Mohammad Hassan Novin - Kavosh Cognitive Behavior Sciences and Addiction Research Center, Department of Psychiatry, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
Saba Shokri - Kavosh Cognitive Behavior Sciences and Addiction Research Center, Department of Psychiatry, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Fatemeh Eslamdoust-Siahestalkhi - Kavosh Cognitive Behavior Sciences and Addiction Research Center, Department of Psychiatry, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Ali Pourramzani - Kavosh Cognitive Behavior Sciences and Addiction Research Center, Department of Psychiatry, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

Background: The risk of substance use is increasing among university students, especially medical students. This study aimed to investigate the frequency of smoking, alcohol consumption, and substance use and its relationship with general health indicators among the students of Guilan University of Medical Sciences (GUMS) in ۲۰۲۰. The differences in the frequency of substance use were also investigated from ۲۰۰۵.Methods: This was a cross-sectional analytical study conducted on ۴۰۶ students of GUMS, Iran, in ۲۰۲۰. The data were collected through three online questionnaires including a demographic questionnaire, the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST), and the General Health Questionnaire (GHQ). The data were entered into SPSS software version ۲۲ and analyzed using Chi-square, Fisher’s Exact tests, and logistic regression at a significance level of ۰.۰۵.Findings: In this study, ۵۳.۹% of the participants were female, ۴۶.۱% were male, and ۵۴.۴% of them experienced using substances in their lifetime. The highest prevalence of use was in consumers of tobacco (۴۶.۸%), alcoholic beverages (۳۴.۷%), and cannabinoid compounds (۱۹%). Besides, ۴۸.۵% of the participants were suspected of having some degree of psychiatric disorders, among which depression (۱۱.۶%) and anxiety (۸.۴%) were the most common. Moreover, substance use during students’ lifetime had a statistically significant association with anxiety, depression, and mental health.Conclusion: The results of this study showed the prevalence of smoking, alcohol consumption, and substance use among the students of GUMS is worrying. The relationship between consumption and consumer’s health indicators highlights the necessity ofintervention and purposeful planning by policymakers in this field.

Medical students, Substance, Alcohol, smoking, General health