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Nicotine Use Frequency and Addiction among Medical Students

Year 2024, , 304 - 309, 28.06.2024
https://doi.org/10.33808/clinexphealthsci.1190405

Abstract

Objective: Evaluating the rate of smoking and factors associated with nicotine addiction in university students will provide targetoriented interventions for students. For this reason, this study aims to measure the frequency of nicotine use and nicotine dependence and related factors among medical students.
Methods: In this cross-sectional study, an online questionnaire about nicotine use frequency and dependence was sent to a state university’s medical students via mobile phones. No sample size was calculated, instead, the study aimed to reach a total of 1522 medical students. The Fagerström Nicotine Dependence Test was used to measure nicotine dependence levels. p< .05 was considered as statistically significance level.
Results: Of the students, 79.3% (n=306) were non-smokers, 14.7% (n=57) were smokers and 6.0% (n=23) of the students were ex-smokers. Male students, students not living with their families, students with a higher income, and those having at least one smoking parent had statistically significantly higher smoking rates (p< .05). According to the Fagerström Test, of the smoking students, 63.2% (n=36) had low nicotine dependency, 33.3% (n=19) had moderate nicotine dependency, and 3.5% (n=2) showed high nicotine dependency.
Conclusion: Smoking rates were high in medical students, despite the medical knowledge related the negative health outcomes. And students had high level of nicotine dependence. Further studies are needed about the strategies on the prevention of smoking among medical students.

References

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  • Oğuz S, Çamcı G, Kazan M. The Prevalence of cigarette smoking and knowing status for diseases caused by smoking among university students Van Tıp Derg. 2018; 25(3): 332-337. DOI: 10.5505/vtd.2018.02411.
  • Khader YS, Alsadi AA. Smoking habits among university students in Jordan: Prevalence and associated factors. East. Mediterr. Health J. 2008; 14 (4): 897-904.
  • Palipudi KM, Gupta PC, Sinha DN, Andes LJ, Asma S, McAfee T; GATS Collaborative Group. Social determinants of health and tobacco use in thirteen low and middle income countries: Evidence from Global Adult Tobacco Survey. PLoS One. 2012;7(3):e33466. DOI: 10.1371/journal.pone.0033466.
  • Terzi O, Kumcagiz H, Terzi M, Dundar C. Cigarette smoking and determination of nicotine dependence levels in university students. ADDICTA: The Turkish Journal on Addictions. 2019; 6(S4): 168-182. DOI: 10.5152/addicta.2020.19134.
  • Uysal A, Kadakal F, Karşıdağ C, Bayram NG, Uysal O, Yılmaz V. Fagerstrom nikotin bağımlılık testinin türkçe versiyonunun güvenirliği ve faktör analizi. Tuberk Toraks. 2004;52:115-21. (Turkish).
  • Fagerstrom K, Shneider NG. Measuring nicotine dependence: A review of the Fagerstrom Tolerance Questionnaire. J Behav Med. 1989;12:159-81. DOI: 10.1007/BF00846549.
  • Ilhan MN, Arikan Z, Kotan Z, Tunçoğlu T, Pinarci M, Taşdemir A, Ay B, Koçak N. prevalence and socio-demographic determinants of tobacco, alcohol, substance use and drug misuse in general population in Turkey. Noro Psikiyatr Ars. 2016;53(3):205-212. DOI: 10.5152/npa.2015.10050.
  • Tarı Selçuk K, Avcı D, Mercan Y. Smoking addiction among university students and the willingness and self-efficacy to quit smoking. Clin Exp Health Sci. 2018; 8: 36-43. DOI: 10.5152/clinexphealthsci.2017.420.
  • Alotaibi SA, Alsuliman MA, Durgampudi PK. Smoking tobacco prevalence among college students in the Kingdom of Saudi Arabia: Systematic review and meta-analysis. Tob. Induc. Dis. 2019; 17. DOI: 10.18332/tid/105843.
  • Cooper R. Görceǧiz P. Aktürk N, Akyol SE, Pocari E. Smoking habits of medical school students in Turkey: Has anything changed? Turk J Cancer. 2004; 34: 146-149.
  • Sreeramareddy CT, Ramakrishnareddy N, Rahman M, Mir IA. Prevalence of tobacco use and perceptions of student health professionals about cessation training: Results from Global Health Professions Students Survey. BMJ Open. 2018; 8(5): e017477. DOI: 10.1136/bmjopen-2017-017477.
  • Hassan MS, Hossain MK, Khan HT. Prevalence and predictors of tobacco smoking among university students in Sylhet Division, Bangladesh. International Health 2019; 11(4): 306-313. DOI:10.1093/inthealth/ihy091.
  • Bozkurt AI, Sahinöz S, Özçırpıcı B, Özgür S, Sahinöz T, Acemoglu H, Saka G, Ceylan A, Palancı Y, IlçIn E, Akkafa F. Patterns of active and passive smoking, and associated factors, in the South-east Anatolian Project (SEAP) region in Turkey. BMC Public Health. 2006; 6(1): 1-8. DOI:10.1186/1471-2458-6-15.
  • Sieminska A, Jassem E. The many faces of tobacco use among women. Med Sci Monit. 2014; 20:153–162. DOI: 10.12659/MSM.889796.
  • Holden C. Sex and the suffering brain. Science. 2005; 308(5728): 1574. DOI: 10.1126/science.308.5728.1574.
  • Kudielka BM, Kirschbaum C. Sex differences in HPA axis responses to stress: A review. Biol Psychol. 2005; 69(1): 113–132. DOI: 10.1016/j.biopsycho.2004.11.009.
  • Lawless MH, Harrison KA, Grandits GA, Eberly LE, Allen SS. Perceived stress and smoking-related behaviors and symptomatology in male and female smokers. Addict Behav. 2015; 51: 80–83. DOI: 10.1016/j.addbeh.2015.07.011.
  • Mohd Sıdık S, Rampal L, Kaneson,N. Prevalence of emotional disorders among medical students in a Malaysian university. Asia Pacific Family Medicine. 2003;2(4): 213-217. DOI: 10.1111/j.1444-1683.2003.00089.x.
  • Chen A, Machiorlatti M, Krebs NM, Muscat JE. Socioeconomic differences in nicotine exposure and dependence in adult daily smokers. BMC Public Health. 2019; 19(1):375. DOI:10.1186/s12889-019-6694-4.
  • Kostova D, Tesche J, Perucic AM, Yürekli A, Asma S, GATS Collaborative Group. Exploring the relationship between cigarette prices and smoking among adults: a cross-country study of low- and middle-income nations. Nicotine Tob Res. 2014; 16 Suppl 1:10–15. DOI: 10.1093/ntr/ntt170.
  • Bauman KE, Fisher LA, Bryan ES, Chenoweth RL. Antecedents, subjective expected utility, and behavior: A panel study of adolescent cigarette smoking. Addic Behav. 1984; 9(2): 121–136. DOI: 10.1016/0306-4603(84)90050-9.
  • Saari AJ, Kentala, J, Mattila KJ. The smoking habit of a close friend or family member—how deep is the impact? A cross-sectional study. BMJ Open. 2014; 4(2): e003218. DOI: 10.1136/bmjopen-2013-003218.
  • McGee CE, Trigwell J, Fairclough SJ, Murphy RC, Porcellato L, Ussher M, Foweather L. Influence of family and friend smoking on intentions to smoke and smoking-related attitudes and refusal self-efficacy among 9-10 year old children from deprived neighbourhoods: a cross-sectional study. BMC Public Health. 2015; 15(1): 1-11. DOI: 10.1186/s12889-015-1513-z.
  • Erbaydar T, Lawrence S, Dagli E, Hayran O, Collishaw NE. Influence of social environment in smoking among adolescents in Turkey. Eur J Public Health. 2005; 15(4): 404–410. DOI:10.1093/eurpub/cki040.
Year 2024, , 304 - 309, 28.06.2024
https://doi.org/10.33808/clinexphealthsci.1190405

Abstract

References

  • Benowitz NL. Nicotine addiction. N Engl J Med. 2010; 362 (24): 2295–2303. doi: 10.1056/NEJMra0809890.
  • Tobacco. World Health Organization. Accessed [01September 2022] https://www.who.int/news-room/fact-sheets/detail/tobacco
  • National Household Health Survey In Turkey Prevalence of noncommunicable disease risk factors, 2017. Accessed [01 September 2022] https://apps.who.int/iris/bitstream/handle/10665/342200/9789289053136-eng.pdf?sequence=1&isAllowed=y
  • Oğuz S, Çamcı G, Kazan M. The Prevalence of cigarette smoking and knowing status for diseases caused by smoking among university students Van Tıp Derg. 2018; 25(3): 332-337. DOI: 10.5505/vtd.2018.02411.
  • Khader YS, Alsadi AA. Smoking habits among university students in Jordan: Prevalence and associated factors. East. Mediterr. Health J. 2008; 14 (4): 897-904.
  • Palipudi KM, Gupta PC, Sinha DN, Andes LJ, Asma S, McAfee T; GATS Collaborative Group. Social determinants of health and tobacco use in thirteen low and middle income countries: Evidence from Global Adult Tobacco Survey. PLoS One. 2012;7(3):e33466. DOI: 10.1371/journal.pone.0033466.
  • Terzi O, Kumcagiz H, Terzi M, Dundar C. Cigarette smoking and determination of nicotine dependence levels in university students. ADDICTA: The Turkish Journal on Addictions. 2019; 6(S4): 168-182. DOI: 10.5152/addicta.2020.19134.
  • Uysal A, Kadakal F, Karşıdağ C, Bayram NG, Uysal O, Yılmaz V. Fagerstrom nikotin bağımlılık testinin türkçe versiyonunun güvenirliği ve faktör analizi. Tuberk Toraks. 2004;52:115-21. (Turkish).
  • Fagerstrom K, Shneider NG. Measuring nicotine dependence: A review of the Fagerstrom Tolerance Questionnaire. J Behav Med. 1989;12:159-81. DOI: 10.1007/BF00846549.
  • Ilhan MN, Arikan Z, Kotan Z, Tunçoğlu T, Pinarci M, Taşdemir A, Ay B, Koçak N. prevalence and socio-demographic determinants of tobacco, alcohol, substance use and drug misuse in general population in Turkey. Noro Psikiyatr Ars. 2016;53(3):205-212. DOI: 10.5152/npa.2015.10050.
  • Tarı Selçuk K, Avcı D, Mercan Y. Smoking addiction among university students and the willingness and self-efficacy to quit smoking. Clin Exp Health Sci. 2018; 8: 36-43. DOI: 10.5152/clinexphealthsci.2017.420.
  • Alotaibi SA, Alsuliman MA, Durgampudi PK. Smoking tobacco prevalence among college students in the Kingdom of Saudi Arabia: Systematic review and meta-analysis. Tob. Induc. Dis. 2019; 17. DOI: 10.18332/tid/105843.
  • Cooper R. Görceǧiz P. Aktürk N, Akyol SE, Pocari E. Smoking habits of medical school students in Turkey: Has anything changed? Turk J Cancer. 2004; 34: 146-149.
  • Sreeramareddy CT, Ramakrishnareddy N, Rahman M, Mir IA. Prevalence of tobacco use and perceptions of student health professionals about cessation training: Results from Global Health Professions Students Survey. BMJ Open. 2018; 8(5): e017477. DOI: 10.1136/bmjopen-2017-017477.
  • Hassan MS, Hossain MK, Khan HT. Prevalence and predictors of tobacco smoking among university students in Sylhet Division, Bangladesh. International Health 2019; 11(4): 306-313. DOI:10.1093/inthealth/ihy091.
  • Bozkurt AI, Sahinöz S, Özçırpıcı B, Özgür S, Sahinöz T, Acemoglu H, Saka G, Ceylan A, Palancı Y, IlçIn E, Akkafa F. Patterns of active and passive smoking, and associated factors, in the South-east Anatolian Project (SEAP) region in Turkey. BMC Public Health. 2006; 6(1): 1-8. DOI:10.1186/1471-2458-6-15.
  • Sieminska A, Jassem E. The many faces of tobacco use among women. Med Sci Monit. 2014; 20:153–162. DOI: 10.12659/MSM.889796.
  • Holden C. Sex and the suffering brain. Science. 2005; 308(5728): 1574. DOI: 10.1126/science.308.5728.1574.
  • Kudielka BM, Kirschbaum C. Sex differences in HPA axis responses to stress: A review. Biol Psychol. 2005; 69(1): 113–132. DOI: 10.1016/j.biopsycho.2004.11.009.
  • Lawless MH, Harrison KA, Grandits GA, Eberly LE, Allen SS. Perceived stress and smoking-related behaviors and symptomatology in male and female smokers. Addict Behav. 2015; 51: 80–83. DOI: 10.1016/j.addbeh.2015.07.011.
  • Mohd Sıdık S, Rampal L, Kaneson,N. Prevalence of emotional disorders among medical students in a Malaysian university. Asia Pacific Family Medicine. 2003;2(4): 213-217. DOI: 10.1111/j.1444-1683.2003.00089.x.
  • Chen A, Machiorlatti M, Krebs NM, Muscat JE. Socioeconomic differences in nicotine exposure and dependence in adult daily smokers. BMC Public Health. 2019; 19(1):375. DOI:10.1186/s12889-019-6694-4.
  • Kostova D, Tesche J, Perucic AM, Yürekli A, Asma S, GATS Collaborative Group. Exploring the relationship between cigarette prices and smoking among adults: a cross-country study of low- and middle-income nations. Nicotine Tob Res. 2014; 16 Suppl 1:10–15. DOI: 10.1093/ntr/ntt170.
  • Bauman KE, Fisher LA, Bryan ES, Chenoweth RL. Antecedents, subjective expected utility, and behavior: A panel study of adolescent cigarette smoking. Addic Behav. 1984; 9(2): 121–136. DOI: 10.1016/0306-4603(84)90050-9.
  • Saari AJ, Kentala, J, Mattila KJ. The smoking habit of a close friend or family member—how deep is the impact? A cross-sectional study. BMJ Open. 2014; 4(2): e003218. DOI: 10.1136/bmjopen-2013-003218.
  • McGee CE, Trigwell J, Fairclough SJ, Murphy RC, Porcellato L, Ussher M, Foweather L. Influence of family and friend smoking on intentions to smoke and smoking-related attitudes and refusal self-efficacy among 9-10 year old children from deprived neighbourhoods: a cross-sectional study. BMC Public Health. 2015; 15(1): 1-11. DOI: 10.1186/s12889-015-1513-z.
  • Erbaydar T, Lawrence S, Dagli E, Hayran O, Collishaw NE. Influence of social environment in smoking among adolescents in Turkey. Eur J Public Health. 2005; 15(4): 404–410. DOI:10.1093/eurpub/cki040.
There are 27 citations in total.

Details

Primary Language English
Subjects Preventative Health Care
Journal Section Articles
Authors

Zeynep Meva Altaş 0000-0003-0475-8946

Jehan Al-shubaki 0000-0001-6324-2435

Sawsan Qawasmi 0000-0003-3274-5835

Amer Salameh 0000-0002-8737-4464

Nebras Balkhi 0000-0001-9674-7536

Dania N. Abouarra 0000-0002-4157-5754

Thanaa Al-tareb 0000-0001-6126-9538

Seyhan Hıdıroğlu 0000-0001-8656-4613

Publication Date June 28, 2024
Submission Date October 18, 2022
Published in Issue Year 2024

Cite

APA Altaş, Z. M., Al-shubaki, J., Qawasmi, S., Salameh, A., et al. (2024). Nicotine Use Frequency and Addiction among Medical Students. Clinical and Experimental Health Sciences, 14(2), 304-309. https://doi.org/10.33808/clinexphealthsci.1190405
AMA Altaş ZM, Al-shubaki J, Qawasmi S, Salameh A, Balkhi N, Abouarra DN, Al-tareb T, Hıdıroğlu S. Nicotine Use Frequency and Addiction among Medical Students. Clinical and Experimental Health Sciences. June 2024;14(2):304-309. doi:10.33808/clinexphealthsci.1190405
Chicago Altaş, Zeynep Meva, Jehan Al-shubaki, Sawsan Qawasmi, Amer Salameh, Nebras Balkhi, Dania N. Abouarra, Thanaa Al-tareb, and Seyhan Hıdıroğlu. “Nicotine Use Frequency and Addiction Among Medical Students”. Clinical and Experimental Health Sciences 14, no. 2 (June 2024): 304-9. https://doi.org/10.33808/clinexphealthsci.1190405.
EndNote Altaş ZM, Al-shubaki J, Qawasmi S, Salameh A, Balkhi N, Abouarra DN, Al-tareb T, Hıdıroğlu S (June 1, 2024) Nicotine Use Frequency and Addiction among Medical Students. Clinical and Experimental Health Sciences 14 2 304–309.
IEEE Z. M. Altaş, J. Al-shubaki, S. Qawasmi, A. Salameh, N. Balkhi, D. N. Abouarra, T. Al-tareb, and S. Hıdıroğlu, “Nicotine Use Frequency and Addiction among Medical Students”, Clinical and Experimental Health Sciences, vol. 14, no. 2, pp. 304–309, 2024, doi: 10.33808/clinexphealthsci.1190405.
ISNAD Altaş, Zeynep Meva et al. “Nicotine Use Frequency and Addiction Among Medical Students”. Clinical and Experimental Health Sciences 14/2 (June 2024), 304-309. https://doi.org/10.33808/clinexphealthsci.1190405.
JAMA Altaş ZM, Al-shubaki J, Qawasmi S, Salameh A, Balkhi N, Abouarra DN, Al-tareb T, Hıdıroğlu S. Nicotine Use Frequency and Addiction among Medical Students. Clinical and Experimental Health Sciences. 2024;14:304–309.
MLA Altaş, Zeynep Meva et al. “Nicotine Use Frequency and Addiction Among Medical Students”. Clinical and Experimental Health Sciences, vol. 14, no. 2, 2024, pp. 304-9, doi:10.33808/clinexphealthsci.1190405.
Vancouver Altaş ZM, Al-shubaki J, Qawasmi S, Salameh A, Balkhi N, Abouarra DN, Al-tareb T, Hıdıroğlu S. Nicotine Use Frequency and Addiction among Medical Students. Clinical and Experimental Health Sciences. 2024;14(2):304-9.

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