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Assessment of Tobacco Habits, Attitudes, and Education Among Medical Students in the United States and Italy: A Cross-sectional Survey
Grayson W. Armstrong, Giacomo Veronese, Paul F. George, Isacco Montroni, Giampaolo Ugolini
J Prev Med Public Health. 2017;50(3):177-187.   Published online April 14, 2017
DOI: https://doi.org/10.3961/jpmph.15.061
  • 7,185 View
  • 236 Download
  • 25 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
Medical students represent a primary target for tobacco cessation training. This study assessed the prevalence of medical students’ tobacco use, attitudes, clinical skills, and tobacco-related curricula in two countries, the US and Italy, with known baseline disparities in hopes of identifying potential corrective interventions.
Methods
From September to December 2013, medical students enrolled at the University of Bologna and at Brown University were recruited via email to answer survey questions assessing the prevalence of medical students’ tobacco use, attitudes and clinical skills related to patients’ smoking, and elements of medical school curricula related to tobacco use.
Results
Of the 449 medical students enrolled at Brown and the 1426 enrolled at Bologna, 174 Brown students (38.7%) and 527 Bologna students (36.9%) participated in this study. Italian students were more likely to smoke (29.5% vs. 6.1%; p<0.001) and less likely to receive smoking cessation training (9.4% vs. 80.3%; p<0.001) than their American counterparts, even though the majority of students in both countries desired smoking cessation training (98.6% at Brown, 85.4% at Bologna; p<0.001). Additionally, negative beliefs regarding tobacco usage, the absence of formal training in smoking cessation counseling, and a negative interest in receiving specific training on smoking cessation were associated with a higher risk of not investigating a patient’s smoking status during a routine history and not offering tobacco cessation treatment to patients.
Conclusions
Medical curricula on tobacco-related health hazards and on smoking cessation should be mandatory in order to reduce smoking among medical students, physicians, and patients, thereby improving tobacco-related global health.
Summary

Citations

Citations to this article as recorded by  
  • Smoking and Depression among Medical School Students: A Cross-Sectional Study from Turkey’s Largest Province
    Bahar Ürün Ünal, Kamile Marakoğlu
    Healthcare.2024; 12(11): 1130.     CrossRef
  • Prevalence and Assessment of Knowledge, Attitudes, and Practices of Tobacco Use Among Medical and Dental Students in Bhubaneswar, Odisha
    Nancy Satpathy, Himanshu S Pradhan, Swapna Sarangi, Venkatarao Epari, Pratap K Jena, Samarendra Dash, Debi P Mohanty, Pratisha Mishra
    Cureus.2024;[Epub]     CrossRef
  • The Role Of Medical Education in Struggle Against Smoking: The Prevalance of Smoking And Related Factors in Medical Students, Çanakkale
    Buse YÜKSEL, Esen GOKCE, Coşkun BAKAR, Demet Güleç ÖYEKÇİN, Yagmur DUVA
    Türkiye Halk Sağlığı Dergisi.2023;[Epub]     CrossRef
  • Prevalence of Use and Knowledge about Tobacco Products and Their Harmful Effects among University Students in Southern Croatia
    Dora Istenic, Lidia Gavic, Antonija Tadin
    Healthcare.2023; 11(5): 771.     CrossRef
  • Tobacco Cessation Curriculum in Medical Schools: a Scoping Review
    Sufian Elfandi, Hemant Poudyal
    Journal of Cancer Education.2023; 38(5): 1614.     CrossRef
  • Knowledge and Awareness of Smoking Effects and Its Cessation Methods among Medical Students in Telangana: A Questionnaire Study
    Prashanth Panta, Archana Andhavarapu, Tejaswini R Gurram, Santhi P Ravada
    World Journal of Dentistry.2023; 14(5): 447.     CrossRef
  • Prevalence of Cigarette Smoking and Influence of Associated Factors among Students of the University of Banja Luka: A Cross-Sectional Study
    Ivana Todorović, Feng Cheng, Stela Stojisavljević, Sonja Marinković, Stefan Kremenović, Pane Savić, Ana Golić-Jelić, Nataša Stojaković, Svjetlana Stoisavljević-Šatara, Rajko Igić, Ranko Škrbić
    Medicina.2022; 58(4): 502.     CrossRef
  • Cigarette Smoking among Medical Students from the Western Balkan
    Miloš Ilić, Maja Grujičić, Budimka Novaković, Aleksandra Vrkatić, Zagorka Lozanov-Crvenković
    International Journal of Environmental Research and Public Health.2022; 19(5): 3055.     CrossRef
  • Training Tobacco Treatment Specialists through Virtual Asynchronous Learning
    Audrey Darville, Kathy Rademacher, Amanda T. Wiggins, Mary Grace Lenhof, Ellen J. Hahn
    International Journal of Environmental Research and Public Health.2022; 19(6): 3201.     CrossRef
  • Perceptions and preparedness toward tobacco cessation counseling amongst clinical medical students in Chongqing, Southwest China: A cross-sectional study
    Chuang Yang, Wenjin He, Ruihang Deng, Mohan Giri, Haiyun Dai
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Tobacco Consumption Among Young Population in Rural Indonesia: Prevalence and Associated Factors
    Diyan Ermawan Effendi, Arief Priyo Nugroho, Sri Handayani, Risqa Novita, Sidiq Purwoko, Zulfa Auliyati Agustina
    Open Access Macedonian Journal of Medical Sciences.2022; 10(E): 1178.     CrossRef
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    Aiswarya Vijayakrishna, Sharad Chand, U. P. Nandakumar, Santosh Prabhu, Manoj S. Dikkatwar, B. C. Vinay, Juno J. Joel
    Global Journal of Medical, Pharmaceutical, and Biomedical Update.2022; 17: 19.     CrossRef
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    Laura Campo, Silvia Lumia, Silvia Fustinoni
    International Journal of Environmental Research and Public Health.2022; 19(19): 12527.     CrossRef
  • Tobacco Smoking and Smokeless Tobacco Use among Domestic and International Medical Students in Hungary
    Erika Balogh, Zoltán Wagner, Nóra Faubl, Henna Riemenschneider, Karen Voigt, András Terebessy, Ferenc Horváth, Zsuzsanna Füzesi, István Kiss
    Substance Use & Misuse.2021; 56(4): 493.     CrossRef
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    Tobacco Prevention & Cessation.2021; 7(July): 1.     CrossRef
  • Knowledge and attitudes towards smoking cessation counselling: an Italian cross-sectional survey on tertiary care nursing staff
    Laura Maniscalco, Salvatore Barretta, Giuseppe Pizzo, Domenica Matranga
    PeerJ.2021; 9: e12213.     CrossRef
  • Validation of a Questionnaire to Assess Smoking Habits, Attitudes, Knowledge, and Needs among University Students: A Pilot Study among Obstetrics Students
    Laura Campo, Francesca Vecera, Silvia Fustinoni
    International Journal of Environmental Research and Public Health.2021; 18(22): 11873.     CrossRef
  • First-year French medical students consume antidepressants and anxiolytics while second-years consume non-medical drugs.
    G. Fond, A. Bourbon, M. Boucekine, M. Messiaen, V. Barrow, P. Auquier, C. Lançon, L. Boyer
    Journal of Affective Disorders.2020; 265: 71.     CrossRef
  • Mental Health Disturbances and Related Problems in Italian University Medical Students from 2000 to 2020: An Integrative Review of Qualitative and Quantitative Studies
    Gaia Sampogna, Giovanni Marcos Lovisi, Francesca Zinno, Valeria Del Vecchio, Mario Luciano, Érika Gonçalves Loureiro Sol, Roberto José Gervásio Unger, Antonio Ventriglio, Andrea Fiorillo
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  • Apprentissage de l’aide au sevrage tabagique dans les formations médicales au Liban
    Hala El Kahi, Fady Haddad, Sani Hlais
    Santé Publique.2020; Vol. 32(1): 57.     CrossRef
  • Preferences in Sleep Position Correlate With Nighttime Paresthesias in Healthy People Without Carpal Tunnel Syndrome
    Carrie L. Roth Bettlach, Jessica M. Hasak, Emily M. Krauss, Jenny L. Yu, Gary B. Skolnick, Greta N. Bodway, Lorna C. Kahn, Susan E. Mackinnon
    HAND.2019; 14(2): 163.     CrossRef
  • Perception of health professions students of their role model status in Toombak cessation: A cross-sectional study from Sudan
    Hatim Mohammed Almahdi, Raouf Wahab Ali, Anne Nordrehaug Åstrøm, Elwalid Fadul Nasir, Pranil Man Singh Pradhan
    PLOS ONE.2019; 14(2): e0210837.     CrossRef
  • Anxiolytic consumption is associated with tobacco smoking and severe nicotine dependence. Results from the national French medical students (BOURBON) study
    A. Bourbon, L. Boyer, P. Auquier, M. Boucekine, V. Barrow, C. Lançon, G. Fond
    Progress in Neuro-Psychopharmacology and Biological Psychiatry.2019; 94: 109645.     CrossRef
  • Psychiatry: A discipline at specific risk of mental health issues and addictive behavior? Results from the national BOURBON study
    G. Fond, A. Bourbon, J-A. Micoulaud-Franchi, P. Auquier, L. Boyer, C. Lançon
    Journal of Affective Disorders.2018; 238: 534.     CrossRef
  • Estudio de corte transversal sobre el estado de conocimientos, actitudes y prácticas de médicos colombianos ante el tabaquismo
    Claudia Ximena Robayo-González, Juan Carlos Uribe-Caputi
    MedUNAB.2018; 20(3): 327.     CrossRef
A Qualitative Inquiry Into the Challenges of Medical Education for Retention of General Practitioners in Rural and Underserved Areas of Iran
Sajad Delavari, Mohammad Arab, Arash Rashidian, Saharnaz Nedjat, Rahmatollah Gholipour Souteh
J Prev Med Public Health. 2016;49(6):386-393.   Published online November 1, 2016
DOI: https://doi.org/10.3961/jpmph.16.062
  • 8,266 View
  • 162 Download
  • 9 Crossref
AbstractAbstract PDF
Objectives
General practitioners (GPs) retention in rural and underserved areas highly effects on accessibility of healthcare facilities across the country. Education seems to be a critical factor that affects GPs retention. Thus, the present study aimed at inquiry into medical education challenges that limit their retention in rural and underserved areas.
Methods
A qualitative approach was applied for the aim of this study. Data were gathered via 28 semi-structured interviews with experts at different levels of Iran’s health system as well as GPs who retained and refused to retain working in rural settings. Interviews mainly were performed face-to-face and in some cases via telephone during 2015 and then coded and analyzed using content analysis approach.
Results
Iran’s medical education is faced with several challenges that were categorized in four main themes including student selection, medical students’ perception about their field of study, education setting and approach, curriculum of medical education. According to experts this challenges could results in making GP graduates disinterested for practicing in rural and underserved areas.
Conclusions
Challenges that were found could have negative effects on retention. Modification in student’s perception about rural practice could be done via changing education setting and approach and curriculum. These modifications could improve GPs retention in rural and underserved areas.
Summary

Citations

Citations to this article as recorded by  
  • Identifying factors affecting dentists retention in deprived areas in Iran
    Mohammadreza Amiresmaeili, Majid Heidari Jamebozorgi, Azam Heidari Jamebozorgi
    The International Journal of Health Planning and Management.2022; 37(3): 1340.     CrossRef
  • Retention of dental practitioners in rural health services in Iran: Experiences from Kerman province
    Mohammadreza Amiresmaili, MajidHeidari Jamebozorgi, AzamHeidari Jamebozorgi, Morteza Arab-Zozani
    Dental Research Journal.2022; 19(1): 34.     CrossRef
  • Influencing factors on the tendency of general practitioners to join in urban family physician program: a cross-sectional survey on Iranian physicians
    Mohsen Bayati, Arash Rashidian, Vahid Yazdi-Feyzabadi, Sajad Delavari
    Cost Effectiveness and Resource Allocation.2022;[Epub]     CrossRef
  • Challenges Associated with the Education of Family Physicians in Iran: A Systematic Review
    Abtin Heidarzadeh, Bita Hedayati, Mark K. Huntington, Mehdi Alvandi, Alireza Aarabi, Babak Farrokhi, Marzieh Nojomi, Somayeh Noori Hekmat, Roksana Mirkazemi
    Journal of Medical Education.2022;[Epub]     CrossRef
  • Evaluating the Current Status of Education in Family Physicians in Iranian Medical Schools
    A Heidarzadeh, M Nojomi, M Alvandi, A Mohammadi, F Mohseni, P Naghshpour
    Research in Medical Education.2022; 14(3): 29.     CrossRef
  • Self-medication Pattern and Prevalence Among Iranian Medical Sciences Students
    Nastaran Niroomand, Mohsen Bayati, Mozhgan Seif, Somayeh Delavari, Sajad Delavari
    Current Drug Safety.2020; 15(1): 45.     CrossRef
  • Preferences of Medical Sciences Students for Work Contracts in Deprived Areas of Iran: A Discrete Choice Experiment Analysis


    Ali Kazemi Karyani, Behzad Karami Matin, Parisa Malekian, Delnia Moradi Rotvandi, Saeed Amini, Sajad Delavari, Shahin Soltani, Satar Rezaei
    Risk Management and Healthcare Policy.2020; Volume 13: 927.     CrossRef
  • Inequity in the distribution of rural family physicians in Iran: a cross sectional study
    Rasoul Tabari-Khomeiran, Elham Ehsani-Chimeh, Ali Davoudi Kiakalayeh, Enayatollah Homaie Rad, Sajad Delavari
    International Journal of Human Rights in Healthcare.2019; 12(4): 258.     CrossRef
  • Viewpoint: Primary care in Iran needs a paradigm shift
    Vahid Yazdi-Feyzabadi, Sajad Delavari, Sara Ghasemi
    British Journal of General Practice.2018; 68(670): 235.     CrossRef
English Abstracts
Education of Bioterrorism Preparedness and Response in Healthcare-associated Colleges - Current Status and Learning Objectives Development.
Hagyung Lee, Byung Chul Chun, Sung Eun Yi, Hyang Soon Oh, Sun Ju Wang, Jang Wook Sohn, Jee Hee Kim
J Prev Med Public Health. 2008;41(4):225-231.
DOI: https://doi.org/10.3961/jpmph.2008.41.4.225
  • 3,990 View
  • 71 Download
  • 2 Crossref
AbstractAbstract PDF
OBJECTIVES
Bioterrorism (BT) preparedness and response plans are particularly important among healthcare workers who will be among the first involved in the outbreak situations. This study was conducted to evaluate the current status of education for BT preparedness and response in healthcare-related colleges/junior colleges and to develop learning objectives for use in their regular curricula. METHODS: We surveyed all medical colleges/schools, colleges/junior colleges that train nurses, emergency medical technicians or clinical pathologists, and 10% (randomly selected) of them that train general hygienists in Korea. The survey was conducted via mail from March to July of 2007. We surveyed 35 experts to determine if there was a consensus of learning objectives among healthcare workers. RESULTS: Only 31.3% of medical colleges/schools and 13.3% of nursing colleges/junior colleges had education programs that included BT preparedness and responses in their curricula. The most common reason given for the lack of BT educational programs was 'There is not much need for education regarding BT preparedness and response in Korea'. None of the colleges/junior colleges that train clinical pathologists, or general hygienists had an education program for BT response. After evaluating the expert opinions, we developed individual learning objectives designed specifically for educational institutions. CONCLUSIONS: There were only a few colleges/junior colleges that enforce the requirement to provide education for BT preparedness and response in curricula. It is necessary to raise the perception of BT preparedness and response to induce the schools to provide such programs.
Summary

Citations

Citations to this article as recorded by  
  • Predictors of bioterrorism preparedness among clinical nurses: A cross-sectional study
    Suhyun Lee, Yujeong Kim
    Nurse Education Today.2023; 122: 105727.     CrossRef
  • An Assessment of Knowledge and Attitude of Iranian Nurses Towards Bioterrorism
    Hasan Abolghasem Gorji, Noureddin Niknam, Nahid Aghaei, Tahereh Yaghoubi
    Iranian Red Crescent Medical Journal.2017;[Epub]     CrossRef
Curriculum of Health Promotion and Disease Prevention for the 21st Century -The 5th Revision of Preventive Medicine Learning Objectives.
Byung Chul Chun, Bo Yul Choi, Soo Hun Cho
J Prev Med Public Health. 2006;39(4):293-301.
  • 2,259 View
  • 62 Download
AbstractAbstract PDF
The preventive medicine learning objectives, first developed in 1977 and subsequently supplemented, underwent necessary revision of the contents for the fourth time to create the fifth revision. However, the required educational contents of health promotion and disease prevention have been changed by the new trends of medical education such as PBL and integrated curriculum, the rapid change of the health and medical environment and the globalization of medicine. The Korean Society of Preventive Medicine formed a task force, led by the Undergraduate Education Committee in 2003, which surveyed all the medical colleges to describe the state of preventive medicine education in Korea, analyzed the changing education demand according to the change of health environment and quantitatively measured the validity and usefulness of each learning objective in the previous curriculum. Based on these data, some temporary objectives were formed and promulgated to all the medical schools. After multiple revisions, an almost completely new series of learning objectives for preventive medicine was created. The objectives comprised 4 classifications and 1 supplement: 1) health and disease, 2) epidemiology and its application, 3) environment and health, 4) patient-doctorsociety, and supplementary clinical occupational health. The total number of learning objectives, contained within 13 sub-classifications, was 221 (including 35 of supplementary clinical occupational health). Future studies of the learning process and ongoing development of teaching materials according to the new learning objectives should be undertaken with persistence in order to ensure the progress of preventive medicine education.
Summary

JPMPH : Journal of Preventive Medicine and Public Health