Siemińska Alicja, Jassem-Bobowicz Joanna M, Uherek Maja, Wilanowski Tomasz, Nowak Radosław, Jassem Ewa
Klinika Alergologii Gdańskiego Uniwersytetu Medycznego, Gdańsk.
Pneumonol Alergol Pol. 2009;77(4):371-9.
Smoking habit among medical students indicates that studying of medicine does not sufficiently protect from tobacco use. The aim of the study was an analysis of medical students' attitudes towards smoking during at the first and sixth year of their studies.
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 sixth year included additional questions which enabled to assess changes in students' attitudes towards smoking during studies, to know respondents opinion on teaching of diagnostics and treatment of tobacco dependence (TD), and to know how they evaluated their knowledge on this issue. The numbers of students who participated at two points of the study were 287 and 175 respectively.
Students of VI year significantly less frequently smoked cigarettes regularly than at the beginning of the medical education (13% v. 21%; p=0.022). However, 20% of smokers started smoking during studies. The rate of smokers declaring not to be embarrassed by their smoking habit was significantly lower among sixth-year students in comparison to population of first-year students (31% v. 70%; p=0.0006), as well as the rates of those who declared the will to quit smoking (91% v. 61%), and those who wished to undergo treatment for TD (54% v. 22%) were significantly higher (p=0.013 and p=0.001, respectively). Over a half (57%) of sixth-year students claimed that they had no knowledge on the diagnostics and treatment of TD or their knowledge on this issue was poor/very poor, and in opinion of 43% of students medical curriculum was not a good source of knowledge on TD.
Medical studies induce positive students' attitudes towards smoking. However, a proportion of individuals start smoking during studies, what 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.
医学生中的吸烟习惯表明，学习医学并不能充分预防烟草使用。本研究的目的是分析医学生在学习第一年和第六年对吸烟的态度。
在2002 - 2008学年的医学生学习的第一年和第六年，发放了一份关于吸烟的问卷。六年级使用的问卷包含额外的问题，这些问题能够评估学生在学习期间对吸烟态度的变化，了解受访者对烟草依赖（TD）诊断和治疗教学的看法，以及了解他们对该问题知识的自我评价。参与研究两个阶段的学生人数分别为287人和175人。
六年级学生定期吸烟的频率明显低于医学教育开始时（13%对21%；p = 0.022）。然而，20%的吸烟者在学习期间开始吸烟。与一年级学生相比，六年级学生中宣称不因吸烟习惯而感到尴尬的吸烟者比例显著较低（31%对70%；p = 0.0006），宣称有戒烟意愿的比例（91%对61%）以及希望接受TD治疗的比例（54%对22%）则显著较高（分别为p = 0.013和p = 0.001）。超过一半（57%）的六年级学生声称他们不了解TD的诊断和治疗，或者他们在这个问题上的知识很差/非常差，并且43%的学生认为医学课程不是TD知识的良好来源。
医学学习促使学生对吸烟形成积极态度。然而，一部分人在学习期间开始吸烟，这可能表明在这个生命阶段，遗传因素对开始吸烟起主导作用。在六年级学生看来，医学学习不是TD知识的充分来源。
