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Vol 77, No 4 (2009)
ORIGINAL PAPERS
Published online: 2009-06-26
Submitted: 2013-02-22
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Medical students’ attitudes towards tobacco smoking at the first and sixth year of their studies 2002-2008

Alicja Siemińska, Joanna M. Jassem-Bobowicz, Maja Uherek, Tomasz Wilanowski, Radosław Nowak, Ewa Jassem
Pneumonol Alergol Pol 2009;77(4):371-379.

open access

Vol 77, No 4 (2009)
ORIGINAL PAPERS
Published online: 2009-06-26
Submitted: 2013-02-22

Abstract


Introduction: The prevalence of smoking among medical students indicates that studying medicine is an insufficient protection from tobacco use. The aim of the study was an analysis of medical students’ attitudes towards smoking at the first and sixth year of their studies.
Material and methods: A questionnaire on tobacco smoking was distributed among medical students of the study year 2002-2008 at the first and sixth year of their studies. The questionnaire used on the sixth year students included additional questions designed to assess changes in their attitudes towards smoking during their studies, to ask their opinion of the teaching of diagnostics and treatment of tobacco dependence (TD), and to discover how they evaluated their knowledge of the issue. The numbers of students who participated at the two points of the study were 287 and 175 respectively.
Results: Students in their sixth year significantly less frequently smoked cigarettes regularly than those starting their medical education (13% v. 21%; p = 0.022). However, 20% of smokers started smoking during their studies. The proportion of smokers saying they were not embarrassed by their smoking habit was significantly lower among sixth-year students compared to first-year students (31% v. 70%; p = 0.0006), as were the numbers who said they wanted to quit smoking (91% v. 61%). Those who wished to undergo treatment for TD (54% v. 22%) were significantly higher among sixth year students group (p = 0.013 and p = 0.001, respectively). More than half (57%) the sixth-year students claimed that they had no knowledge of the diagnostics and treatment of TD, or that their knowledge on this issue was poor or very poor. In the opinion of 43% of students, the medical curriculum was not a good source of knowledge on TD.
Conclusions: Medical studies induce positively students’ attitudes towards smoking. However, a proportion of individuals start smoking during studies, which may suggest dominance of genetic influences on smoking initiation in this period of life. In sixth-year students’ opinion, medical studies are not a sufficient source of knowledge on TD.

Abstract


Introduction: The prevalence of smoking among medical students indicates that studying medicine is an insufficient protection from tobacco use. The aim of the study was an analysis of medical students’ attitudes towards smoking at the first and sixth year of their studies.
Material and methods: A questionnaire on tobacco smoking was distributed among medical students of the study year 2002-2008 at the first and sixth year of their studies. The questionnaire used on the sixth year students included additional questions designed to assess changes in their attitudes towards smoking during their studies, to ask their opinion of the teaching of diagnostics and treatment of tobacco dependence (TD), and to discover how they evaluated their knowledge of the issue. The numbers of students who participated at the two points of the study were 287 and 175 respectively.
Results: Students in their sixth year significantly less frequently smoked cigarettes regularly than those starting their medical education (13% v. 21%; p = 0.022). However, 20% of smokers started smoking during their studies. The proportion of smokers saying they were not embarrassed by their smoking habit was significantly lower among sixth-year students compared to first-year students (31% v. 70%; p = 0.0006), as were the numbers who said they wanted to quit smoking (91% v. 61%). Those who wished to undergo treatment for TD (54% v. 22%) were significantly higher among sixth year students group (p = 0.013 and p = 0.001, respectively). More than half (57%) the sixth-year students claimed that they had no knowledge of the diagnostics and treatment of TD, or that their knowledge on this issue was poor or very poor. In the opinion of 43% of students, the medical curriculum was not a good source of knowledge on TD.
Conclusions: Medical studies induce positively students’ attitudes towards smoking. However, a proportion of individuals start smoking during studies, which may suggest dominance of genetic influences on smoking initiation in this period of life. In sixth-year students’ opinion, medical studies are not a sufficient source of knowledge on TD.
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Keywords

tobacco smoking; medical students; attitudes towards smoking; tobacco dependence

About this article
Title

Medical students’ attitudes towards tobacco smoking at the first and sixth year of their studies 2002-2008

Journal

Advances in Respiratory Medicine

Issue

Vol 77, No 4 (2009)

Pages

371-379

Published online

2009-06-26

Bibliographic record

Pneumonol Alergol Pol 2009;77(4):371-379.

Keywords

tobacco smoking
medical students
attitudes towards smoking
tobacco dependence

Authors

Alicja Siemińska
Joanna M. Jassem-Bobowicz
Maja Uherek
Tomasz Wilanowski
Radosław Nowak
Ewa Jassem

References (39)
  1. Tobacco Control Database. WHO Regional Office for Europe. http://data.euro.who.int/Default.aspx?TabID=2404.
  2. Siemińska A, Jassem JM, Uherek M, et al. Postawy wobec palenia tytoniu wśród studentów pierwszego roku medycyny. Pneumonol Alergol Pol. 2006; 74: 383–388.
  3. Smith DR, Leggat PA. An international review of tobacco smoking among medical students. J Postgrad Med. 2007; 53(1): 55–62.
  4. Ramakrishna GS, Sankara Sarma P, Thankappan KR. Tobacco use among medical students in Orissa. Natl Med J India. 2005; 18(6): 285–289.
  5. Vakeflliu Y, Argjiri D, Peposhi I, et al. Tobacco smoking habits, beliefs, and attitudes among medical students in Tirana, Albania. Prev Med. 2002; 34(3): 370–373.
  6. Patkar AA, Hill K, Batra V, et al. A comparison of smoking habits among medical and nursing students. Chest. 2003; 124(4): 1415–1420.
  7. World Health Organization. . Guidelines for controlling and monitoring the tobacco epidemic. World Health Organization, Geneva 1998: 76–100.
  8. Roche AM. Have efforts to improve medical students' drug and alcohol knowledge, skills and attitudes worked? Drug Alcohol Rev. 1997; 16(2): 157–170.
  9. Venkataraman S, Mukhopadhya A, Muliyil J. Trends of smoking among medical students. Indian J Med Res. 1996; 104: 316–320.
  10. Boland M, Fitzpatrick P, Scallan E, et al. Trends in medical student use of tobacco, alcohol and drugs in an Irish university, 1973-2002. Drug Alcohol Depend. 2006; 85(2): 123–128.
  11. Senol Y, Donmez L, Turkay M, et al. The incidence of smoking and risk factors for smoking initiation in medical faculty students: cohort study. BMC Public Health. 2006; 6: 128.
  12. Kavcová E, Kocan I, Squier C. Tobacco control and the role of the medical community in the Slovak Republic. Eur J Dent Educ. 2004; 8 Suppl 4: 46–50.
  13. Flaherty JA, Richman JA. Substance use and addiction among medical students, residents, and physicians. Psychiatr Clin North Am. 1993; 16(1): 189–197.
  14. Richmond R, Zwar N, Taylor R, et al. Teaching medical students about tobacco. Thorax. 1999; 54(1): 70–78.
  15. Kozielski J, Jastrzębski D, Gabryś J. Zmiany w zwyczajach palenia papierosów w ciągu 10 lat wśród studentów II roku medycyny. Pneumonol Alergol Pol. 1996; 64: 50–53.
  16. Pilawska H. Częstość intensywnego nałogu palenia wśród studentów IV roku medycyny na podstawie 5-letniej obserwacji. Zdr Publ. 1994; 105: 12–14.
  17. Chodorowski Z, et al. Sein Anand J., Salamon M. Ocena nikotynizmu i picia alkoholu przez studentów wyższych uczelni Gdańska. Przegl Lek. 2001; 58: 272–275.
  18. Kendler KS, Neale MC, Sullivan P, et al. A population-based twin study in women of smoking initiation and nicotine dependence. Psychol Med. 1999; 29(2): 299–308.
  19. Koopmans JR, van Doornen LJ, Boomsma DI. Association between alcohol use and smoking in adolescent and young adult twins: a bivariate genetic analysis. Alcohol Clin Exp Res. 1997; 21(3): 537–546.
  20. Oniszczenko W. Genetyka zachowania. In: Genetyczne podstawy ludzkich zachowań. Przegląd badań w populacji polskiej. Gdańskie Wydawnictwo Psychologiczne 2005: 14–22.
  21. Strelau J. Temperament-osobowość-działanie. PWN, Warszawa 1985: 260–320.
  22. Vogel JS, Hurford DP, Smith JV, et al. The relationship between depression and smoking in adolescents. Adolescence. 2003; 38(149): 57–74.
  23. Anda RF, Williamson DF, Escobedo LG, et al. Depression and the dynamics of smoking. A national perspective. JAMA. 1990; 264(12): 1541–1545.
  24. Patton GC, Hibbert M, Rosier MJ, et al. Is smoking associated with depression and anxiety in teenagers? American Journal of Public Health. 1996; 86(2): 225–230.
  25. Guthrie E, Black D, Bagalkote H, et al. Psychological stress and burnout in medical students: a five-year prospective longitudinal study. J R Soc Med. 1998; 91(5): 237–243.
  26. Webb E, Ashton CH, Kelly P, et al. Alcohol and drug use in UK university students. Lancet. 1996; 348(9032): 922–925.
  27. Akvardar Y, Demiral Y, Ergör G, et al. Substance use in a sample of Turkish medical students. Drug Alcohol Depend. 2003; 72(2): 117–121.
  28. Güleç M, Bakir B, Ozer M, et al. Association between cigarette smoking and depressive symptoms among military medical students in Turkey. Psychiatry Res. 2005; 134(3): 281–286.
  29. Beck AT, Steer RA, Ball R, et al. Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. J Pers Assess. 1996; 67(3): 588–597.
  30. Malara B, Góra-Kupilas K, Jośko J, et al. Palenie tytoniu i stosowanie innych używek wśród studentów wybranych uczelni. Przegl Lek. 2006; 63: 1060–1062.
  31. Fabczak J, Kowal E. Rozpowszechnienie i motywacja palenia tytoniu wśród studentów dwóch wyższych uczelni Białegostoku. Pneumonol Pol. 1987; 56: 273–277.
  32. Newbury-Birch D, White M, Kamali F. Factors influencing alcohol and illicit drug use amongst medical students. Drug Alcohol Depend. 2000; 59(2): 125–130.
  33. Kuźnar B, Batura-Gabryel H, Młynarczyk W. Aspekty społeczne palenia tytoniu wśród młodzieży akademickiej. Pneumonol Alergol Pol. 2002; 70: 483–489.
  34. Centers for Disease Control and Prevention (CDC). Changes in the cigarette brand preferences of adolescent smokers--United States, 1989-1993. MMWR Morb Mortal Wkly Rep. 1994; 43(32): 577–581.
  35. Choi WS, Ahluwalia JS, Harris KJ, et al. Progression to established smoking: the influence of tobacco marketing. Am J Prev Med. 2002; 22(4): 228–233.
  36. Pollay R, Siddarth S, Siegel M, et al. The Last Straw? Cigarette Advertising and Realized Market Shares among Youths and Adults, 1979-1993. Journal of Marketing. 1996; 60(2): 1.
  37. Rosselli D, Rey O, Calderon C, et al. Smoking in Colombian medical schools: the hidden curriculum. Prev Med. 2001; 33(3): 170–174.
  38. Silagy C, Stead LF, Silagy C. Physician advice for smoking cessation. Cochrane Database Syst Rev. 2000(2): CD000165.
  39. Czajkowska-Malinowska M, Ciesielska A, Kruża K, et al. Rozpowszechnienie palenia tytoniu i postawy wobec palenia wśród polskich pneumonologów. Pneumonol Alergol Pol. 2008; 76: 148–154.

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