Multiple tobacco use among young adult waterpipe smokers in Egypt

Mostafa, Aya; Houssinie, Moustafa El; Fotouh, Aisha Aboul

doi:10.26719/2018.24.1.17

Cited by 20 publications

(33 citation statements)

References 19 publications

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“…Smoking multiple tobacco products was not common among current smokers in this study (i.e., < 8%), except for female current smokers where 15.2% smoked both manufactured cigarettes and shisha. Multiple tobacco use with different forms has been reported in several studies from the region and internationally with varying percentages (Lee et al 2014 ; Mostafa et al 2018 ; Soneji et al 2016 ).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of smoking in the Kuwaiti adult population in 2014: a cross-sectional study

Alali

Longenecker

Alwotyan

et al. 2020

Environ Sci Pollut Res

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The study objective was to assess tobacco smoking prevalence in Kuwaiti adults in relation to sociodemographic characteristics. A cross-sectional study survey was conducted in 2014 on 3917 Kuwaiti citizens (18–69 years) following the World Health Organization (WHO) STEPwise Approach to Surveillance (STEPS) methodology. The study assessed prevalence of self-reported ever-smoking or currently smoking tobacco products and exposure to secondhand smoke in relation to demographic and smoking-related characteristics. The prevalence of “ever smoker” in men and women was 49.9% and 4.4%, respectively, whereas the prevalence of “current smoker” was 39.2% and 3.3%, respectively. Sex (adjusted OR [AOR], 19.2 [95% confidence interval (CI) 13.0–28.3], male versus female) was significantly associated with current smoking. Among daily smokers, 87.1% used manufactured cigarettes. The average daily number of manufactured cigarettes for men and women was 21.8 and 13.0, respectively. Mean age at smoking initiation was 17.5 years (95% CI 17.2–17.9). The prevalence of secondhand smoke at home and work was 38.6% and 29.9%, respectively. Half of Kuwaiti men have smoked at some point in their life with most of these being current smokers. Secondhand smoke is a common exposure at home and work, posing serious health risks to the population.

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Section: Discussionmentioning

confidence: 99%

Prevalence of smoking in the Kuwaiti adult population in 2014: a cross-sectional study

Alali

Longenecker

Alwotyan

et al. 2020

Environ Sci Pollut Res

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“… 9 10 The WHO Eastern Mediterranean Region (EMR) remains home to the highest WTS rates worldwide 1 11 ; in some EMR countries, WTS has surpassed cigarette smoking in women and adolescents. 12 13 Egypt has witnessed a rising trend in WT use; adolescent girls (3.4%) 14 and university students (12.2%) 15 report higher WTS rates than their older counterparts (0.3% in women 14 and 6.2% in men 16 ), and rurally located Egyptian men smoke WT more (7.5%) than men living in urban regions (4.9%). 16 This global surge in WTS makes examining the perceived effectiveness of existing WT control policies important to inform a much needed WT regulatory framework.…”

Section: Introductionmentioning

confidence: 99%

Plain packaging of waterpipe tobacco? A qualitative analysis exploring waterpipe smokers’ and non-smokers’ responses to enhanced versus existing pictorial health warnings in Egypt

et al. 2018

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ObjectiveDespite the global increase in waterpipe tobacco smoking (WTS) including in Egypt, few studies have assessed the effectiveness of waterpipe tobacco (WT) health warnings. Egypt has used pictorial health warnings (PHWs) on waterpipe tobacco packs (WTPs) and has rotated these every two years since 2008. We explored in this qualitative study how participants perceived existing PHWs on WTPs, assessed how they interpreted novel plain packaging of WT featuring enhanced PHWs, and probed perceptions of how existing and novel sets would affect uptake or cessation of WTS.DesignWe conducted ten qualitative focus groups and ten in-depth interviews. We explored participants’ views of the four existing PHWs (occupied 50% of the front and back of WTPs, displayed cancers, and featured colourful fruits and flavors) and four novel PHWs (occupied 80% of the front and back of WTPs, displayed different topical content, with plain packaging). Transcripts were analyzed using thematic analysis.SettingRural Menoufia, urban and semi-urban Cairo, Egypt.Participants90 waterpipe smokers and non-smokers, men and women, aged 18 years or older.OutcomesPerceived potential effect on WTS uptake or cessation, probing factors related to PHW content and WTP design.ResultsParticipants in focus groups and in-depth interviews thought existing WT PHWs elicited affective responses, but found them unclear or unrealistic and thought the colourful packaging detracted from the warnings. In contrast, they thought novel and larger WT PHWs presented in plain packaging might prevent WTS initiation or trigger quit attempts. Participants regarded warnings featuring proximal health risks as most likely to be acceptable.ConclusionsOur exploratory study suggests larger WT PHWs featuring proximal risks and presented on plain WTPs could potentially deter experimentation with WT products among non-users and promote cessation among existing users.

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“…Dual tobacco use (i.e. concurrent use of waterpipes and cigarettes) is a growing problem in the MENA region [9]. Waterpipe smoking is closely associated with cigarette smoking and is a known gateway to cigarette smoking amongst the populations that have never smoked [4,8,10,11].…”

Section: Introductionmentioning

confidence: 99%

Waterpipe and cigarette tobacco smoking and depressive symptoms among public school students in central Jordan

Alzyoud

Massoud

2020

JHR

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PurposeTobacco is the most widely used substance in the world that has been linked to several psychological problems. Few studies have assessed the relationship between dual (waterpipe and cigarette) tobacco smoking. This study aims to examine the relationship between dual tobacco use and symptoms of depression amongst its users.Design/methodology/approachA cross-sectional study using a random sample of school students was conducted to assess youth tobacco smoking in the central region of Jordan. A self-reported questionnaire including biographical information, smoking status and experience of depression symptoms was used with a sample of 9th to 12th-grade students. χ2 and regression test were used to analyze the data.FindingsThe final sample comprised 576 school students, of whom 60% were males. The age range was between 16 and 18 years (mean = 15.84 years, SD ± 0.97). 30% of the participants were dual tobacco smokers. A significant difference was found between males and females, with males being more likely to be dual tobacco smokers compared to females. Two depressive symptoms (“feeling sad” and “having crying spells”) had a significant likelihood amongst the youth who were dual smokers.Originality/valueTo the best of the authors' knowledge, this is the first study that aims to report the relationship between dual tobacco smoking and depressive symptoms. Prevention programs are crucial for raising awareness of the harmful effects of dual tobacco smoking and smoking cessation amongst the youth

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Multiple tobacco use among young adult waterpipe smokers in Egypt

Cited by 20 publications

References 19 publications

Prevalence of smoking in the Kuwaiti adult population in 2014: a cross-sectional study

Prevalence of smoking in the Kuwaiti adult population in 2014: a cross-sectional study

Plain packaging of waterpipe tobacco? A qualitative analysis exploring waterpipe smokers’ and non-smokers’ responses to enhanced versus existing pictorial health warnings in Egypt

Waterpipe and cigarette tobacco smoking and depressive symptoms among public school students in central Jordan

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