Assessing Smoking Habits, Attitudes, Knowledge, and Needs among University Students at the University of Milan, Italy
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Population
2.2. Questionnaire for the Assessment of Smoking Habits, Attitudes, Knowledge, and Needs
2.3. Data Analysis
3. Results
3.1. Study Participants
3.2. Active Smoking Habits
3.3. Active Smoking of Traditional Tobacco Cigarettes
3.4. Electronic Cigarettes or HTP Use
3.5. Passive Smoking
3.6. Awareness of Smoking Health-Related Issues and Role of Healthcare Professionals
3.7. Knowledge and Attitudes towards Smoking Legislation and Policy
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | Students Participating to the Survey N (%) | Student Population N (%) | Participation Rate (%) | |
---|---|---|---|---|
Sex | Male | 2408 (36.5) | 26,233 (40.5) | 9.2 |
Female | 4105 (62.1) | 38,568 (59.5) | 10.6 | |
intersex | 19 (0.3%) | n.a. | - | |
not declared | 73 (1.1%) | n.a. | - | |
Age (year) | 18–25 years | 5555 (84.1) | 51,128 (78.9) | 10.9 |
≥26 years | 1050 (15.9) | 13,673 (21.1) | 7.7 | |
Faculty | Law | 441 (6.7) | 6835 (10.5) | 6.5 |
PESS | 891 (13.5) | 8240 (12.7) | 10.8 | |
Hum | 1447 (21.9) | 15,795 (24.4) | 9.2 | |
Med | 969 (14.7) | 8132 (12.5) | 11.9 | |
Pha | 486 (7.4) | 3946 (6.1) | 12.3 | |
STE | 1353 (20.5) | 9978 (15.4) | 13.6 | |
Agr | 350 (5.3) | 3485 (5.4) | 10.0 | |
Vet | 170 (2.6) | 1492 (2.3) | 11.4 | |
LMIC | 401 (6.1) | 5578 (8.6) | 7.2 | |
Sport | 97 (1.5) | 1320 (2.1) | 7.3 |
Characteristics | Nonsmokers | Smokers/Vapers | ||||||
---|---|---|---|---|---|---|---|---|
Never Smokers N (%) | Former Smokers N (%) | Total Nonsmokers 1 N (%) | Tobacco Cigarettes Only N (%) | e-cigs/HTPs Only N (%) | Dual 2 N (%) | Total Smokers/Vapers 3 N (%) | ||
All subjects | 4212 (63.8) | 687 (10.4) | 4899 (74.2) | 1278 (19.3) | 184 (2.8%) | 244 (3.7%) | 1706 (25.8) | |
Sex | Male | 1430 (59.4) | 275 (11.4) | 1705 (70.8) | 538 (22.3) | 70 (2.9) | 95 (3.9) | 703 (29.2) |
Female | 2734 (66.6) | 403 (9.8) | 3137 (76.4) | 710 (17.3) | 114 (2.8) | 144 (3.5) | 968 (23.6) | |
Age (years) | 18–25 | 3608 (65.0) | 485 (8.7) | 4093 (73.7) | 1097 (19.7) | 153 (2.8) | 212 (3.8) | 1462 (26.3) |
≥26 | 604 (57.5) | 202 (19.3) | 806 (76.7) | 181 (17.2) | 31 (3.0) | 32 (3.0) | 244 (23.3) | |
Faculty | Law | 232 (52.6) | 61 (13.8%) | 293 (66.4) | 103 (23.4) D,E,F | 18 (4.1) | 27 (6.1) | 148 (33.6) D,E,F |
PESS | 481 (54.0) | 97 (10.9) | 587 (64.9) | 235 (26.4) D,E,F,G,H | 35 (3.9) | 43 (4.8) | 313 (35.1) D,E,F,G,H,I | |
Hum | 841 (58.1) | 169 (11.7) | 1010 (69.8) | 354 (24.5) D,E,F,H | 31 (2.1) | 52 (3.6) | 437 (30.2) D,E,F | |
Med | 692 (71.4) A,B,C | 93 (9.6) | 785 (81.0) | 144 (14.9) | 19 (2.0) | 21 (2.2) | 184 (19.1) | |
Pha | 339 (69.8) A,B,C | 49 (10.1) | 388 (79.9) | 57 (11.7) | 19 (3.9) | 22 (4.5) | 98 (20.1) | |
STE | 942 (69.6) A,B,C | 120 (8.9) | 1062 (78.5) | 215 (15.9) | 34 (2.5) | 42 (3.1) | 291 (21.5) | |
Agr | 232 (66.3) A,B | 40 (11.4) | 272 (77.7) | 60 (17.1) | 8 (2.3) | 10 (2.9) | 78 (22.3) | |
Vet | 119 (70.0) A,B | 14 (8.2) | 133 (78.2) | 22 (12.9) | 6 (3.5) | 9 (5.3) | 37 (21.7) | |
LMIC | 264 (65.8) A,B | 37 (9.2) | 301 (75.0) | 74 (18.5) | 14 (3.5) | 12 (3.0) | 100 (25.0) | |
Sport | 70 (72.2) A,B | 7 (7.2) | 77 (79.4) | 14 (14.4) | 0 | 6 (6.2) | 20 (20.6) |
How Often Do You Currently Smoke? | Have You Ever Tried to Quit Traditional Cigarettes? | Have You Ever Been Advised by a Doctor or Other Healthcare Professional to Quit Smoking Traditional Cigarettes? | Are You Planning to Quit Smoking Traditional Cigarettes in the Next Six Months? | |||||
---|---|---|---|---|---|---|---|---|
Daily a N (%) | Yes b N (%) | Yes N (%) | No N (%) | Don’t Remember N (%) | Yes N (%) | No N (%) | Don’t Know N (%) | |
All subjects | 1173 (77.3) | 899 (59.4) | 554 (36.6) | 812 (53.7) | 146 (9.7%) | 322 (21.3) | 610 (40.3) | 580 (38.4) |
Law | 102 (78,5) | 78 (60.9) | 50 (39.1) | 58 (45.3) | 20 (15.6) | 22 (17.2) | 55 (43.0) | 51 (39.8) |
PESS | 217 (78.6) | 163 (59.3) | 86 (31.4) | 162 (59.1) D | 26 (9.5) | 75 (27.4) | 108 (39.4) | 91 (33.2) |
Hum | 316 (78.0) | 228 (56.3) | 149 (36.8) | 211 (52.1) | 45 (11.1) | 69 (17.0) | 174 (43.0) | 162 40.0) |
Med | 123 (75.0) | 102 (62.2) | 87 (53.0) B,C,E,F | 66 (40.2) | 11 (6.7) | 38 (23.2) | 62 (37.8) | 64 (39.0) |
Pha | 58 (73.4) | 46 (59.0) | 22 (28.6) | 47 (61.0) | 8 (10.4) | 21 (27.3) | 26 (33.8) | 30 (39.0) |
STE | 207 (80.5) | 157 (61.1) | 81 (31.5) | 159 (61.9) D | 17 (6.6) | 53 (20.6) | 106 (41.2) | 98 (38.1) |
Agr | 55 (78.6) | 42 (60.0) | 29 (41.4) | 33 (47.1) | 8 (11.49 | 11 (15.7) | 33 (47.1) | 26 (37.1) |
Vet | 22 (71.0) | 19 (61.3) | 8 (25.8) | 20 (64.5) | 3 (9.7) | 4 (12.9) | 11 (35.5) | 16 (51.6) |
LMIC | 60 (69.8) | 48 (55.8) | 33 (38.4) | 47 (54.7) | 6 (7.0) | 21 (24.4) | 26 (30.2) | 39 (45.3) |
Sport | 13 (65.0) | 16 (80.0) | 9 (45.0) | 9 (45.0) | 2 (10.0) | 8 (40.0) | 9 (45.0) | 3 (15.0) |
p * | 0.486 | 0.677 | 0.001 | 0.041 |
Have You Been Exposed for at Least 10 Min over the Last Week? | Do You Live with Smokers? | Do You Usually Spend Leisure Time with Smokers? | In Your House, Traditional Cigarettes Are: | In Your House, e-cigs/HTPs Are: | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Yes a N (%) | Yes a N (%) | Yes a N (%) | Totally Banned N (%) | Allowed in Some Rooms N (%) | Allowed Only Outdoors N (%) | Allowed Everywhere N (%) | Totally Banned N (%) | Allowed in Some Rooms N (%) | Allowed Only Outdoors N (%) | Allowed Everywhere N (%) | |
All subjects | 2698 (41.0) | 2269 (34.4) | 4358 (66.3) | 2786 (42.4) | 514 (7.8) | 2907 (44.2) | 367 (5.6) | 2785 (42.4) | 611 (9.3) | 2195 (33.4) | 983 (15.0) |
Law | 193 (44.3) | 172 (39.4) D | 318 (72.9) D,E,F | 165 (37.8) | 44 (10.1) D | 209 (47.9) | 18 (4.1) | 165 (37.8) | 57 (13.1) D | 140 (32.1) | 74 (17.0) |
PESS | 430 (48.6) C.D.E.F | 329 (37.2) D | 662 (74.9) C,D,E,F,G,H,I | 344 (38.9) | 79 (8.9)D | 405 (45.8) | 56 (6.3) | 349 (39.5) | 105 (11.9) D | 279 (31.6) | 151 (17.1) D |
Hum | 561 (38.9) | 541 (37.5) D,F | 974 (67.5) | 527 (36.6) | 145 (10.1) D;H | 676 (46.9) D | 93 (6.5) | 548 (38.0) | 148 (10.3) D | 504 (35.0) | 241 (16.7) D |
Med | 383 (39.6) | 284 (29.4) | 601 (62.2) | 491 (50.8) A,B,C,F,I | 46 (4.8) | 388 (40.2) | 41 (4.2) | 480 (49.7) A,B,C,I | 46 (4.8) | 329 (34.1) | 111 (11.5) |
Pha | 184 (38.1) | 164 (33.9) | 302 (62.5) | 229 (47.4) C | 35 (7.2) | 196 (40.6) | 23 (4.8) | 218 (45.1) | 45 (9.3) D | 151 (31.3) | 69 (14.3) |
STE | 511 (37.8) | 427 (31.6) | 849 (62.8) | 593 (43.9) C | 93 (6.9) | 584 (43.3) | 80 (5.9 | 586 (43.4) | 119 (8.8) D | 457 (33.9) | 188 (13.9) |
Agr | 153 (43.8) | 109 (31.1) | 219 (62.8) | 164 (47.1) C | 30 (8.6) | 137 (39.4) | 17 (4.9) | 159 (45.7) | 28 (8.0) | 105 (30.2) | 56 (16.1) |
Vet | 61 (35.9) | 61 (35.9) | 106 (62.4) | 73 (42.9) | 4 (2.4) | 86 (50.6) | 7 (4.1) | 77 (45.3) | 11 (6.5) | 64 (37.6) | 18 (10.6) |
LMIC | 176 (44.1) | 152 (38.1) | 263 (65.9) | 148 (37.1) | 36 (9.0) | 189 (47.4) | 26 (6.5) | 149 (37.3) | 47 (11.8) D | 143 (35.8) | 60 (15.0) |
Sport | 46 (47.4) | 30 (30.9) | 64 (66.0) | 52 (53.6) C | 2 (2.1) | 37 (38.1) | 6 (6.2) | 54 (55.7) C,I | 5 (5.2) | 23 (23.7) | 15 (15.5) |
p * | <0.001 | <0.001 | <0.001 | <0.001 | <0.001 |
Are You Aware That It Is Forbidden to Throw Cigarette Butts on the Ground? | Are You Aware of the Damage Caused by Cigarette Butts in the Environment? | Are You Aware That It Is Forbidden to Smoke and Vape in the Outdoor Areas of Schools and Universities? | Are You Aware That the University of Milan Has Anti-Smoking Regulations? | What Initiatives Could the University of Milan Undertake to Help Smokers Quit Smoking and Protect the Health of Non-Smokers? | ||||
---|---|---|---|---|---|---|---|---|
Yes a N (%) | Yes a N (%) | Yes a N (%) | Yes a N (%) | Informative Campaigns | Greater Control over Compliance with Bans | Courses on Smoking Issues | Cessation Aid | |
All subjects | 5789 (88.5) | 5977 (91.3) | 3117 (47.6) | 3233 (49.4) | 2064 (39.8) | 4166 (63.7) | 1627 (24.9) | 3560 (54.4) |
Law | 397 (91.1) | 408 (93.6) J | 226 (51.8) | 233 (53.4) J | 170 (38.5) | 280 (63.5) | 113 (25.6) | 207 (46.9) |
PESS | 771 (87.3) | 797 (90.3) | 400 (45.3) | 391 (44.3) | 355 (39.8) | 534 (59.9) | 191 (21.4) | 468 (52.5) |
Hum | 1288 (89.8) | 1344 (93.7) D,J | 703 (49.0) | 727 (50.7) J | 566 (39.1) | 863 (59.6) | 368 (25.4) | 743 (51.3) |
Med | 843 (88.2) | 847 (88.6) | 485 (50.7) | 520 (54.4) B,I,J | 399 (41.2) | 654 (67.5) B,C | 319 (32.9) B,C,F,G,I | 617 (63.7) A,B,C,E,F |
Pha | 419 (87.1) | 439 (91.3) | 246 (51.1) | 245 (50.9) J | 209 (43.0) | 338 (69.5) B,C | 128 (26.3) | 245 (50.4) |
STE | 1182 (87.8) | 1218 (90.4) | 613 (45.5) | 668 (49.6) J | 515 (38.1) | 843 (62.3) | 275 (20.3) | 707 (52.3) |
Agr | 305 (88.7) | 318 (92.7) | 148 (43.0) | 159 (46.2) | 130 (37.1) | 212 (60.6) | 75 (21.4) | 196 (56.0) |
Vet | 151 (89.3) | 157 (92.9) | 68 (40.2) | 82 (48.5) | 63 (37.1) | 118 (69.4) | 42 (24.7) | 101 (59.4) |
LMIC | 345 (86.7) | 369 (92.7) | 184 (46.2) | 177 (44.5) | 151 (37.7) | 270 (67.3) | 89 (22.2) | 220 (54.9) |
Sport | 88 (91.7) | 80 (83.3) | 44 (45.8) | 31 (32.3) | 46 (47.4) | 54 (55.7) | 27 (27.8) | 56 (57.7) |
p * | 0.308 | <0.001 | 0.010 | <0.001 | 0.397 | <0.001 | <0.001 | <0.001 |
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Campo, L.; Lumia, S.; Fustinoni, S. Assessing Smoking Habits, Attitudes, Knowledge, and Needs among University Students at the University of Milan, Italy. Int. J. Environ. Res. Public Health 2022, 19, 12527. https://doi.org/10.3390/ijerph191912527
Campo L, Lumia S, Fustinoni S. Assessing Smoking Habits, Attitudes, Knowledge, and Needs among University Students at the University of Milan, Italy. International Journal of Environmental Research and Public Health. 2022; 19(19):12527. https://doi.org/10.3390/ijerph191912527
Chicago/Turabian StyleCampo, Laura, Silvia Lumia, and Silvia Fustinoni. 2022. "Assessing Smoking Habits, Attitudes, Knowledge, and Needs among University Students at the University of Milan, Italy" International Journal of Environmental Research and Public Health 19, no. 19: 12527. https://doi.org/10.3390/ijerph191912527