Psychological Distress And Smoking Behaviors of Chinese College Students: Mediating Effects of The Dimensions of Learning Burnout
Abstract Objectives: Smokers or never smokers exposed to environmental tobacco use (ETS) are usually associated with various diseases and cancers. In order to better help college students prevent the tobacco use and thus preclude the incidences of avoidable diseases, this study explored the predictive power of different variables including demographic and psychological variables in relation to smoking behaviors. Methods: Maslach Burnout Inventory-Student Survey (MBI-SS) and Kessler Psychological Distress Scale (K10) were used in this study. Results: The multivariate logistic regression indicated that college students who were male (versus female, OR = 9.55), majoring in medicine and sports (versus nursing, ORmedicine = 2.19, ORsports=2.81), born in the non-singleton family (versus singleton family, OR= 0.63) with higher family income (versus lower family income, OR = 0.45), surrounded with smoking friends (versus without smoking friends, OR= 0.18), were more vulnerable to smoke. In addition, combined with the theory of planned behavior (TPB), the dimensions of learning burnout had full mediation effects between psychological distress and smoking behavior. Conclusions: Psychological distress can only indirectly affect smoking behavior via learning efficacy, cynicism and emotional exhaustion. Adjustment from different dimensions of learning burnout will help college students better prevent the tobacco use.