Now is the Time for Effective Regulation Regarding Tobacco Smoking Using a Waterpipe (Hookah)

Eissenberg, Thomas

doi:10.1016/j.jadohealth.2019.03.011

Cited by 7 publications

(11 citation statements)

References 33 publications

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“…Therefore, the study results in comparison with others which were in favor of Turkey had shown that the culture of the Turkish community concerning Turkish students' lifestyle is full of study and provision of work opportunities during the university life to fill their leisure time and keep them away from all health risks caused. Furthermore, Turkey might implement strategies of medical schools and residency training programs that have additional benefits of reducing prevalence of Shisha smoking in the general population [33].…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Shisha Smoking among University students in Palestine, Jordan and Turkey

Hawash

Mosleh

Hanani

et al. 2019

Preprint

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Background: Smoking is one of the main causes that is related to lung cancer. It was estimated that tobacco smoking may kill 10 million people annually in the next 20-30 years, and Shisha smoking was very common habit worldwide during the last 20 years, especially in the Middle East. This study aimed to determine the prevalence of shisha smoking and make a comparison between three different countries in the Middle East, and establishing factors associated with shisha smoking among students in universities in Palestine, Jordan and Turkey.Methods: An online cross-sectional study was carried out among university students from 3 different Middle East countries; Palestine, Jordan, and Turkey. A total of 812 students were selected for the study. They were asked to answer an online structured questionnaire consisted of questions concerning prevalence and patterns of Shisha smoking, and associated factors. Data was analyzed by Statistical Package for Social Sciences.Results: The overall prevalence of Shisha smoking was 31.77%. Less than quarter of university students (21.67%) had smoked shisha before. The highest percentage of current Shisha smokers were Palestinians (36.11%), and lowest percentage was from Turkey (20.23%). Approximately 43% of Shisha smokers believe that they will be addicted to Shisha smoking and almost half of them smoke Shisha daily. Approximately, 66% of Jordanian students' current Shisha smokers were smoking shisha at least once daily while the 44% of Turkish students' current shisha smokers were smoking shisha once monthly. The highest percentage of Shisha smokers were university students aged 25 years old and above. However, highest percentages of university students who are Shisha smokers were low monthly income's students. The university students living with their families were smoking Shisha less frequently than students' living in private residencies.Conclusions: There was a high prevalence of Shisha smoking among university students. The highest percentage of university students smoking Shisha were Palestinians. High percentage of smokers between the students believes that they will be addicted to Shisha smoking. The majority of current Shisha smokers was smoking Shisha daily; especially in Jordan and followed by Palestine. The monthly income was affecting the prevalence of Shisha smoking.

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Section: Discussionmentioning

confidence: 99%

A Comparison of Shisha Smoking among University students in Palestine, Jordan and Turkey

Hawash

Mosleh

Hanani

et al. 2019

Preprint

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“…Furthermore, Turkey might implement strategies of medical schools and residency training programs that have additional benefits of reducing the prevalence of Water pipe smoking in the general population [50].…”

Section: Prevalence and Patterns Of Water Pipe Smokingmentioning

confidence: 99%

Water pipe Smoking: Prevalence and Addiction among University students in Palestine, Jordan, and Turkey

Hawash

Mosleh

Hanani

et al. 2020

Preprint

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Background Smoking is one of the main causes of lung cancer. It was estimated that tobacco smoking might kill 10 million people annually in the next 20–30 years, and Shisha smoking has been a common habit worldwide during the last 20 years, especially in the Middle East. This study aimed to determine the prevalence of Shisha smoking and to make comparisons among three countries in the Middle East, thereby establishing factors associated with shisha smoking among university students in Palestine, Jordan, and Turkey. Method An online cross-sectional study was carried out among university students from Palestine, Jordan, and Turkey. A total of 2030 students were selected for the study. The students were asked to answer an online structured questionnaire consisting of questions concerning the prevalence and patterns of Water pipe smoking and associated factors. Result The overall prevalence of Water pipe smoking was 31.8%. Less than a quarter of university students (21.7%) had ever smoked Water pipe. The highest percentage of current Water pipe smokers were Palestinians (36.11%), and the lowest percentage was from Turkey (20.23%). Approximately 43% of Water pipe smokers believe that they will be addicted to Water pipe smoking and almost half of them smoke Water pipe daily. The highest percentage of Water pipe smokers were university students 25 years old and above. However, the highest percentages of university students who are Water pipe smokers were students with a low monthly income. The university students living with their families were smoking Water pipe less frequently than students living in private residencies. Conclusion This study concludes that there is a high prevalence of Water pipe smoking among university students in Palestine, Jordan, and Turkey. The highest percentage was found among Palestinians, which might be because there are no Water pipe smoking regulations in Palestine, whereas there are in Turkey. Monthly income and living with the family were factors affecting the prevalence of Water pipe smoking.

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“…Waterpipe tobacco smoking (WTS) is associated with periodontal, pulmonary, and cardiovascular diseases; cancers of the mouth and lung; low birth weight; various toxic content exposures; and addiction [1][2][3]. Despite the growing evidence of its adverse health effects, WTS has gained social acceptance because of misconceptions regarding its harms [4].…”

Section: Introductionmentioning

confidence: 99%

Perceived efficacy of existing waterpipe tobacco warning labels versus novel enhanced generic and waterpipe-specific sets

2021

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Introduction Since 2008, Egypt has four existing generic bi-annually rotating warning labels (WLs) on 50% of the waterpipe tobacco packs (WTPs). The Ministry of Health Tobacco Control Unit proposed increasing WL size to 80%, removing colours and flavour imagery from WTPs, and plain packaging to help curb the rising epidemic of waterpipe tobacco smoking. Therefore, we measured the perceived efficacy of existing against novel enhanced (generic and waterpipe-specific) WTP WLs and the associated factors among Egyptian waterpipe smokers and nonsmokers. Methods A purposive quota sample of 2014 adults was surveyed in two rounds using face interviews. At each round, participants were randomly shown one of four existing WLs, then one of four novel WLs. Participants rated the perceived efficacy of existing and novel WLs regarding the salience, depth of processing, affective reactions, credibility, relevance, perceived harm and perceived behavioural control. Data were analysed using Generalized Estimating Equations. Results Participants rated novel WTP WLs with higher mean perceived efficacy scores than existing WLs for all measures, although both sets collectively scored modestly (59.7; 95% CI: 58.9–60.5 vs 53.0; 95% CI: 52.1–54.0, respectively; p<0.001). Relative to the existing WTP WLs, novel WLs were particularly able to induce higher salience, affective reactions, and depth of processing. Relative to the generic novel WTP WLs, waterpipe-specific WLs induced higher relevance, perceived harm, and affective reactions. Nonsmokers scored higher than waterpipe tobacco smokers, specifically for perceived behavioral control (65.0±32.5 vs 43.6±19.8, respectively; p<0.001). WTP WLs featuring proximal risks, such as dental effects (β = 9.70; 95% CI: 7.00–12.40), fetal harm (β = 9.42; 95% CI: 6.75–12.10), or toxic contents (β = 9.14; 95% CI: 6.58–11.70) were strongly associated with participants’ perceived efficacy scores. Among other independent factors, rural residence (β = 24.09; 95% CI: 22.21–25.97), being a nonsmoker (β = 10.51; 95% CI: 8.92–12.10), survey round 2 (β = 6.96, 95% CI: 5.73–8.19), the novel WTP WL set (β = 6.68; 95% CI: 6.19–7.17), and having higher education (β = 6.31; 95% CI: 4.34–8.27) were highly associated with participants’ perceived efficacy scores. Conclusions Waterpipe-specific WLs on plain WTPs that feature proximal risks and address different population subgroups need to be developed in conjunction with awareness raising campaigns on WTS harms to reinforce the credibility of WTP WLs. Our findings suggest the proposed WTP WL enhancements by the Tobacco Control Unit may support a more effective WTP labelling policy within a comprehensive waterpipe-specific tobacco control framework.

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Now is the Time for Effective Regulation Regarding Tobacco Smoking Using a Waterpipe (Hookah)

Cited by 7 publications

References 33 publications

A Comparison of Shisha Smoking among University students in Palestine, Jordan and Turkey

A Comparison of Shisha Smoking among University students in Palestine, Jordan and Turkey

Water pipe Smoking: Prevalence and Addiction among University students in Palestine, Jordan, and Turkey

Perceived efficacy of existing waterpipe tobacco warning labels versus novel enhanced generic and waterpipe-specific sets

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