new ex-smokers decreased significantly and more in men in Catalonia and the Balearic Islands, and ex-smoker relapse increased in Catalonia (particularly in women) and decreased in Navarre. Conclusions: Trends in smoking behaviour in PHC patients remain unchanged after the implementation of comprehensive SFL. The impact of the comprehensive SFL might have been lessened by the effect of the preceding partial SFL.
publishDate 2019
dc.date.none.fl_str_mv 2019
2019-06-01
2019
2019-06-01
2024
2024-09-10
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.12105/22668
url https://hdl.handle.net/20.500.12105/22668
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMJ Publishing Group
publisher.none.fl_str_mv BMJ Publishing Group
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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