Smoking prevalence and awareness of the detriment of tobacco smoking among students in Medical University
- Authors: Prokhorov N.I.1, Shashina E.A.1, Semenovykh L.N.1, Makarova V.V.1, Kozeeva E.E.1
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Affiliations:
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Ministry of Health
- Issue: Vol 98, No 3 (2019)
- Pages: 294-300
- Section: HYGIENE OF CHILDREN AND ADOLESCENTS
- Published: 14.10.2020
- URL: https://ruspoj.com/0016-9900/article/view/640209
- DOI: https://doi.org/10.47470/0016-9900-2019-98-3-294-300
- ID: 640209
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Full Text
Abstract
Introduction. A high level of tobacco use among medical workers is registered in Russia. The adherence to this bad habit can undermine the medical professionals’ authority and reduce the effectiveness of the preventive work with the population.
The goal of this research was to determine the smoking prevalence among medical students, their level of awareness of health risks, and attitudes of smokers to this bad habit.
Material and methods. The survey concerning the prevalence and attitudes towards smoking was conducted among the students of the medical faculty of the Sechenov University. Students were asked about biographical data, health status at the time of the survey, attitudes towards healthy lifestyles and smoking, the respondents’ awareness of the detriment of tobacco smoking, attitudes to the anti-smoking campaign. A separate block of questions was addressed to smokers (smoking experience, smoking intensity, reasons for initiation).
Results. Of the 531 respondents, 18.0% were smokers at the time of the survey, 9.4% were former smokers, 72.5% never smoked. 59.6% of smokers had low smoking intensity. 3.2% of smokers had high smoking intensity. Smoking experience in both sex groups averaged 4.56 years. The main reasons for students’ initiation to smoking were curiosity (27.8%), the influence of the closest active smoking environment (21.5%), as well as existing problems in the family and the educational process (16.7%). Most of the students were informed about the negative effects of smoking and 82.7% of current smokers planned to give up smoking. 94% of smokers believed they to need professional help to stop smoking.
Discussion. The prevalence of smoking among students at Sechenov University is comparable to the data of the Global Survey of Medical Students.
Conclusions. Smoking is still common among medical students. The training of future health care workers in knowledge and skills to stop smoking should be carried out within an additional curriculum in a medical university.
About the authors
N. I. Prokhorov
I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Ministry of Health
Author for correspondence.
Email: noemail@neicon.ru
ORCID iD: 0000-0002-4510-2890
Russian Federation
Ekaterina A. Shashina
I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Ministry of Health
Email: kat10@mail.ru
ORCID iD: 0000-0002-5294-6813
MD, Ph.D., Associate Professor, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University), Moscow, 119991, Russian Federation.
e-mail: kat10@mail.ru
Russian FederationL. N. Semenovykh
I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Ministry of Health
Email: noemail@neicon.ru
ORCID iD: 0000-0002-9092-6290
Russian Federation
V. V. Makarova
I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Ministry of Health
Email: noemail@neicon.ru
Russian Federation
E. E. Kozeeva
I.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Ministry of Health
Email: noemail@neicon.ru
Russian Federation
References
- Doll R. et al. Mortality in relation to smoking: 50 years’ observations on male British doctors. British medical journal. 2004; 328: 1519.
- Mathers C.D., Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PloS Medicine. 2006; 3(11): e442. https://doi.org/10.1371/journal.pmed.0030442
- The health consequences of smoking – 50 years of progress: a report of the Surgeon General. Atlanta, GA.: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014. p. 944. Available at: https://www.surgeongeneral.gov/library/reports/50-years-of-progress/index.html. Checked by 02.10.2018.
- How Tobacco Smoke Causes Disease: What It Means to You? U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2010. Available at: https://www.cdc.gov/tobacco/data_statistics/sgr/2010/consumer_booklet/pdfs/consumer.pdf. Checked by 02.10.2018.
- Centers for Disease Control and Prevention. QuickStats: Number of Deaths from 10 Leading Causes - National Vital Statistics System, United States, 2010. Morbidity and Mortality Weekly Report. 2013; 62 (08): 155.
- GATS. Russian Federation. Global Adult Tobacco Survey: Executive Summary, 2016, 10 p. Available at: http://www.who.int/tobacco/surveillance/survey/gats/gats-2016-rus-exeuctive-summary-En.pdf Checked by 02.10.2018.
- Prevalence of tobacco smoking. WHO - Global Health Observatory data. Available at: http://www.who.int/gho/tobacco/use/en/ Checked by 02.10.2018.
- Chuchalin A.G., Khaltaev N., Antonov N.S. et al. Chronic respiratory diseases and risk factors in 12 regions of the Russian Federation. Int. J. Chron. Obstruct. Pulm. Dis. 2014; 9: 963–74.
- Levina T.V., Krasnova Yu.N. Epidemiology of smoking. Sibirskiy meditsinskiy zhurnal. 2013; 6: 5-8. (in Russian)
- Trifonov S.V., Lemeshchenko E.Yu. Smoking: solutions. Meditsinskaya sestra. 2013; 5: 25-9. (in Russian)
- Seregin V.I., Sakharova G.M., Antonov N.S., Medvedeva O.V., Donitova V.V. Scientific substantiation of the need to develop a regional program to reduce tobacco use among health care workers. Sotsialnyye aspekty zdorovia naseleniya. [Electronic Scientific Journal]. 2015; 46(6). Available at: http://vestnik.mednet.ru/content/view/724/30/lang.ru/ (in Russian)
- Shapovalenko E.V. Scientific substantiation of the medical and social aspects of a healthy lifestyle as the basis for the effectiveness of rehabilitation in modern conditions. Saratovskiy nauchno-meditsinskiy zhurnal. 2013; 9 (4): 1009-12. (in Russian)
- Pavlenko E.V., Petrova L.E., Kharitonov A.N. The spread of the smoking among medical workers in Yekaterinburg. Byulleten fiziologii i patologii dykhaniya. 2012; 44: 25-8. (in Russian)
- Glybochko P.V., Esaulenko I.E., Popov V.I., Petrova T.N. Health of students of medical universities in Russia: problems and ways to solve them. Sechenovskii vestnik. 2017; 28 (2): 4-11. (in Russian)
- Gorbunov N.V., Polunina O.S. i dr. Sociological studies of the smoking problem of among medical students. Kubanskiy nauchnyy meditsinskiy vestnik. 2012; 3(132): 41-4. (in Russian)
- Sukhanova G.I., Naumova I.V. i dr. The spread of the smoking among students at Pacific State Medical University. Tikhookeanskiy meditsinskiy zhurnal. 2013; 4: 103-5. (in Russian)
- Strizhev V.A. Clinical and epidemiological studies of anxiety-depressive and additive disorders in medical students. Kubanskiy nauchnyy meditsinskiy vestnik. 2016; 157 (2): 126-30. (in Russian)
- Gerasimenko N.F., Aleksandrova O.Yu., Biksolt A.M. New legislation on restricting smoking in the Russian Federation. Sotsialnyye aspekty zdorovia naseleniya [Electronic Scientific Journal]. 2014; 2(36). Available at: http://http://vestnik.mednet.ru/content/view/560/30/lang,ru/ (in Russian)
- Dergacheva E.N. The main approaches to the prevention of smoking in medical organizations: Guidelines. Novosibirsk. 2013. (in Russian)
- Postnikova L.B., Dorovskoy I.A., Kostrov V.A. et al. Epidemiological characteristics of tobacco smoking and comparative assessment of the respiratory system in young men. Zhurnal pulmonologii. 2016; 26 (1): 52-8. (in Russian)
- Stillman F.A., Becker D.M., Swank R.T. et al. Ending smoking of the Johns Hopkins Medical Institutions. J. Amer. Med. Association. 1990; 264 (12): 1565-9. https://doi.org/10.1001/jama.1990.03450120077033
- (GSPP). Cessation of tobacco use and treatment of tobacco dependence. Scientifically based recommendations ed. prof. A.K. Demina. Moscow, Russia - Washington, DC, USA. 2013. (in Russian)
- Global Adult Tobacco Survey (CATS). Russian Federation, 2009. Country Report. 161 p. Available at: http://www.who.int/tobacco/surveillance/en_tfi_gats_russian_countryreport.pdf. Checked by 02.10.2018.
- Warren C.W., Jones N.R., Chauvin J., Peruga A. GTSS Collaborative Group. Tobacco use and cessation counselling: cross-country. Data from the Global Health Professions Student Survey (GHPSS), 2005 (7). Tob Control. 2008; 17(4): 238-47. https://doi.org/10.1136/tc.2007.023895
- Tacettin Inandi, Ozge Karadag Caman, Neriman Aydın, Ayşe Emel Onal, Ayşe Kaypmaz, Ebru Turhan, Toker Erguder, Wick C. Warren. Global Health Professions Student Survey − Turkey: Second-hand Smoke Exposure and Opinions of Medical Students on Anti-tobacco Law. Cent Eur J Public Health. 2013; 21 (3): 134-9.
- Barbouni A., Hadjichristodoulou C., Merakou K., Antoniadou E., Kourea K., Miloni E., Warren C.W., Rachiotis G., Kremastinou J. Tobacco use, exposure to secondhand smoke, and cessation counseling among health professions students: Greek data from the global health professions student Survey (GHPSS). Int J Environ Res Public Health. 2012; 9 (1): 331-42. https://doi.org/10.3390/ijerph9010331
- Tingzhong Y., Lingwei Yu., Bottorff J.L., Dan Wu, Shuhan Jiang, Sihui Peng, Kathleen J. Young. Global Health Professions Student Survey (GHPSS) in Tobacco Control in China. Am J Health Behav. 2015; 39(5): 732-41. https://doi.org/10.5993/AJHB.39.5.14
- Pujades-Rodriguez M., George J., Shah A.D., et al. Heterogeneous associations between smoking and a wide range of initial presentations of cardiovascular disease in 1 937 360 people in England: lifetime risks and implications for risk prediction. International Journal of Epidemiology. 2015; 44 (1): 129–41. https://doi.org/10.1093/ije/dyu218
- Kang S.J., Mintz G.S., Witzenbichler B., Metzger D.C., Rinaldi M.J., Duffy P.L. Age-related effects of smoking on culprit lesion plaque vulnerability as assessed by grayscale and virtual histology-intravascular ultrasound. Coron. Artery Dis. 2015; 26 (6): 476-8.
- Kang S.J., Mintz G.S., Weisz G., Mehran R., Rabbani L.E., Verheye S. Age-related effects of smoking on coronary artery disease assessed by gray scale and virtual histology intravascular ultrasound. Am. J. Cardiol. 2015; 115 (8): 1056-62. https://doi.org/10.1016/j.amjcard.2015.01.535
- Rosengren A., Perk J., Dallongeville J. Prevention of cardiovascular diseases. Smoking. In: Diseases of the heart and blood vessels. The management of the European Society of Cardiology. Ed. Kemma A.D., Lyushera T.F., Serdiusa L.V., Moscow: GEORAR – Media; 2011: 684-7. (in Russian)
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