Experience Assessment of Tobacco Smoking, Alcohol Drinking, and Substance Use Among Shahroud University Students by Crosswise Model Estimation –The Alarm to Families

Katayon Vakilian1, *, Afsaneh Keramat2, Seyyes Abass Mousavi3, Reza Chaman4
1 Medical School, Arak University of Medical Sciences, Arak, Iran
2 Nursing Midwifery School, Shahroud University of Medical Sciences, Shahroud, Iran
3 Medical School, Golestan university of Medical Sciences, Golestan, Iran
4 Department of Epidemiology, Shahroud University of Medical Sciences, Shahroud, Iran

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Creative Commons License
© 2019 Vakilian et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: ( This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Medical School, Arak University of Medical Sciences, Arak, Iran; Tel: 098-8634173505; E-mail:



In this study, we considered to determine the estimation of experience of substance use, cigarette smoking, and alcohol drinking among Iranian students, using the crosswise model estimation.


The Cross-sectional study was done in November 2012 to February 2013. A total of 1500 students were selected from Shahroud Universities, using multistage sampling. Three pairs of questions were designed, based on the crosswise model, and the questionnaire was presented to the students after written consent forms were obtained. Data were analyzed using Ch2, t-test and crosswise test.


The Mean ±SD age of girls was 20.26±1.49 vs boys 20.32±1. 575. Based on the findings, the prevalence of cigarette smoking, alcohol drinking, and substance abuse among students was 20%, 33%, and 7%, respectively.


Considering the high prevalence of drug use among Iranian students and the unbiased design of this study, it is suggested that the necessary skills be incorporated and introduced in the school curriculum for students at primary schools.

Keywords: Adolescent, Alcohol, Epidemiology, Smoking, Public health, Addiction.