Nouira Hajer, Ben Abdelaziz Asma, Rouis Sana, Mili Meriem, Safer Mouna, Ben Saad Helmi, Ben Abdelaziz Ahmed
Tunis Med. 2018 Oct-Nov;96(10-11):557-570.
Measure the prevalence of smoking among students of health sciences Faculties in Monastir (Tunisia) and identify factors associated with smoking behavior.
A cross-sectional study based on a self-administered questionnaire conducted among students registered in their second, fourth and sixth year at the Faculties of Medicine and Pharmacy in Monastir, in 2013. Smoker was the subject who, at the time of the survey, smoked at least one cigarette per day. Academic difficulties were used to denote any of the following incidents that a student may experience: passing exams at the retake session, revalidating an internship or repeating a school year. A logistic regression analysis was used to identify factors associated with smoking.
The number of participants was 634 (285 Medical students and 349 Pharmacy students); they were 170 males and 464 females. The prevalence of smoking was 15%; 95% IC [12.1-17.7]. It was nearly five times higher among male compared to female students (35.3%; 95% IC [28.1-42.5]) vs 7.5%; 95% IC [5.1-9.9]); It was also higher among Pharmacy students than among Medical students (18.9%; 95% IC [14.8-23.0]) vs 10.2%; 95% IC [6.7-13.7]). In the multivariate analysis, the Faculty of Pharmacy (ORa=3.081; 95% IC=[1.7-5.7]), the male sex (ORa=6.929; 95% IC [3.9-12.0]) and the academic difficulties (ORa=1.854; 95% IC [1.02-3.38]) were found to be significantly associated with smoking.
The level of tobacco use found among Medical and Pharmacy students is alarming. This serious problem has a negative impact on their behavior and can hinder their role model as future health professionals. Greater efforts are needed to develop anti-smoking programs, to educate students and to offer psychological support to deal with school difficulties.
测量突尼斯莫纳斯提尔健康科学学院学生的吸烟率，并确定与吸烟行为相关的因素。
2013年，在莫纳斯提尔的医学和药学院对注册二年级、四年级和六年级的学生进行了一项基于自填问卷的横断面研究。吸烟者是指在调查时每天至少吸一支烟的人。学业困难用于表示学生可能经历的以下任何事件：在补考时通过考试、重新进行实习或留级。采用逻辑回归分析来确定与吸烟相关的因素。
参与者有634人（285名医学生和349名药学生）；其中男性170人，女性464人。吸烟率为15%；95%置信区间为[12.1-17.7]。男生吸烟率几乎是女生的五倍（35.3%；95%置信区间为[28.1-42.5]），而女生为7.5%；95%置信区间为[5.1-9.9]）；药学生的吸烟率也高于医学生（18.9%；95%置信区间为[14.8-23.0]），而医学生为10.2%；95%置信区间为[6.7-13.7]）。在多变量分析中，药学院（优势比a=3.081；95%置信区间=[1.7-5.7]）、男性（优势比a=6.929；95%置信区间为[3.9-12.0]）和学业困难（优势比a=1.854；95%置信区间为[1.02-3.38]）被发现与吸烟显著相关。
医学生和药学生中的烟草使用水平令人担忧。这个严重问题对他们的行为有负面影响，并可能阻碍他们作为未来健康专业人员的榜样作用。需要做出更大努力来制定反吸烟计划、教育学生并提供心理支持以应对学业困难。
