Patterns and Correlates of Co-occurring Smoking, Alcohol Use, Gambling, and High Internet Use Among University Students: A Cross-Sectional Study in Türkiye.
University life may facilitate multiple addictive behaviors that tend to cluster rather than occur in isolation. The aim of this study was to estimate the prevalence and co-occurrence patterns of daily cigarette smoking, past-30-day alcohol use, gambling, and high daily internet use, and to evaluate...
| Published in: | Journal of Community Health Vol. 51; no. 3; pp. 479 - 494 |
|---|---|
| Main Authors: | , , , , , , |
| Format: | Article |
| Published: |
Springer Nature
Jun2026
|
| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=194420290&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 194420290 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Jun2026 vid: 51 iid: 3 pid: 237 pub: Springer Nature artinfo: ui: 194420290 10.1007/s10900-026-01563-0 ppf: 479 ppct: 15 formats: tig: atl: Patterns and Correlates of Co-occurring Smoking, Alcohol Use, Gambling, and High Internet Use Among University Students: A Cross-Sectional Study in Türkiye. aug: au: Avcu, Ahmet Burak Gündoğdu, Sena Nur Sülü, Merve Kekilli, Cengiz Çağdaş Boz, Gülseda Baran, Ayşe Genç, Metin Fikret affil: https://ror.org/04asck240 Department of Public Health, Inonu University School of Medicine, Malatya, Türkiye https://ror.org/03cc0mm23 Department of Psychiatry, Nassau University Medical Center, East Meadow, NY, USA su: Türkiye Internet addiction Cross-sectional method Income Smoking Sex distribution Alcoholism Psychology of college students Sociodemographic factors Educational attainment Statistical sampling Logistic regression analysis Questionnaires Gambling Descriptive statistics Odds ratio Confidence intervals Data analysis software sug: subj: Internet addiction Cross-sectional method Income Smoking Sex distribution Alcoholism Psychology of college students Sociodemographic factors Educational attainment Türkiye Other Gambling Industries Marketing Research and Public Opinion Polling Statistical sampling Logistic regression analysis Questionnaires Gambling Descriptive statistics Odds ratio Confidence intervals Data analysis software keyword: Addictive behaviors Alcohol Medical and Health Sciences Public Health and Health Services University students Addictive behaviors Alcohol Medical and Health Sciences Public Health and Health Services University students ab: University life may facilitate multiple addictive behaviors that tend to cluster rather than occur in isolation. The aim of this study was to estimate the prevalence and co-occurrence patterns of daily cigarette smoking, past-30-day alcohol use, gambling, and high daily internet use, and to evaluate their sociodemographic and behavioral associations among undergraduate students in Türkiye. This cross-sectional study was conducted at Inonu University (Malatya, Türkiye) between February–May 2024. Using stratified random sampling, n = 366 students were included. Outcomes were daily smoking, past-30-day alcohol use, past-year gambling, and high daily internet use (≥ 5 h/day). Analysis included UpSet framework for co-occurrence and logistic regression models. A Firth-penalized model assessed smoking factors. Prevalence was 39.1% for high internet use, 30.1% for daily smoking, 22.1% for gambling, and 7.7% for alcohol use. Overall, 59.0% reported at least one behavior, 27.6% reported ≥ 2, and 10.4% reported ≥ 3; the most common triple combination was high internet use, smoking, and gambling (6.3%). Male sex was associated with smoking (adjusted odds ratio [aOR] = 3.19) and gambling (aOR = 5.95). Smoking was independently associated with alcohol use (aOR = 5.34) and gambling (aOR = 2.25). High internet use was associated with highest family income (aOR = 2.81), alcohol (aOR = 2.54), and gambling (aOR = 2.73). Peer smoking showed an association with daily smoking (aOR = 17.25 for 2–3 friends vs. none). Risk behaviors are common and frequently cluster, particularly internet use, smoking, and gambling. These findings support integrated campus prevention and screening strategies that address multiple behaviors simultaneously rather than in isolation. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|