Buse YÜKSEL, Esen GOKCE, Coşkun BAKAR, Demet Güleç ÖYEKÇİN, Yagmur DUVA

SİGARAYLA MÜCADELEDE TIP EĞİTİMİNİN ROLÜ: TIP FAKÜLTESİ ÖĞRENCİLERİNDE SİGARA KULLANMA SIKLIĞI VE İLİŞKİLİ FAKTÖRLER, ÇANAKKALE

Giriş: Bu araştırmanın amacı, Çanakkale Onsekiz Mart Üniversitesi Tıp Fakültesi öğrencilerinin sigara kullanma durumları ve ilişkili faktörlerin incelenmesidir. Araştırmamızın sonuçlarının Fakültemizden başlayarak tıp eğitimini sigaradan korunma konusunda yönlendirmesi ve DSÖ, CDC ve CPHA tarafından belirlenen GHPS verilerine ve tartışmalarına katkı sağlaması beklenmektedir. Gereç ve Yöntem: Bu araştırma Çanakkale Onsekiz Mart Üniversitesi Tıp Fakültesi’nde yürütülen kesitsel tipte bir çalışmadır. Bu araştırmada veri kaynağı olarak demografik özellikler ve Beck Anksiyete Ölçeğini içeren anket formu Aralık 2018 – Ocak 2019 tarihlerinde uygulanmıştır. Çalışmanın verileri istatistik paket programı SPSS 20.0 sürümü ile analiz edilmiştir. Bulgular: Bu araştırmada Tıp Fakültesinde öğrenim görmekte olan 652 öğrenciye ulaşılmıştır. Öğrencilerin %52,6’sı kadındır. Tıp Fakültesinde eğitim gören öğrencilerin %30,5’i halen sigara içmektedir. Öğrencilerin sigara içme durumunu etkileyen faktörler lojistik regresyon analizi ile incelendiğinde yaşın (OR:1,13; %95 GA:1,05-1,21), erkek cinsiyetin (OR:1,9; %95 GA:1,40-2,67) ve lisede yatılı okumanın (OR:1,5; %95 GA: 1,01-2,26) anlamlı derecede sigara içme riskini arttırdığı saptanmıştır. Sonuç: Çanakkale Onsekiz Mart Üniversitesi Tıp Fakültesi öğrencilerinde sigara kullanım sıklığı yüksektir. Eğitim boyunca sigara kullanım sıklığı artmaktadır. Literatür sigara kullanma alışkanlığı olan hekimlerin mücadelede etkin olamayacağını düşündürmektedir. Tıp eğitimi içinde tütün ve tütün ürünleriyle mücadele ile ilgili eğitimler yetersizdir. Bunun yanında tıp öğrencilerine önce kendi sağlıklarını koruyabilecek sonra da toplumda sigara karşıtı kampanyaların savunuculuğunu yapabilecek bilgi ve beceri kazandırılmalıdır.

Anahtar Kelimeler:

Sigara kullanımı, Sigara ile mücadele, Tıp eğitimi, Çanakkale

The role of medical education in smoking prevention: the prevalance of smoking and related factors in medical students, Çanakkale

Objective: The aim of this study is to investigate the prevalence of smoking and related factors among medical students of Canakkale Onsekiz Mart University Medical School. The results of our research are expected to develop training about smoking prevention starting from our faculty and contribute to Global Health Professionals Survey data and discussions determined by WHO, CDC and Canadian Public Health Association. Methods: This is a cross-sectional study conducted at Canakkale Onsekiz Mart University Faculty of Medicine. The questionnaire including demographic characteristics and status smoking of students was applied between December 2018 - January 2019. The data of the study was analyzed with the statistical package program SPSS 20.0. Results: In this study, the number of medical students reached was 652. 52.6% of the students were female. 30.5% of the medical students were currently smoking. It was found that age (OR: 1.13 95% CI: 1.05-1.21), male gender (OR: 1.9 95% CI: 1.40-2.67) and boarding in high school (OR: 1.5 95% CI: 1.01-2.26) significantly increased the risk of smoking. Conclusion: The prevalence of smoking was high among students of Canakkale Onsekiz Mart University Faculty of Medicine. The rate of smoking increased during medical education. The literature suggests that physicians who smoke cannot be effective in smoking prevention. In medical education, training about preventing the use of tobacco and tobacco products is insufficient. In addition, there should be gained to medical students with the knowledge and skills that can protect their own health and then advocate for anti-smoking campaigns in the community.

Keywords:

Smoking medical students, Canakkale, Smoking Prevention, Medical Education,

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Tobacco, key facts, World Health Organization [online]. Available at: https://www.who.int/en/news-room/fact-sheets/detail/tobacco. Accessed June 25, 2019.
Health Statistic Yearbook 2017, Republic of Turkey, Ministry of Health [online]. Available at: https://dosyasb.saglik.gov.tr/Eklenti/30148,ingilizcesiydijiv1pdf.pdf?0. Accessed May 10, 2019.
Tobacco Use and Cessation Counseling-Global Health Professionals Survey Pilot Study, 10 Countries, 2005, Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report [online]. Available at: https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5420a2.htm. Accessed May 10, 2019.
Sreeramareddy CT, Ramakrishnareddy N, Rahman M, Mir IA. Prevalence of tobacco use and perceptions of student health professionals about cessation training: results from Global Health Professions Students Survey. BMJ Open. 2018;8(5).
Global Health Professions Student Survey (GHPSS), World Health Organization Regional Office For Europe [online]. Available at: http://www.euro.who.int/en/health-topics/disease-prevention/tobacco/data-and-statistics/effective-surveillance-and-monitoring/global-tobacco-surveillance-system-gtss/global-health-professions-student-survey-ghpss. Accessed May 10,2019.
Global Tobacco Surveillance System Data (GTSSData), Centers for Disease Control and Prevantion [online]. Available at: https://nccd.cdc.gov/GTSSDataSurveyResources/Ancillary/Documentation.aspx?SUID=3&DOCT=1. Accessed May 22, 2019.
Sönmez CI, Başer DA, Aydoğan S. Evaluation of knowledge, attitudes, behaviors and frequency of smoking among medical students of Düzce University. Konuralp Medical Journal. 2017;9:83-89.
Günbatar H, Sertoğullarından B, Ekin S. Smoking survey results on medical school students of Yuzuncu Yil University. Van Med J 2014;21:29-33.
Arsava BE, Demir AU, Yüksek Ü, Atalay K, Aydemir AN, Çöplü L. Smoking prevalance among medical students and the influence of medical training. Turkiye Klinikleri Arch Lung 2013;14:61-65.
Marakoğlu K, Toprak D, Şensoy N. The relationship between smoking status and depression prevalence in medical students. The Medical Journal of Kocatepe. 2006;7.
Baykan Z, Naçar M. Smoking prevalence and views about tobacco law in students of medical school. Dicle Med J 2014;41:483-490.
Arslan YT, Pirinçci S, Okyay P, Döger FK. Tobacco use and related factors among Adnan Menderes University Faculty of Medicine freshers. Meandros Med Dent J 2016;17:146-152.
İnandı T, Caman OK, Aydın N, et al. Global Health Professions Student Survey-Turkey: Second-hand smoke exposure and opinions of medical students on anti-tobacco law. Cent Eur J Public Health 2013;21:134–139.
Yang T, Yu L, Bottorf JL, et al. Global Health Professions student survey (GHPSS) in tobacco control in China. Am J Health Behav 2015;39:732-741.
Ferry LH, Grissino LM, Runfola PS. Tobacco dependence curricula in US undergraduate medical education. JAMA 1999;282:825-829.
Armstrong GW, Veronese G, George PF, Montroni I, Ugolini G. Assessment of tobacco habits, attitudes, and education among medical students in the United States and Italy: a cross-sectional survey. J Prev Med Public Health 2017;50:177-187.
Tezcan S, Yardım N. Prevalence of smoking between the doctors, nurses and medical faculty students at some health facilities in Turkey. Tuberk Toraks 2003;51:390-397.
Vatan İ, Ocakoğlu H, İrgil E. Determining smoking prevalence among Uludag University Faculty of Medicine. TAF Prev Med Bull 2009;8:43-48.
Kartal M, Mıdık Ö, Büyükakkuş A. Tobacco smoking and its effect on quality of life of medical students in Ondokuz Mayıs University. Turk Thorac J 2012;13:11-17.
Global Youth Tobacco Survey 2017, Republic of Turkey, Ministry of Health [online]. Available at: https://hsgm.saglik.gov.tr/depo/birimler/tutun-mucadele-bagimlilik-db/duyurular/KGTA-2017_pdf.pdf. Accessed July 15, 2019.
Brimkulov N, Vinnikov D, Dzhilkiadarova Z, Aralbaeva A. Tobacco use among Kyrgyzstan medical students: an 11-year follow-up cross-sectional study. BMC Public Health 2017;17:625.
San-Pedro EM, Roales-Nieto JG, Blanco-Coronado JL. Tobacco use among Spanish phsicians and medical students. Tob Control 2006;15:272.