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References
1. Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 1997; 349(9064): 1498-504.
2. Peto R, Lopez AD, Boreham J, Thun M, Heath C, Jr. Mortality from tobacco in developed countries: indirect estimation from national vital statistics. Lancet 1992; 339(8804): 1268-78.
3. Peto R. Smoking and death: the past 40 years and the next 40. BMJ 1994; 309(6959): 937-9.
4. World Health Organization. Tobacco or health: A global status report. Geneva: World Health Organization; 1997.
5. Mackay J, Crofton J. Tobacco and the developing world. Br Med Bull 1996; 52(1): 206-21.
6. Miller MP, Gillespie J, Billian A, Davel S. Prevention of smoking behaviors in middle school students: student nurse interventions. Public Health Nurs 2001; 18(2): 77-81.
7. Ansari R, Khosravi A, Mokhtari M. Prevalence and cause of smoking in the medicine students. Journal of Semnan University of Medical Sciences. 2007; 9(1): 21-27.
8. Sarafzadegan N, Boshtam M, Shahrokhi S, Naderi GA, Asgary S, Shahparian M, et al. Tobacco use among Iranian men, women and adolescents. Eur J Public Health 2004; 14(1): 76-8.
9. Kronebusch K. Smoking-related deaths and financial costs. Washington, DC: Office of Technology Assessment; 1993.
10. Centers for Disease Control and Prevention (CDC). Tobacco use--United States, 1900-1999. MMWR Morb Mortal Wkly Rep 1999; 5(48): 43-986.
11. Rigotti NA, Moran SE, Wechsler H. US college students' exposure to tobacco promotions: prevalence and association with tobacco use. Am J Public Health 2005; 95(1): 138-44.
12. Soteriades ES, DiFranza JR, Savageau JA, Nicolaou M. Symptoms of nicotine dependence and other predictors of student smoking at school: implications for school smoking policy. J Sch Health 2003; 73(4): 154-8.
13. Martinez JA, Amaya W, Campillo HA, Campo A, Diaz LA. Social factors associated with the daily cigarette smoking among middle-school student adolescents in Bucaramanga, Colombia. Biomedica 2005; 25(4): 518-26.
[In Spanish].
14. Andrea MS, Walter V, Elena B, Alfea F, Piersante S. A comparison of smoking habits, beliefs and attitudes among Tuscan student nurses in 1992 and 1999. Eur J Epidemiol 2001; 17(5): 417-21.
15. Sawyer SM, Cooke R, Conn J, Marks MK, Roseby R, Cerritelli B. Improving medical student performance in smoking health promotion: effect of a vertically integrated curriculum. Med Teach 2006; 28(5): e135-e138.
16. Masjedi MR, Azaripour Masooleh H, Heydari GR, Alinejad Taheri S, Velayati AA. Smoking prevalence among universities students of Tehran. Journal of Medical Council of Islamic Republic of Iran 2003; 20(4): 282-7.
[In Persian].
/ 10 / 6 / ! "
1391 409
17. Fangbiao T, Hongbo Z, Guangyu Z. Psychological stress and mental health levels and cigarette smoking in
adolescents. Chinese Journal of School Health 1998; 2(2): 06-025.
18. Schifano F, Forza G, Gallimberti L. Smoking habit and psychological distress in adolescent female students.
American Journal on Addictions 1994; 3(2): 100-5.
19. Qin Z, Qiu-li Z, Xiao-yue Z, Hui S, Hua Y, Rong-bin Y. Investigation of the relationship between smoking,drinking and mental health status of medical staff in comprehensive hospitals. Acta Universitatis Medicinalis Nanjing(Natural Science) 2008; 2: 9.
20. Shojaa M, Jouybari L, Qorbani M, Sanagoo A, Shojaee H, Kia Kajoori Z, et al. Prevalence and cause of smoking among the dormitories students in Gorgan University of Medical Sciences. Pajoohandeh Journal 2010; 15(3):
123-8. [In Persian].
21. Divsalar K, Nakhaei N. Prevalence and correlates of cigarette smoking among students of two universities in kerman, Iran. JBUMS 2008; 10(4): 78-83. [In Persian].
22. Khodayarifar M, Parand A. Evaluation and Examining of psycho cognition. Tehran, Iran: Tehran University Publication; 2009. p. 196-207. [In Persian].
23. Seyedhashemi H. Normalization of SCL90-R questionnaire in zarrinshahr high school students. [Ms Thesis].
Psychology and Training school: Isfahan University, Isfahan. 2000. [In Persian].
24. Alavi SS, Merasi MR, Janatifard F, Eslami M, Haghighi M. A survey of relationship between psychiatric symptoms and internet addiction in students of Isfahan Universities. Scientific Journal of Hamedan University of Medical Sciences and Health Services 2010; 17(2): 57-65. [In Persian].
25. Tavakkolizadeh J, Ghahramani M, Moghimian M. The survey of stressful events on smoked and nonsmoked early adults of Gonabad city. Ofogh-e-Danesh Journal 2004; 10(1): 52-60. [In Persian].
26. Sayyed Fazelpour SF, Moghadamnia MT, nasirzadeh F. Study on attitude of students in Guilan University of Mdical Sciences toward smoking. Scientific Journal of Forensic Medicine 2004; 10(33): 25-9. [In Persian].
27. Taremian F, Bolhari J, Pairavi H, Ghazi Tabatabaeii M. The prevalence of drug abuse among university students in Tehran. IJPCP 2008; 13(4): 335-42. [In Persian].
28. Ansari R, Khosravi A, Mokhtari M. Prevalence and cause of smoking in the medicine students. koomesh 2007;
9(1): 21-36. [In Persian].
29. Roohafza H, Sadeghi M, Emami A. Smoking in youth: Isfahan Healthy Heart Project (IHHP). Hakim 2003; 6(2):
61-8. [In Persian].
30. Tessier JF, Nejjari C, Bennani-Othmani M. Smoking in Mediterranean countries: Europe, North Africa and the Middle-East. Results from a co-operative study. Int J Tuberc Lung Dis 1999; 3(10): 927-37.
31. Heydari Gh, Ramezankhani A, Masjedi M. Evaluation of the smoking habit among male students of all faculties of the Shahid Beheshti University and Shahid Beheshti Medical Science University during 2008. Pejouhesh 2010;
34(2): 132-6. [In Persian].
32. Hesketh T, Ding QJ, Tomkins A. Smoking among youths in China. Am J Public Health 2001; 91(10): 1653-5.
33. Sajadi A, Bakhsani N, HosseinBar M. Prevance of substance abouse in the student of Zahedan university of medical sciences. 3th Iranian national addiction congress; 2004,Yazd. Iran. p. 34. [In Persian].
34. Siam SH. Drug abuse prevalence between male students of different universities in Rasht in 2005. Zahedan Journal of Research in Medical Sciences 2007; 8(4): 279-85. [In Persian].
35. Mohtasham Amiri Z, irus Bakht S, ikRavesh- Rad R. Cigarette smoking among male high school students in Rasht- 2002. Journal of Medical Faculty of Guilan University of Medical Sciences 2008; 17(65): 100-7. [In Persian].
36. Goodarzi MR, Heydari M, Ildarabadi E. Survey of smoking prevalence in the student of high school in Zabol city. Razebehzistan 2003; 11(25): 16-9. [In Persian].
37. Sajjan BS, Chacko J, Asha K. Smoking behaviour among arts student of a college in Mangalore, Dakshina Kannada. Indian J Med Sci 2003; 57(7): 290-3. [In Persian].
38. Chen KT, Chen CJ, Fagot-Campagna A, Narayan KM. Tobacco, betel quid, alcohol, and illicit drug use among 13- to 35-year-olds in I-Lan, rural Taiwan: prevalence and risk factors. Am J Public Health 2001; 91(7): 1130-4.
39. Sadock BJ, Sadock VA. Kaplan and Sadock's synopsis of psychiatry. 10th ed. New York, NY: Lippincott Williams & Wilkins; 2007. p. 434-42.
40. Wagner EF, Atkins JH. Smoking among teenage girls. Journal of Child & Adolescent Substance Abuse 2000;
9(4): 93-110.
41. Psujek JK, Martz DM, Curtin L, Michael KD, Aeschleman SR. Gender differences in the association among nicotine dependence, body image, depression, and anxiety within a college population. Addict Behav 2004;
29(2): 375-80.
1- Assistant Professor, School of Nursing and Midwifery, Islamic Azad University, Khorasgan Branch, Isfahan, Iran 2- Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran (Corresponding Author) Email: aminoroaia@nm.mui.ac.ir
3- Professor, Behavioral Sciences Research Center. School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4- Associate Professor, Behavioral Sciences Research Center, Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
The prevalance of cigarette smoking and some demographic and psychological characteristics in students of Islamic Azad University of
Khorasgan, Iran
Arash Ghodousi1, Mahin Aminoroaia MSc2, Abbas Attari3, Mohammadreza Maracy4, Safa Maghsoodloo5
Abstract
Aim and Background: Smoking and drugs are considered are among the most common causes of early mortality in developing and developed countries. Health professionals believe that university period has special characteristics and is of high importance in prevention of smoking among young adults. In this study, we examined with the relations between smoking and psychological and demographic variables.
Methods and Materials: In a cross-sectional study, 537 students were randomly selected from 7 schools of Islamic Azad University (Khorasgan Branch, Iran). A researcher-made questionnaire and the Symptom Checklist-90-Revised (SCL-90-R) were completed by the participants. The collected data was analyzed in SPSS12 using descriptive and inferential statistics.
Findings: Smokers constituted 18.7% of the study population. Smoking was significantly more frequent among men. There was no significant relation between marital status and palce of residence. Smoking was significantly correlated with having a smoking family (27.3% of smokers had smoking families). The most common way to start smoking cigarettes was through friends (75%). Among psychiatric symptoms, hostility (aggression) and physical complaints were significantly higher in smokers than nonsmokers.
General Severity index was higher among smokers but the difference between the two groups was not significant.
Conclusions: The prevalence of smoking among students of Islamic Azad University of Khorasgan was relatively higher than many other universities. The high prevalence in this age can lead to many physical and mental problems. In addition, smoking individuals are usually more aggressive. Hence, educational and preventive policies are required to reduce smoking in young people. Attitudes of teenagers and young adults toward smoking should also be corrected through similar programs.
Keywords: Smoking, Students, Islamic Azad University of Khorasgan, Psychological characteristics
Type of article: Original
Received: 07.06.2012 Accepted: 08.01.2013
