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Abstract
PREVALENCE OF SMOKING AND ITS DETERMINANTS AMONG MEDICAL STUDENTS IN MOSUL CITY
*Dr. Omar Ahmed Suleiman, Dr. Firas Husam Ali
ABSTRACT
Background: Tobacco use remains a major global public health concern, particularly among young adults. Medical students are considered at higher risk of smoking due to academic and psychological pressures, and understanding the prevalence and determinants of smoking in this group is essential for prevention strategies, especially given their future role in counseling patients against tobacco use; however, data on this issue remain limited in Iraq. Aim: To assess the prevalence of smoking and identify its key determinants among medical students in Mosul City. Methods: A descriptive cross-sectional study was conducted among 486 medical students of both sexes and all academic stages at the College of Medicine, University of Mosul, and the Medical College, University of Nineveh, using a self-administered online questionnaire covering socio-demographic data, smoking behavior, and social and psychological factors; data were analyzed using SPSS version 25. Results: The overall prevalence of smoking was 31.3% and was markedly higher among males (41.5%) than females (13.4%) and among rural (43.2%) than urban (29.6%) residents. Prevalence varied by academic stage, from 27.7% (sixth stage) to 37.3% (fourth stage), and was strongly associated with having smoking family members (15.4% to 53.8%) and smoker friends (7.8% to 51.7%). Cigarettes were the most common type used (40.4%); most smokers initiated after age 18 (61.8%); and the majority were light smokers (1-10 cigarettes/day, 44.3%). Curiosity (69.1%) and the influence of smoker celebrities (27.1%) were the leading reported reasons for initiation. Conclusion: Smoking was relatively common among medical students, particularly among males, rural residents, and those with familial or peer exposure to tobacco. Targeted interventions addressing psychosocial and environmental determinants, alongside continued awareness efforts, are needed to reduce smoking prevalence in this population.
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