Article Text


Global health
SP4-24 Self-reported tobacco smoking practices among medical students and their perceptions towards training about tobacco smoking in medical curricula: a cross-sectional, questionnaire survey in Malaysia, India, Pakistan, Nepal, and Bangladesh
  1. C Sreeramareddy1,
  2. S Suri1,
  3. R G Menezes2,
  4. H N Harsha Kumar2,
  5. M Rehman3,
  6. R Islam3,
  7. M Shah4,
  8. B Sathian5,
  9. X V Pereira1,
  10. U Shetty6,
  11. V R Vaswani7
  1. 1Melaka Manipal Medical College, Melaka, Malaysia
  2. 2Kasturba Medical College, Mangalore, India
  3. 3Faridpur Medical College, Faridpur, Bangladesh
  4. 4CMH, Lahore Medical College, Lahore, Pakistan
  5. 5Manipal College of Medical Sciences, Pokhara, Nepal
  6. 6AJ Institute of Medical Sciences, Mangalore, India
  7. 7Yenepoya Medical College, Mangalore, India


Introduction Tobacco smoking issues in developing countries are usually taught non-systematically as and when the topic arose.

Methods A cross-sectional questionnaire survey was carried out among final year undergraduate medical students. An anonymous, self-administered questionnaire included items on demographic information, students' current practices about patients' tobacco smoking habits, their perception towards tobacco education in medical schools on a five point Likert scale. Questions about tobacco smoking habits were adapted from GHPSS questionnaire.

Results Overall response rate was 81.6% (922/1130). Median age was 22 years while 50.7% were males and 48.2% were females. The overall prevalence of “ever smokers” and “current smokers” was 31.7% and 13.1% respectively. A majority (>80%) of students asked about patients' smoking habits. Only a third of them did counselling, and assessed the patients' willingness to quit. Majority of the students agreed about doctors' role in tobacco control as being role models, competence in smoking cessation methods, counselling, and the need for training about tobacco cessation in medical schools. About 50% agreed that current curriculum teaches about tobacco smoking but not systematically and should be included as a separate module. Majority of the students indicated that topics about health effects, nicotine addiction and its treatment, counselling, prevention of relapse were important or very important in training about tobacco smoking.

Conclusion Medical educators should consider revising medical curricula to improve training about tobacco smoking cessation in medical schools. Our results should be supported by surveys from other medical schools in developing countries of Asia.

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