Tobacco use, exposure to secondhand smoke, and training on cessation counseling among nursing students: cross-country data from the Global Health Professions Student Survey (GHPSS), 2005-2009

Int J Environ Res Public Health. 2009 Oct;6(10):2534-49. doi: 10.3390/ijerph6102534. Epub 2009 Sep 28.


The Nursing Global Health Professions Student Survey (GHPSS) has been conducted in schools in 39 countries and the Gaza Strip/West Bank (identified as "sites" for the remainder of this paper). In half the sites, over 20% of the students currently smoked cigarettes, with males having higher rates than females in 22 sites. Over 60% of students reported having been exposed to secondhand smoke in public places in 23 of 39 sites. The majority of students recognized that they are role models in society, believed they should receive training on counseling patients to quit using tobacco, but few reported receiving any formal training. Tobacco control efforts must discourage tobacco use among health professionals, promote smoke free workplaces, and implement programs that train health professionals in effective cessation-counseling techniques.

Keywords: counseling training; health professionals; nursing students; tobacco use.

MeSH terms

  • Adult
  • Confidence Intervals
  • Cross-Sectional Studies
  • Directive Counseling*
  • Education, Nursing*
  • Environmental Exposure / adverse effects
  • Female
  • Health Education
  • Health Occupations / education
  • Health Occupations / statistics & numerical data
  • Health Surveys
  • Humans
  • Male
  • Organizational Policy
  • Patient Education as Topic
  • Smoking Cessation / methods*
  • Students, Nursing*
  • Tobacco Smoke Pollution / adverse effects*
  • Tobacco Use Disorder / epidemiology*
  • Tobacco Use Disorder / etiology
  • United States / epidemiology
  • Young Adult


  • Tobacco Smoke Pollution