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Objective <p>The aim of this study was to describe patterns of cigarette smoking and to determine its associated factors among medical students in the university of Monastir, Tunisia.</p> Methods <p>We conducted a cross-sectional survey among medical students of the faculty of medicine of Monastir in October 2020. The data were collected through a self-administered anonymous questionnaire. We collected data on the students’ smoking status, age of first cigarette use, intention to quit smoking and the level of nicotine dependence among smokers. Chicha, e-cigarette, alcohol, cannabis use and other addictive behavior were also investigated through the questionnaire. A multivariate logistic regression model was employed to identify associated factors with cigarette smoking. The threshold of statistical significance was set at <i>p</i> &lt; 0.05.</p> Results <p>A total of 748 students participated in this study. Of all respondents, 12.6% (95% CI [10.22–14.98]) consumed at least one form of tobacco. The prevalence of cigarette smoking was 10.7% (95%CI [8.5–12.9]). Male sex (aOR = 5.12; 95%CI [2.39–10.99]), living alone or with colleagues (aOR = 3.90; 95%CI [1.49–10.23]), alcohol consumption (aOR = 20.03; 95%CI [8.66–46.32]) and a high stress level (aOR = 3.22; 95%CI [1.08–9.61]) were found to be independently associated with cigarette smoking. Conversely, smartphone addiction (aOR = 0.34; 95% CI [0.14–0.82]) was identified as being inversely associated with cigarette smoking.</p> Conclusion <p>This study highlights a considerable prevalence of tobacco use among students. While several well-known factors were associated with cigarette smoking, an inverse association with smartphone addiction emerged as a novel finding. These results may help inform targeted interventions to address this public health concern among medical students.</p>

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Patterns and associated factors of cigarette smoking among medical students in 2020: a cross-sectional study from a North African country

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月24日

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  • Imen Zemni,
  • Maha Abbes,
  • Syrine Doghri,
  • Meriem Kacem,
  • Amani Maatouk,
  • Cyrine Bennasrallah,
  • Wafa Dhouib,
  • Behaeddin Garrach,
  • Houcine azaza,
  • Hela Abroug,
  • Manel Ben Fredj,
  • Inès Bouanene,
  • Fouzia Trimeche,
  • Asma Sriha Belguith

摘要

Objective

The aim of this study was to describe patterns of cigarette smoking and to determine its associated factors among medical students in the university of Monastir, Tunisia.

Methods

We conducted a cross-sectional survey among medical students of the faculty of medicine of Monastir in October 2020. The data were collected through a self-administered anonymous questionnaire. We collected data on the students’ smoking status, age of first cigarette use, intention to quit smoking and the level of nicotine dependence among smokers. Chicha, e-cigarette, alcohol, cannabis use and other addictive behavior were also investigated through the questionnaire. A multivariate logistic regression model was employed to identify associated factors with cigarette smoking. The threshold of statistical significance was set at p < 0.05.

Results

A total of 748 students participated in this study. Of all respondents, 12.6% (95% CI [10.22–14.98]) consumed at least one form of tobacco. The prevalence of cigarette smoking was 10.7% (95%CI [8.5–12.9]). Male sex (aOR = 5.12; 95%CI [2.39–10.99]), living alone or with colleagues (aOR = 3.90; 95%CI [1.49–10.23]), alcohol consumption (aOR = 20.03; 95%CI [8.66–46.32]) and a high stress level (aOR = 3.22; 95%CI [1.08–9.61]) were found to be independently associated with cigarette smoking. Conversely, smartphone addiction (aOR = 0.34; 95% CI [0.14–0.82]) was identified as being inversely associated with cigarette smoking.

Conclusion

This study highlights a considerable prevalence of tobacco use among students. While several well-known factors were associated with cigarette smoking, an inverse association with smartphone addiction emerged as a novel finding. These results may help inform targeted interventions to address this public health concern among medical students.