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E-Smoking among Students of Medicine—Frequency, Pattern and Motivations

Department of Epidemiology, School of Medicine, Medical University of Silesia in Katowice, Katowice, Poland
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2017, 85(1), 8-14;
Original submission received: 4 October 2016 / Revised: 13 February 2017 / Accepted: 13 February 2017 / Published: 13 February 2017


Introduction: E-smoking has become a public health problem. The objectives of this study were to assess the prevalence of e-cigarette and tobacco cigarette use; to compare the patterns of smoking; to assess the attitudes and motivations for e-cigarette use. Material and methods: All 1700 students from Faculty of Medicine (Medical University of Silesia) were invited to questionnaire based cross-sectional study about the frequency and attitudes towards the use of traditional and electronic cigarettes. Results: The data were obtained from 1318 medical students (response 77.5%) aged 22.1 ± 2.2 years. Traditional tobacco smoked 18.1%, e-cigarettes 1.3% and 2.2% were dual smokers. The overall frequency of e-smokers was 4.9% among men and 2.8% among women (p = 0.05). Compared to tobacco users in e-smokers duration of smoking was shorter (p < 0.001), the intensity of smoking was larger (p = 0.01), the number of e-cigarettes smoked daily was higher (p < 0.001). Dual smokers more frequently used tobacco cigarettes than e-cigarettes (p = 0.01) but smoked more e-cigarettes daily (p = 0.003). The choice of e-liquid depended on the flavour (50.0%), nicotine concentration (21.7%) and price (7.6%). No-nicotine e-cigarettes were used by 6.5% smokers. Dual smokers more frequently chose e-liquids with high nicotine concentration (p = 0.01). Motivations leading to e-smoking were: quitting tobacco (58.7%), less harmful impact on health (43.5%) and the price (34.8%). E-smoking as safe for health was perceived by 6.0% of respondents (35.5% in e-smokers vs. 4.9% in non e-smokers; p < 0.001). Conclusion: Among students of medicine, e-smoking is apparently less popular than smoking tobacco cigarettes. Respondents considered e-cigarettes to be harmful and addictive.
Keywords: electronic cigarettes; smoking; nicotine; tobacco products; medical students electronic cigarettes; smoking; nicotine; tobacco products; medical students

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MDPI and ACS Style

Brożek, G.M.; Jankowski, M.; Zejda, J.; Jarosińska, A.; Idzik, A.; Bańka, P. E-Smoking among Students of Medicine—Frequency, Pattern and Motivations. Adv. Respir. Med. 2017, 85, 8-14.

AMA Style

Brożek GM, Jankowski M, Zejda J, Jarosińska A, Idzik A, Bańka P. E-Smoking among Students of Medicine—Frequency, Pattern and Motivations. Advances in Respiratory Medicine. 2017; 85(1):8-14.

Chicago/Turabian Style

Brożek, Grzegorz M., Mateusz Jankowski, Jan Zejda, Agnieszka Jarosińska, Agnieszka Idzik, and Piotr Bańka. 2017. "E-Smoking among Students of Medicine—Frequency, Pattern and Motivations" Advances in Respiratory Medicine 85, no. 1: 8-14.

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