ArticlePloS one2024
Prevalence and associated factors of cigarette smoking and substance use among university entrance test-taking students: A GIS-based study.
Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Perceived and Unmet Mental Health Care Needs Among Individuals with Chronic Illness: A Latent Class and Bayesian Approach.The Psychiatric quarterly · 2026Article
- Parental expectations, academic stress and non-suicidal self-injury among NEET and JEE aspirants: Examining the role of mattering as moderator.Global mental health (Cambridge, England) · 2026Article
- Exploring the psychological determinants of smoking behavior among immigrant university students in Italy: A convergent mixed-methods cross-sectional study.Tobacco induced diseases · 2026Article
- Associations of adverse childhood experiences with mental health and behaviors among adolescents.BMC public health · 2025Article
- Prevalence, associated factors, and machine learning-based prediction of probable depression among individuals with chronic diseases in Bangladesh.BMC psychiatry · 2025Article
- Prevalence and Factors Associated with Insomnia Among Chronic Disease Patients in Bangladesh: A Machine Learning Study.Nature and science of sleep · 2025Article
- Past-year substance use behaviors among university admission test-takers: insights from Bangladesh.BMC public health · 2024Article
- Evolving Trends in College Students' Health Education: A Bibliometric Analysis.Journal of multidisciplinary healthcare · 2024Review
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Authors and funding
6 authors.
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Abstract
backgroundNumerous studies have examined substance use and smoking behavior among adolescents and university students. However, little is known about these behaviors among students undergoing university entrance tests, a critical transition period from adolescence to adulthood. The entrance test can significantly affect students' mental health, potentially leading to substance use. This study aims to investigate the prevalence of cigarette smoking and substance use among students taking these exams and the associated factors.
methodsA cross-sectional survey was carried out on September 4th and 11th, 2022 to collect data from 1,480 university entrance test-taking students using a convenience sampling technique. Chi-square tests and logistic regression were conducted using SPSS software. Besides, GIS mapping was used to visualize the distribution of substance use and smoking behavior across districts via ArcGIS.
resultsThe study found a 10% prevalence of current tobacco smoking and 4% substance use. Females (OR = 1.98; 95% CI: 1.38-2.85), urban residence (OR = 2.03; 95% CI: 1.42-2.88), repeater (OR = 1.45; 95% CI: 1.02-2.06), anxiety (OR = 1.55, 95% CI: 1.10-2.19), burnout (OR = 1.51, 95% CI: 1.00-2.12), and suicidal behavior (OR = 1.57; 95% CI: 1.03-2.40) were the significant factors for cigarette use. Whereas the urban residence (OR = 1.91; 95% CI: 1.11-3.31), anxiety (OR = 2.47, 95% CI: 1.45-4.20), and suicidal behavior (OR = 2.76; 95% CI: 1.55-4.92) significantly increased the risk of substance use. GIS analysis revealed males varied in substance use and females in tobacco smoking by district. Repeat test-takers were associated with district variations in both smoking and substance use.
conclusionsEducational institutions, public health authorities, and policymakers must implement mental health support and substance use prevention programs for students. Integrating mental health education, providing resources, and enforcing regulations can promote healthier coping strategies and reduce substance use risks among students.
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