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            <front>

                <journal-meta>
                                                                <journal-id>estudam public health journal</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Eskişehir Türk Dünyası Uygulama ve Araştırma Merkezi Halk Sağlığı Dergisi</journal-title>
            </journal-title-group>
                            <issn pub-type="ppub">2564-6311</issn>
                                        <issn pub-type="epub">2564-6311</issn>
                                                                                            <publisher>
                    <publisher-name>Eskişehir Osmangazi University</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.35232/estudamhsd.1506093</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Preventative Health Care</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Koruyucu Sağlık Hizmetleri</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>EVALUATION OF SMOKING STATUS IN MEDICAL STUDENTS</article-title>
                                                                                                                                                                                                <trans-title-group xml:lang="tr">
                                    <trans-title>TIP FAKÜLTESİ ÖĞRENCİLERİNDE SİGARA KULLANIM DURUMUNUN DEĞERLENDİRİLMESİ</trans-title>
                                </trans-title-group>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-4963-5651</contrib-id>
                                                                <name>
                                    <surname>Çakır</surname>
                                    <given-names>Mustafa</given-names>
                                </name>
                                                                    <aff>İstanbul Medeniyet Üniversitesi</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-4200-0936</contrib-id>
                                                                <name>
                                    <surname>Malakcıoğlu</surname>
                                    <given-names>Cem</given-names>
                                </name>
                                                                    <aff>İSTANBUL MEDENİYET ÜNİVERSİTESİ, TIP FAKÜLTESİ, TEMEL TIP BİLİMLERİ BÖLÜMÜ, TIP EĞİTİMİ ANABİLİM DALI</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-2204-6195</contrib-id>
                                                                <name>
                                    <surname>Kavcar</surname>
                                    <given-names>Ogün Celal</given-names>
                                </name>
                                                                    <aff>İSTANBUL MEDENİYET ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, HALK SAĞLIĞI ANABİLİM DALI</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-9575-5291</contrib-id>
                                                                <name>
                                    <surname>Kutay Yılmaz</surname>
                                    <given-names>Feyza</given-names>
                                </name>
                                                                    <aff>Artvin Merkez Toplum Sağlığı Merkezi, Halk Sağlığı Birimi</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-0958-0649</contrib-id>
                                                                <name>
                                    <surname>İkiışık</surname>
                                    <given-names>Hatice</given-names>
                                </name>
                                                                    <aff>İSTANBUL MEDENİYET ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, HALK SAĞLIĞI ANABİLİM DALI</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-8947-711X</contrib-id>
                                                                <name>
                                    <surname>Mutlu</surname>
                                    <given-names>Hasan Hüseyin</given-names>
                                </name>
                                                                    <aff>SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL SANCAKTEPE ŞEHİR PROF. DR. İLHAN VARANK SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, AİLE HEKİMLİĞİ ANABİLİM DALI</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-5234-6108</contrib-id>
                                                                <name>
                                    <surname>Maral</surname>
                                    <given-names>Işıl</given-names>
                                </name>
                                                                    <aff>İSTANBUL MEDENİYET ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, HALK SAĞLIĞI ANABİLİM DALI</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20241101">
                    <day>11</day>
                    <month>01</month>
                    <year>2024</year>
                </pub-date>
                                        <volume>9</volume>
                                        <issue>3</issue>
                                        <fpage>301</fpage>
                                        <lpage>312</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20240628">
                        <day>06</day>
                        <month>28</month>
                        <year>2024</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20240927">
                        <day>09</day>
                        <month>27</month>
                        <year>2024</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2016, ESTUDAM Public Health Journal</copyright-statement>
                    <copyright-year>2016</copyright-year>
                    <copyright-holder>ESTUDAM Public Health Journal</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>The aim of this study is to evaluate the smoking status of medical students. This descriptive research was conducted in a medical school with 544 students from first to sixth terms in Istanbul. Online survey form was used in the research. Statistical analyzes were done using SPSS 22.0 program. The mean age of the students participating in the study was 21.0±2.2, 55.7% of them were women and 55.1% of them were living with their families/relatives. It was determined that 6.4% of the students were smoking before joining university, 10.7% were regular/frequent smokers, the average number of cigarettes smoked daily was 10.2±7.5, and the reason for starting smoking was stress in 39.9 percent. It was determined that 62.9% of the smoking students thought to quit smoking and 66.1% knew the methods of quitting smoking. The frequency of regular/frequent smoking was found to be higher in those living alone or with friends at home, and those whose mothers and siblings smoked regularly/frequently. In our study, it was determined that more than half of regular/frequent smokers started smoking before university and the most common reasons for starting were stress, friend influence, and curiosity. It is recommended that awareness trainings about smoking harms be included in different grades in the National Education curriculum and that students should be trained in stress management and choosing friends.</p></abstract>
                                                                                                                                    <trans-abstract xml:lang="tr">
                            <p>Araştırmada tıp fakültesi öğrencilerinde sigara kullanım durumlarının değerlendirilmesi amaçlanmaktadır. Çalışma tanımlayıcı tipte olup İstanbul’da bir tıp fakültesinde 1-6. sınıf 544 öğrencide yürütülmüştür. Araştırmada anket formu kullanılmıştır. İstatistiksel analizler SPSS 22.0 istatistik paket programında yapılmıştır. Araştırmaya katılan öğrencilerin yaş ortalaması 21,0±2,2 olup %55,7’sinin kadın olduğu ve %55,1’inin ailesi/akrabalarıyla yaşadığı belirlenmiştir. Öğrencilerin %6,4’ünün üniversite öncesinde, %10,7’sinin şu anda düzenli/sık sigara içtiği, içilen günlük sigara adedi ortalamasının 10,2±7,5 olduğu, %39,9’unun sigaraya başlama nedeninin stres olduğu tespit edilmiştir. Sigara içen öğrencilerin %62,9’unun sigarayı bırakmayı düşündüğü, %66,1’inin sigara bırakma yöntemlerini bildiği belirlenmiştir. Evde yalnız veya arkadaşlarıyla yaşayanlarda ve annesi ile kardeşi düzenli/sık sigara içenlerde düzenli/sık sigara içme sıklıkları daha yüksek saptanmıştır. Düzenli/sık sigara içenlerin yarıdan fazlasının sigara içmeye üniversite öncesinde başladığı ve en yaygın başlama nedenlerinin stres, arkadaş etkisi ve merak olduğu saptanmıştır. Sigara zararlarıyla ilgili farkındalık eğitimlerinin Milli Eğitim müfredatında farklı sınıflarda yer alması ve öğrencilere arkadaş seçimi ile stres yönetimi eğitimlerinin verilmesi önerilmektedir.</p></trans-abstract>
                                                            
            
                                                            <kwd-group>
                                                    <kwd>Medical student</kwd>
                                                    <kwd>  smoking</kwd>
                                                    <kwd>  tobacco</kwd>
                                            </kwd-group>
                                                        
                                                                            <kwd-group xml:lang="tr">
                                                    <kwd>Tıp öğrencisi</kwd>
                                                    <kwd>  sigara kullanımı</kwd>
                                                    <kwd>  tütün</kwd>
                                            </kwd-group>
                                                                                                            </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">World Health Organization. Tobacco (WHO). [cited 2022 Apr 9] Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">Centers for Disease Control and Prevention (CDC). Health Effects of Cigarette Smoking. [cited 2022 Apr 9] Available from: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/index.htm</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">CDC. Global Tobacco Control. [cited 2022 Apr 9] Available from: https://www.cdc.gov/tobacco/global/index.htm</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">Duaso MJ, McDermott MS, Mujika A, Purssell E, While A. Do doctors&#039; smoking habits influence their smoking cessation practices? A systematic review and meta-analysis. Addiction. 2014;109(11):1811-23. doi:10.1111/add.12680.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">Pazdro-Zastawny K, Dorobisz K, Bobak-Sarnowska E, Zatoński T. Prevalence and Associated Factors of Cigarette Smoking Among Medical Students in Wroclaw, Poland. Risk Management and Healthcare Policy. 2022;15:509-19. doi:10.2147/RMHP.S337529.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">Al-Kaabba AF, Saeed AA, Abdalla AM, Hassan HA, Mustafa AA. Prevalence and Associated Factors of Cigarette Smoking among Medical Students at King Fahad Medical City in Riyadh of Saudi Arabia. Journal of Family &amp; Community Medicine. 2011;18(1):8-12. doi:10.4103/1319-1683.78631.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">Ilić M, Grujičić M, Novaković B, Vrkatić A, Lozanov-Crvenković Z. Cigarette Smoking among Medical Students from the Western Balkan. International Journal of Environmental Research and Public Health. 2022;19(5):3055. doi:10.3390/ijerph19053055.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">Stead LF, Bergson G, Lancaster T. Physician Advice for Smoking Cessation. Cochrane Database Syst Rev. 2008;2:CD000165.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">Balogh E, Wagner Z, Faubl N, Riemenschneider H, Voigt K, Terebessy A, et al. Tobacco Smoking and Smokeless Tobacco Use among Domestic and International Medical Students in Hungary. Subst Use Misuse. 2021;56(4):493-500. doi:10.1080/10826084.2021.187915.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">Zahedi H, Sahebihagh MH, Sarbakhsh P, Gholizadeh L. The association between cigarette smoking attitudes and social capital among Iranian health and medical students: a cross-sectional study. BMC Public Health. 2021;21(1):1366. doi:10.1186/s12889-021-11435-y.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">Ilić M, Grujičić M, Novaković B, Vrkatić A, Lozanov-Crvenković Z. Cigarette Smoking among Medical Students from the Western Balkan. Int J Environ Res Public Health. 2022;19(5):3055. doi:10.3390/ijerph19053055.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">Kabbash IA, Sarsik SM, Kabbash MI, Hagar AA, Othman NM, Ismail MF, et al. Perception and practices of tobacco smoking among medical students in the Nile Delta, Egypt. Environ Sci Pollut Res Int. 2018;25(31):30839-46. doi:10.1007/s11356-017-9443-1.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">Samara AA, Rachiotis G, Pettemeridou S, Papastamatiou K, Tourlakopoulos K, Chelioti E, et al. Prevalence of tobacco use, exposure to secondhand smoke and knowledge on smoking cessation among students of health professions in Central Greece: a cross-sectional study. BMJ Open. 2020;10(10):e036512. doi:10.1136/bmjopen-2019-036512.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">Vorster A, Gerber AM, van der Merwe LJ, van Zyl S. Second and third year medical students&#039; self-reported alcohol and substance use, smoking habits and academic performance at a South African medical school. Health SA. 2019;24:1041. doi:10.4102/hsag.v24i0.1041.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">Vatansev H, Kutlu R, Özdengül AG, Demirbas N, Taşer S, Yılmaz F. Medicine and Communication Faculty Students of Tobacco and Tobacco Products Usage Differences. Ankara Med J. 2019;19(2):344-56.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">Pektaş İ, Mayda AS. The Level of Internet Addiction and Affecting Factors in Medical School Students. Sakarya Med J. 2018;8(1):52-62.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">Dağtekin G, Atay E, Kılınç A, Eyüboğlu M, Eyüboğlu D, Ünsal A, et al. Cigarette Smoking, Perceived Stres and Quality of Life by Gender Among Medical Students. Osmangazi Journal of Medicine. 2020;42(4):350-6.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">Çilekar Ş, Dumanlı A, Öz G, Günay E. Tobacco Use Conditions of Medical Faculty Students in Our Hospital. Bozok Med J. 2019;9(4):22-6.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">Berberoğlu U, Taşpınar N, Öztaş D. Smoking and Affecting Factors in Medical Education at the Beginning, Usak-2018. Ankara Med J. 2019;19(4):745-52.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">Kutlu R, Vatansev C, Demirbaş N, Taşer S. The frequency of tobacco and tobacco product use in medical faculty students. Turkish Journal of Family Medicine and Primary Care. 2019;13(2):219-26.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">Kuzucuoglu M. Evaluation of the knowledge levels about health problems concerning smoking and smoking usage in preclinic students of Balikesir University, Faculty Of Medicine. Med J SDU. 2021;28(2):209-12.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">Dikmen AU, Koç AK, İlhan SÖ,  İlhan MN. Prevalence of Smoking in Gazi University Medicine Faculty and Related Factors. GMJ. 2019;30:107-13.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">Er T, Kurçer MA. Smoking Behaviors and Anxiety Levels of 1st and 6th Grade Students of the Medical School. Journal of Dependence. 2020;21(3):201-9.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">Aksoy F, Kaya K, Kızılkaya ZT, Çot SN, Batu HF, Hasoğlu İ, et al. 3rd Classroom of a Medicine Faculty Students’ Information and Opinions about Smoking. Med J SDU. 2019;26(1):90-5.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">İkiışık H, Arı A, Maral I. Assessment of Healthy Lifestyle Behaviors among First-Year Medical, Dentistry and Health Sciences Students in Turkey. Medicine and Health. 2021;16(2):110-23.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">Bakar C, Gündogar D, Ozisik Karaman HI, Maral I. Prevalence and Related Risk Factors of Tobacco, Alcohol and Illicit Substance Use among University Students. The European Journal of Psychiatry. 2013;27(2):97-110.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">Çakır M, Piyal B, Aycan S. Healthy Lifestyle Behaviors and Quality of Life in Physicians: A Faculty of Medicine Based Cross-Sectional Study. Ankara Medical Journal. 2015;15(4):209-19.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
