Medical Faculty of University of Sarajevo, Sarajevo, Bosnia and Hercegovina.
Clinical Center University of Sarajevo, Sarajevo, Bosnia and Hercegovina.
Ann Ig. 2022 Jan-Feb;34(1):45-53. doi: 10.7416/ai.2021.2469.
Tobacco products represent a major health risk factor and a potent way to help transmission of COVID-19. Current data regarding consumption of these products in the region are scarce. The aim of this study was to evaluate patterns of cigarette, hookah and other tobacco products consumption among undergraduate students from the University of Sarajevo before the COVID-19 outbreak in the country.
This cross-sectional study based on a National Youth Tobacco Survey (NYTS) was conducted among undergraduate students from the University of Sarajevo in Bosnia and Hercegovina via an online questionnaire from 22nd to 26th of January 2020.
Out of 605 students involved in the study, most of them were female (N=429, 70.9%); 363 (60.0%) were enrolled in medical sciences; 159 (26.3%) were attending the 3rd year of their curriculum; 224 (37%) were original from Canton Sarajevo and 514 (84.9%) were living in urban environment. Two hundred thirty five students out of 605 (38.8%) were current smokers and 117 (19.3%) hookah smokers. Being female (OR=0.539, 95% CI 0.368-0.790, p=0.002), in the 1st or 2nd year of study (OR=0.805, 95% CI 0.667-0.972, p=0.024) and living in a rural environment (OR=0.335, 95% CI 0.191-0.585, p<0.001) were associated with reduced risk of cigarette consumption, while older age (22+ years) (OR=1.287, 95% CI 1.122-1.476, p<0.001) increased the same risk. On the other side, being female (OR=0.595, 95% CI 0.380-0.930, p=0.023), of younger age (18-21 years) (OR=0.832, 95% CI 0.743-0.932, p=0.001) and medical science student (OR=0.567, 95% CI 0.328-0.978, p=0.041) were associated with decreased risk of consuming hookah.
This study provides an insight in prevalence of smoking among students at the University of Sarajevo. More antismoking efforts are needed, especially in urban environments; and a follow-up study, to be planned in the near future, should determine whether COVID-19 pandemic (and all the modifications of lifestyles connected with it) have eventually changed tobacco consumption patterns among undergraduate students.
烟草制品是主要的健康风险因素之一，也是 COVID-19 传播的有力途径。目前该地区关于这些产品消费的数据很少。本研究旨在评估萨拉热窝大学本科生在该国 COVID-19 爆发前的香烟、水烟和其他烟草制品的消费模式。
这是一项基于全国青年烟草调查（NYTS）的横断面研究，于 2020 年 1 月 22 日至 26 日通过在线问卷对波黑萨拉热窝大学的本科生进行。
在参与研究的 605 名学生中，大多数是女性（N=429，70.9%）；363 人（60.0%）攻读医学科学；159 人（26.3%）正在攻读第 3 年课程；224 人（37%）来自萨拉热窝州，514 人（84.9%）居住在城市环境中。605 名学生中有 235 名（38.8%）是当前吸烟者，117 名（19.3%）是水烟吸烟者。女性（OR=0.539，95%CI 0.368-0.790，p=0.002）、处于第 1 或第 2 年学习阶段（OR=0.805，95%CI 0.667-0.972，p=0.024）和生活在农村环境中（OR=0.335，95%CI 0.191-0.585，p<0.001）与吸烟风险降低相关，而年龄较大（22 岁及以上）（OR=1.287，95%CI 1.122-1.476，p<0.001）则增加了这种风险。另一方面，女性（OR=0.595，95%CI 0.380-0.930，p=0.023）、年龄较小（18-21 岁）（OR=0.832，95%CI 0.743-0.932，p=0.001）和医学专业学生（OR=0.567，95%CI 0.328-0.978，p=0.041）与吸食水烟的风险降低有关。
本研究提供了萨拉热窝大学学生吸烟流行率的见解。需要更多的反吸烟努力，特别是在城市环境中；并计划在不久的将来进行后续研究，以确定 COVID-19 大流行（以及与之相关的所有生活方式改变）是否最终改变了本科生的烟草消费模式。
