Mammas Ioannis N, Bertsias George K, Linardakis Manolis, Tzanakis Nikolaos E, Labadarios Demetre N, Kafatos Anthony G
Department of Social Medicine, Preventive Medicine and Nutrition, Faculty of Medicine, School of Health Sciences, University of Crete, Greece.
Eur J Public Health. 2003 Sep;13(3):278-82. doi: 10.1093/eurpub/13.3.278.
The lack of data regarding health habits of medical students in Greece prompted a cross-sectional study to assess tobacco use, alcohol consumption and serum lipoprotein levels among students in the University of Crete School of Medicine.
A self-administered questionnaire on smoking and alcohol consumption was distributed to third-year medical students for twelve consecutive years (1989-2000). A total of 849 students (462 males, 387 females) participated in the survey. Biochemical measurements were taken and multi-variant analysis of the data was performed.
The prevalence of smoking among males and females was 33.2% (N = 150) and 28.4% (N = 108), respectively (mean cigarette consumption 13/day). As many as 349 males (77.2%) and 220 females (58.0%) reported consuming alcohol on a regular basis. The prevalence of low HDL-cholesterol (< 0.9 mmol/l) was 14.5% in males and 5.1% in females, and of high LDL-cholesterol levels (> 4.1 mmol/l) in 11.1% of male and 5.5% of female participants. Smoking was related to higher triglyceride (p = 0.032), and lower HDL-cholesterol (p = 0.037) serum levels. Total cholesterol, LDL-cholesterol, and the TC/HDL-cholesterol ratio were strongly related with the level of smoking (p = 0.006, p = 0.008, and p = 0.006 respectively).
The results document a high prevalence of smoking among physicians-to-be in Greece. Tobacco use was strongly associated with a lipid profile predisposing to increased risk for cardiovascular disease. Health promotion programmes should therefore be instituted not only during the first years of medical studies, but rather at a much earlier stage in life.
希腊医科学生健康习惯方面的数据匮乏，促使开展了一项横断面研究，以评估克里特大学医学院学生的烟草使用、酒精消费及血清脂蛋白水平。
连续十二年（1989 - 2000年）向三年级医科学生发放关于吸烟和酒精消费的自填式问卷。共有849名学生（462名男性，387名女性）参与了调查。进行了生化测量并对数据进行了多变量分析。
男性和女性的吸烟率分别为33.2%（N = 150）和28.4%（N = 108）（平均每日吸烟量为13支）。多达349名男性（77.2%）和220名女性（58.0%）报告经常饮酒。男性低高密度脂蛋白胆固醇（< 0.9 mmol/l）患病率为14.5%，女性为5.1%；男性和女性参与者中高低密度脂蛋白胆固醇水平（> 4.1 mmol/l）的患病率分别为11.1%和5.5%。吸烟与较高的甘油三酯水平（p = 0.032）及较低的高密度脂蛋白胆固醇血清水平（p = 0.037）相关。总胆固醇、低密度脂蛋白胆固醇以及总胆固醇/高密度脂蛋白胆固醇比值与吸烟水平密切相关（分别为p = 0.006、p = 0.008和p = 0.006）。
结果表明希腊未来医生中吸烟率很高。烟草使用与易导致心血管疾病风险增加的血脂谱密切相关。因此，不仅应在医学学习的头几年开展健康促进项目，而且应在生命的更早阶段开展。
