International Journal of Preventive Medicine (Int J Prev Med)2008-7802112017112818481848ENTabriz Health Services Management Research Center, Tabriz University of Medical Sciences,TabrizSchool of Health Administration, Faculty of Health Dalhousie University, Halifax, Nova ScotiaHealth Promotion Research Center, Zahedan University of Medical Sciences, ZahedanDepartment of Human Nutrition, School of Health, Qazvin University of Medical Sciences, QazvinResearch Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, TabrizDepartment of Public Health, School of Health, Qazvin University of Medical Sciences, Qazvin20171128<p><span class="fontstyle0"><strong>Background</strong>: </span><span class="fontstyle2">There are scant studies on the prevalence and determinants of tobacco smoking among 1</span><span class="fontstyle2" style="font-size: 5pt;">st </span><span class="fontstyle2">year university students in Iran. We aim to determine the prevalence of substance abuse and identify factors related with tobacco smoking in 1</span><span class="fontstyle2" style="font-size: 5pt;">st </span><span class="fontstyle2">year students of Qazvin University of Medical<br />Sciences (QUMS).</span></p><p><strong><span class="fontstyle2"> </span></strong><span class="fontstyle0"><strong>Methods</strong>: </span><span class="fontstyle2">A self‑administered questionnaire was used to collect information onsociodemographic, cigarette smoking, hookah smoking, and related risk factors among 521 1</span><span class="fontstyle2" style="font-size: 5pt;">st </span><span class="fontstyle2">year students in QUMS between January and February 2014. We used logistic regression to determine factors associated with substance abuse among students. </span></p><p><strong></strong><span class="fontstyle0"><strong>Results</strong>: </span><span class="fontstyle2">The descriptive statistics indicated that the prevalence of lifetime cigarette and hookah smoking was 8.6% (confdence interval [CI] 95%:<br />6.5&ndash;11.4) and 35.5% (CI 95%: 31.5&ndash;39.7), respectively. After adjustment for other factors, being male, the presence of any smoker in the family and having smoker friends were factors associated with cigarette and hookah smoking among students. Our fndings also revealed the co‑occurrence of risk‑taking behaviors among students. </span></p><p><strong></strong><span class="fontstyle0"><strong>Conclusions</strong>: </span><span class="fontstyle2">Our study showed considerably low prevalence of tobacco smoking among 1</span><span class="fontstyle2" style="font-size: 5pt;">st </span><span class="fontstyle2">year students. Longitudinal studies are necessary to approve the observed results of this study and thus allow for a certain generalization of the observations.</span></p><p><strong></strong><span class="fontstyle0" style="color: #00652e;"><strong>Keywords</strong>: </span><span class="fontstyle3">Cigarette smoking, risk‑taking behaviors, substance abuse, university students</span> <br style="font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;" /></p>http://ijpm.mui.ac.ir/index.php/ijpm/article/view/1848http://ijpm.mui.ac.ir/index.php/ijpm/article/download/1848/2132