WTS database

Title	Pub Year	Author	SearchLink Sort descending
The forgotten smoker: a qualitative study of attitudes towards smoking, quitting, and tobacco control policies among continuing smokers	2013	UK Centre for Tobacco Control Studies, University of Nottingham, Clinical Sciences Building, City Hospital, Nottingham NG5 1PB, UK. mcxnu1@nottingham.ac.uk	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full BMC public health Periodical, Abbrev. BMC Public Health Pub Date Free Form 3-May Volume 13 Issue Start Page 432 Other Pages 2458-13-432 Notes LR: 20150427; JID: 100968562; OID: NLM: PMC3651294; 2012/07/25 [received]; 2013/04/22 [accepted]; 2013/05/03 [aheadofprint]; epublish Place of Publication England ISSN/ISBN 1471-2458; 1471-2458 Accession Number PMID: 23641875 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1186/1471-2458-13-432 [doi] Output Language Unknown(0) PMID 23641875 Abstract BACKGROUND: Although research suggests that the majority of smokers want to quit smoking, the uptake of Stop Smoking Services, designed to assist smokers with quitting, remains low. Little is known about continuing smokers who do not access these services, and opportunities to influence their motivation and encourage quit attempts through the uptake of services. Using PRIME theory, this study explored differences between continuing smokers who had varying levels of motivation to quit, in terms of their plans to quit, evaluative beliefs about smoking, cigarette dependence, and attitudes towards tobacco control policies and services. METHODS: Twenty-two current smokers, recruited from the community, were classified by motivation level to quit using a self-report questionnaire (two groups: high/low). Four focus groups (n=13) and individual interviews (n=9) were conducted with both groups using an interview guide incorporating aspects of PRIME theory. Discussion areas included motives for smoking, attitudes towards smoking and quitting, perceptions of dependence, motives for quitting, barriers to quitting, and attitudes towards existing and impending tobacco control policies and services. Verbatim transcripts were analysed using thematic framework analysis. RESULTS: All participants expressed low motivation to quit during discussions, despite some initially self-classifying as having high explicit levels of motivation to quit. Both groups reported similar attitudes towards smoking and quitting, including a perceived psychological addiction to smoking, positive evaluations about smoking which inhibited plans to quit, and similar suggested methods to increase motivation (simply wanting to, save money, improve health). Most felt that they 'ought' to quit as opposed to 'wanted' to. Little influence was ascribed towards tobacco control policies such as plain packaging and hidden sales displays, and participants felt that price increases of tobacco products needed to be considerable in order to influence motivation. Highly motivated smokers expressed more willingness to visit Stop Smoking Services, although none had done so. CONCLUSION: Continuing smokers' attitudes towards smoking and quitting suggests that research and policy need to focus on increasing smokers' implicit motivation to quit smoking, even for those who classified themselves as having high motivation to quit. Targeted information and further education about Stop Smoking Services is required to increase uptake. Descriptors Links Book Title Database Publisher Data Source Authors Uppal,N., Shahab,L., Britton,J., Ratschen,E. Original/Translated Title URL Date of Electronic 20130503 PMCID PMC3651294 Editors
Comparison of the cigarette dependence scale with four other measures of nicotine involvement: correlations with smoking history and smoking treatment outcome in smokers with substance use disorders	2013	Providence Veterans Affairs Medical Center, Providence, RI, USA. damaris_rohsenow@brown.edu	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Addictive Behaviors Periodical, Abbrev. Addict.Behav. Pub Date Free Form Aug Volume 38 Issue 8 Start Page 2409 Other Pages 2413 Notes LR: 20150427; CI: Published by Elsevier Ltd.; GR: R01 DA023995/DA/NIDA NIH HHS/United States; GR: R01DA023995/DA/NIDA NIH HHS/United States; JID: 7603486; NIHMS463937; OID: NLM: NIHMS463937; OID: NLM: PMC3705939; 2012/10/02 [received]; 2013/03/27 [revised Place of Publication England ISSN/ISBN 1873-6327; 0306-4603 Accession Number PMID: 23644751 Language eng SubFile Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.; IM DOI 10.1016/j.addbeh.2013.03.019 [doi] Output Language Unknown(0) PMID 23644751 Abstract The cigarette dependence scale (CDS) was developed to assess principal aspects of smoking dependence. In a French longitudinal survey, CDS showed stronger relationships to urge and change in smoking rate than the Fagerstrom test for nicotine dependence (FTND). Neither measure predicted abstinence at follow-up in that survey but there was no treatment or cessation induction. The present study investigated concurrent and predictive validity of the CDS in a treatment population by comparing the CDS to the FTND and other measures of tobacco involvement as (1) a correlate of smoking and cessation history and (2) a predictor of short-term smoking abstinence among smokers with substance use disorders (SUD) receiving smoking treatment. METHODS: Smokers (10+ cigarettes per day) in substance treatment received brief advice and nicotine patch for 8 weeks; half also received contingent vouchers for smoking cessation. Assessments were conducted pretreatment and 7, 14 and 30 days after treatment initiation, with abstinence verified biochemically. RESULTS: At baseline (n=305), the 12-item and 5-item CDS versions showed excellent and marginal reliability, respectively. FTND shared 43 and 61% of variance with CDS-12 and CDS-5, respectively. FTND and CDS scales correlated positively with cigarettes per day, and negatively with time to first cigarette, motivation to quit and age at first daily smoking. Only CDS correlated with the number of past quit attempts. Neither CDS nor FTND predicted abstinence within treatment, unlike the motivation measure and time to first cigarette. CONCLUSION: In moderate-heavy smokers with SUD in smoking treatment in the U.S., the CDS is largely equivalent to the FTND as an indicator of tobacco dependence but the CDS-5 is less reliable. Motivation was the most consistent predictor of outcome, and time to first cigarette was the only tobacco dependence measure that predicted smoking abstinence during treatment. Descriptors Links Book Title Database Publisher Data Source Authors Rohsenow,D.J., Martin,R.A., Tidey,J.W., Monti,P.M., Colby,S.M. Original/Translated Title URL Date of Electronic 20130403 PMCID PMC3705939 Editors
Primary and dual users of little cigars/cigarillos and large cigars: demographic and tobacco use profiles	2013	Department of Research, Legacy, Washington, DC;	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco Periodical, Abbrev. Nicotine Tob.Res. Pub Date Free Form Oct Volume 15 Issue 10 Start Page 1729 Other Pages 1736 Notes JID: 9815751; 2013/05/03 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1469-994X; 1462-2203 Accession Number PMID: 23645607 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1093/ntr/ntt053 [doi] Output Language Unknown(0) PMID 23645607 Abstract BACKGROUND: Although cigarettes are regulated through the Family Smoking Prevention and Tobacco Control Act, cigars are currently not regulated and tend to be lower in price. Despite the rising use of cigars in the United States, little is known about the prevalence of use of little cigars/cigarillos (LCCs) versus large cigars (LCs) and the profile of these distinct cigar users. METHODS: This study uses data from Legacy's Young Adult Cohort, a nationally representative study of 4,215 young adults, ages 18-34. Cigar use was divided into three groups: ever use of LCCs only, ever use of LCs only, and ever dual users. Multinomial regression was used to determine the differential demographic characteristics and tobacco use behaviors associated with the three cigar-use groups. RESULTS: Ever cigar use was reported by 37.9% (n = 1,596) of the young adult cohort. Of the cigar smokers, 21.5% (n = 344) had used only LCCs, 32.3% (n = 515) had used only LCs, and 46.2% (n = 737) were dual users of both. In comparison with LC-only users, LCC-only users were more like to be younger (relative risk ratio [RRR] = 0.40, p Descriptors Links Book Title Database Publisher Data Source Authors Richardson,A., Rath,J., Ganz,O., Xiao,H., Vallone,D. Original/Translated Title URL Date of Electronic 20130503 PMCID Editors
Perceptions of relative risk of disease and addiction from cigarettes and snus	2014	Norwegian Institute for Alcohol and Drug Research (SIRUS).; Norwegian Institute for Alcohol and Drug Research (SIRUS).	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors Periodical, Abbrev. Psychol.Addict.Behav. Pub Date Free Form Jun Volume 28 Issue 2 Start Page 367 Other Pages 375 Notes JID: 8802734; 2013/05/06 [aheadofprint]; ppublish Place of Publication United States ISSN/ISBN 1939-1501; 0893-164X Accession Number PMID: 23647153 Language eng SubFile Journal Article; IM DOI 10.1037/a0032657 [doi] Output Language Unknown(0) PMID 23647153 Abstract The public is largely unaware of the lower global risk associated with snus compared with that of cigarettes, but little is known of perceptions of relative risks for specific diseases. Inveterate, daily, and nondaily smokers' perceptions of the relative snus/cigarette risk of cardiovascular disease, and of cancer of the lung, stomach, and oral cavity, and perceptions among smokers, snus users, and dual users of the relative risk of nicotine addiction, was studied in a pooled sample from annual national surveys (2008-2011) performed by Statistics Norway. The total sample included 2,661 ever smokers and snus users aged 15-79 years old. Fifty-three percent were men, and the average age was 46.1 year. Compared with medical consensus, all smoker groups overestimated the relative risks of diseases from snus use, and inveterate smokers overestimated them significantly more than other groups. For all diseases except lung cancer, the majority of smokers thought snus users were running a higher or equal risk. For lung cancer, 22% believed that snus use gave a higher or equal risk. Smokers, snus users, and dual users tended to think that snus and cigarettes were equally addictive products, while a somewhat higher proportion of those who had quit both products thought that cigarettes were more addictive. Increased knowledge of the relative health risks might give smokers an incitement to switch to snus and prompt current dual users to stop smoking completely. Awareness could be improved by tailoring information at targeted groups, for example via the health care system. Descriptors Links Book Title Database Publisher Data Source Authors Lund,I., Scheffels,J. Original/Translated Title URL Date of Electronic 20130506 PMCID Editors
Action to stop smoking in suspected tuberculosis (ASSIST) in Pakistan: a cluster randomized, controlled trial	2013	University of York, York YO10 5DD, United Kingdom. kamran.siddiqi@york.ac.uk	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Annals of Internal Medicine Periodical, Abbrev. Ann.Intern.Med. Pub Date Free Form 7-May Volume 158 Issue 9 Start Page 667 Other Pages 675 Notes LR: 20131121; ISRCTN/ISRCTN08829879; JID: 0372351; 01ZG3TPX31 (Bupropion); ppublish Place of Publication United States ISSN/ISBN 1539-3704; 0003-4819 Accession Number PMID: 23648948 Language eng SubFile Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; AIM; IM DOI 10.7326/0003-4819-158-9-201305070-00006 [doi] Output Language Unknown(0) PMID 23648948 Abstract BACKGROUND: Tobacco use is responsible for a large proportion of the total disease burden from tuberculosis. Pakistan is one of the 10 high-burden countries for both tuberculosis and tobacco use. OBJECTIVE: To assess the effectiveness of a behavioral support intervention and bupropion in achieving 6-month continuous abstinence in adult smokers with suspected pulmonary tuberculosis. DESIGN: Cluster randomized, controlled trial. (Current Controlled Trials: ISRCTN08829879) SETTING: Health centers in the Jhang and Sargodha districts in Pakistan. PATIENTS: 1955 adult smokers with suspected tuberculosis. INTERVENTION: Health centers were randomly assigned to provide 2 brief behavioral support sessions (BSS), BSS plus 7 weeks of bupropion therapy (BSS+), or usual care. MEASUREMENTS: The primary end point was continuous abstinence at 6 months after the quit date and was determined by carbon monoxide levels in patients. Secondary end points were point abstinence at 1 and 6 months. RESULTS: Both treatments led to statistically significant relative risks (RRs) for abstinence compared with usual care (RR for BSS+, 8.2 [95% CI, 3.7 to 18.2]; RR for BSS, 7.4 [CI, 3.4 to 16.4]). Equivalence between the treatments could not be established. In the BSS+ group, 275 of 606 patients (45.4% [CI, 41.4% to 49.4%]) achieved continuous abstinence compared with 254 of 620 (41.0% [CI, 37.1% to 45.0%]) in the BSS group and 52 of 615 (8.5% [CI, 6.4% to 10.9%]) in the usual care group. There was substantial heterogeneity of program effects across clusters. LIMITATIONS: Imbalances in the urban and rural proportions and smoking habits among treatment groups, and inability to confirm adherence to bupropion treatment and validate longer-term abstinence or the effect of smoking cessation on tuberculosis outcomes. CONCLUSION: Behavioral support alone or in combination with bupropion is effective in promoting cessation in smokers with suspected tuberculosis. PRIMARY FUNDING SOURCE: International Development Research Centre. Descriptors Links Book Title Database Publisher Data Source Authors Siddiqi,K., Khan,A., Ahmad,M., Dogar,O., Kanaan,M., Newell,J.N., Thomson,H. Original/Translated Title URL Date of Electronic PMCID Editors
Effects of blending of desalinated and conventionally treated surface water on iron corrosion and its release from corroding surfaces and pre-existing scales	2013	Department of Chemical and Environmental Engineering, University of California, Riverside, CA 92521, USA. haizhou@engr.ucr.edu	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Water research Periodical, Abbrev. Water Res. Pub Date Free Form 1-Jul Volume 47 Issue 11 Start Page 3817 Other Pages 3826 Notes CI: Copyright (c) 2013; JID: 0105072; 0 (Chlorides); 0 (Ferric Compounds); 0 (Iron Compounds); 0 (Minerals); 0 (Phosphates); 0 (Sulfates); 1310-14-1 (goethite); 39473-89-7 (ferrihydrite); E1UOL152H7 (Iron); SY7Q814VUP (Calcium); 2012/10/19 [received]; 201 Place of Publication England ISSN/ISBN 1879-2448; 0043-1354 Accession Number PMID: 23651514 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; IM DOI 10.1016/j.watres.2013.03.052 [doi] Output Language Unknown(0) PMID 23651514 Abstract This study examined effects of blending desalinated water with conventionally treated surface water on iron corrosion and release from corroding metal surfaces and pre-existing scales exposed to waters having varying fractions of desalinated water, alkalinities, pH values and orthophosphate levels. The presence of desalinated water resulted in markedly decreased 0.45 mum-filtered soluble iron concentrations. However, higher fractions of desalinated water in the blends were also associated with more fragile corroding surfaces, lower retention of iron oxidation products and release of larger iron particles in the bulk water. SEM, XRD and XANES data showed that in surface water, a dense layer of amorphous ferrihydrite phase predominated in the corrosion products. More crystalline surface phases developed in the presence of desalinated water. These solid phases transformed from goethite to lepidocrocite with increased fraction of desalinated water. These effects are likely to result from a combination of chemical parameters, notably variations of the concentrations of natural organic matter, calcium, chloride and sulfate when desalinated and conventionally treated waters are blended. Descriptors Links Book Title Database Publisher Elsevier Ltd Data Source Authors Liu,H., Schonberger,K.D., Peng,C.Y., Ferguson,J.F., Desormeaux,E., Meyerhofer,P., Luckenbach,H., Korshin,G.V. Original/Translated Title URL Date of Electronic 20130416 PMCID Editors
Secondhand tobacco smoke exposure in open and semi-open settings: a systematic review	2013	Tobacco Control Unit, Cancer Control and Prevention Programme, Institut Catala d'Oncologia-ICO, L'Hospitalet de Llobregat, Barcelona, Spain.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Environmental health perspectives Periodical, Abbrev. Environ.Health Perspect. Pub Date Free Form Jul Volume 121 Issue 7 Start Page 766 Other Pages 773 Notes LR: 20151119; JID: 0330411; 0 (Air Pollutants); 0 (Biomarkers); 0 (Particulate Matter); 0 (Tobacco Smoke Pollution); CIN: Environ Health Perspect. 2013 Jul;121(7):A229. PMID: 23816971; OID: NLM: PMC3701994; 2012/07/23 [received]; 2013/05/01 [accepted]; 20 Place of Publication United States ISSN/ISBN 1552-9924; 0091-6765 Accession Number PMID: 23651671 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; Review; IM DOI 10.1289/ehp.1205806 [doi] Output Language Unknown(0) PMID 23651671 Abstract BACKGROUND: Some countries have recently extended smoke-free policies to particular outdoor settings; however, there is controversy regarding whether this is scientifically and ethically justifiable. OBJECTIVES: The objective of the present study was to review research on secondhand smoke (SHS) exposure in outdoor settings. DATA SOURCES: We conducted different searches in PubMed for the period prior to September 2012. We checked the references of the identified papers, and conducted a similar search in Google Scholar. STUDY SELECTION: Our search terms included combinations of "secondhand smoke," "environmental tobacco smoke," "passive smoking" OR "tobacco smoke pollution" AND "outdoors" AND "PM" (particulate matter), "PM(2.5)" (PM with diameter = 2.5 microm), "respirable suspended particles," "particulate matter," "nicotine," "CO" (carbon monoxide), "cotinine," "marker," "biomarker" OR "airborne marker." In total, 18 articles and reports met the inclusion criteria. RESULTS: Almost all studies used PM(2.5) concentration as an SHS marker. Mean PM(2.5) concentrations reported for outdoor smoking areas when smokers were present ranged from 8.32 to 124 microg/m(3) at hospitality venues, and 4.60 to 17.80 microg/m(3) at other locations. Mean PM(2.5) concentrations in smoke-free indoor settings near outdoor smoking areas ranged from 4 to 120.51 microg/m(3). SHS levels increased when smokers were present, and outdoor and indoor SHS levels were related. Most studies reported a positive association between SHS measures and smoker density, enclosure of outdoor locations, wind conditions, and proximity to smokers. CONCLUSIONS: The available evidence indicates high SHS levels at some outdoor smoking areas and at adjacent smoke-free indoor areas. Further research and standardization of methodology is needed to determine whether smoke-free legislation should be extended to outdoor settings. Descriptors Links Book Title Database Publisher Data Source Authors Sureda,X., Fernandez,E., Lopez,M.J., Nebot,M. Original/Translated Title URL Date of Electronic 20130507 PMCID PMC3701994 Editors
Effect of glycemic control on self-perceived oral health, periodontal parameters, and alveolar bone loss among patients with prediabetes	2014	Eng. A.B. Research Chair for Growth Factors and Bone Regeneration, Three-Dimensional Imaging and Biomechanical Laboratory, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of periodontology Periodical, Abbrev. J.Periodontol. Pub Date Free Form Feb Volume 85 Issue 2 Start Page 234 Other Pages 241 Notes JID: 8000345; 0 (Blood Glucose); 0 (Hemoglobin A, Glycosylated); 2013/05/09 [aheadofprint]; ppublish Place of Publication United States ISSN/ISBN 1943-3670; 0022-3492 Accession Number PMID: 23659422 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; D; IM DOI 10.1902/jop.2013.130008 [doi] Output Language Unknown(0) PMID 23659422 Abstract BACKGROUND: The effect of glycemic control on severity of periodontal inflammatory parameters in patients with prediabetes is unknown. The aim of the present study is to assess the effects of glycemic control on self-perceived oral health, periodontal parameters, and marginal bone loss (MBL) in patients with prediabetes. METHODS: A total of 303 individuals were included. Hemoglobin A1c (HbA1c) and fasting blood glucose levels (FBGLs) were recorded. Participants were divided into three groups: 1) group A: 75 patients with prediabetes (FBGLs = 100 to 125 mg/dL [HbA1c >/=5%]); 2) group B: 78 individuals previously considered prediabetic but having FBGLs Descriptors Links Book Title Database Publisher Data Source Authors Javed,F., Thafeed Alghamdi,A.S., Mikami,T., Mehmood,A., Ahmed,H.B., Samaranayake,L.P., Tenenbaum,H.C. Original/Translated Title URL Date of Electronic 20130509 PMCID Editors
Bidi and hookah use among Canadian youth: findings from the 2010 Canadian Youth Smoking Survey	2013	University of Waterloo, Waterloo, ON, Canada.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Preventing chronic disease Periodical, Abbrev. Prev.Chronic Dis. Pub Date Free Form 9-May Volume 10 Issue Start Page E73 Other Pages Notes LR: 20160317; GR: 53893/Canadian Institutes of Health Research/Canada; JID: 101205018; OID: NLM: PMC3664211; epublish Place of Publication United States ISSN/ISBN 1545-1151; 1545-1151 Accession Number PMID: 23660115 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.5888/pcd10.120290 [doi] Output Language Unknown(0) PMID 23660115 Abstract INTRODUCTION: Although cigarette use among Canadian youth has decreased significantly in recent years, alternative forms of tobacco use are becoming increasingly popular. Surveillance of youth tobacco use can help inform prevention programs by monitoring trends in risk behaviors. We examined the prevalence of bidi and hookah use and factors associated with their use among Canadian youth by using data from the 2010-2011 Youth Smoking Survey (YSS). METHODS: We analyzed YSS data from 28,416 students (2006-2007) and 31,396 students (2010-2011) in grades 9 through 12 to examine prevalence of bidi and hookah use. We conducted multivariate logistic regression analyses of 2010-2011 YSS data to examine factors associated with bidi and hookah use. RESULTS: From 2006 through 2010, prevalence of hookah use among Canadian youth increased by 6% (P = .02). Marijuana use emerged as a consistent predictor of bidi and hookah use. Males, youth of black, Latin, or other descent, and youth of Asian descent were more likely to use bidis (odds ratio [OR], 1.5; OR, 15.6; OR, 14.9) or hookah (OR, 1.3; OR, 2.4; OR, 1.5). Current cigarette smokers were more likely than nonsmokers to be current users of bidis (OR, 6.7) and hookahs (OR, 3.0), and occasional and frequent alcohol drinkers were also more likely than nondrinkers to be current hookah users (OR, 2.8; OR, 3.6). CONCLUSION: Although bidi use has not changed significantly among Canadian youth, the increase in hookah use warrants attention. Understanding the factors associated with use of bidis and hookahs can inform the development of tobacco use prevention programs to address emerging at-risk youth populations. Descriptors Links Book Title Database Publisher Data Source Authors Czoli,C.D., Leatherdale,S.T., Rynard,V. Original/Translated Title URL Date of Electronic 20130509 PMCID PMC3664211 Editors
Medical students' tobacco use and attitudes towards tobacco control	2013	Program in Health Services and Systems Research, Duke-NUS Graduate Medical School Singapore, Singapore. young.do@duke-nus.edu.sg	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Medical education Periodical, Abbrev. Med.Educ. Pub Date Free Form Jun Volume 47 Issue 6 Start Page 607 Other Pages 616 Notes CI: (c) 2013; JID: 7605655; 0 (Tobacco Smoke Pollution); 2012/09/20 [received]; 2012/12/21 [accepted]; ppublish Place of Publication England ISSN/ISBN 1365-2923; 0308-0110 Accession Number PMID: 23662878 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1111/medu.12145 [doi] Output Language Unknown(0) PMID 23662878 Abstract CONTEXT: Despite their important roles as future doctors in tobacco cessation counselling, the high prevalence of tobacco use among medical students may hinder them from advocating tobacco control policies and providing cessation counselling. Promoting this role among medical students is especially important in low- and middle-income countries with high burdens of tobacco use but limited resources for cessation programmes. This study examined the associations between medical students' tobacco use and their attitudes towards tobacco control policies and the roles of health professionals in the provision of tobacco cessation advice. METHODS: This cross-sectional study included data from the large multi-country dataset generated by the Global Health Professions Student Survey, 2005-2008 (n = 36,533 medical students). Thirteen binary dependent variables related to medical students' attitudes towards tobacco control policies and the health professional's role in cessation counselling were examined using random-effects logistic regression, with tobacco use status as the key explanatory variable. Covariates included gender, receipt of cessation training, country-level and gender-specific smoking prevalence, region, and country income group. RESULTS: Current tobacco use was consistently associated with less favourable attitudes towards tobacco control policy and cessation advice. Compared with never users, daily users were less likely to agree that the sale of tobacco products to adolescents should be banned (odds ratio [OR] 0.45, 95% confidence interval [CI] 0.39-0.58) and that health professionals should routinely advise patients to quit smoking (OR = 0.48, 95% CI 0.41-0.52) or other forms of tobacco use (OR = 0.84, 95% CI 0.72-0.97). Daily users were less likely to agree that health professionals who smoke are less likely to advise patients to stop smoking (OR = 0.44, 95% CI 0.39-0.41). CONCLUSIONS: Medical schools may benefit from a thorough re-evaluation of the scope of tobacco cessation training in their curricula in order to support students in smoking cessation and to shape their attitudes towards tobacco control. Targeting medical students who are current tobacco users in tobacco control efforts may be beneficial, given the cost-effectiveness of providing cessation advice. Descriptors Links Book Title Database Publisher John Wiley & Sons Ltd Data Source Authors Do,Y.K., Bautista,M.A. Original/Translated Title URL Date of Electronic PMCID Editors

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