scholarly journals Prevalence of hookah smoking and associated factors among male high school students in Iraq

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmed K. Al-Delaimy ◽  
Waleed A. T. Al-Ani

Abstract Background The use of the hookah-smoking device is increasing at a large scale in the Eastern Mediterranean region. Hookah users are exposed to an array of chemical compounds and may suffer several chronic diseases as a result. The purpose of this study was to determine the prevalence of hookah use among male high school students in the region and to study different associated factors in order to provide local tobacco control officials with an understanding of this public health problem. Methods A convenient non-probability sampling study was conducted among students in three high schools in Al-Karkh district, Baghdad. The study period was from October 2017 till January 2019 and included 847 male students aged 15–18 years old. Using a simple random technique to select the high schools from a list of schools we chose one school from each directorate. Descriptive, chi-square test of significance, bivariate, and multivariate logistic regression analyses of data were carried out for identifying the risk factors associated with hookah smoking among these high school adolescent males. Results The overall prevalence of hookah smoking in the last 30 days among male high school students was 46.1% while in the past 6 months it was as high as 85.7%. More than two-thirds (70.6%) of the students thought that hookah smoking was more socially acceptable than cigarette smoking. Factors such as having first heard about it from friends, the media, or the presence of a hookah café near their residence were significantly associated (p > 0.05) with hookah smoking among the students. Similarly, being surrounded by friends who used hookah was also found to be significantly associated with hookah smoking, with an odds ratio of 0.18, 95% CI (0.087–0.394). Hookah smokers were less likely than non-hookah smokers to report its use as forbidden in Islam and more likely to say it is allowed in Islam. Conclusions We found an alarmingly high use of hookah smoking among male high school students in this study. Family members and peers had an important role in the prevention of hookah smoking among these students. There is a need for students to be educated about the toxicity of hookah tobacco smoking and its direct effect on their health.

2020 ◽  
Author(s):  
Ahmed K. Al-Delaimy ◽  
Waleed AT Al-Ani

Abstract Background The use of the hookah-smoking device is increasing at a large scale in the Eastern Mediterranean region and reaching to Western countries. Hookah smoke users are exposed to a lot of chemical compounds and several chronic diseases. The purpose of this study was to determine the prevalence of hookah use among male high school students and to study different associated factors linked with hookah smoking and provide tobacco control officials an understanding of this public health problem.Methods A descriptive cross-sectional study was conducted among students in three high schools in Al-Karkh District, Baghdad. The study period was from Oct. 2017 till Jan. 2019 and included 847 male students aged 15–18 years old. A convenient non-probability sampling within one of the two districts in Baghdad was selected to be place of study. Descriptive, chi-square test of significance, bivariate and multivariate logistic regression analysis of data was carried out for identifying risk factors associated with hookah smoking among high school adolescence.Results The overall prevalence of hookah smoking among high school male students was high (46.1%). More than two-thirds (70.6%) of them think that hookah smoking is acceptable socially more than cigarette smoking. Hearing first about it from friends, the media and presence of a café for hookah near residence were found to be significantly associated (p > 0.05) with hookah smoking among students. Similarly, having friends surrounding students who used hookah were found to be significantly associated with hookah smoking among students. Among hookah smokers, they were less likely to say it is forbidden in Islam and more likely to say it is allowed in Islam than non-hookah users.Conclusions Hookah smoking is high among high school students and becoming a socially acceptable behavior. Social and religious factors play a role in that. Family members, relatives and peers have an important role in prevention of hookah smoking among these students. Teenage students need to be educated about hookah effects on their health.


2020 ◽  
Author(s):  
Ahmed K. Al-Delaimy ◽  
Waleed AT Al-Ani

Abstract Background The use of the hookah-smoking device is increasing at a large scale in the Eastern Mediterranean region and reaching to Western countries. Hookah smoke users are exposed to a lot of chemical compounds and several chronic diseases. The purpose of this study was to determine the prevalence of hookah use among male high school students and to study different associated factors linked with hookah smoking.Methods A descriptive cross-sectional study was conducted among students in three high schools in Al-Karkh District, Baghdad. The study period was from Oct. 2017 till Jan. 2019 and included 847 male students. A structured Knowledge Attitude and Practice questionnaire was used to identify their knowledge and use of hookah smoking. Descriptive, chi-square, bivariate and multivariate logistic regression analysis of data was carried out using the available software statistical package of SPSS-25.Results The overall prevalence of hookah smoking among high school male students was high (46%). More than two-thirds (70.6%) of them think that waterpipe smoking is acceptable socially more than cigarette smoking. More than half of the participants (55%) first heard about hookah smoking from friends and friends constitute close to two-thirds (65.2%) of those who smoke hookah around students. Almost half of the respondents think hookah smoking is not encouraged in the faith of Islam (47.3%) and less than a quarter (20.9%) think it's completely forbidden in Islam.Conclusions Hookah smoking is increasing among high school students and becoming a socially acceptable behavior that needs preventive strategies targeting this age group.


2019 ◽  
Author(s):  
Ahmed Khalaf Soofi Al-Delaimy ◽  
Waleed Al-Ani

Abstract Background: The use of hookah smoking device is increasing at large scale distributing from Eastern Mediterranean region reaching Western countries. Hookah smoke users exposed to a lot of chemical compounds and to several chronic diseases. The purpose of this study is to confirm the prevalence of hookah use among a sample of male high school students in Iraq, and to provide a better understanding of cessation-related behaviors and cognitions of hookah only users.Methods: A descriptive cross-sectional study was conducted among students in three high schools (for males only) at Karkh District, Baghdad. The study period was from Oct. 2017 till Jan. 2019 including a total of 847 male students. A structured KAP questionnaire was used to identify their knowledge and use of hookah smoking. Analysis of data was carried out using the available statistical package of SPSS-25.Results: the overall prevalence of hookah smoking among high school male students was high (46%). More than two-thirds (70.6%) of them think that water pipe smoking is acceptable socially more than cigarette smoking. More than half of participants (55%) first heard about hookah smoking from friends and close to two-thirds (65.2%) who smoke hookah from those surround students were also friends. Almost half of respondents think hookah smoking is not encouraged in the faith of Islam (47.3%) and less than quarter (20.9%) think it’s completely forbidden in Islam.Conclusions: Hookah smoking is increasing among high school students and becoming a socially acceptable behavior that needs more public and adolescent education about its harmful effect.


2018 ◽  
Vol 35 (2) ◽  
pp. 114-124
Author(s):  
Minela Z. Vapljanin ◽  
Aleksandar G. Kocović ◽  
Miloš N. Milosavljević ◽  
Srdjan M. Stefanović

Abstract In recent years, the prevalence of hookah smoking has increased worldwide, particularly in young people, which may have potentially serious consequences for their health. The aim of this study was to examine the factors associated with the consumption of hookah by high school students. The present study was conducted in the city of Novi Pazar, and students aged 17-19 years attending the following high schools were included: Medical School, Grammar School, Economic-Commerce School and Catering School. The study was designed as a case-control study. The cases were students who consumed nargile, while the control group consisted of students who had never smoked nargile. A special questionnaire was constructed for the purpose of this research, which was used to evaluate the opinions of adolescents on the consumption of nargile. Our research included a total of 270 seniors in high schools in Novi Pazar. The average age of the students was 18 years. The most important factors that may contribute to start using nargile were: previous consumption of nargile by older family members, divorced parents, and active smoking of cigarettes by other family members. Most students emphasized that hookah smoking is socially unacceptable form of behavior. Also, hookah smoker were neither more attractive nor popular. Nargile consumption is more common by adolescents whose parents are divorced, as well as by adolescents whose family members are smoking nargile or tobacco. The most common reason for nargile consumption among adolescents is a desire for relaxation.


Author(s):  
Vishal Khandelwal ◽  
Ullal Anand Nayak ◽  
Prathibha Anand Nayak ◽  
Sudeep S. Iyer ◽  
Yash Bafna

Abstract Introduction: Hookah use among the Indian adolescents is on the rise without them being aware of its tobacco content. This prevalence study highlights the issues associated with hookah use among high school students of five cities of Central India. Methods: A study among 3500 students of high schools was undertaken to estimate the prevalence of hookah users and its associated factors including initiation/cessation, patterns, perceptions and behavior. Responses were received from 225 hookah users. Results: The prevalence of hookah users in the present study was found to be 6.4% (225). Most of the subjects first learned about hookah use from friends (64.5%) and smoked hookah in hookah lounges (90.7%). Generally, the adolescents were aware of various lounges in their locality. Conclusion: This study suggests that the use of hookahs is attracting adolescents at a very early age and is attributed to the presence of hookah lounges in various cities of Central India. Hence, the legality of hookah lounges in India should be reconsidered.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Fernandes ◽  
M Pardo

Abstract Background Binge drinking is defined, by 5 or more doses of alcohol on a single occasion (4 or more, in case of women). The excessive alchool consumption is the behavior with the most significant impact on youth mortality and morbidity. Binge drinking is a public health problem that can be preventable. The aim of this investigation was to estimate the prevalence of binge drinking and analyze the associated factors to this behaviour among high school students from Fafe, Portugal. Methods Cross-sectional study. Invited 1334 high-school students, aged between 15 and 19 to fill in an anonymous self-administered digital survey between May and June 2019, wich includes questions about alcohol sociodemographic characteristics, physical activity and smoking. Associations between binge drinking in the last 2 months and the several factors were analyzed through multivariated logistic regression, using IBM SPSS v.20, considering a significance level of 5%. Results A total of 786 students answered the survey (response rate 58.9%), 714 surveys were validated. The median age of participants was 17(1.074 sd) years and 54,8% were girls. The proportion of students from academic high school were 70.9%. Considering all the students estimated binge drinking prevalence was 28.6% (95%IC:25.35-31.79) and 41,5% (95%IC:36.9-45.8) within who have reported to drink. Binge drinking was associated with male gender (OR = 1.75; 95%IC:1.186-2.585), regulary cigarrete smoking (OR = 7.48; 95%IC: 3.422-16.347), being on 12th grade (OR = 2,677; 95%IC:1.625-4.412). There wasńt found association on binge drinking proportion between students from academic or vocational school. Conclusions Our study concluded that binge drinking is common among Fafe high school students. This study provides relevant information to public health authorities about the binge drinke behaviour on this population and makes possible to identify the most high-risk students of binge drinking in order to planning interventions. Key messages Binge drinking pattern is increasing among adolescents and young adults. Future preventive interventions on binge drinking are importante and should consider the associated factors of this behaviour.


2021 ◽  
Author(s):  
Hadi Pashapour ◽  
Asghar Mohammadpoorasl ◽  
Hossein Dadashzadeh ◽  
Saeid Mousavi

Abstract Background: Smoking is a major public health problem that specifically affects the adolescent population health and future. This study aimed to investigate the relationship between extroversion and transition in cigarette and hookah smoking stages in high school students in Tabriz city.Methods: A sample of 2256 high school students aged 15-16 years old in Tabriz was included in the study. Demographic characteristics, cigarette, and hookah smoking status, and Eysenck’s extroversion questionnaires were completed by all students in the selected schools. Eight months later, cigarette and hookah smoking status was assessed again to determine transition in smoking stages. Marginal Homogeneity test was used to compare the smoking status at the beginning and eight months later. The Generalized Estimating Equation method with the ordinal link was applied to estimate the effect of extroversion on transition in smoking stages.Results: The mean (SD) age of the students participating in the study was 15.5 (0.5) years old. Marginal homogeneity test results show that, in general, transmission in the stages of both cigarette and hookah smoking in eight months was significant in students (P-Value <0.0001). Extrovert personality had a significant positive effect on the transition from lower stages to higher cigarette and hookah smoking stages according to GEE with ordinal link (P<0.0001). In cigarette and hookah smoking, extrovert persons transited to higher stages 1.56 and 1.68 times than introvert persons.Conclusions: Being an extrovert person had a significant effect in the transitioning to higher stages of smoking cigarettes and hookah.


2017 ◽  
pp. 125-130
Author(s):  
Minh Tam Nguyen ◽  
Phuc Thanh Nhan Nguyen ◽  
Thi Thuy Hang Nguyen

The increasing use of smartphone among young people is creating negative effects and is an important public health problem in many countries. Smartphone abuse and addiction may cause physical and psychological disorders among users. However, the awarenes on this issue has been inadequate due to lacking of evidence. Objectives: To describe the current situation of smartphone using among students at highschools and universities in Hue city and to examine the relationship between smartphone using and sleep disturbances and psychological disstress among participants. Methods: A cross-sectional study with a randomly selected sample of 1,150 students at highschools and universities in Hue city. SAS-SV scale was used to evaluate phone addiction status, K10 scale was used for psychological distress assessment and PSQI scale was used to examine the sleep quality. Results: The proportion of students at highschools and universities having smartphones was 78.0%. The rate of smartphone addiction among high school students was 49.1% and that among university students was 43.7%. There was 57.3% of high school students had poor sleep quality, and that of university students was 51.6%. There was a statistically significant association between smartphone addiction and sleep disturbances and psychological disstress among participants (p <0.05). Conclusion: The prevalence of smartphone addiction among students at highschools and universities is alarming and is related to sleep disturbances and psychological disstress among participants. There is a strong call to develop intervention to help students to aware and manage the use of smartphone effectively.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hanmei Xu ◽  
Hang Zhang ◽  
Lijuan Huang ◽  
Xiaolan Wang ◽  
Xiaowei Tang ◽  
...  

Abstract Background The outbreak of Coronavirus Disease 2019(COVID-19) caused psychological stress in Chinese adults population. But we are unaware of whether the pandemic causes psychological stress on children. Methods We used the Children’s Impact of Event Scale questionnaire (CRIES-13) to investigate the degree of Post-traumatic Stress (PTSD) symptoms caused by the pandemic in students selected from schools in Sichuan, Jiangsu, Henan, Yunnan, and Chongqing provinces of China. Results A total of 7769 students(3692 male and 4077 female), aged 8–18 years, were enrolled in the study, comprising 1214 in primary schools, 2799 in junior high schools and 3756 in senior high schools. A total of 1639 students (21.1%) had severe psychological stress reactions. A large proportion of senior high school students (23.3%) experienced severe psychological stress, and they had the highest median total CRIES-13 score. Female students were more likely to experience severe psychological stress and had higher median CRIES-13 total scores than males. Conclusion COVID-19 has placed psychological stresses on primary and secondary school students in China. These stresses are more likely to reach severe levels among female students and senior high school students.


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