Research paper
CC-BY-NC 4.0

Knowledge and attitudes of health professional students on smoking cessation techniques in Turkey

Ahmet Ergin 1,  
Süleyman Utku Uzun 1  ,  
Department of Public Health, Faculty of Medicine, Pamukkale University, Denizli, Turkey
Tob. Prev. Cessation 2016;2(June):64
Publish date: 2016-06-29
Smoking among adolescents and young adults is epidemic. This study aims to evaluate the rate of smoking and the knowledge and attitudes on smoking cessation techniques among health-profession students in a University.

This cross sectional study was conducted among 338 (70.4%) first 3-year students of the Faculty of Medicine (FM) and the School of Physical Therapy and Rehabilitation (SPTR) in Pamukkale University during January 2010.

A total of 338 students participated in the study; 177(52.4%) from the FM and 161 (47.6%) from SPTR. Of all smokers (20.8%), 14.9% were current smokers. The prevalance of current cigarette smoking was higher among male students (22.9%) than female students (6.1%) (p<0.001). The prevalance of current cigarette smoking increased significantly with age (p<0.001) and grade (p=0.029). Students who had smokers in their family (19.3%) were more likely to smoke than others (10.1%) (p=0.001). 36 students (76.6%) have tried to quit smoking and 29 (60.4%) wanted to quit smoking in these days. 45.5% showed middle and higher nicotine dependence. 56.4% found useful to consider an on-campus smoking cessation clinic and 57.2% found the idea of peer-assisted smoking cessation useful.

On campus smoking cessation clinics, and besides physicians and psychologists, peer-assisted smoking cessations approach may be useful in the effort of smoking cessation of university students.

Süleyman Utku Uzun   
Department of Public Health, Faculty of Medicine, Pamukkale University, Denizli, Turkey, 20070 Denizli, Turkey
1. WHO the GTSS Collaborative Group. Tobacco use and cessation counseling. Global health professionals survey pilot study, 10 countries. MMRW 2005;54(20): 505-509.
2. Richmond R. Teaching medical students about tobacco. Thorax 1999; 54 (1): 70-8. doi: 10.1136/thx.54.1.70.
3. Pederson LL, Blumenthal DS, Dever A, McGrady G. A web-based smoking cessation and prevention curriculum for medical students: why, how, what, and what next. Drug Alcohol Rev 2006; 25(1):39-47. doi: 10.1080/09595230500459503.
4. Toriola, Adetunji T. Smoking behaviour and attitudes regarding the role of physicians in tobacco control among medical students in Kuopio, Finland in 2006. CVD Prevention and Control 2008; 3(2);53-60. doi: 10.1016/j.precon.2007.10.001.
5. Currie CE, Elton RA, Todd J, Platt S. Indicators of socioeconomic status for adolescents: the WHO Health Behavior in School-aged Children Survey. Health Education Research 1997;12:385-397. doi: 10.1093/her/12.3.385.
6. Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO. The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. British Journal of Addiction 1991;86:1119-1127. doi: 10.1111/j.1360-0443.1991.tb01879.x.
7. Centers for Disease Control and Prevention. State-specific secondhand smoke exposure and current cigarette smoking among adults―United States, 2008. MMWR 2009;58:1232–1235.
8. Kutlu R, Civi S, Sahinli AS. The Frequency of Depression and Smoking Habit among the Medical Students. TAF Prev Med Bull 2009;8(6):489-496. (Turkish).
9. Yıldırım C, Celik P, Sakar A, Dinc G. Medical school students' attitudes towards smoking. Respiration 2004;6(1): 30-35. (Turkish).
10. Inandi T, Caman OK, Aydin N, Onal AE, Kaypmaz A, Turhan E, 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(3):134-139.
11. The Ministry of Health of Turkey. Global Adult Tobacco Survey (GATS) Turkey Country Report 2012. Available from:
12. Nguyen VH, Dao TM, Dao NP. Smoking among Vietnamese medical students: prevalence, costs, and predictors. Asia Pac J Public Health. 2008;20(1):16-24. doi: 10.1177/1010539507308504.
13. Almerie MQ, Matar HE, Salam M, Morad A, Abdulaal M, Koudsi A, et al. Cigarettes and waterpipe smoking among medical students in Syria: a cross-sectional study. Int J Tuberc Lung Dis. 2008 Sep;12(9):1085-1091. PMCID: PMC2553239
14. Yoldascan E, Usal G, Ozdemir B, Akdemir S. Smoking prevalence and affecting factors among medical students in Cukurova University. VIII. National Public Health Congress booklet, 2002; pp. 802. (Turkish).
15. Aslan D, Bilir N, Ozcebe H, Erguder T. Smoking status of the health professionals and influencing factors, Ministry of Health, Ankara, 2008.
16. Brose LS, West R, McDermott MS, Fidler JA, Croghan E, McEwen A. What makes for an effective stop-smoking service? Thorax 2011;66:924-926. doi: 10.1136/thoraxjnl-2011-200251
17. West R, Shahab L. Smoking cessation interventions. In: Killoran A, Kelly M, eds. Evidence-based public health effectiveness and efficiency. Oxford: University Press, 2009; pp. 215e32.
18. National Institute for Health and Clinical Excellence (NICE). Smoking cessation.Smoking cessation services in primary care, pharmacies, local authorities and workplaces, particularly for manual working groups, pregnant women and hard to reach communities. 2008, London. Avaliable from:
19. Jaén CR, Benowitz NL, Curry SJ, Parsippany NJ, Kottke TE, Mermelstein RJ, et al. The clinical practice guideline treating tobacco use and dependence: 2008 update a US Public Health Service report. Am J Prev Med 2008;35(2):158-176. doi: 10.1016/j.amepre.2008.04.009.
20. Celik I, Yüce D, Hayran M, Erman M, Kılıçkap S, Buzgan T, et al. Nationwide smoking cessation treatment support program–Turkey project. Health Policy 2015;119(1):50-56. doi: 10.1016/j.healthpol.2014.11.017.
21. Webel AR, Okonsky J, Trompeta J, Holzemer WL. Systematic review of the effectiveness of peer-based interventions on health-related behaviors in adults. Am J Public Health 2010;100:247–253. doi: 10.2105/ajph.2008.149419