The use of drugs and medical students: a literature review

Cândido, Fernando José Leopoldino Fernandes; Souza, Rodrigo Diego de; Stumpf, Matheo Augusto Morandi; Fernandes, Luiz Gustavo Rachid; Veiga, Rafael Valente; Santin, Matheus da Silva; Kluthcovsky, Ana Cláudia Garabeli Cavalli

doi:10.1590/1806-9282.64.05.462

Cited by 52 publications

(60 citation statements)

References 24 publications

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“…15 Candido et al (2018) conducted a narrative review and found tobacco to be the second most common drug used by Brazilian male medical students despite their understanding of its harmful effects. 16 Our study found that senior students and students residing in the hostel were more likely to be tobacco users which is consistent with the findings of previous studies indicating the detrimental role of peer pressure. We also observed suboptimal awareness of the harmful effects of tobacco use and legislation against a ban on smoking in public places (COTPA Act).…”

Section: Discussionsupporting

confidence: 92%

Tobacco use patterns and tobacco-related awareness in medical students of Delhi

Vankhuma

Basu

Sharma

et al. 2020

Clinical Epidemiology and Global Health

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Background: Tobacco use is globally one of the leading preventable causes of premature death, disease, and disability. Tobacco use among health professionals is a key interest domain in the area of tobacco-related surveillance since physicians have a pivotal role in tobacco cessation. The objectives of this study were to determine the prevalence of tobacco use among the undergraduate male medical students and assess their awareness of anti-smoking legislation in India. Material and methods: We conducted a cross-sectional study among male undergraduate medical (M.B.B.S) students at a premier medical college in New Delhi, India during Jan-Dec' 2015. A total of 302 students completed the self-administered questionnaire. We analyzed the data on SPSS 17. Results: The prevalence of tobacco (cigarette) smoking in medical students was 9.3%. There were 203 (67.2%) students aged below 20 years. Tobacco smoking in the students increased with age and professional year indicating initiation into smoking during college-life. Tobacco use was also significantly higher in the students living in hostels compared to those living with their families (p = 0.004). Ninety-four (31.1%) students were unaware that smoking causes lung cancer and 159 (52.6%) students did not consider smoking as a causal risk factor for coronary heart disease. A total of 205 (67.9%) students were aware of the existence of a tobacco control law in India and 258 (85.4%) had knowledge of the ban on smoking in public places. Conclusion: Tobacco usage and the gaps in awareness of its harmful effects among medical students represents a major health concern.

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Section: Discussionsupporting

confidence: 92%

Tobacco use patterns and tobacco-related awareness in medical students of Delhi

Vankhuma

Basu

Sharma

et al. 2020

Clinical Epidemiology and Global Health

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“…Regarding marijuana, 5.2% of students were consumers, slightly lower than in comparable studies ( Suerken et al, 2016 ; Ayala et al, 2017 ; Candido et al, 2018 ). Overall, even half of the students reported binge drinking.…”

Section: Discussioncontrasting

confidence: 60%

Successful promotion of physical activity among students of medicine through motivational interview and Web-based intervention

Mandić

Bjegović-Mikanović

Vukovic

et al. 2020

PeerJ

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Background Regular physical activity supports healthy behavior and contributes to the reduction of preventable diseases. Students in their social transition period are the ideal groups for interventions. The higher education period, associated with demanding changes and poor time management, results in a low level of physical activity. In this age, social media usually are a suitable channel of communication and multicomponent interventions are the most desirable. It has not been sufficiently investigated how effective a Web-based approach is among university students when it comes to physical activity in the long-term period. We combined a Web-based approach with motivational interviews and tested these two interventions together and separate to assess their impact on improving the physical activity of medical students 1 year after the intervention. Methods All 514 first-year students at the Faculty of Medicine in Belgrade were invited to fill in a baseline questionnaire. Also, they underwent measurement of weight, height and waist circumference. After that, students selected a 6 months intervention according to their preference: Intervention through social media (Facebook) (Group 1) or combined with a motivational interview (Group 2). Group 3 consisted of students without any intervention. One year after completion of the 6 months intervention period, all students were invited to a second comprehensive assessment. Analyses were performed employing a wide range of statistical testing, including direct logistic regression, to identify determinants of increased physical activity measured by an average change of Metabolic Equivalent of Task (MET). This outcome measure was defined as the difference between the values at baseline and one year after completion of the 6 months intervention period. Results Due to a large number of potential determinants of the change of MET, three logistic regression models considered three groups of independent variables: basic socio-demographic and anthropometric data, intervention and willingness for change, and health status with life choices. The only significant model comprised parameters related to the interventions (p < 0.001). It accurately classified 73.5% of cases. There is a highly significant overall effect for type of intervention (Wald = 19.5, df = 2, p < 0.001) with high odds for the increase of physical activity. Significant relationship between time and type of intervention also existed (F = 7.33, p < 0.001, partial η2 = 0.091). The influence of both factors (time and interventions) led to a change (increase) in the dependent variable MET. Conclusion Our study confirmed the presence of low-level physical activity among students of medicine and showed that multicomponent interventions have significant potential for positive change. The desirable effects of the Web-based intervention are higher if an additional booster is involved, such as a motivational interview.

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“…Our findings are consistent with previous research; illicit substance users among students at 8 German universities were predominately male [ 1 ]. A literature review found that males tend to consume significantly more amounts of all kinds of drugs, with the exception of tranquilizers [ 87 ]. Likewise, khat chewing was practiced more by males compared to females [adjusted odds ratio (AOR) 2.45, 95% CI 1.06–5.66)] [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…These observations agree with other research among college students, where living with one’s parents was shown to be a protective factor regarding illicit substance use among college students [ 10 , 93 ]. In Brazil, others similarly found that students who do not use psychoactive drugs were more likely to live with their parents [ 87 ], and familial support was protective for prescription-type opioids use among university students [ 94 ]. Living with one’s parents was shown to be protective factors concerning ISU among college students [ 10 , 11 , 93 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Socio-Demographic, Academic, Health and Lifestyle Predictors of Illicit Drug/s Use among University Undergraduate Students in Finland

Ansari

Salam

Suominen

2020

IJERPH

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Illicit drug/s use (IDU) among university students is a public health concern. We assessed the associations between socio-demographic, academic, and health and lifestyle characteristics (independent variables) and regular, occasional or never IDU (dependent variables). Data were collected across seven faculties (1177 students) at the University of Turku (Finland) via an online questionnaire. About 1.5% of the sample had regular IDU, 19% occasional IDU, and 79% never IDU. Independent predictors of ever (lifetime) IDU included males [adjusted odds ratio (AOR) 1.82, P = 0.001], not living with parents (AOR 2.59, P < 0.001), singles (AOR 0.51, P < 0.001), lower religiosity (AOR 1.49, P = 0.022), better self-rated general health (AOR 0.41, P = 0.003), higher health awareness (AOR 1.93, P = 0.014), more depressive symptoms (AOR 1.82, P = 0.004), daily smokers (AOR 3.69, P < 0.001), heavy episodic drinking (AOR 2.38, P < 0.001) and possible alcohol dependency (AOR 2.55, P < 0.001). We observed no independent associations between ever IDU with age, study discipline, perceived stress or academic performance. The 20.5% ever IDU is concerning. The compelling independent predictors of ever IDU included not living with parents, lower religiosity, daily smokers, heavy episodic drinking and possible alcohol dependency (AOR range 2.38–3.69). Education and prevention need to emphasize the negative consequences to reinforce abstinence from IDU. Health promotion could focus on beliefs and expectations about IDU and target students at risk for successful efforts.

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The use of drugs and medical students: a literature review

Cited by 52 publications

References 24 publications

Tobacco use patterns and tobacco-related awareness in medical students of Delhi

Tobacco use patterns and tobacco-related awareness in medical students of Delhi

Successful promotion of physical activity among students of medicine through motivational interview and Web-based intervention

Prevalence and Socio-Demographic, Academic, Health and Lifestyle Predictors of Illicit Drug/s Use among University Undergraduate Students in Finland

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