Female nursing students’ knowledge, attitudes, beliefs and behaviors toward smoking: A cross-sectional study in Saudi Arabia
Abstract
Background & Aim: Tobacco use is a leading cause or contributor to several chronic health illnesses. Smokers should be encouraged to quit smoking by healthcare providers. Nursing students represent a substantial part of the health delivery workforce in the future. It is crucial to know their knowledge and involvement in tobacco smoking control. We investigate smoking knowledge, attitudes, beliefs, and behaviors toward tobacco smoking among undergraduate nursing program female students.
Methods & Materials: A cross-sectional, descriptive correlational design was used to achieve the study aims. The subjects were 134 female undergraduate nursing students who were recruited in 2016 from a school in a governmental university located in Riyadh, Saudi Arabia. A questionnaire that included the Global Health Professional Student Survey along with additional relevant questions was utilized.
Results: Throughout their lifetime, 80.6% reported not smoking any type of tobacco product (never called smokers), and 19.4% reported smoking either cigarettes or waterpipes (called smokers ever). Female nursing students were less likely to become smokers if they thought that a smoker who quits smoking would ‘very likely’ or ‘likely’ avoid or decrease serious health problems [OR: 8.08 (95% CI: 2.00, 32.70), p = < 0.01]. Whereas students who were allowed to smoke at home, or were allowed to smoke in the presence of children, were more likely to become smokers.
Conclusion: Knowledge about the harmful consequences of smoking alone was not enough to motivate smokers to quit. Nursing students should receive training on smoking cessation techniques.
2. Organization for Economic Cooperation and Development, World Health Organization. Tobacco. Geneva: Switzerland: Organisation for Economic Cooperation and Development and World Health Organization; 2020.
3. Center for Chronic Disease Prevention. Smoking and tobacco Use: Fast Facts. Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion. 2021 [cited 2022 Oct 22]; Available from: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/fast_facts/index.htm.
4. Rice VH, Heath L, Livingstone-Banks J, Hartmann-Boyce J. Nursing interventions for smoking cessation. Cochrane Database of Systematic Reviews. Dec 15;12(12):CD001188.
5. Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice. European Heart Journal. 2016;37(29):2315-81.
6. National Institute for Health and Care Excellence. Tobacco: preventing uptake, promoting quitting and treating dependence: NICE guideline. Manchester, UK: National Institute for Health and Care Excellence; 2021.
7. Ganley BJ, Rosario DI. The smoking attitudes, knowledge, intent, and behaviors of adolescents and young adults: Implications for nursing practice. Journal of Nursing Education and Practice. 2013;3(1):40.
8. Radsma J, Bottorff JL. Counteracting ambivalence: nurses who smoke and their health promotion role with patients who smoke. Research in Nursing and Health. 2009;32(4):443-52.
9. Centers for Disease Control and Prevention. Saudi Arabia - Nursing Students 2010 (3rd Year Students Only) Global Health Professions Student Survey (GHPSS). [cited 2022 Oct 22]; Available from: https://nccd.cdc.gov/GTSSDataSurveyResources/Ancillary/DownloadAttachment.aspx?ID=1064.
10. Awan KH, Hammam MK, Warnakulasuriya S. Knowledge and attitude of tobacco use and cessation among dental professionals. Saudi Dental Journal. 2015;27(2):99-104.
11. Azhar A, Alsayed N. Prevalence of smoking among female medical students in Saudai Arabia. Asian Pacific Journal of Cancer Prevention. 2012;13(9):4245-8.
12. Amin HS, Alomair AN, Alhammad AH, Altwijri FA, Altaweel AA, Alandejani TA. Tobacco consumption and environmental exposure among healthcare students in King Saud University in Riyadh. Journal of Family Medicine and Primary Care. 2020;9(2):657-63.
13. Lopez AA, Eissenberg T, Jaafar M, Afifi R. Now is the time to advocate for interventions designed specifically to prevent and control waterpipe tobacco smoking. Addictive Behaviors. 2017;66:41-7.
14. Centers for Disease Control and Prevention. Global Health Professions Student Survey. 2022 [cited 2022 Oct 22]; Available from: https://nccd.cdc.gov/GTSSDataSurveyResources/Ancillary/DownloadAttachment.aspx?ID=57.
15. Nilan K, McKeever TM, McNeill A, Raw M, Murray RL. Prevalence of tobacco use in healthcare workers: A systematic review and meta-analysis. PloS one. 2019;14(7):e0220168.
16. de Gravelles P, Barone C. Findings of the Global Health Professions Student Survey (GHPSS) of Baccalaureate Nursing Programs in Arkansas. International Journal of Nursing and Health Care Research. 2019;4(2):1-9.
17. Fiore MC, Tobacco Use and Dependence Guideline Panel. Treating tobacco use and dependence:2008 update. 2008 update ed. Rockville, Md.: U.S. Dept. of Health and Human Services, Public Health Service.
18. Martínez C, Castellano Y, Laroussy K, Fu M, Baena A, Margalef M, et al. Knowledge, attitudes, and training in tobacco dependence and cessation treatment among nursing students in Catalonia (ECTEC Study): Cross-sectional study. International Journal of Mental Health and Addiction. 2021; 9:1-16.
19. Sychareun V, Hansana V, Choummanivong M, Nathavong S, Chaleunvong K, Durham J. Cross-sectional survey: Smoking among medical, pharmacy, dental and nursing students, University of Health Sciences, Lao PDR. BMJ Open. 2013;3(8):e003042.
20. Matranga D, Restivo V, Maniscalco L, Bono F, Pizzo G, Lanza G, Gaglio V, Mazzucco W, Miceli S. Lifestyle medicine and psychological well-being toward health promotion: a cross-sectional study on Palermo (Southern Italy) undergraduates. International Journal of Environmental Research and Public Health. 2020 Aug;17(15):5444.
21. Fiore MC, Adsit R. Will Hospitals Finally “Do the Right Thing”?–Providing Evidence-Based Tobacco Dependence Treatments to Hospitalized Patients who Smoke. Joint Commission journal on quality and patient safety/Joint Commission Resources. 2016 May;42(5):207.
Files | ||
Issue | Vol 9 No 4 (2022): Autumn | |
Section | Original Article(s) | |
DOI | https://doi.org/10.18502/npt.v9i4.11202 | |
Keywords | ||
tobacco cigarettes cigar waterpipe addiction students nursing Saudi Arabia |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |