The Association of Knowledge, Attitudes, Family Role, and Economic Status with Smoking Behavior among Medical Students at the Faculty of Medicine, Universitas Malahayati, in 2025
DOI:
https://doi.org/10.53089/medula.v17i2.2045Keywords:
Attitude, Economic Status, Family Role, Knowledge, Smoking BehaviorAbstract
Smoking behavior among medical students is an important concern because they are future healthcare professionals who are expected to serve as role models for healthy lifestyles. This study aimed to determine the association between knowledge, attitudes, family roles, and economic status and smoking behavior among medical students at Universitas Malahayati. This quantitative study employed an observational analytical design with a cross-sectional approach. A total of 213 students who met the inclusion criteria were selected using purposive sampling. Data were collected using questionnaires and analyzed using the Chi-square test and multiple logistic regression. Smoking behavior was determined based on smoking status within the previous 30 days; respondents who reported smoking during this period were categorized as smokers, while those who did not smoke were categorized as non-smokers. Most respondents had good knowledge (72.8%), positive attitudes (53.5%), supportive family roles in smoking prevention (69.5%), and high economic status (52.1%). The majority of respondents were non-smokers (56.3%). Bivariate analysis showed significant associations between knowledge (p=0.026; OR=2.09), attitude (p=0.044; OR=1.82), family role (p=0.006; OR=2.38), and economic status (p=0.028; OR=1.92) and smoking behavior. In the multivariate analysis, family role had the strongest association with smoking behavior (p=0.004; OR=2.405; 95% CI: 1.315–4.400). These findings highlight the importance of strengthening family involvement as part of smoking prevention efforts among medical students.
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