Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Smoking Behaviors and Its Relationships with Other Health Behaviors among Medical Students

의과대학생들의 흡연 실태 및 다른 건강 행태와의 관련성

  • Park, Jung-Han (Department of Preventive Medicine, Catholic University of Daegu School of Medicine) ;
  • Lee, Sang-Won (Department of Preventive Medicine, Catholic University of Daegu School of Medicine) ;
  • Lim, Hyun-Sul (Department of Preventive Medicine, College of Medicine, Dongguk University) ;
  • Lee, Jong-Tae (Department of Preventive Medicine, Inje University College of Medicine) ;
  • Kang, Yune-Sik (Department of Preventive Medicine, School of Medicine, Gyeongsang National University) ;
  • Park, Soon-Woo (Department of Preventive Medicine, Catholic University of Daegu School of Medicine)
  • 박정한 (대구가톨릭대학교 의과대학 예방의학교실) ;
  • 이상원 (대구가톨릭대학교 의과대학 예방의학교실) ;
  • 임현술 (동국대학교 의과대학 예방의학교실) ;
  • 이종태 (인제대학교 의과대학 예방의학교실) ;
  • 강윤식 (경상대학교 의과대학 예방의학교실) ;
  • 박순우 (대구가톨릭대학교 의과대학 예방의학교실)
  • Published : 2004.09.01
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Abstract

Objectives : This study was conducted to examine the smoking behaviors and the relationship between smoking and other health behaviors among medical students. Methods : A self-administrated questionnaire was administered to a sample of 1,775 students from four medical schools between April and May 2003. Due to the small number of female smokers, the characteristics of smoking behaviors were analyzed only for males. Results : A total of 1,367 students (920 males and 447 females) completed the questionnaires, with an overall response rate of 77.7%. The smoking rates for males and females were 31.5, and 2.2%, respectively. Among the male smokers, 70.7% smoked daily, and 39.0% smoked one pack or more per day. Male students on medical course were more likely to smoke daily, and one pack or more per day, than those on premedical course. Male daily smokers desired to quit smoking less than occasional smokers, and 65.0% of male daily smokers were not ready to quit compared with 37.8% of the occasional smokers. Among the male daily smokers, 29.6% were severely nicotine dependent. The most common reason for not to quit smoking among male smokers was 'no alternative stress coping method' (44.4%), followed by 'lack of will power' (25.4%), and 'no need to quit' (19.4%). Compared with male non-smokers, male smokers were more likely to drink alcohol more often and in larger amounts, take coffee more often, eat breakfast less regularly, and be overweight or obese. Conclusions : The results of this study suggest that many male medical students were serious smokers, especially those on medical course. It is necessary to install a smoking prevention program for pre-medical students, provide effective smoking cessation methods for smokers, teach positive stress coping methods, and make the school environment suitable for coping with stress.

Keywords

References

  1. Yoon SJ, Ha BM, Kang JW, Chang HC. Estimation of attributable burden due to premature death from smoking in Korea. Korean J Prev Med 2001; 34(3): 191-199 (Korean)
  2. Kim HJ, Park TK, Jee SH, Kang HY, Nam CM. Analysis of socioeconomic costs of smoking in Korea. Korean J Prev Med 2001;34(3):183-190(Korea)
  3. CDC. Annual smoking-attributable mortality, years of potential life lost, and economic costsUnited States, 1995-1999. MMWR 2002;51(14):300-303
  4. CDC. Cigarette smoking-attributable morbidity-United States, 2000.MMWR 2003a;52(35):842-844
  5. Korea National Statistical Office. 2002 Annual report on the eause of death statistics(Based on vital regestration). Seoul;2003.p.9-23(Korean)
  6. Hollis JF.Popualtion impact of clinician efforts to reduce tobacco use. In: National Cancer Institute. Population based smoking cessation:proceedings of a conference on what works to influence oessation in the general population. Smoking and Tobacco Control Monograph No.12. Bethesda, MD:U.S. Department of Health and Human Services, National Institutes of Health, National Canoer Institutes of Health, National Cancer Institute, NIHPub. No. 00-4892; 2000. p.129-154
  7. Richmond R. Teaching medical students about tobacco. Thorax 1999;54(1):70-78 https://doi.org/10.1136/thx.54.1.70
  8. Meng KH, Shin EC. Smoking habits and the related characteristics of male students of a medical college in Seoul. Korean J Epidemial 1993;15(1):96-104(Korean)
  9. 지선하, 원소영, 윤지은, 이동한, 서일, 김일순. 의과대학 4학년 학생들의 흡연율 추이:1991-2001. 2001년도 학국역학회 가을 학술대회 연제집 2001.p85-86
  10. Torabi MR, Bailey WJ, Majd-Jabbari M. Cigarette smoking as a predictor of alcohol and other drug use by children and adolescents:evidence of the 'gateway drug effect'. J Sch Health 1993;63:302-306 https://doi.org/10.1111/j.1746-1561.1993.tb06150.x
  11. Kristiansen CM Smoking, health behavior, and values: a replication, refinement, and extension. Addict Behav 1985; 10(3): 325-328 https://doi.org/10.1016/0306-4603(85)90015-2
  12. Schumann A, Hapke U, Rumpf HJ, Meyer C, John U. Health behavior of smokers-results of the TACOS (Transitions in Alcohol Consumption and Smoking) Study. Gesundheitswesen 2000; 62(5): 275-281 [Anstract] https://doi.org/10.1055/s-2000-10975
  13. John U, Meyer C, Rumpf HJ, Schumann A, Thyrian JR, Hapke U. Strength of the relationship between tobacco smoking, nicotine dependence and the seveity of alcohol dependence syndrome criteria in a population-based sample. Alcohol Alcohol 2003; 38(6): 606-612 https://doi.org/10.1093/alcalc/agg122
  14. World Health Organization. Guideline for controlling and monitoring the tobacco epidemic. Geneva: World Health Organization; 1998. p.76-101
  15. CDC. Cigarette smolcing among adults-United States,2001. MMWR2003b; 52(40): 953-956
  16. USDHHS(U.S. Department of Health and Human Services). Preventing Tobacco Use Among YoungPeople: A Report of the Surgeon General. Atlanta, Georgia: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking andHealth; 1994.p.107-114
  17. Glanz K, LewisFM, RimerBK, editors. Health behavior and health education. SanFrancisco: Jossey- Bass Publishes; 1997. p.61-63
  18. Etter JF, Duc TV, Peneger Tv. Validity of the Fagersrom test for nicotine dependence and of the Heaviness of Smoking Index among relatively light smokers. addiction 1999; 94(2): 269-281 https://doi.org/10.1046/j.1360-0443.1999.94226910.x
  19. Fagerstrom KO, Kunze M, Schoberberger R, Breslan N, Hughes JR, Hurt RD, Puska P, Ramstrom L, Zatonslci W. Nicotine dependence versus smoking prevalence: comparisons among countries and categories of smokers. Tob Control 1996; 5(1): 52-56 https://doi.org/10.1136/tc.5.1.52
  20. CDC. http://www.cdc.gov/nccdphp/dnpa/bmi/ bmi-means.htm
  21. Seo HG. The smoking rate among doctors in variuos implications. J Korean Med Assoc 2002;45(6): 685-694 (Korean) https://doi.org/10.5124/jkma.2002.45.6.685
  22. Ryu SY, Kim KS, Kang MG, Park HC, Kim JS. Smoking status and smoking cessation activity among physicians in a community. Korean J Prev Med 2003; 36(3): 271-278 (Korean)
  23. Ministry of Health & Welfare. 2001 national health and nutrition survey-overview-. 2002 p.224-225 (Korean)
  24. Ock CM, Moon IO,Kim YH. A study on the relationship between the health practices and health status among university students in Seoul. J Korean Public Health Assoc 2001;27(3): 198-208 (Korean)
  25. Tessie JF, Fr?our P, Nejjari C, Belougne D, Crafton JW. Smoking behavior and attitudes towards smoking of medical students in Australia, Japan, USA, Russia, and Estonia. TOb Control 1993; 2(1): 24-29 https://doi.org/10.1136/tc.2.1.24
  26. Patkar AA, Hill K, BatraV, Vergare MJ, Leone FT. A comparison of smoking habits among medical and nursing students. Chest 2003; 124(4): 1415-1420 https://doi.org/10.1378/chest.124.4.1415
  27. Vakeflliu Y, Argjiri D, Peposhi I, Agron S, Meleni AS. Tobacco smoking habits, beliefs, and attitudes among medical students in Tirana, Albania. Prev Med 2002; 34(3): 370-373 https://doi.org/10.1006/pmed.2001.0994
  28. Xiang H, Wang Z, StalIones L, YuS,Gimbel HW, Yang P. Cigarette smoking among medical college students in Wuhan, People's Republic of China. Prev Med 1999; 29(3): 210-5 https://doi.org/10.1006/pmed.1999.0525