AWARENESS, ATTITUDES AND SOCIAL DETERMINANTS OF SMOKING BEHAVIOR AMONG UNIVERSITY STUDENTS: AN ANALYTICAL STUDY
DOI:
https://doi.org/10.37268/mjphm/vol.24/no.2/art.2453Keywords:
tobacco, Smoking, Germany, Indonesia, HealthAbstract
Tobacco usage is a major public health concern and a leading cause of morbidity and mortality worldwide. We aim to analyze health awareness and attitudes towards smoking among students in two universities in Germany and the associations between various social factors and smoking behavior. This is a cross-sectional analysis of data collected from students using a pretested, structured questionnaire. In regression analysis, there was a positive association between the male sex and smoking behavior (OR, 1.8; 95%CI, 1-3.1). The high academic level had a negative association with smoking behavior in the bivariable analysis (OR, 0.3; 95%CI, 0.2 - 0.6). On bivariable analysis, there was a negative association between good knowledge and smoking behavior (OR, 0.6; 95 0.33-1). Students with attitude proponents for smoking had a positive association with smoking behavior in the multiple regression model (OR, 4; 95%CI, 1.7 – 9.1). The presence of someone in the surrounding environment who smokes such as a family member or friend was positively associated with smoking behavior (OR, 4.4; 95_%CI, 1.34 – 14.56). There was no significant association between different kinds of advertisements and smoking behavior. Receiving any kind of promotion was strongly associated with smoking behavior (OR, 2.3; 95%CI, 1.1 – 4.5). There are several factors determining smoking behavior among university students including social factors and awareness level about potential health risks. Successful smoking prevention programs should consider the social environment's influence on the start and maintenance of smoking behavior, including the effect of parents, peers, and friends.
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