医学生における喫煙状況と学業成績の関係 Relationship Between Smoking and the Academic Performance of Medical Students.
1996年度および1997年度に, 当大学の第5学年医学生における喫煙状況と学業成績の関係を調査した.喫煙状況の調査方法としては, 呼吸器内科に臨床実習のため回ってきた際に, 各班ごとに1人ひとりの喫煙習慣について聞き取りを行った.学業成績は第5学年までストレートに進級してきたか, 1回でも留年したことがあるかで評価した.1996年度, 1997年度の男子学生の喫煙率は, ストレート組でそれぞれ48.9%, 39.1%であるのに対して, 留年組では80.6%, 65.4%と有意に高かった.女子学生においても, 1996年度, 1997年度の喫煙率はストレート組がそれぞれ8.7%, 9.1%なのに, 留年組は25.0%, 37.5%と高率を示した.喫煙状況が学業成績に関係することが示唆される.わが国において, 医学生に対するアンチスモーキング教育をもっと積極的に進めていく必要がある.
A survey of the relationship between smoking and the academic performance of 5th-year students at Kawasaki Medical School was carried out over a 2-year period (1996 and 1997). Students were asked about their smoking habits when they visited our ward to see patients. To assess their academic performance, students were divided into two groups; students who were promoted to the 5th-year without failures (straight-promotion group) and students who had repeated the same year at least once (repeater group). Among male students, smoking rates in the straight-promotion group were 48.9 % in 1996 and 39.1% in 1997, whereas those in the repeater group were 80.6% and 65.4%. Among female students, smoking rates in the straight-promotion group were 8.7% in 1996 and 9.1% in 1997, whereas those in the repeater group were 25.0% and 37.5%. The smoking rate among male students was significantly higher in the repeater group than in the straight-promotion group, whereas there was no statistical difference between the two groups among female students. Our results suggest that smoking and poor academic performance are related. More aggressive antismoking education is needed to reduce the high smoking rate among male medical students in Japan.
医学教育 29(6), 379-383, 1998