ASSESSMENT OF PHYSIOLOGICAL AND PSYCHOLOGICAL DEPENDENCE ON TOBACCO

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Bardakcı M., ÖZTORA S.

Ankara Medical Journal, vol.23, no.4, pp.440-454, 2023 (Scopus, TRDizin)

  • Publication Type: Article / Article
  • Volume: 23 Issue: 4
  • Publication Date: 2023
  • Doi Number: 10.5505/amj.2023.39225
  • Journal Name: Ankara Medical Journal
  • Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.440-454
  • Keywords: Cigarette, dependence, family medicine, physiological, psychological, tobacco
  • Open Archive Collection: AVESIS Open Access Collection
  • Trakya University Affiliated: Yes

Abstract

Objectives: Smoking is recognized as the most important preventable public health problem in the world with known carcinogenic, mutagenic and addictive effects on many organs and systems. Materials and Methods: Our study was conducted with 380 first-year students of Trakya University who were tobacco users in the 2020-2021 academic year. The 62-question questionnaire included questions about sociodemographic characteristics and smoking, as well as the 6-question Fagerstrom Nicotine Dependence Test (FTND) and the 25-question Test to Assess the Psychological Dependence on Smoking (TAPDS). Results: Our study consisted of 185 male (48.69%) and 195 female (51.31%) students. Of the participants, 94 (24.73%) were from health-related faculties and 286 (75.27%) were from non-health-related faculties. It was observed that 364 (95.78%) of the participants smoked cigarettes and 16 (4.22%) used non-cigarette tobacco products. When the participants were classified according to their FTND scores, the most crowded category was very “slightly addicted” with 210 participants (55.27%), while the most crowded category was “moderately addicted” with 190 participants (50%) according to their TAPDS scores. It was also observed that using cigarettes as a tobacco product, having a smoker in the family and living alone at home made a statistically significant difference for both physical and psychological addiction. In our study, it was determined that there was a statistically significant, linear, same-directional and moderate relationship between physical dependence and psychological dependence. Conclusion: In order to better understand the factors affecting smoking addiction and to make individualized treatment selection, it is important to differentiate between physical and psychological addiction.