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      The prevalence and sociodemographic determinants of tobacco and nicotine use among students in healthcare disciplines in Saudi Arabian universities: a cross-sectional survey

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          Abstract

          Background

          Tobacco smoking is one of the most significant health-related problems worldwide. However, the prevalence and sociodemographic determinants of tobacco and nicotine use among students on healthcare courses in Saudi Arabia are limited.

          Methods

          This cross-sectional study used a questionnaire that was distributed via SurveyMonkey between November 2022 and June 2023 to all student universities offering healthcare courses. Data are presented as frequency and percentages. The associated sociodemographic factors with current tobacco and nicotine use were subjected to logistic regression.

          Results

          Overall, 5,012, of whom 3,872 (77.25%) were males, responded to the online survey. The prevalence of current tobacco and nicotine use was 3,553 (71%). The majority of users used electronic nicotine delivery systems (1,622: 32.36%). The current use of cigarettes (AOR: 1.75 (1.42 to 2.15)), e-cigarettes (AOR: 1.17 (1.01 to 1.37)), and smokeless tobacco substances (AOR: 1.35 (1.02 to 1.90)) were more pronounced among males compared to female students. However, the current use of a hookah was less among males (AOR: 0.74 (95% CI: 61 to 0.91)). Smoking cigarettes was practiced less among students living in other regions compared to the Central Region. However, smokeless tobacco substances seem to be more prevalent in the Western, Southern, and Northern Regions, (AOR: 1.57 (95% CI: 1.09 to 2.26)), (AOR: 1.43 (95% CI: 1.04 to 1.95)), and (AOR: 1.57 (95% CI: 1.09 to 2.26)), respectively.

          Conclusion

          Smoking is prevalent among students in the healthcare disciplines, with electronic nicotine delivery systems being the most used product. Several sociodemographic factors were associated with higher tobacco or nicotine use.

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          Most cited references36

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          The association between e-cigarette use and cardiovascular disease among never and current combustible cigarette smokers: BRFSS 2016 & 2017

          Albert Osei, Mohammadhassan Mirbolouk, Olusola A. Orimoloye … (2019)
          The prevalence of e-cigarette use in the United States has increased rapidly. However, the association between e-cigarette use and cardiovascular disease remains virtually unknown. Therefore, we aimed to examine the association between e-cigarette use and cardiovascular disease among never and current combustible-cigarette smokers.
          Article 0 comments Cited 75 times – based on 0 reviews     Review now
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            Cardiovascular risk of smoking and benefits of smoking cessation

            Giuseppina Gallucci, Alfredo Tartarone, Rosa Lerose … (2020)
            Smoking increases mortality from all causes and has a crucial role in atherosclerotic cardiovascular disease (ASCVD). Active smoking and secondhand smoke exposure determine more than 30% of coronary heart disease (CHD) mortality. The exact mechanisms of cardiovascular damages are not well known, but the detrimental effect of smoking on endothelial function has long been recognized. Smoking elicits oxidative processes, negatively affects platelet function, fibrinolysis, inflammation and vasomotor function; all these proatherogenic effects double the 10-year risk of fatal events in smokers compared to non smokers. An intriguing issue about smoking is the vulnerability of female gender. The mortality from cardiovascular diseases (CVDs) is higher in female than male smokers and female smokers show a 25% higher risk of developing CHD than men with the same exposure to tobacco smoke. This female vulnerability seems to be related to genes involved in thrombin signaling. The effects of smoking cessation have also been extensively studied. Cessation at an early age (40 years) has an impressive 90% reduction in the excess risk of death. In this review we report recent data about the causal link between smoking and CVDs and about the benefits of smoking cessation.
            Article 0 comments Cited 61 times – based on 0 reviews     Review now
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              Do doctors' smoking habits influence their smoking cessation practices? A systematic review and meta-analysis.

              Maria Duaso, Máirtín S McDermott, Agurtzane Mujika … (2014)
              To assess the association between doctors' smoking status and the use of the '5As' of smoking cessation.
              Article 0 comments Cited 25 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Abdulelah M. Aldhahir: URI : https://loop.frontiersin.org/people/1712518/overviewRole: Role: Role: Role: Role: Role:
                Rayan A. Siraj: Role: Role: Role:
                Abdullah A. Alqarni: URI : https://loop.frontiersin.org/people/2187904/overviewRole: Role: Role:
                Jaber S. Alqahtani: URI : https://loop.frontiersin.org/people/1230970/overviewRole: Role: Role: Role:
                Mohammed M. Alyami: Role: Role: Role:
                Mansour S. Majrshi: URI : https://loop.frontiersin.org/people/2379264/overviewRole: Role:
                Hassan Alwafi: URI : https://loop.frontiersin.org/people/1042887/overviewRole: Role: Role:
                Mohammed M. Alqahtani: Role: Role: Role:
                Sarah S. Monshi: Role: Role: Role:
                Abdulmohsen H. Al-Zalabani: URI : https://loop.frontiersin.org/people/1092357/overviewRole: Role:
                Abdullah M. Alanazi: Role: Role: Role: Role:
                Journal
                Journal ID (nlm-ta): Front Public Health
                Journal ID (iso-abbrev): Front Public Health
                Journal ID (publisher-id): Front. Public Health
                Title: Frontiers in Public Health
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 2296-2565
                Publication date (Electronic): 07 March 2024
                Publication date Collection: 2024
                Volume: 12
                Electronic Location Identifier: 1348370
                Affiliations
                [1] 1Respiratory Therapy Department, Faculty of Applied Medical Sciences, Jazan University , Jazan, Saudi Arabia
                [2] 2Department of Respiratory Care, College of Applied Medical Sciences, King Faisal University , Al-Ahsa, Saudi Arabia
                [3] 3Department of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University , Jeddah, Saudi Arabia
                [4] 4Respiratory Therapy Unit, King Abdulaziz University Hospital , Jeddah, Saudi Arabia
                [5] 5Department of Respiratory Care, Prince Sultan Military College of Health Sciences , Dammam, Saudi Arabia
                [6] 6Respiratory Therapy Department, Batterjee Medical College , Khamis Mushait, Saudi Arabia
                [7] 7National Heart and Lung Institute, Imperial College London , London, United Kingdom
                [8] 8Respiratory Medicine, Royal Brompton Hospital , London, United Kingdom
                [9] 9Faculty of Medicine, Umm Al-Qura University , Mecca, Saudi Arabia
                [10] 10Department of Respiratory Therapy, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences , Riyadh, Saudi Arabia
                [11] 11King Abdullah International Medical Research Center , Riyadh, Saudi Arabia
                [12] 12Department of Health Administration and Hospitals, College of Public Health and Health Informatics, Umm Al-Qura University , Makkah, Saudi Arabia
                [13] 13Department of Family and Community Medicine, College of Medicine, Taibah University , Madinah, Saudi Arabia
                Author notes

                Edited by: Graça S. Carvalho, University of Minho, Portugal

                Reviewed by: Manfred Neuberger, Medical University of Vienna, Austria

                Nilesh Chandrakant Gawde, Tata Institute of Social Sciences, India

                *Correspondence: Abdulelah M. Aldhahir, Aldhahir.abdulelah@ 123456hotmail.com
                Article
                DOI: 10.3389/fpubh.2024.1348370
                PMC ID: 10954892
                PubMed ID: 38515594
                SO-VID: a51f86c7-514f-42f8-b083-cf30496de78d
                Copyright © Copyright © 2024 Aldhahir, Siraj, Alqarni, Alqahtani, Alyami, Majrshi, Alwafi, Alqahtani, Monshi, Al-Zalabani and Alanazi.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 02 December 2023
                Date accepted : 28 February 2024
                Page count
                Figures: 0, Tables: 2, Equations: 0, References: 36, Pages: 7, Words: 5565
                Funding
                The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.
                Categories
                Subject: Public Health
                Subject: Original Research
                Custom metadata
                section-at-acceptance Substance Use Disorders and Behavioral Addictions

                Keywords: smoking,tobacco,nicotine,healthcare,students
                Data availability:
                Keywords: smoking, tobacco, nicotine, healthcare, students

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