Yıl: 2021 Cilt: 69 Sayı: 1 Sayfa Aralığı: 49 - 58 Metin Dili: İngilizce DOI: 10.5578/tt.20219906 İndeks Tarihi: 25-05-2022

Understanding university students’ smoking behaviors towards tobacco-free campus policy

Öz:
Understanding university students’ smoking behaviors towards tobacco-free campus policy Introduction: Tobacco-free college campuses refer to colleges and universities that have implemented policies prohibiting the use of tobacco products at all indoor and outdoor campus locations. We aimed to evaluate university students' smoking behaviors and their attitudes towards “Tobacco-Free Campus Policy”. Materials and Methods: A total of 10,383 university students were included in this cross-sectional study. The questionnaire was sent via web-based student information system. Demographical variables, the frequency of tobacco use, the addiction levels of the smoker students, and their perspective on the Tobacco-Free Campus Policy were evaluated. Results: The study population consisted of 5461 (52.6%) males and their mean age was 22.1 ± 3.9 years. Among the students, 3992 (38.4%) were current smokers and the age of first smoking was 16.5 ± 2.78 years. According to FTND scores, 15.1% of participants have high dependence, and 7.5% of them have very high dependence. There was a significant difference among participants who finds unacceptable “Tobacco-Free Campus Policy” in terms of gender (70.7% males vs. 29.3% females, p< 0.001) and smoking habit (7% never smoker, 4.1% ex-smoker, 88.9% current smoker, p< 0.001). Conclusion: The Tobacco-Free Campus Policy is important to fight against the tobacco industry in order to protect the right to health of all tobacco users and those who do not use it and should be considered as a goal to be achieved in order to live in a healthy environment.
Anahtar Kelime:

Üniversite öğrencilerinin sigara kullanma durumları ve tütünsüz kampüs politikasına yönelik tutumlarının değerlendirilmesi

Öz:
Giriş: Üniversitelerde tütün kontrolü çalışmalarını sistematik ve sürekli bir biçimde sürdürme gereksinimi bulunmaktadır. “Tütünsüz Kampüs” yaklaşımı bu amaçla dünyada benimsenmiş uygulamalar bütünüdür. Materyal ve Metod: Çalışmamızda üniversite öğrencilerinin demografik özellikleri, tütün kullanım sıklıkları, sigara içen öğrencilerin bağımlılık düzeyleri ile Tütünsüz Kampüs Projesi’ne bakış açılarının değerlendirilmesi amaçlandı. Google Dokümanlar aracılığı ile hazırlanmış olan anket üniversitenin öğrenci bilgi sistemi üzerinden tüm üniversite öğrencilerine gönderildi. Hedeflenen 15,000 öğrencinin 10,383’ü (%69,22) anketi başarı ile tamamladı. Bulgular: Katılımcıların 4922’si (%47,4) kız öğrenci, yaş ortalaması 22,1 ± 3,95 idi. Katılımcıların sigara içmeye başlama yaşı ortalama 16,5 ± 2,78 olup %51,1’i hiç sigara kullanmamış, %10.4’ü kullanıp bırakmış, %38,4’ü halen kullanmakta idi. Sigaraya başlama nedenleri en sık arkadaş ortamı (%44,6), merak (%38,8) ve stres (%37,2) iken sigarayı bırakma nedenlerinin en sık sağlıklı olmak için (65,3%), sigaranın kötü kokusu (%34,5) ve çekici gelmemesi (%32,9) nedeniyle olduğu tespit edildi. Sigara içen katılımcıların %41’i sigarayı bırakıp tekrar başlamıştı. Sigaraya tekrar başlamaları en sık stres (%52,9), sigara içmenin keyifli olması (%34,4) ve bağımlılık (%25,2) nedeniyle idi. Fagerström Bağımlılık Ölçeği toplam puan ortalaması 3,41 ± 2,55 olup, katılımcıların %7,5’u çok ileri derecede, %15,5’i ileri derecede, %10,2’si orta derecede, %25,6’sı hafif düzeyde, %41,2’si çok hafif düzeyde bağımlı idi. Katılımcıların %50’si “Tütünsüz Kampüs” projesini desteklemekte idi, %13,9’u projenin uygun olabileceğini, %22,6’sı gereksiz bir kısıtlama olacağını, %13,6’sı kabul edilemez olduğunu bildirdi. Sonuç: Tütünsüz Kampüs Projesi, tütün kullanan ve kullanmayan herkesin sağlık hakkının korunması için tütün endüstrisi ile mücadelede önemli bir uygulamadır ve sağlıklı bir çevrede yaşayabilmek için de ulaşılması gereken bir hedef olarak kabul edilmelidir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Bilir N, Çakır B, Dağlı E, Ergüder T, Önder Z. Tobacco control in Turkey. Who Europe 2009; 43-5.
  • 2. Halk Sağlığı Genel Müdürlüğü. Tütün Eylem Planı. Available from: https://hsgm.saglik.gov.tr/depo/birimler/ tutunmucadelebagimlilikdb/haberler/tutun_eylem_plani/ Tutun_Kontrolu_Strateji_Belgesi_ve_Eylem_Plani.pdf.
  • 3. Rayens MK, Hahn EJ, Langley RE, Zhang M. Public support for smoke-free laws in rural communities. Am J Prev Med 2008; 34(6): 519-22.
  • 4. Rayens MK, Hahn EJ, Langley RE, Hedgecock S, Butler KM, Greathouse-Maggio L. Public opinion and smoke-free laws. Policy Polit Nurs Pract 2007; 8(4): 262-70.
  • 5. Wakefield MA, Chaloupka FJ, Kaufman NJ, Orleans CT, Barker DC, Ruel EE. Effect of restrictions on smoking at home, at school, and in public places on teenage smoking: cross sectional study. BMJ 2000; 321(7257): 333-7.
  • 6. Seo D-C, Macy JT, Torabi MR, Middlestadt SE. The effect of a smoke-free campus policy on college students’ smoking behaviors and attitudes. Prev Med 2011; 53(4-5): 347-52.
  • 7. Cooper TV, Cabriales JA, Hernandez N, Law J. A baseline assessment of attitudes toward tobacco free campus policies in a US/México border university. Addict Behav 2016; 60: 223-7.
  • 8. Holliday JC, Moore GF, Moore LA. Changes in child exposure to secondhand smoke after implementation of smoke-free legislation in Wales: a repeated cross-sectional study. BMC Public Health 2009; 9(1): 430.
  • 9. Barnoya J, Glantz SA. Cardiovascular effects of secondhand smoke: nearly as large as smoking. Circulation 2005; 111(20): 2684-98.
  • 10. Sureda X, Fernández E, Martínez-Sánchez JM, Fu M, López MJ, Martínez C, et al. Secondhand smoke in outdoor settings: smokers’ consumption, non-smokers’ perceptions, and attitudes towards smoke-free legislation in Spain. BMJ Open 2015; 5(4): 007554.
  • 11. Klepeis NE, Ott WR, Switzer P. Real–time measurement of outdoor tobacco smoke particles. JJ Air Waste Manag Assoc 2007; 57(5): 522-34.
  • 12. Glassman TJ, Reindl DM, Whewell AT. Strategies for implementing a tobacco-free campus policy. J Am Coll Health 2011; 59(8): 764-8.
  • 13. Öntaş E, Aslan D. Küresel Yetişkin Tütün Araştırmasi Türkiye - HÜTF Halk Sağlığı AD Toplum İçin Bilgilendirme Serisi (2018-2019;63). Available from: http://www.halksagligi.hacettepe.edu.tr/duyurular/halkayonelik/ kyta2016.pdf
  • 14. Arslan YT, Pirinççi S, Okyay P, Döger FK. Tobacco use and related factors among Adnan Menderes University Faculty of Medicine Freshers. Meandros J Med Dent Sci 2016; 17(3): 146.
  • 15. Elders MJ, Perry CL, Eriksen MP, Giovino GA. The report of the surgeon general: preventing tobacco use among young people. Am J Public Health 1994; 84(4): 543-7.
  • 16. Choi SH, Stommel M. Impact of age at smoking initiation on smoking-related morbidity and all-cause mortality. Am J Prev Med 2017; 53(1): 33-41.
  • 17. Chinwong D, Mookmanee N, Chongpornchai J, Chinwong S. A comparison of gender differences in smoking behaviors, intention to quit, and nicotine dependence among Thai university students. J Addict 2018; 24; 2018: 8081670.
  • 18. Khang Y-H, Lynch J, Jung-Choi K, Cho H-J. Explaining agespecific inequalities in mortality from all causes, cardiovascular disease and ischaemic heart disease among South Korean male public servants: relative and absolute perspectives. Heart 2008; 94(1): 75-82.
  • 19. Rani M, Bonu S, Jha P, Nguyen S, Jamjoum L. Tobacco use in India: prevalence and predictors of smoking and chewing in a national cross sectional household survey. Tob Control 2003; 12(4): e4.
  • 20. Doku DT, Acacio-Claro PJ, Koivusilta L, Rimpelä A. Health and socioeconomic circumstances over three generations as predictors of youth unemployment trajectories. Eur J Public Health 2019; 29(3): 517-23.
  • 21. Telli C, Aytemur Solak Z, Ozol D, Sayiner A. Smoking habits among newly registered university students. Eurasian J Pulmonol 2004; 6(3): 101-6.
  • 22. Doğan D, Ulukol B. Factors contributing to smoking and efficiency of two different education models among adolescents. J Inonu Univ Med Fac 2010; 17(3): 179-85.
  • 23. Pang RD, Bello MS, Liautaud MM, Weinberger AH, Leventhal AM. Gender differences in negative affect during acute tobacco abstinence differ between African American and White adult cigarette smokers. Nicotine Tob Res 2019; 21(8): 1072-8.
APA Karadağ M, Aydin Guclu O, Gorek Dilektasli A, Coskun F, Uzaslan E (2021). Understanding university students’ smoking behaviors towards tobacco-free campus policy. , 49 - 58. 10.5578/tt.20219906
Chicago Karadağ Mehmet,Aydin Guclu Ozge,Gorek Dilektasli Asli,Coskun Funda,Uzaslan Esra Understanding university students’ smoking behaviors towards tobacco-free campus policy. (2021): 49 - 58. 10.5578/tt.20219906
MLA Karadağ Mehmet,Aydin Guclu Ozge,Gorek Dilektasli Asli,Coskun Funda,Uzaslan Esra Understanding university students’ smoking behaviors towards tobacco-free campus policy. , 2021, ss.49 - 58. 10.5578/tt.20219906
AMA Karadağ M,Aydin Guclu O,Gorek Dilektasli A,Coskun F,Uzaslan E Understanding university students’ smoking behaviors towards tobacco-free campus policy. . 2021; 49 - 58. 10.5578/tt.20219906
Vancouver Karadağ M,Aydin Guclu O,Gorek Dilektasli A,Coskun F,Uzaslan E Understanding university students’ smoking behaviors towards tobacco-free campus policy. . 2021; 49 - 58. 10.5578/tt.20219906
IEEE Karadağ M,Aydin Guclu O,Gorek Dilektasli A,Coskun F,Uzaslan E "Understanding university students’ smoking behaviors towards tobacco-free campus policy." , ss.49 - 58, 2021. 10.5578/tt.20219906
ISNAD Karadağ, Mehmet vd. "Understanding university students’ smoking behaviors towards tobacco-free campus policy". (2021), 49-58. https://doi.org/10.5578/tt.20219906
APA Karadağ M, Aydin Guclu O, Gorek Dilektasli A, Coskun F, Uzaslan E (2021). Understanding university students’ smoking behaviors towards tobacco-free campus policy. Tüberküloz ve Toraks, 69(1), 49 - 58. 10.5578/tt.20219906
Chicago Karadağ Mehmet,Aydin Guclu Ozge,Gorek Dilektasli Asli,Coskun Funda,Uzaslan Esra Understanding university students’ smoking behaviors towards tobacco-free campus policy. Tüberküloz ve Toraks 69, no.1 (2021): 49 - 58. 10.5578/tt.20219906
MLA Karadağ Mehmet,Aydin Guclu Ozge,Gorek Dilektasli Asli,Coskun Funda,Uzaslan Esra Understanding university students’ smoking behaviors towards tobacco-free campus policy. Tüberküloz ve Toraks, vol.69, no.1, 2021, ss.49 - 58. 10.5578/tt.20219906
AMA Karadağ M,Aydin Guclu O,Gorek Dilektasli A,Coskun F,Uzaslan E Understanding university students’ smoking behaviors towards tobacco-free campus policy. Tüberküloz ve Toraks. 2021; 69(1): 49 - 58. 10.5578/tt.20219906
Vancouver Karadağ M,Aydin Guclu O,Gorek Dilektasli A,Coskun F,Uzaslan E Understanding university students’ smoking behaviors towards tobacco-free campus policy. Tüberküloz ve Toraks. 2021; 69(1): 49 - 58. 10.5578/tt.20219906
IEEE Karadağ M,Aydin Guclu O,Gorek Dilektasli A,Coskun F,Uzaslan E "Understanding university students’ smoking behaviors towards tobacco-free campus policy." Tüberküloz ve Toraks, 69, ss.49 - 58, 2021. 10.5578/tt.20219906
ISNAD Karadağ, Mehmet vd. "Understanding university students’ smoking behaviors towards tobacco-free campus policy". Tüberküloz ve Toraks 69/1 (2021), 49-58. https://doi.org/10.5578/tt.20219906