Abstract
Background: The consumption of hookah is rising around the world, especially among women, due to social acceptance and a positive attitude. It is also necessary and inevitable to identify the factors that lead to a decrease in this upward trend. The present study aims to explain the determinants of cessation or reduction of hookah consumption among southern Iranian women in Bandar Abbas.
Method: This qualitative study was carried out with a content analysis approach, between 2018 and 2019. In total, 36 in-depth, semi-structured interviews were conducted with experienced individuals (15 women with successful cessation, 21 women with unsuccessful cessation) with maximum variation in age, education, and occupation, from different geographical areas of the city. Thematic analysis was used for data analysis, and MAXqda software version 10 was used for data management.
Results: In total, six main categories were extracted, including incentive backgrounds, the need for liberation, control of external stimuli, religious norms, self-efficacy, and political factors.
Conclusions: The results showed that many external facilitators affect the decision to quit or reduce the use of hookah. Providing the necessary conditions and factors to increase the encouraging factors and perceived threats, spiritual support and high self-efficacy can be effective in the successful cessation or reduction of hookah consumption.
Keywords: Hookah, Smoking cessation, Qualitative research, Smoking, Southern Iran, Woman