Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Community Health Nursing, Nursing & Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
BMJ Open. 2024 May 28;14(5):e079593. doi: 10.1136/bmjopen-2023-079593.
During the last two decades, cigarette smoking witnessed a global increase in use, especially among youth. Loneliness is one of the possible psychosocial determinants of smoking. This study examined the association between loneliness and attitudes towards cigarette smoking among university students of Iran.
Cross-sectional study.
This study was conducted among 538 university students, who were recruited using the cluster random sampling method. Loneliness and smoking attitudes of the samples were assessed using the revised version of the University of California Los Angeles Loneliness Scale and the Scale of Cigarette Smoking Attitude (CSA). Descriptive statistics, Pearson's correlation coefficient and multivariable regression analysis were used to analyse the data.
From a total of 538 participants, 301 (59.9%) students were young women. The mean age of the students was 22.2±2.9 years. Only 56 (10.4%) of the students were married and 370 (87.9%) of them were lived with their families. 131 (24.3%) students experienced cigarette smoking. In terms of university-related characteristics, 205 (38.1%) of the students studied in the faculty of medicine. Also, 30% of the students had a positive or indifferent attitude towards smoking, while 26.4% of the students reported feeling lonely. The mean scores for loneliness and CSA were 41.42±11.29 and 48.64±11.2, respectively. Statistically, a significant positive correlation was found between loneliness and CSA (r=0.289; p<0.001). After controlling for potential confounders by regression analysis, loneliness scores were also positively associated with CSA scores (B: 0.14; 95% CI 0.097 to 0.18).
According to the positive association between loneliness and students' CSA, paying more attention to the state of loneliness in college students, examining situations and reasons that increase it and identifying the interventions that might reduce it are necessary. Reducing loneliness among college students can correct their attitudes towards smoking.
在过去的二十年中，吸烟在全球范围内的使用有所增加，尤其是在年轻人中。孤独是吸烟的可能心理社会决定因素之一。本研究旨在探讨伊朗大学生孤独感与吸烟态度之间的关系。
横断面研究。
本研究在使用聚类随机抽样法招募的 538 名大学生中进行。使用加利福尼亚大学洛杉矶分校孤独量表修订版和吸烟态度量表（CSA）评估样本的孤独感和吸烟态度。采用描述性统计、皮尔逊相关系数和多变量回归分析对数据进行分析。
在总共 538 名参与者中，301 名（59.9%）为年轻女性。学生的平均年龄为 22.2±2.9 岁。只有 56 名（10.4%）学生已婚，370 名（87.9%）学生与家人同住。131 名（24.3%）学生吸烟。就与大学相关的特征而言，205 名（38.1%）学生在医学院学习。此外，30%的学生对吸烟持积极或漠不关心的态度，而 26.4%的学生报告感到孤独。孤独感和 CSA 的平均得分为 41.42±11.29 和 48.64±11.2，分别。统计学上，孤独感和 CSA 之间存在显著的正相关（r=0.289；p<0.001）。通过回归分析控制潜在混杂因素后，孤独感评分也与 CSA 评分呈正相关（B：0.14；95%CI 0.097 至 0.18）。
根据孤独感与学生 CSA 之间的正相关性，有必要更加关注大学生的孤独状态，检查增加孤独感的情况和原因，并确定可能减少孤独感的干预措施。减少大学生的孤独感可以纠正他们对吸烟的态度。
