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COVID-19 SALGINI SIRASINDA ÖĞRENCİLERİN SİGARAYI BIRAKMAYA HAZIR OLMA VE SAĞLIK İNANÇ DÜZEYLERİNE GÖRE ÜNİVERSİTE KAMPÜSLERİNDE TÜTÜNSÜZ KAMPÜS POLİTİKASINA DESTEK

Yıl 2024, Cilt: 10 Sayı: 1, 132 - 143, 08.02.2024

Mehmet Kurcer Gülşen Karaca Merve Bektaş

Öz

Gençlerin %91,1'i kamuya açık kapalı alanlarda sigara yasağını desteklerken, %74,5'i açık alanlarda sigara içilmesinin yasaklanmasını istemektedir. Dumansız üniversite/kampüs için farklı ülkelerde örnekler mevcuttur. Konuyla ilgili uluslararası kuruluşların önerileri de mevcuttur. (Örneğin: Tüberküloz ve Akciğer Kanserine Karşı Uluslararası Örgüt tarafından hazırlanan kılavuz). Bu kılavuz dumansız üniversite/kampüs ile ilgili temel adımları içermektedir. Dumansız ve tütünsüz politikalar, Hastalık Kontrol ve Önleme Merkezleri (CDC) tarafından kapsamlı tütün kontrolü için en iyi uygulama olarak tavsiye edilmektedir. Bu çalışmada öğrencilerinde sağlık inanç modeline göre sigarayı bırakmaya hazır olma durumunun ve tütünsüz kampüs politikasına yönelik yaklaşımların tespit edilmesi amaçlanmıştır.
Öğrencilerin tütünsüz kampüs projelerine katılımını etkileyen faktörleri inceleyen bu kesitsel araştırmanın evrenini Zonguldak Bülent Ecevit Üniversitesi İbni Sina Kampüsü'nde tıp, diş hekimliği, hemşirelik, eczacılık fakülteleri ve sağlık hizmetleri meslek yüksekokullarından birinde öğrenim gören 1426 öğrenci oluşturmuştur. HBM-SCS (HBM-Sigara Bırakma Ölçeği) ve RSCS (Sigara Bırakmaya Hazır Olma Ölçeği) sigarayı bırakmaya hazır olma durumunu ve tütünsüz kampüs politikasına yönelik tutumları belirlemek için kullanılmıştır.
Öğrencilerin %47,8'i pandemide sigara içme davranışını değiştirmezken, %13,9'unun sigarayı artırdığını, %32,5'inin sigarayı azalttığını ve %5,7'sinin sigarayı bıraktığıtespit edilmiştir. 72,5'i tütünsüz kampüs politikasını desteklemeye isteklidir. 36,6'sı 6 ay içinde, %20'si ise 1 ay içinde sigarayı bırakmayı düşünmektedir. Tütünsüz kampüs politikasını desteklemeye istekli olan öğrencilerin HBM-SCS toplam puan ortalamaları (p=0.002) ve RSCS toplam puan ortalamaları (p<0.001) desteklemeyen öğrencilere göre anlamlı derecede yüksektir.
Tütünsüz kampüs politikaları gençler için kabul edilebilir ve sigara kullanımını önleyici olabilir.

Anahtar Kelimeler

Tütünsüz kampüs politikası Sigara bırakmaya hazır olma ölçeği Sağlık inanç modeli sigara bırakma ölçeği Sağlık inanç düzeyleri Sigara içmek Covid-19

Kaynakça

  • Akvardar, Y. , Demiral, Y. & Ergor, G. (2004). Substance use among medical students and physicians in a medical school in Turkey. Soc Psychiatry Psychiatr Epidemiol; 39:502-6.
  • Arcavi, L. , & Benowitz, N.L. (2004). Cigarette smoking and infection. Arch Intern Med, Nov 8;164(20):2206. doi: 10.1001/archinte.164.20.2206
  • Asut, Ö. (1993). Hekim ve Sigara [ Physician and Cigaret.] Turkish medical association publications, First edition
  • Bilir, N. (2008). Sigarayı Bırakma Yolları ( Sigaranın Zararlı Etkilerinden Korunma) [The ways to cessate smoking (Protection From Harmful Effect of smoking)]. Ministry Of Health, publication no:731, s. 7
  • Çalışkan, D. , Çulha, G. , Sarışen, Ö. , Karpuzoğlu, S. ,Tunçbilek, A. (2005). Ankara Üniversitesi Tıp Fakültesi öğrenci ve çalışanlarının sigara içme durumu ve etkili faktörler. [Smoking status and affecting factors in the students and workers in Ankara Unıversıty Faculty of Medicine] Ankara Üniversitesi Tıp Fakültesi Mecmuası, 58.3: 124-131.
  • Er, T. , Kurçer, M. A. (2020) . Tıp Fakültesi 1. ve 6. Sınıf Öğrencilerinin Sigara İçme Davranışları ve Anksiyete Düzeyleri [Smoking behaviors and anxiety levels of 1 st and 6 th grade medical students.] Publication of Addiction, 21.3: 201-209
  • Erbaycu, A. E. , Aksel, N. ,& Çakan, A. (2004). İzmir ilinde sağlık çalışanlarının sigara içme alışkanlıkları [ Smoking Habit of Health Professionals in İzmir City.]. Turkish Thoracic society, 5:6-12.
  • Gunes, G. , Karaoglu, L. , & Genc, M. F. (2005). University hospital physicians’ attitude and practices for smoking cessation counseling in Malatya, Turkey. Patient Educ Couns, 56:147-53.
  • Güleç, M. , Bakir, B. , & Ozer, M. (2005) . Association between cigarette smoking and depressive symptoms among military medical students in Turkey. Psychiatry Res, 134:281-6
  • Heatherton, T. F. , Kowlowski, L. T. , Frecker, R. C. ,& Fagerström, K. O. (1991). The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. Br J Addict, Sep, 86(9):1119-27. doi: 10.1111/j.1360-0443.1991.tb01879.x
  • Inandi, T. , Caman, O. K. , & Aydın, N. (2013). Global Health Professions Student Survey--Turkey: second-hand smoke exposure and opinions of medical students on anti-tobacco law. Cent Eur J Public Health, 21(3):134-39
  • Jackson, S. E. (2021). Association of the COVID‐19 lockdown with smoking, drinking and attempts to quit in England: an analysis of 2019–20 data. Addiction, 116.5: 1233-1244.
  • Karalezli, A. (2016). Gençlik ve Sigara Bırakma Tedavileri [Youth and Smoking Cessation Treatments.]. Current Chest Dieases series, 4(1): 128-135
  • Kecojevıc, A. (2020). Support for 100% Tobacco-Free Policy on a College Campus in New Jersey: Differences between students and faculty/staff. Journal of Public Health, 1-10
  • Kocabas, A. , Burgut, R. & Bozdemir, N. (1994). Smoking patterns at different medical schools in Turkey. Tob Control, 3(3):228-35
  • Kurcer, M.A. , & Erdogan, Z. (2020). A scale development study: The readiness to smoking cessation scale. Ann Med Res, 27(9):2391-5 2391
  • Kurcer, M.A. , & Erdogan, Z. (2020). Development Of The Smokıng Cessatıon Scale Accordıng To Health Belıef Model. Health sciences journel of Acıbadem Unıversıty, 11(3):464-470.
  • Lechner, W.V. , Meier, E. , Miller, M.B. , Wiener, J.W. , & Fils-Aime, Y. (2012). Changes in smoking prevalence, attitudes, and beliefs over 4 years following a campus-wide anti-tobacco intervention. J. Am. Coll. Health, 60, pp. 505-511
  • Lee, J.G.L , Ranney, L. M. ,& Goldstein, A.O. (2013). Cigarette butts near building entrances: what is the impact of smoke-free college campus policies?. Tob. Control. , 22, pp. 107-112
  • Mamudu, H. M. (2012). University personnel’s attitudes and behaviors toward the first tobacco-free campus policy in Tennessee. Journal of Community Health, 37.4: 855-864.
  • Mayda, S. A. (2009). The relatıonship between the prevalence of depressıve symptoms ın the students of medıcal faculty wıth demographıc characterıstıcs, cıgarette, alcohol and substance use, domınant hand and exposed vıolence tübav scientific journel, 2.4: 476-483
  • Park, J. - E. , Jung, S. , & Kim, A. (2018). MERS transmission and risk factors: a systematic review. BMC Pub Health, Dec 2;18(1):574. doi: 10.1186/s12889-018-5484-8.
  • Quan, G.(2021) Reflectıons On The ‘Other Cop’ – Progress On Tobacco Control Despıte Covıd And Industry Attacks. https://www.theunion.org/what-we-do/publications/ english/pubtc_campus-factsheet-en.pdf.
  • Prochaska, D. O. , Diclemente, C. C., & Norcross, D. C. (1983). Stage and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390–395.
  • Prochaska, J. O. , DiClemente, C. C. , & Norcross, J. C. (1992). In search of how people change. Applications to addictive behaviors. Am Psychol, Sep;47(9):1102-14.
  • Ricardo, J. (2020). Effects of a campus-wide tobacco-free policy on tobacco attitudes, norms and behaviors among students, staff and faculty. Journal of American College Health, 1-12.
  • Roengrudee, P. (2020). Smoking Is Associated With COVID-19 Progression: A Meta-analysis. Nicotine & Tobacco Research, Volume 22, Issue 9, September, Pages 1653–1656, https://doi.org/10.1093/ntr/ntaa082
  • Sahin, E. M. , Ozer, & C. Dağdeviren, N. (2005). Physicians Smoke as much as their Patients in Turkey. Middle East Journal of Family Medicine, 3(2):1-7.
  • Schwartz, J. L. (1992). Methods of smoking cessation. Med Clin North Am, 76:451-76. Schwartz, J. L. (1987). Review and Evaluation of Smoking Cessation Methods: The United States and Canada, 1978-1985. NIH publications; 87- 2940, 1987; pp:125- 156
  • Seo, D.-C. , Macy, J.T. , Torabi, M.R. ,& Middlestadt, S.E. (2011). The effect of a smoke-free campus policy on college students' smoking behaviors and attitudes. Prev. Med. , 53 , pp. 347-354
  • Şenol, Y. , Dönmez, L. , & Turkay, M. (2006). The incidence of smoking and risk factors for smoking initiation in medical faculty students: cohort study. BMC Public Health, 6:128.
  • T. C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. (2017). Küresel Gençlik Tütün Araştırması,(KGTA-2017) [Global Youth tobacco research (GYTR-2017)]
  • U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. ( 2014). The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta, GA.
  • US Department of Health and Human Services-Public Health Service (June,2020). Clinical Practice Guideline Treating Tobacco Use and Dependence
  • Ünüvar, E. M. , & Dişçigil, G. (2017) . Sigarayı bırakma girişimlerinde başarıyı etkileyen faktörler - Hekim adayları örneği [Smoking cessation attempts and associated factors with success – Medical students sample.] .Jour Turk Fam Phy, 08 (3): 57-65. Doi: 10.15511/tjtfp.17.00357
  • Vardavas C., Nikitara K. (2020). COVID-19 and smoking: a systematic review of the evidence. http://www.journalssystem.com/tid/COVID-19-and-smoking-A-systematic-review-of-the-evidence
  • Yengil, E. (2014). Smoking Among Medical School Students and Attitudes against Smoking. Konuralp Medical Journal, 6.3: 1-7.
  • World Health Organization. Implementing tobacco control. Available from http://www.who.int/tobacco/control/en/.
  • World Health Organization Tobacco Free Initiative. (2004). Building blocks for tobacco control. A handbook ( p. 4-13.)
  • World Health Organization. Why tobacco is a public health priority. Available from http://www.who.int/tobacco/ health_priority/en/
  • Zhou, X. (2009). Attempts to quit smoking and relapse: factors associated with success or failure from the ATTEMPT cohort study. Addictive behaviors, 34.4: 365-373

SUPPORT FOR TOBACCO-FREE CAMPUS POLICY (TFCP) IN UNIVERSITY CAMPUS ACCORDING TO READINESS TO QUIT SMOKING AND HEALTH BELIEF LEVELS OF STUDENTS DURING THE COVID-19 PANDEMIC

Yıl 2024, Cilt: 10 Sayı: 1, 132 - 143, 08.02.2024

Mehmet Kurcer Gülşen Karaca Merve Bektaş

Öz

%91,1 of young people support smoking bans in public indoor areas and %74,5 want smoking to be banned in open places. Examples are available in different countries for smokeless university/campus. Suggestions on the subject by international organisations also exist. (For example: The guideline prepared by İnternational Organisation Against Tuberculosis and Lung Cancer.) This Guidline includes basic steps relating to smokeless university/campus. Smoke and tobacco-free policies are recommended by the Centers for Disease Control and Prevention (CDC) as a best practice for comprehensive tobacco control. It was aimed to detect readiness to quit smoking and approaches towards Tobacco free campus policy (TFCP) according to health belief model in university students during Covid-19 pandemic.
Population of this cross sectional research examining factors affecting students’ participation in tobacco free campus projects consisted of 1426 students studying in one of the faculties of medicine, dentistry, nursing, pharmacy and vocational school of health services in İbni Sina Campus of Zonguldak Bülent Ecevit University. HBM-SCS (HBM-Smoking Cessation Scale) and RSCS (Readiness to Smoking Cessation Scale) were used to detect readiness to quit smoking and attitudes towards TFCP
We detected that while %47,8 of the students didn’t change smoking behavior in pandemic,%13,9 increased smoking,%32,5 reduced smoking and %5.7 quitted smoking. %72.5 had willingness to support TFCP. %36,6 thought of quitting smoking within 6 months and %20 thought of quitting smoking within 1 month. Means of HBM-SCS total scores (p=0.002) and RSCS total scores (p<0.001) in students who had willingness to support TFCP were significantly higher than students who didn’t.
Tobacco free campus policies can be acceptable and preventive steps for young people.

Anahtar Kelimeler

Tobacco free campus policy Readiness to smoking cessation scale Health belief model-smoking cessation scale Health belief levels Smoking Smoking in covid-19

Kaynakça

  • Akvardar, Y. , Demiral, Y. & Ergor, G. (2004). Substance use among medical students and physicians in a medical school in Turkey. Soc Psychiatry Psychiatr Epidemiol; 39:502-6.
  • Arcavi, L. , & Benowitz, N.L. (2004). Cigarette smoking and infection. Arch Intern Med, Nov 8;164(20):2206. doi: 10.1001/archinte.164.20.2206
  • Asut, Ö. (1993). Hekim ve Sigara [ Physician and Cigaret.] Turkish medical association publications, First edition
  • Bilir, N. (2008). Sigarayı Bırakma Yolları ( Sigaranın Zararlı Etkilerinden Korunma) [The ways to cessate smoking (Protection From Harmful Effect of smoking)]. Ministry Of Health, publication no:731, s. 7
  • Çalışkan, D. , Çulha, G. , Sarışen, Ö. , Karpuzoğlu, S. ,Tunçbilek, A. (2005). Ankara Üniversitesi Tıp Fakültesi öğrenci ve çalışanlarının sigara içme durumu ve etkili faktörler. [Smoking status and affecting factors in the students and workers in Ankara Unıversıty Faculty of Medicine] Ankara Üniversitesi Tıp Fakültesi Mecmuası, 58.3: 124-131.
  • Er, T. , Kurçer, M. A. (2020) . Tıp Fakültesi 1. ve 6. Sınıf Öğrencilerinin Sigara İçme Davranışları ve Anksiyete Düzeyleri [Smoking behaviors and anxiety levels of 1 st and 6 th grade medical students.] Publication of Addiction, 21.3: 201-209
  • Erbaycu, A. E. , Aksel, N. ,& Çakan, A. (2004). İzmir ilinde sağlık çalışanlarının sigara içme alışkanlıkları [ Smoking Habit of Health Professionals in İzmir City.]. Turkish Thoracic society, 5:6-12.
  • Gunes, G. , Karaoglu, L. , & Genc, M. F. (2005). University hospital physicians’ attitude and practices for smoking cessation counseling in Malatya, Turkey. Patient Educ Couns, 56:147-53.
  • Güleç, M. , Bakir, B. , & Ozer, M. (2005) . Association between cigarette smoking and depressive symptoms among military medical students in Turkey. Psychiatry Res, 134:281-6
  • Heatherton, T. F. , Kowlowski, L. T. , Frecker, R. C. ,& Fagerström, K. O. (1991). The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. Br J Addict, Sep, 86(9):1119-27. doi: 10.1111/j.1360-0443.1991.tb01879.x
  • Inandi, T. , Caman, O. K. , & Aydın, N. (2013). Global Health Professions Student Survey--Turkey: second-hand smoke exposure and opinions of medical students on anti-tobacco law. Cent Eur J Public Health, 21(3):134-39
  • Jackson, S. E. (2021). Association of the COVID‐19 lockdown with smoking, drinking and attempts to quit in England: an analysis of 2019–20 data. Addiction, 116.5: 1233-1244.
  • Karalezli, A. (2016). Gençlik ve Sigara Bırakma Tedavileri [Youth and Smoking Cessation Treatments.]. Current Chest Dieases series, 4(1): 128-135
  • Kecojevıc, A. (2020). Support for 100% Tobacco-Free Policy on a College Campus in New Jersey: Differences between students and faculty/staff. Journal of Public Health, 1-10
  • Kocabas, A. , Burgut, R. & Bozdemir, N. (1994). Smoking patterns at different medical schools in Turkey. Tob Control, 3(3):228-35
  • Kurcer, M.A. , & Erdogan, Z. (2020). A scale development study: The readiness to smoking cessation scale. Ann Med Res, 27(9):2391-5 2391
  • Kurcer, M.A. , & Erdogan, Z. (2020). Development Of The Smokıng Cessatıon Scale Accordıng To Health Belıef Model. Health sciences journel of Acıbadem Unıversıty, 11(3):464-470.
  • Lechner, W.V. , Meier, E. , Miller, M.B. , Wiener, J.W. , & Fils-Aime, Y. (2012). Changes in smoking prevalence, attitudes, and beliefs over 4 years following a campus-wide anti-tobacco intervention. J. Am. Coll. Health, 60, pp. 505-511
  • Lee, J.G.L , Ranney, L. M. ,& Goldstein, A.O. (2013). Cigarette butts near building entrances: what is the impact of smoke-free college campus policies?. Tob. Control. , 22, pp. 107-112
  • Mamudu, H. M. (2012). University personnel’s attitudes and behaviors toward the first tobacco-free campus policy in Tennessee. Journal of Community Health, 37.4: 855-864.
  • Mayda, S. A. (2009). The relatıonship between the prevalence of depressıve symptoms ın the students of medıcal faculty wıth demographıc characterıstıcs, cıgarette, alcohol and substance use, domınant hand and exposed vıolence tübav scientific journel, 2.4: 476-483
  • Park, J. - E. , Jung, S. , & Kim, A. (2018). MERS transmission and risk factors: a systematic review. BMC Pub Health, Dec 2;18(1):574. doi: 10.1186/s12889-018-5484-8.
  • Quan, G.(2021) Reflectıons On The ‘Other Cop’ – Progress On Tobacco Control Despıte Covıd And Industry Attacks. https://www.theunion.org/what-we-do/publications/ english/pubtc_campus-factsheet-en.pdf.
  • Prochaska, D. O. , Diclemente, C. C., & Norcross, D. C. (1983). Stage and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390–395.
  • Prochaska, J. O. , DiClemente, C. C. , & Norcross, J. C. (1992). In search of how people change. Applications to addictive behaviors. Am Psychol, Sep;47(9):1102-14.
  • Ricardo, J. (2020). Effects of a campus-wide tobacco-free policy on tobacco attitudes, norms and behaviors among students, staff and faculty. Journal of American College Health, 1-12.
  • Roengrudee, P. (2020). Smoking Is Associated With COVID-19 Progression: A Meta-analysis. Nicotine & Tobacco Research, Volume 22, Issue 9, September, Pages 1653–1656, https://doi.org/10.1093/ntr/ntaa082
  • Sahin, E. M. , Ozer, & C. Dağdeviren, N. (2005). Physicians Smoke as much as their Patients in Turkey. Middle East Journal of Family Medicine, 3(2):1-7.
  • Schwartz, J. L. (1992). Methods of smoking cessation. Med Clin North Am, 76:451-76. Schwartz, J. L. (1987). Review and Evaluation of Smoking Cessation Methods: The United States and Canada, 1978-1985. NIH publications; 87- 2940, 1987; pp:125- 156
  • Seo, D.-C. , Macy, J.T. , Torabi, M.R. ,& Middlestadt, S.E. (2011). The effect of a smoke-free campus policy on college students' smoking behaviors and attitudes. Prev. Med. , 53 , pp. 347-354
  • Şenol, Y. , Dönmez, L. , & Turkay, M. (2006). The incidence of smoking and risk factors for smoking initiation in medical faculty students: cohort study. BMC Public Health, 6:128.
  • T. C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. (2017). Küresel Gençlik Tütün Araştırması,(KGTA-2017) [Global Youth tobacco research (GYTR-2017)]
  • U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. ( 2014). The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta, GA.
  • US Department of Health and Human Services-Public Health Service (June,2020). Clinical Practice Guideline Treating Tobacco Use and Dependence
  • Ünüvar, E. M. , & Dişçigil, G. (2017) . Sigarayı bırakma girişimlerinde başarıyı etkileyen faktörler - Hekim adayları örneği [Smoking cessation attempts and associated factors with success – Medical students sample.] .Jour Turk Fam Phy, 08 (3): 57-65. Doi: 10.15511/tjtfp.17.00357
  • Vardavas C., Nikitara K. (2020). COVID-19 and smoking: a systematic review of the evidence. http://www.journalssystem.com/tid/COVID-19-and-smoking-A-systematic-review-of-the-evidence
  • Yengil, E. (2014). Smoking Among Medical School Students and Attitudes against Smoking. Konuralp Medical Journal, 6.3: 1-7.
  • World Health Organization. Implementing tobacco control. Available from http://www.who.int/tobacco/control/en/.
  • World Health Organization Tobacco Free Initiative. (2004). Building blocks for tobacco control. A handbook ( p. 4-13.)
  • World Health Organization. Why tobacco is a public health priority. Available from http://www.who.int/tobacco/ health_priority/en/
  • Zhou, X. (2009). Attempts to quit smoking and relapse: factors associated with success or failure from the ATTEMPT cohort study. Addictive behaviors, 34.4: 365-373
Toplam 41 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Tıbbi Antropoloji
Bölüm Makaleler
Yazarlar

Mehmet Kurcer 0000-0003-2672-1079

Gülşen Karaca 0000-0003-1209-9039

Merve Bektaş

Yayımlanma Tarihi 8 Şubat 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 10 Sayı: 1

Kaynak Göster

APA Kurcer, M., Karaca, G., & Bektaş, M. (2024). SUPPORT FOR TOBACCO-FREE CAMPUS POLICY (TFCP) IN UNIVERSITY CAMPUS ACCORDING TO READINESS TO QUIT SMOKING AND HEALTH BELIEF LEVELS OF STUDENTS DURING THE COVID-19 PANDEMIC. International Anatolia Academic Online Journal Social Sciences Journal, 10(1), 132-143.


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