American Journal of Cancer Prevention

Current Issue» Volume 2, Number 2 (2014)


Awareness and Knowledge of Smoking-Related Cancers Among University Students in Jordan

1Faculty of Medicine, University of Jordan, Amman, Jordan

American Journal of Cancer Prevention. 2014, 2(2), 20-23
DOI: 10.12691/ajcp-2-2-1
Copyright © 2014 Science and Education Publishing

Cite this paper:
Ayoub A. Innabi, Dina A. Ammari, Wa'el J. K. Tuqan. Awareness and Knowledge of Smoking-Related Cancers Among University Students in Jordan. American Journal of Cancer Prevention. 2014; 2(2):20-23. doi: 10.12691/ajcp-2-2-1.

Correspondence to: Ayoub  A. Innabi, Faculty of Medicine, University of Jordan, Amman, Jordan. Email:


Background: Jordan, a Middle Eastern country, has a high prevalence rate of smoking. However, little research was done to evaluate knowledge of smoking-related cancers in the region. Objective: To assess knowledge of smoking-related cancers among Jordanian university students. Design: Cross-sectional study conducted in July, 2013, using a self-administered online questionnaire. The questionnaire was sent to students from University of Jordan. Results: The final sample consisted of 230 students. The majority of participants (98.7%) were aware that smoking has harmful health effects and (95.7%) agreed that smoking causes cancer. Most of the participants agreed that smoking causes lung cancer (97.8%), oral cancer (83.0%), laryngeal cancer (82.6%), pharyngeal cancer (80.0%), and esophageal cancer (63.0%), while less than half of the participant thought that smoking causes AML (46.1%), stomach cancer (36.1%), kidney cancer (32.6%), cervical cancer (19.6%), pancreatic cancer (19.1%), and bladder cancer (14.8%). Females showed more knowledge about smoking-related cancers than males (p < 0.05) but the there was no significant difference between smokers and non-smokers. Conclusion: These findings show that most of the students know that lung cancer is caused by smoking. However, there is a lower knowledge of other smoking-related cancers. Our study suggests that more efforts should be done to increase the awareness of the adverse health hazards of smoking especially that are related to cancer.



[1]  Lee, H., S.J. Yoon, and H.S. Ahn, Measuring the burden of major cancers due to smoking in Korea. Cancer Sci, 2006. 97 (6): p. 530-4.
[2]  Das, S.K., Harmful health effects of cigarette smoking. Mol Cell Biochem, 2003. 253 (1-2): p. 159-65.
[3]  Levitz, J.S., T.P. Bradley, and A.L. Golden, Overview of smoking and all cancers. Med Clin North Am, 2004. 88(6): p. 1655-75, xiii.
[4]  Rastogi, T., A. Hildesheim, and R. Sinha, Opportunities for cancer epidemiology in developing countries. Nat Rev Cancer, 2004. 4 (11): p. 909-17.
[5]  Shishani, K., et al., Smoking patterns among Jordanian health professionals: a study about the impediments to tobacco control in Jordan. Eur J Cardiovasc Nurs, 2011. 10 (4): p. 221-7.
Show More References
[6]  Merrill, R.M., et al., Nurse and physician patient counseling about tobacco smoking in Jordan. Promot Educ, 2008. 15 (3): p. 9-14.
[7]  Haddad, L.G. and M.Z. Malak, Smoking habits and attitudes towards smoking among university students in Jordan. Int J Nurs Stud, 2002. 39 (8): p. 793-802.
[8]  Naddaf, A., The social factors implicated in cigarette smoking in a Jordanian community. Pak J Biol Sci, 2007. 10 (5): p. 741-4.
[9]  Khabour, O.F., et al., Waterpipe tobacco and cigarette smoking among university students in Jordan. Int J Tuberc Lung Dis, 2012. 16 (7): p. 986-92.
[10]  Thomas, J.L., et al., Abstinence and relapse rates following a college campus-based quit & win contest. J Am Coll Health, 2010. 58 (4): p. 365-72.
[11]  Brockman, L.N., et al., Hookah's new popularity among US college students: a pilot study of the characteristics of hookah smokers and their Facebook displays. BMJ Open, 2012. 2 (6).
[12]  Egan, K.G. and M.A. Moreno, Alcohol references on undergraduate males' Facebook profiles. Am J Mens Health, 2011. 5 (5): p. 413-20.
[13]  Kofahi, M.M. and L.G. Haddad, Perceptions of lung cancer and smoking among college students in Jordan. J Transcult Nurs, 2005. 16 (3): p. 245-54.
[14]  Bhanji, S., et al., Factors related to knowledge and perception of women about smoking: a cross sectional study from a developing country. BMC Womens Health, 2011. 11: p. 16.
[15]  Ahmed, H.G., Survey on knowledge and attitudes related to the relation between tobacco, alcohol abuse and cancer in the northern state of Sudan. Asian Pac J Cancer Prev, 2013. 14 (4): p. 2483-6.
[16]  Al-Naggar, R.A., et al., Prevalence and of smoking and associated factors among Malaysian University students. Asian Pac J Cancer Prev, 2011. 12 (3): p. 619-24.
[17]  Al-Naggar, R.A. and S.Y. Kadir, Lung cancer knowledge among secondary school male teachers in Kudat, Sabah, Malaysia. Asian Pac J Cancer Prev, 2013. 14 (1): p. 103-9.
[18]  Yang, Y., et al., Awareness of tobacco-related health hazards among adults in China. Biomed Environ Sci, 2010. 23 (6): p. 437-44.
[19]  Hawari, F.I., et al., Perceptions of young Jordanian adults to proposed anti-tobacco pictorial warning labels. BMC Public Health, 2011. 11: p. 414.
[20]  Al Dubai, S.A., et al., Awareness and knowledge of oral cancer among university students in Malaysia. Asian Pac J Cancer Prev, 2012. 13 (1): p. 165-8.
[21]  Oncken, C., et al., Knowledge and perceived risk of smoking-related conditions: a survey of cigarette smokers. Prev Med, 2005. 40 (6): p. 779-84.
[22]  Tadbir, A.A., et al., Evaluation of levels of knowledge about etiology and symptoms of oral cancer in southern Iran. Asian Pac J Cancer Prev, 2013. 14 (4): p. 2217-20.
[23]  Nieder, A.M., et al., Are patients aware of the association between smoking and bladder cancer? J Urol, 2006. 176 (6 Pt 1): p. 2405-8; discussion 2408.
[24]  Anastasiou, I., et al., Patient awareness of smoking as a risk factor for bladder cancer. Int Urol Nephrol, 2010. 42 (2): p. 309-14.
[25]  Ma, G.X., et al., Perceived risks of certain types of cancer and heart disease among Asian American smokers and non-smokers. J Community Health, 2002. 27 (4): p. 233-46.
[26]  Joy, T., et al., Awareness of cervix cancer risk factors in educated youth: a cross-sectional, questionnaire based survey in India, Nepal, and Sri Lanka. Asian Pac J Cancer Prev, 2011. 12 (7): p. 1707-12.
[27]  Murphy-Hoefer, R., S. Alder, and C. Higbee, Perceptions about cigarette smoking and risks among college students. Nicotine Tob Res, 2004. 6 Suppl 3: p. S371-4.
[28]  Minh An, D.T., et al., Knowledge of the health consequences of tobacco smoking: a cross-sectional survey of Vietnamese adults. Glob Health Action, 2013. 6: p. 1-9.
[29]  Xu, Y., et al., Tobacco knowledge among adults in Zhejiang Province, China. PLoS One, 2013. 8 (3): p. e59172.
[30]  Hammond, D., et al., Effectiveness of cigarette warning labels in informing smokers about the risks of smoking: findings from the International Tobacco Control (ITC) Four Country Survey. Tob Control, 2006. 15 Suppl 3: p. iii19-25.
[31]  Hafstad, A., et al., Provocative appeals in anti-smoking mass media campaigns targeting adolescents--the accumulated effect of multiple exposures. Health Educ Res, 1997. 12 (2): p. 227-36.
[32]  Flynn, B.S., et al., Mass media and school interventions for cigarette smoking prevention: effects 2 years after completion. Am J Public Health, 1994. 84 (7): p. 1148-50.
Show Less References