RT Journal Article SR Electronic T1 Do we need to promote healthy behaviors among medical students? - A cross sectional study JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP PA1186 DO 10.1183/13993003.congress-2015.PA1186 VO 46 IS suppl 59 A1 Sofia Ravara A1 Daniela Faria A1 Irma Brito YR 2015 UL http://erj.ersjournals.com/content/46/suppl_59/PA1186.abstract AB Aims: to evaluate and compare tobacco and other health behaviour risks between younger medical students and finalists; to assess associations between smoking and health behaviour risks. Setting: Medical school, UBI, Portugal.Methods: questionnaire-based cross-sectional study; 66.7% participation rate.Results: Participants: 365 students (154 finalists); 72.9% females; mean age: 21.3 ±2.8 years. Smoking prevalence was 23.5 % among younger students (9.1% daily smokers); 20.1 % among finalists (4.5% daily smokers), p=0.24; 28.1% in males and 20.0% in females, p = 0.019. Males reported more frequent daily smoking (13.5% vs 4.9 %, p = 0.019); higher rates of abusive alcohol consumption (41.4% vs 16.3%, p<0.001); and cannabis use (ever users: 29.6 vs 16.7, p<0.001). Younger students reported significantly higher and earlier consumption of alcohol and cannabis. Psychoactive drugs and tranquilizers use was low; significantly higher among smokers, females and finalists. Most students reported sedentary lifestyle and unhealthy diet independently of age. Females reported lower stress-copying ability and lower sleep quality. Smokers reported more often unhealthy diet, abusive or binge drinking, and cannabis use. Smoking was associated with cannabis use (aOR: 9.84 ; 95% CI :3.94 – 24.58 , p < 0.001), and alcohol risk consumption (aOR : 6.51; 95% CI :3.39 – 12.50 , p < 0.001).Conclusions: Medical students report high smoking prevalence, high rate of abusive alcohol consumption and unhealthy lifestyles. Health behavior risks are associated, highlighting the need to implement health promotion programs targeting multiple risk factors to prevent smoking and alcohol consumption in medical schools.