. Divisão de Pneumologia, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.
. Comissão de Combate ao Tabagismo, Associação Médica Brasileira, São Paulo (SP) Brasil.
J Bras Pneumol. 2023 Jan 20;49(1):e20210467. doi: 10.36416/1806-3756/e20210467. eCollection 2023.
To evaluate the prevalence of and factors associated with experimentation with and current use of water pipes and e-cigarettes among medical students.
This was a cross-sectional multicentric study involving a convenience sample of students from medical schools in most Brazilian geographic regions. Information about experimentation with and current use of conventional cigarettes, water pipes, and e-cigarettes; beliefs and attitudes toward tobacco products; religiosity; and demographics were collected by means of an online structured questionnaire. We used descriptive statistics and logistic regression to analyze the association of those factors.
Our sample comprised 700 individuals from four Brazilian regions. Prevalence of experimentation with and current use of cigarettes, water pipes, and e-cigarettes were, respectively, 39.1% and 7.9%; 42.6% and 11.4%; and 13.1% and 2.3%. Water pipe experimentation was higher among those who had a sibling (adjusted OR = 2.64; 95% CI, 1.24-5.61) or friends (adjusted OR = 2.33; 95% CI, 1.63-3.31) who smoke. The same occurred regarding e-cigarette experimentation: siblings (adjusted OR = 2.76; 95% CI, 1.17-6.50) and friends (adjusted OR = 2.47; 95% CI, 1:45-4.22). Curiosity and scent/taste were the major reasons for water pipe use and e-cigarette experimentation. Although 93% of the responders learned about health damages of smoking during medical school classes, 51.4% reported having experimented with at least one of these tobacco products. Most responders who reported feeling the presence of God/the Holy Spirit in their lives were never experimenters of water pipes (59.2%) or e-cigarettes (55.3%).
There is a high prevalence of experimentation with tobacco products among medical students whose siblings or friends smoke, despite their knowledge about smoking harms.
评估医学生中使用水烟和电子烟的情况，包括尝试使用和当前使用的流行率以及相关因素。
这是一项多中心的横断面研究，涉及来自巴西大部分地理区域医学院校的方便样本学生。通过在线结构化问卷收集关于传统香烟、水烟和电子烟的使用情况、对烟草产品的信念和态度、宗教信仰和人口统计学信息。我们使用描述性统计和逻辑回归分析这些因素之间的关联。
我们的样本包括来自巴西四个地区的 700 人。尝试使用和当前使用香烟、水烟和电子烟的流行率分别为 39.1%和 7.9%、42.6%和 11.4%、13.1%和 2.3%。有兄弟姐妹（调整后的比值比[OR] = 2.64；95%置信区间[CI]，1.24-5.61）或朋友（调整后的 OR = 2.33；95% CI，1.63-3.31）吸烟的人，水烟使用和尝试的比例更高。对于电子烟的使用和尝试也是如此：兄弟姐妹（调整后的 OR = 2.76；95% CI，1.17-6.50）和朋友（调整后的 OR = 2.47；95% CI，1.45-4.22）。好奇心和气味/味道是水烟和电子烟使用和尝试的主要原因。尽管 93%的应答者在医学院课堂上了解到吸烟对健康的危害，但 51.4%的人报告至少尝试过其中一种烟草产品。大多数报告在生活中感受到上帝/圣灵存在的应答者从未尝试过水烟（59.2%）或电子烟（55.3%）。
尽管医学生了解吸烟危害，但他们的兄弟姐妹或朋友吸烟，这导致他们尝试使用烟草产品的比例很高。
