Skip to main content

Advertisement

Log in

Tobacco use prevalence, knowledge and attitudes, and tobacco cessation training among medical students: results of a pilot study of Global Health Professions Students Survey (GHPSS) in Italy

  • Original Article
  • Published:
Journal of Public Health Aims and scope Submit manuscript

Abstract

Aim

The aims of this study were to examine tobacco use prevalence, knowledge and attitudes, and tobacco cessation training among students attending Italian medical schools using the Global Health Professions Student Survey approach and to identify possible factors associated with smoking status.

Subjects and Methods

A multicentre cross-sectional pilot study was carried out in five Italian Schools of Medicine from March to April 2009. Questionnaires were administered in anonymous, voluntary and self-administered form to third year students attending medical schools. The outcome measure was “being a current smoker”. A logistic regression was used to evaluate possible factors associated with smoking status.

Results

The prevalence of current smokers was 31.4%. More than half considered health professionals as models for patients, and around 90% thought health professionals have a role in giving advice or information about smoking cessation. Only 5.8% of responders had received smoking cessation training during medical school. Medical students who considered healthcare professionals as behavioural models had lower likelihood of smoking (OR = 0.52).

Conclusions

Given the high prevalence of smokers among medical students and the poorness of smoking cessation programmes, it is important to create tobacco control training programmes addressed to healthcare students.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Adorisio E, Conte A, De Cicco AL, Fovi G, Perna EB, Sebastiani Annicchiarico L (2001) Smoking among students from several schools in Lazio. Ann Ig 13(2):151–157

    PubMed  CAS  Google Scholar 

  • Bergamaschi A, Morri M, Resi D, Zanetti F, Stampi S (2002) Tobacco consumption and sports participation: a survey among university students in northern Italy. Ann Ig 14(5):435–442

    PubMed  CAS  Google Scholar 

  • Biraghi E, Tortorano AM (2010) Tobacco smoking habits among nursing students and the influence of family and peer smoking behaviour. J Adv Nurs 66(1):33–39

    Article  Google Scholar 

  • CDC (2010) Smoking & Tobacco Use, Global Tobacco Surveillance System (GTSS), Global Health Professions Student Survey (GHPSS). Page last updated: May 27, 2010. Available on line at: http://www.cdc.gov/tobacco/global/ghpss/index.htm [last access 20 December 2010]

  • Cerame G, Meli V, Vitale F, Firenze A, Viviano E, Mazzucco W, Romano N (2008) A study to evaluate the lifestyle of medical students in Palermo (Italy). Ig Sanita Pubbl 64(4):469–484

    PubMed  Google Scholar 

  • Chatkin J, Chatkin G (2009) Learning about smoking during medical school: are we still missing opportunities? Int J Tuberc Lung Dis 13(4):429–437

    PubMed  CAS  Google Scholar 

  • DOXA-ISS (2010) Survey Il fumo in Italia. [Smoking in Italy] Available on line at: http://www.iss.it/fumo/doxa/cont.php?id=197&lang=1&tipo=18 [last access 30 August 2010]

  • Ferketich AK, Khan Y, Wewers ME (2006) Are physicians asking about tobacco use and assisting with cessation? Results from the 2001–2004 national ambulatory medical care survey (NAMCS). Prev Med 43:472–476

    Article  PubMed  Google Scholar 

  • Ferketich AK, Gallus S, Iacobelli N, Zuccaro P, Colombo P, La Vecchia C (2008) Smoking in Italy 2007, with a focus on the young. Tumori 94(6):793–797

    PubMed  Google Scholar 

  • Ferrante M, Fiore M, Leon L, Costantidines F, Castaing M, Fallico R, Sciacca S, Modonutti GB (2010) Age of smoking initiation, tobacco habits and risk perception among primary, middle and high school students in southern Italy. Ital J Public Health 7(3):262–267

    Google Scholar 

  • Ficarra MG, Gualano MR, Capizzi S, Siliquini R, Liguori G, Manzoli L, Briziarelli L, Parlato A, Cuccurullo P, Bucci R, Piat SC, Masanotti G, de Waure C, Ricciardi W, La Torre G (2011) Tobacco use prevalence, knowledge and attitudes among Italian hospital healthcare professionals. Eur J Public Health 21(1):29–34

    Article  PubMed  Google Scholar 

  • Fiore MC, Epps RP, Manley MW (1994) A missed opportunity. Teaching medical students to help their patients successfully quit smoking. JAMA 271:624–626

    Article  PubMed  CAS  Google Scholar 

  • Gallotti C, Maccagni M, Roncarolo F, Ramella F, Tenconi MT (2008) Survey on smoking in nursing students. Ann Ig 20(6):563–569

    PubMed  CAS  Google Scholar 

  • Gianti A, Vianello S, Casinghini C, Roncarolo F, Ramella F, Maccagni M, Tenconi MT (2007) The “Quit and Win” campaign to promote smoking cessation in Italy: results and one year follow-up across three Italian editions (2000–2004). Ital J Public Health 5:59–64

    Google Scholar 

  • Hosmer DW, Lemeshow S (1989) Applied logistic regression. John Wiley&Sons, New York

    Google Scholar 

  • Hussain SF, Tjeder-Burton S, Campbell IA, Davies PD (1993) Attitudes to smoking and smoking habits among hospital staff. Thorax 48:174–175

    Article  PubMed  CAS  Google Scholar 

  • Kelsey JL (1996) Methods in observational epidemiology, 2nd edn. Oxford University Press, New York

    Google Scholar 

  • Lancaster T, Stead L, Silagy C, Sowden A (2000) Effectiveness of interventions to help people stop smoking: findings from the Cochrane Library. BMJ 321:355–358

    Article  PubMed  CAS  Google Scholar 

  • McKenna H, Slater P, McCance T et al (2003) The role of stress, peer influence and education levels on the smoking behaviour of nurses. Int J Nurs Stud 40:359–366

    Article  PubMed  Google Scholar 

  • Modonutti GB, Altobello A, Fiore M, Garascia C, Leon L (2009) Use of tobacco smoke: approach and risk perception by middle-school students in Catania (Italy). Ig Sanita Pubbl 65(2):109–120

    PubMed  CAS  Google Scholar 

  • Pellai A, Puricelli M, Saronio M, Bassoli L (2006) Tobacco- and alcohol-related behaviors among adolescents attending high schools in Lodi, Milano (City and Province) in the period 2000–2003: results from two multicentric studies. Ann Ig 18(3):271–282

    PubMed  CAS  Google Scholar 

  • Richmond RL, Kehoe L (1997) Smoking behaviour and attitudes among Australian medical students. Med Educ 31(3):169–176

    Article  PubMed  CAS  Google Scholar 

  • Tramacere I, Gallus S, Zuccaro P, Colombo P, Rossi S, Boffetta P, La Vecchia C (2009) Socio-demographic variation in smoking habits: Italy, 2008. Prev Med 48(3):213–217

    Article  PubMed  Google Scholar 

  • Warren CW, Jones NR, Chauvin J, Peruga A, GTSS Collaborative (2008) Data from the Global Health Professions Student Survey (GHPSS), 2005–7 cross-country. Tob Control 17:238–247

    Article  PubMed  CAS  Google Scholar 

  • Warren CW, Sinha DN, Lee J, Lea V, Jones NR (2009) Tobacco use, exposure to secondhand smoke, and training on cessation counseling among nursing students: cross-country data from the Global Health Professions Student Survey (GHPSS), 2005–2009. Int J Environ Res Public Health 6(10):2534–2549

    Article  PubMed  Google Scholar 

  • WHO (2003) - WHO framework convention on tobacco control. Available at: http://www.who.int/tobacco/framework/WHO_FCTC_english.pdf [last access 18 December 2010]

  • WHO (2010) – World Health Survey. Available at: http://www.who.int/healthinfo/survey/en [last access 8 September 2010]

  • Zwar NA, Richmond RL (2006) Role of the general practitioner in smoking cessation. Drug Alcohol Rev 25(1):21–26

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We would like to thank the World Health Organisation (WHO) and Centers for Disease Control and Prevention (CDC).

Conflict of interest

The authors declare no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maria Rosaria Gualano.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gualano, M.R., Siliquini, R., Manzoli, L. et al. Tobacco use prevalence, knowledge and attitudes, and tobacco cessation training among medical students: results of a pilot study of Global Health Professions Students Survey (GHPSS) in Italy. J Public Health 20, 89–94 (2012). https://doi.org/10.1007/s10389-011-0442-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10389-011-0442-2

Keywords

Navigation