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Background. Despite the well‐known adverse health effects of tobacco, shisha use among students in tertiary institutions remains a public health concern. In Kenya, the literature on status of shisha after the 2017 ban is scanty. This study sought to ascertain actual shisha use among university students along the coastal strip. Methods. We investigated confirmed and self‐reported shisha use. Using proportionate‐to‐size and snowball sampling methods, 380 respondents were enrolled from three universities. Sociodemographic characteristics and self‐reported history of shisha use were documented using a participant‐assisted questionnaire. Actual shisha use was determined qualitatively using 6 panel plus alcohol saliva test kit that detected cotinine use among other selected drugs. Results. Of the 380 participants, 278 (73%) were males and their median (IQR) age was 22 (20–23) years. This study reports 29% current use based on testing positive for cotinine. Among those who reported current ever use of shisha, 19% tested positive for cotinine, respectively. In the multivariable analysis, being separated (adjusted risk ratio (aRR): 2.06 (95% CI: 1.45–2.94)) compared to being single and studying for a degree compared to a diploma (aRR: 1.32 (95% CI: 1.10–1.58)) were associated with cotinine positive. The 4th year of study (aRR: 1.68 (95% CI: 1.22–2.33)) compared to the 1st year and reported knowledge of shisha (aRR: 1.84 (95% CI: 1.18–2.87)) were associated with cotinine positive. Conclusion. Nearly one‐third of university students along the Kenyan coast are active shisha users. Saliva testing for cotinine is a more reliable method of reporting tobacco use. We recommend upscaling of health education, re‐enforcement of the current ban on shisha consumption by concerned authorities, and saliva testing for cotinine while assessing current tobacco use.
Background. Despite the well‐known adverse health effects of tobacco, shisha use among students in tertiary institutions remains a public health concern. In Kenya, the literature on status of shisha after the 2017 ban is scanty. This study sought to ascertain actual shisha use among university students along the coastal strip. Methods. We investigated confirmed and self‐reported shisha use. Using proportionate‐to‐size and snowball sampling methods, 380 respondents were enrolled from three universities. Sociodemographic characteristics and self‐reported history of shisha use were documented using a participant‐assisted questionnaire. Actual shisha use was determined qualitatively using 6 panel plus alcohol saliva test kit that detected cotinine use among other selected drugs. Results. Of the 380 participants, 278 (73%) were males and their median (IQR) age was 22 (20–23) years. This study reports 29% current use based on testing positive for cotinine. Among those who reported current ever use of shisha, 19% tested positive for cotinine, respectively. In the multivariable analysis, being separated (adjusted risk ratio (aRR): 2.06 (95% CI: 1.45–2.94)) compared to being single and studying for a degree compared to a diploma (aRR: 1.32 (95% CI: 1.10–1.58)) were associated with cotinine positive. The 4th year of study (aRR: 1.68 (95% CI: 1.22–2.33)) compared to the 1st year and reported knowledge of shisha (aRR: 1.84 (95% CI: 1.18–2.87)) were associated with cotinine positive. Conclusion. Nearly one‐third of university students along the Kenyan coast are active shisha users. Saliva testing for cotinine is a more reliable method of reporting tobacco use. We recommend upscaling of health education, re‐enforcement of the current ban on shisha consumption by concerned authorities, and saliva testing for cotinine while assessing current tobacco use.
Objective Türkiye is the leading country that has been applying the MPOWER criteria of the World Health Organization for years. However, the prevalence of smoking among nurses appears to be high, according to the literature. Therefore, we aimed to determine the prevalence, addiction levels, and dynamics of tobacco smoking among nurses in Türkiye. Method In this descriptive cross-sectional study, a questionnaire (prepared in cooperation with the “World Health Organization”) and the Fagerström Test for Nicotine Dependence were administered to 529 nurses working at a tertiary-care university hospital in 2020. Logistic regression was performed to determine factors predicting smoking. Results The prevalence of smoking among nurses was 32.7% (n = 173). The mean Fagerström test score indicated a "low dependence" level (score: 3 ± 2.6). Both results were higher for males. A relationship was found between trying smoking cigarette and hookah. Of the “current smokers” group, 102 (60.4%) stated that they wanted to quit smoking. Only 21 (27.6%) of the nurses who have tried to quit smoking thus far have received professional help. Conclusion The prevalence of smoking among nurses working at a tertiary-care university hospital was relatively low compared to that among nurses in Türkiye. While females are normally expected to smoke less, the high prevalence of smoking among nurses (most of them female) raises the question of the professional basis of this situation. However, the low rate of receiving professional help reveals the lack of promotion and accessibility of smoking cessation outpatient clinics in the faculty environment. Finally, the perception that hookah is an alternative tobacco product leads to cigarette smoking. The good news was that nurses had a low dependency rate.
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