ArticleAnnals of medicine and surgery (2012)2026
Impact of family functioning and peer pressure on nicotine dependence: a cross-sectional study among medical students in South Punjab, Pakistan.
Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Nicotine addiction among medical students is concerning, as these future healthcare providers are expected to model healthy lifestyle choices. While family and peer influences on smoking are well established globally, they remain underexplored in Punjab's cultural setting. This study aims to investigate the impact of family functioning and peer pressure on nicotine dependence among medical students in South Punjab. Materials and methods: A descriptive-analytic cross-sectional study was conducted from May to July 2025 among medical students enrolled in medical colleges in South Punjab using a structured, self-administered questionnaire. Nicotine dependence was assessed using the Fagerström Test for Nicotine Dependence, family functioning using the Family Assessment Device-General Functioning subscale, and peer pressure using a structured Indicators of Peer Pressure questionnaire. This study employed convenience sampling, and the data were analyzed using descriptive statistics, chi-square tests, independent sample Results: Among 366 students, 16.1% were smokers. Family functioning and peer pressure showed a significant interaction ( Conclusion: There is a need for targeted smoking cessation and gender-focused interventions among medical students, considering the interplay of family dysfunction and peer pressure. Further research is needed to confirm these findings and inform effective interventions.
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