Tobaiqy Mansour, Thomas Dennis, MacLure Andrew, Stewart Derek, MacLure Katie
Department of Pharmacology, College of Medicine, University of Jeddah, Jeddah, Saudi Arabia.
School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Australia.
Tob Prev Cessat. 2021 Dec 17;7:73. doi: 10.18332/tpc/144178. eCollection 2021.
Tobacco smoking causes an estimated 7 million deaths per annum with 70 thousand of those occurring in the Kingdom of Saudi Arabia (KSA) where the National Transformation Program highlights the need to prioritize smoking cessation. The objective of this study was to determine the experiences and attitudes of university staff and students, who have been or are currently smokers, towards smoking and smoking cessation.
A link to a cross-sectional online survey was distributed by email in October and November 2020 to students and staff (n=34872) at the University of Jeddah, KSA. The survey was based on WHO GATS, CSS-21 and a systematic review. Data were analyzed using descriptive statistics in JASP (version 0.14.1) [Computer software].
A total of 666 responses were collected. Most respondents had never smoked (n=556; 83.5%) with some current smokers (n=72; 10.8%) and few former smokers (n=12; 1.8%). Major challenges of quitting smoking identified by the CSS-21 tool were intrinsic factors such as 'withdrawal symptoms' (n=28; 37.8%), 'being addicted to cigarettes' (n=24; 34.8%), 'having strong emotions or feelings' (n=28; 38.4%), and 'seeing things or people which reminded me' (n=25; 34.2%). The extrinsic factors were mostly reported as 'not a challenge', such as 'use of other substances like cannabis, alcohol, etc.' (n=60; 87.0%) or 'lack of support or encouragement from health professionals to stop smoking' (n=50; 69.4%). Many staff and students were 'asked if you smoked tobacco products' at a healthcare professional appointment with (n=5; 83.3%) and (n=27; 71.1%), respectively. Both staff (n=6; 75.0%) and students (n=19; 34.5%) thought 'face-to-face counselling' would help support their future attempts to quit.
The majority of smokers who participated saw intrinsic factors more of a challenge than extrinsic factors. This new knowledge has the potential to influence decision makers. There is potential for encouraging healthcare practitioners to promote smoking cessation conversations.
据估计，吸烟每年导致700万人死亡，其中7万人发生在沙特阿拉伯王国（KSA），该国的国家转型计划强调需要将戒烟作为优先事项。本研究的目的是确定曾经吸烟或目前仍在吸烟的大学教职员工和学生对吸烟和戒烟的经历及态度。
2020年10月和11月，通过电子邮件向沙特阿拉伯王国吉达大学的学生和教职员工（n = 34872）发送了横断面在线调查链接。该调查基于世界卫生组织全球成人烟草调查（GATS）、戒烟症状量表-21（CSS-21）以及一项系统评价。使用JASP（版本0.14.1）[计算机软件]中的描述性统计方法对数据进行分析。
共收集到666份回复。大多数受访者从未吸烟（n = 556；83.5%），有一些目前仍在吸烟的人（n = 72；10.8%），少数为曾经吸烟的人（n = 12；1.8%）。CSS-21工具确定的戒烟主要挑战是内在因素，如“戒断症状”（n = 28；37.8%）、“对香烟上瘾”（n = 24；34.8%）、“有强烈的情绪或感觉”（n = 28；38.4%）以及“看到让我想起（吸烟）的事物或人”（n = 25；34.2%）。外在因素大多被报告为“不是挑战”，例如“使用大麻、酒精等其他物质”（n = 60；87.0%）或“缺乏卫生专业人员对戒烟的支持或鼓励”（n = 50；69.4%）。许多教职员工和学生在与医疗保健专业人员预约就诊时分别被“询问是否吸烟”（n = 5；83.3%）和（n = 27；71.1%）。教职员工（n = 6；75.0%）和学生（n = 19；34.5%）都认为“面对面咨询”将有助于支持他们未来的戒烟尝试。
大多数参与调查的吸烟者认为内在因素比外在因素更具挑战性。这一新知识有可能影响决策者。有潜力鼓励医疗保健从业者开展戒烟相关对话。
