Alqahtani Jaber S, Aldhahir Abdulelah M, Alanazi Zaid, Alsulami Emad Zahi, Alsulaimani Mujahid A, Alqarni Abdullah A, Alqahtani Abdullah S, AlAyadi Ayadh Yahya, Alnasser Musallam, AlDraiwiesh Ibrahim A, Alghamdi Saeed M, Almarkhan Hussam M, Alsulayyim Abdullah S, AlRabeeah Saad M, AlAhmari Mohammed D
Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, 34313, Saudi Arabia.
Respiratory Therapy Department, Faculty of Applied Medical Sciences, Jazan University, Jazan, 45142, Saudi Arabia.
Subst Abuse Rehabil. 2023 Feb 23;14:13-24. doi: 10.2147/SAR.S393062. eCollection 2023.
Smoking behavior has been associated with poor academic performance among adult students worldwide. However, the detrimental effect of nicotine dependence on several students' academic achievement indicators is still unclear. This study aims to assess the impact of smoking status and nicotine dependence on grade point average (GPA), absenteeism rate and academic warnings among undergraduate health sciences students in Saudi Arabia.
A validated cross-sectional survey was conducted, in which, participants responded to questions evaluated cigarette consumption, urge to consume and dependency, learning performance, days of absentees, and academic warnings.
A total of 501 students from different health specialties have completed the survey. Of whom, 66% were male, 95% ranging between the age of 18-30 years old, and 81% reported no health issues or chronic diseases. Current smokers estimated to be 30% of the respondents, of which 36% revealed smoking history of 2-3 years. The prevalence of nicotine dependency (high to extremely high) was 50%. Overall, smokers had significantly lower GPA, higher absenteeism rate, and higher number of academic warnings when compared to nonsmokers (<0.001). Heavy smokers demonstrated significantly less GPA (p=0.036), higher days of absences (p=0.017), and more academic warnings (p=0.021) compared to light smokers. The linear regression model indicated a significant association between smoking history (increased pack-per-year) and poor GPA (p=0.01) and increased number of academic warning last semester (p=0.01), while increased cigarette consumption was substantially linked with higher academic warnings (p=0.002), lower GPA (p=0.01), and higher absenteeism rate for last semester (p=0.01).
Smoking status and nicotine dependence were predictive of worsening academic performance, including lower GPA, higher absenteeism rate and academic warnings. In addition, there is a substantial and unfavorable dose-response association between smoking history and cigarette consumption with impaired academic performance indicators.
在全球范围内，吸烟行为与成年学生的学业成绩不佳有关。然而，尼古丁依赖对若干学生学业成就指标的有害影响仍不明确。本研究旨在评估沙特阿拉伯本科健康科学专业学生的吸烟状况和尼古丁依赖对平均绩点（GPA）、缺勤率和学业警告的影响。
开展了一项经过验证的横断面调查，参与者回答了有关香烟消费、消费冲动和依赖、学习成绩、缺勤天数以及学业警告的问题。
共有来自不同健康专业的501名学生完成了调查。其中，66%为男性，95%年龄在18至30岁之间，81%报告无健康问题或慢性病。当前吸烟者估计占受访者的30%，其中36%透露吸烟史为2至3年。尼古丁依赖（高至极高）的患病率为50%。总体而言，与不吸烟者相比，吸烟者的GPA显著更低，缺勤率更高，学业警告次数更多（<0.001）。与轻度吸烟者相比，重度吸烟者的GPA显著更低（p=0.036），缺勤天数更多（p=0.017），学业警告更多（p=0.021）。线性回归模型表明，吸烟史（每年吸烟包数增加）与GPA不佳（p=0.01）以及上学期学业警告次数增加（p=0.01）之间存在显著关联，而香烟消费量增加与更高的学业警告（p=0.002）、更低的GPA（p=0.01）以及上学期更高的缺勤率（p=0.01）密切相关。
吸烟状况和尼古丁依赖可预测学业成绩恶化，包括更低的GPA、更高的缺勤率和学业警告。此外，吸烟史和香烟消费量与学业成绩指标受损之间存在显著且不利的剂量反应关联。
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