Tobacco Use and Associated Factors in Medical Students

Authors

1 Resident of Community Medicine, Community Medicine Department, Faculty of Medicine, Mashhad University of Medical Sciences (MUMS), Mashhad, IR Iran

2 Assistant Professor of Community Medicine, Community Medicine Department and Public Health, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran

3 Community Medicine Specialist, Student Research Committee, Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran

4 Resident of Family Medicine, Community Medicine Department, Faculty of Medicine, Mashhad University of Medical Sciences (MUMS), Mashhad, IR Iran

Abstract

Background: Many studies indicate that one of the leading preventable causes of premature death, disease and disability around the world is Tobacco use. Unfortunately, adolescents and young adults of colleges are often targeted of marketing by the tobacco industry. The aim of this study was to assess the relative frequency of tobacco use and associated factors in medical students.

Methods: This cross-sectional study has done among medical students in 2014 - 2015. Totally, 284 students from 4 levels (basic, extern, intern and residents) were selected by random sampling from each category. We used a checklist for collecting demographic information that was distributed among participants by a trained interviewer. SPSS-11.5 software was used for data analysis andsignificance level was considered < 0.05.

Results: Among 284 medical students, 17 (6%) smoked cigarette and 3 (1.05%) used illicit substance. All of the users were male, 15 (88%) of which were single. 1 (1.4 %) of the basic level students, 6 (6.9 %) of the externs, 9 (14.8 %) of the Interns and 1(1.6 %) of the residents used cigarette but the differences among these groups were not significant (P = 0.36). Generally, 13 (76.5%) of the users resided in dormitory and the others lived in parental home, which shows a significant difference among these groups (P = 0.01).The logistic regression indicated stage level was positively associated with cigarette use (P < 0.007).

Conclusions: In this study, we evaluated how several environmental factors may influence illicit substance and tobacco use. We found an association between living in a dormitory and smoking cigarette, so it is an important factor to be considered in program planning for new students who entered into this environment.

Keywords


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1.Alvur TM, Cinar N, Oncel S, Akduran F, Dede C. Trends in smoking among university students between 2005-2012 in Sakarya, Turkey. Asian Pac J Cancer Prev. 2014;15(11):4575-81. [PubMed: 24969888].
https://doi.org/10.7314/APJCP.2014.15.11.4575
PMid:24969888
 
2. Ezzati M, Lopez AD, Rodgers A, Vander Hoorn S, Murray CJ, Comparative Risk Assessment Collaborating G. Selected major risk factors and global and regional burden of disease. Lancet. 2002;360(9343):1347- 60. [PubMed: 12423980].
https://doi.org/10.1016/S0140-6736(02)11403-6
PMid:12423980
 
3. Warren CW, Jones NR, Peruga A, Chauvin J, Baptiste JP, Costa de Silva V, et al. Global youth tobacco surveillance, 2000-2007. MMWR Surveill Summ. 2008;57(1):1-28. [PubMed: 18219269].
 
4. WHO . WHO Report on the Global Tobacco Epidemic Geneva, Switzerland: WHO; 2011. Available from: http://www.who.int/toba-cco/ globalreport/2011.
 
5. WHO . WHO report on the global tobacco epidemic, 2011: warning about the dangers of tobacco. Geneva: World Health Organization; 2011.
 
6. U.S. Department of Health and Human Services . The Health Consequences of Smoking-50 Years of Progress: A Report of the Surgeon General, U.S. Department of Health and Human Services. Atlanta, Ga, USA: National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014.
 
7. U.S. Department of Health and Human Services , Centers for Disease Control and Prevention . How Tobacco Smoke Causes Disease: What It Means to You. Atlanta, Ga, USA: National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010.
 
8. Mohammad Poorasl A, Vahidi R, Fakhari A, Rostami F, Dastghiri S. Substance abuse in Iranian high school students. Addict Behav. 2007;32(3):622-7. [PubMed: 16815638].
https://doi.org/10.1016/j.addbeh.2006.05.008
PMid:16815638
 
9. Verdi Pour H. Heydar Nia AR, Kazem Nejad A, Shafiee F, Azad Falah P, Mirzaee A, et al. Survey of substance abuse in students and integrating self-control factor in the model EPPM. J Med Sci Yazd. 2005;13(1):21- 31.
 
10. Ziaaddini H, Qahestani A, Moin Vaziri M. Comparing Symptoms of Withdrawal, Rapid Detoxi-fication and Detoxification with Clonidine in Drug Dependent Patients. Addict Health. 2009;1(2):63-8. [PubMed: 24494085].
 
11. Chen K, Sheth AJ, Elliott DK, Yeager A. Prevalence and correlates of past-year substance use, abuse, and dependence in a suburban community sample of high-school students. Addict Behav. 2004;29(2):413- 23. [PubMed: 14732431].
https://doi.org/10.1016/j.addbeh.2003.08.013
PMid:14732431
 
12. Potter CC, Jenson JM. Cluster Profiles Of Multiple Problem Youth. Crim Justice Behav. 2003;30(2):230-50.
https://doi.org/10.1177/0093854802251007
 
13. Nichter M, Nichter M, Van Sickle D. Popular perceptions of tobacco products and patterns of use among male college students in India. Soc Sci Med. 2004;59(2):415-31. [PubMed: 15110430].
https://doi.org/10.1016/j.socscimed.2003.10.032
PMid:15110430
 
14. Bandura A. Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs: Prentice-Hall; 2016.
 
15. Arria AM, Caldeira KM, O'Grady KE, Vincent KB, Fitzelle DB, Johnson EP, et al. Drug exposure opportunities and use patterns among college students: results of a longitudinal prospective cohort study. Subst Abus. 2008;29(4):19-38. [PubMed: 19042196].
https://doi.org/10.1080/08897070802418451
PMid:19042196 PMCid:PMC2614283
 
16. Saddichha S, Sinha BN, Khess CR. The role of Gateway drugs and psychosocial factors in substance dependence in Eastern India. Int J Psychiatry Med. 2007;37(3):257-66. [PubMed: 18314853].
https://doi.org/10.2190/PM.37.3.b
PMid:18314853
 
17. Barengo NC, Sandstrom HP, Jormanainen VJ, Myllykangas MT. Attitudes and behaviours in smoking cessation among general practitioners in Finland 2001. Soz Praventivmed. 2005;50(6):355-60. [PubMed: 16398097].
https://doi.org/10.1007/s00038-005-4097-z
PMid:16398097
 
18. Saeys F, Cammu H. GPs' attitudes on a healthy lifestyle: a survey of GPs in Flanders. Br J Gen Pract. 2014;64(627):e664-9. [PubMed: 25267053].
https://doi.org/10.3399/bjgp14X681853
PMid:25267053 PMCid:PMC4173730
 
19. Frank E, Breyan J, Elon L. Physician disclosure of healthy personal behaviors improves credibility and ability to motivate. Arch Fam Med. 2000;9(3):287-90. [PubMed: 10728118].
https://doi.org/10.1001/archfami.9.3.287
PMid:10728118
 
20. Kaiser P, Noack A, Donner-Banzhoff N, Keller S, Baum E. Hausärztinnen und Hausärzte als Gesundheitsvorbilder? Ein Vergleich des Gesundheitsverhaltens von HausärztInnen und RechtsanwältInnen. ZFA -Zeitschrift fur Allgemeinmedizin. 2005;81(10):419-22.
https://doi.org/10.1055/s-2005-836914
 
21. Frank E, Rothenberg R, Lewis C, Belodoff BF. Correlates of physicians' prevention-related practices. Findings from the Women Physicians' Health Study. Arch Fam Med. 2000;9(4):359-67. [PubMed: 10776365].
https://doi.org/10.1001/archfami.9.4.359
PMid:10776365
 
22. Kurpas D, Jasinska A, Wojtal M, Sochocka L, Sen M. [Tobacco smoking amongst students in the Medical Faculty of Wroclaw Medical University]. Przegl Lek. 2007;64(10):795-6. [PubMed: 18409311].
 
23. Sieminska A, Jassem JM, Uherek M, Wilanowski T, Nowak R, Jassem E. [Tobacco smoking among the first-year medical students]. Pneumonol Alergol Pol. 2006;74(4):377-82. [PubMed: 17427146].
https://doi.org/10.5603/ARM.28019
 
24. Jaskolecki H, Tyrpien M, Steplewski Z, Josko J. Socjomedyczne i psychologiczne uwarunkowania decyzji o zaprzestaniu palenia tytoniu u studentów medycyny. Nowiny Lekarskie. 2007;76(5):418-21. 25. Batura-Gabryel H, Kuzniar B. , Swierkocki K. . Palenie tytoniu wsrod studentow. Nowiny Lekarskie. 2000;69(7):640-7.
 
25. Sieminska A, Jassem-Bobowicz JM, Uherek M, Wilanowski T, Nowak R, Jassem E. [Medical students' attitudes towards tobacco smoking at the first and sixth year of their studies 2002-2008]. Pneumonol Alergol Pol. 2009;77(4):371-9. [PubMed: 19722142].
https://doi.org/10.5603/ARM.27789
 
26. Janik-Koncewicz K, Zatonski T, Poltyn-Zaradna K, Zatonska K, Cedzynska M, Przewozniak K, et al. An attempt to assess knowledge about tobacco dependence among students at the Medical University in Wroclaw. Ann Agric Environ Med. 2012;19(3):345-9. [PubMed: 23020022].
 
27. Voigt K, Twork S, Mittag D, Gobel A, Voigt R, Klewer J, et al. Consumption of alcohol, cigarettes and illegal substances among physicians and medical students in Brandenburg and Saxony (Germany). BMC Health Serv Res. 2009;9:219. [PubMed: 19958534]. 29. Mahfouz MS, Alsanosy RM, Gaffar AM, Makeen A. Tobacco use among university students of Jazan Region: gender differences and associated factors. Biomed Res Int. 2014;2014:279231. [PubMed: 24900961].
https://doi.org/10.1186/1472-6963-9-219
PMid:19958534 PMCid:PMC2794859
 
28. Wang J, Deng XJ, Wang JJ, Wang XW, Xu L. Substance use, sexual behaviours, and suicidal ideation and attempts among adolescents: findings from the 2004 Guangzhou Youth Risk Behaviour Survey. Public Health. 2009;123(2):116-21. [PubMed: 19058820].
https://doi.org/10.1016/j.puhe.2008.10.013
PMid:19058820