Background: Tobacco consumption is one of the major public health concerns worldwide which can have adverse effects on human health. An awareness of the status of tobacco consumption and identification of its affecting factors constitute the first step in tobacco control programs. The aim of this study was to investigate the prevalence of cigarette and waterpipe consumption among residents in Bandar Abbas in Hormozgan province. Materials and Methods: In general, 853 residents of Bandar Abbas were chosen through the cluster sampling method and by referring to their houses and interviewing them. Data were analyzed by the chi-square test, along with the odds ratio (OR) with a confidence interval (CI) of 95%. Results: The prevalence of cigarette and waterpipe consumption in men and women was 14.8% and 0.9%, as well as 5.6% and 5.4%, respectively. Male gender (OR=18.26; 95% CI: 6.58-50.65), marital status of those married once (OR=2.91; 95% CI: 1.24-6.85), academic education (OR=0.48; 95% CI: 0.25-0.93), father’s diploma and above (OR=0.35; 95% CI: 0.15 – 0.83), mother’s diploma and above (OR=0.36; 95% CI: 0.13-0.99) were associated with cigarette smoking. The other related factors were employee (OR=1.99; 95% CI: 1.20-3.30), self-employed (OR=3.13; 95% CI: 1.87- 5.24), and age (OR=12.57; 95% CI: 2.86-55.24 for age ≥ 50 years). No significant relationship was found between demographic factors and tobacco smoking. Conclusion: Cigarette and waterpipe smoking is a multidimensional health problem and has a close relationship with different demographic and social factors. Planning for enhancing health and mitigating the damages resulting from tobacco consumption is essential for promoting healthcare.

Background: Considering the prevalence of waterpipe smoking (WPS) among the majority of people, it is necessary to identify the cause of this behavior. Therefore, this meta-analysis study aimed at evaluating the prevalence of waterpipe consumption in Iran based on province, education level, and gender subgroups. Materials and Methods: The search was conducted based on the PRISMA guideline. Scopus PubMed, SID, and Irandoc databases were used to retrieve papers related to the prevalence of WPS in Iran from January 1, 2005 to May 10, 2022. The keywords were "air pollution" OR "particulate matter" OR "water-pipe" OR smoking OR "Indoor air" and "Prevalence" OR "Incidence" AND "Iran". The prevalence of WPS was meta-analyzed based on province, gender, and education level subgroups in the random effects model. Results: According to the final included papers (17 articles and 48 data reports), the rank order of provinces based on the prevalence of WPS was Kerman (58.30%)>Tehran (52.38%)>Sistan and Baluchistan (42.29%)>Hormozgan (30.69%)>Yazd (24.13%)>Bushehr (19.47%)>Ardabil (19.00%)>Fars (16.37%)>Khuzestan (11.38%). The rank order of education level of participants based on the prevalence of WPS was college education (55.64%)>Student (43.47%)>University Student (17.69%). Finally, the rank order of gender of participants based on the prevalence of WPS was male (31.75%) ~ female (30.99%). Conclusion: The results demonstrated a high prevalence of WPS. It is a multi-predictor and multilevel phenomenon in several aspects. The impact of geographical location and education levels was clearly visible. There was no difference in the gender-specific gap for WPS. Regarding the substantial effects of WPS prevalence on health, regular surveillance, prevention, intervention, and control are necessary.