Patel Jay, Angolkar Mubashir, Murthy Shruti, Mallapur Maheswar D
JNMC, Public Health, KLE University, Karnataka, India.
JNMC, Community Medicine, KLE University, Karnataka, India.
Ethiop J Health Sci. 2016 May;26(3):209-16. doi: 10.4314/ejhs.v26i3.3.
Tobacco consumption epidemic is one of the biggest public health threats that the world is facing and attracts the attention of researchers to identify the cause for the same in specific groups. Medical students act as mentors to fight against tobacco use, but several reports suggest that a good number of medical undergraduates are themselves addicted to tobacco use. Thus, the objective of the study was to determine the prevalence of tobacco consumption and its association with various factors among undergraduate medical students.
A cross-sectional study was conducted on 372 undergraduate medical students from first to fourth year during November 2013 to January 2015. A pre-designed, pre-tested, structured and self-administered questionnaire was used. Statistical analysis was done using SPSS software version 16. Data was analyzed for percentage, Chi-square test and regression analysis to find association between tobacco use and various independent variables.
The mean age of the participants was 21.2 (SD=2.28) years with a male-female ratio of 1.92:1. The prevalence of tobacco use was 27.1% (n=101). The overall prevalence of smoking and smokeless tobacco use was 22.6% (n=84) and 7.8% (n=29) respectively. The prevalence of current tobacco use was 24.2% (n=90). Among the ever tobacco users, about 3% (n=11) had quit using tobacco. Tobacco consumption was observed to be significantly associated with male gender (p<.001), increasing age (p<0.01), residing in hostels (p<.001) and with a parental history of using tobacco (p<.001).
The prevalence of tobacco use in smoking and smokeless form among undergraduate medical students was high.This has important implications in the strict implementation and monitoring of smoking-related rules in hostels of medical colleges, especially those related to peer-support.
烟草消费流行是世界面临的最大公共卫生威胁之一，吸引了研究人员关注以确定特定群体中其成因。医学生是抗击烟草使用的引领者，但多项报告表明相当数量的医学本科生自身就沉迷于烟草使用。因此，本研究的目的是确定本科医学生中烟草消费的患病率及其与各种因素的关联。
2013年11月至2015年1月，对372名大一至大四的本科医学生进行了一项横断面研究。使用了预先设计、预先测试、结构化且自我管理的问卷。使用SPSS软件版本16进行统计分析。对数据进行百分比、卡方检验和回归分析，以找出烟草使用与各种自变量之间的关联。
参与者的平均年龄为21.2（标准差=2.28）岁，男女比例为1.92:1。烟草使用的患病率为27.1%（n = 101）。吸烟和无烟烟草使用的总体患病率分别为22.6%（n = 84）和7.8%（n = 29）。当前烟草使用的患病率为24.2%（n = 90）。在曾经使用过烟草的人中，约3%（n = 11）已戒烟。观察到烟草消费与男性性别（p <.001）、年龄增长（p < 0.01）、住在宿舍（p <.001）以及有父母吸烟史（p <.001）显著相关。
本科医学生中吸烟和无烟形式的烟草使用患病率很高。这对于严格执行和监督医学院校宿舍与吸烟相关的规定，尤其是那些与同伴支持相关的规定具有重要意义。
