Modification of a Smoking Motivation Questionnaire for Chinese Medical Students

  • Jiang, Chao (School of Public Health, Wannan Medical College) ;
  • Sun, Wen-Jie (School of Food Science, Guangdong Pharmaceutical University) ;
  • Wan, Yan-Chun (School of Public Health, Wannan Medical College) ;
  • Wei, Ming-Wei (School of Public Health, Wannan Medical College) ;
  • Mu, Yong-Ping (Department of Clinical Laboratory Centre, The Affiliated People's Hospital of Inner Mongolia Medical University) ;
  • Tarver, Siobhan L. (Department of Global Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University) ;
  • Gao, Yong-Qing (School of Food Science, Guangdong Pharmaceutical University) ;
  • Hu, Tian (Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University) ;
  • Xu, Chao (Department of Biostatistics and Bioinformatics, School of Public Health and Tropical Medicine, Tulane University) ;
  • Gordon, James (Department of Economics, Tulane University) ;
  • Feng, Cindy Xin (School of Public Health, University of Saskatchewan) ;
  • Wen, Yu-Feng (School of Public Health, Wannan Medical College)
  • Published : 2014.03.30


Introduction: Smoking prevalence among the medical students is high in China. Therefore, understanding the smoking motivations of medical students is crucial for smoking control, but currently there are no scales questionnaires customized for probing the smoking motivations of medical students. This aim of study was to test and modify a questionnaire for investigating smoking motivations among medical students. Methods: A cross-sectional survey was conducted among 1,125 medical students at Xuzhou Medical College in China in 2012.The model fit and validity was assessed by confirmatory factor analysis (CFA) and the reliability was tested by single-item reliability, composite reliability, and item-total correlation. Results: The prevalence of smoking was 9.84 % among study population. In the modified scales, the global fit indices identified a CFI value of 0.96, TLI was 0.96, and the RMSEA was 0.063. CFA supported the two dimensional structure of the instrument. The average variance extracted ranged from 0.45 to 0.62. All single-item reliability scores were greater than 0.20, and the composite reliability ranged from 0.74 to 0.91. Conclusion: Modified scales could be the preliminary instrument used in evaluating the smoking motivations of medical students. However, it should be further assessed using other forms and methods of validity and reliability, additional motivations of smoking, and the survey of other medical colleges in China.


Smoking motivation questionnaire;medical students;validity and reliability


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