An assessment of factors associated with shisha smoking among students at Evelyn Hone College, Lusaka, Zambia
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20201429Keywords:
Association, Factors, Shisha, Smoking, YouthsAbstract
Background: Shisha smoking in Zambia, referring to the way of smoking tobacco in which the vapor passes through water before inhalation, is seen as a new practice, especially among youths of 18 to 25 age group. Factors associated with this practice have not yet been established. This study aimed at assessing the factors associated with shisha smoking among students at Evelyn Hone College.
Methods: A cross-sectional study was conducted on 347 Evelyn Hone College students selected using convenience sampling method. Data collection was by pre-tested semi-structured questionnaires. Chi-squared statistical tests were used to determine the association between the independent variables, which were demographic, social, environmental, cultural and personal factors, and the dependent variable being shisha smoking using SPSS version 18.
Results: The study revealed that shisha smoking was significantly associated with age of the smoker, level of income, peer pressure and knowledge levels of the smokers on adverse effects associated with shisha smoking. These relationships were determined by the logistical regression output which showed that age [OR=1.802 (1.152-2.818), p<0.05)], friends smoke cigarette/shisha [(OR=4.417 (1.760-11.086), p<0.05)], monthly allowance/income [(OR=0.663 (0.456-0.965), p<0.05)] and perceived risk [(OR=0.084 (0.046-0.154), p<0.05)] which all showed significant association with shisha smoking.
Conclusions: Interventions to reduce or quit shisha smoking among students need to have extended policies that apply to cigarette smoking. Additionally, health education campaigns against shisha smoking should as well be packaged in the anti-smoking messages targeting the youths.
References
Akl EA, Gaddam S, Gunukula SK, Honeine R, Jaoude PA, Irani J. The effects of waterpipe tobacco smoking on health outcomes: a systematic review. Int J Epidemiol. 2010;39(2):834-57.
Al-Dabbagh S, Al-Sinjari KM. Knowledge, attitude and believes of Nargila (hubble-bubble) smoking in Iraq. J Bahrain Med Soc. 2005;17(2):128-34.
Almerie MQ, Matar HE, Salam M, Morad A, Abdulaal M, Koudsi A. Cigarettes and waterpipe smoking among medical students in Syria: a cross-sectional study. Int J Tuberc Lung Dis. 2008;12(9):1085-91.
Amey CH, Albrecht SL. Race and ethnic differences in adolescent drug use: the impact of family structure and the quantity and quality of parental interaction. J Drug Issues. 2015;28:283-98.
Bonard L, Janin-Jacquat B, Michaud PA. Who are the adolescents who are smoking? Eur J Pediatr. 2010;160:430-5.
Catholic Church. Catechism of the Catholic Church, 2000. Vatican City; Chapter. 3.2.2.
Cobb CO, Vansickel AR, Blank MD, Jentink K, Travers MJ, Eissenberg T. Indoor air quality in Virginia waterpipe cafes. Tob Control. 2013;22(3):338-43.
Galanti MR, Rosendahl I, Post A, Gilljam H. Early gender differences in adolescent tobacco use- the experience of a Swedish cohort. Scand J Public Health. 2011;29(2):314-7.
Gillum RF. Frequency of attendance at religious services and cigarette smoking in American women and men: the third national health and nutrition examination survey. Prevent Med. 2005;4(2):607-13.
Guindon GE, Georgiades K, Boyle MH. Susceptibility to smoking among South East Asian youth: a multilevel analysis. Tob Control. 2008;17(3):190-7.
Hoffmann D, Hoffmann I, El-Bayoumy K. The less harmful cigarette: a controversial issue. A tribute to Ernst L. Wynder. Chem Res Toxicol. 2011;14(7):767-90.
Jukema JB, Bagnasco DE, Jukema RA. Waterpipe smoking: not necessarily less hazardous than cigarette smoking: possible consequences for (cardiovascular) disease. Neth Heart J. 2014;22(2):91-9.
Khalil J, Afifi R, Fouad FM, Hammal F, Jarallah Y, Mohamed M. Women and waterpipe tobacco smoking in the eastern Mediterranean region: allure or offensiveness. Wom Health. 2013; 53(1):100-16.
Lipkus IM, Eissenberg T, Schwartz-Bloom RD, Prokhorov AV, Levy J. Affecting perceptions of harm and addiction among college waterpipe tobacco smokers. Nicotine Tobacco. 2015;13(7):599-610.
Maziak W, Eissenberg T, Rastam S, Hammal F, Asfar T, Bachir ME. Beliefs and attitudes related to narghile (waterpipe) smoking among university students in Syria. Ann Epidemiol. 2014;14(9):646-54.
Oluwafemi A. Regional summary for the African region. Tobacco control country profiles 2003. Atlanta, GA: American Cancer Society; 2003: 121-124.
Sameerur R, Sadiq MA, Parekh MA, Zubairi AB, Frossard PM, Khan JA. Cross-sectional study identifying forms of tobacco used by Shisha smokers in Pakistan. J Pak Med Assoc. 2012;62(2):192-5.
Shihadeh A. Investigation of mainstream smoke aerosol of the argileh water pipe. Food Chem Toxicol. 2003;41:143-52.
Tyas SL, Pederson LL. psychosocial factors related to adolescent smoking: a critical review of the literature. Tobbacco Control. 2011;7(4):409-20.
Vickers KS, Thomas JL, Pattern CA, Mrazek DA. Prevention of tobacco use in adolescents: review of current findings and implications of healthcare providers. Curr Opin Pediatr. 2015;14(6):708-12.
Wang SQ, Yu JJ, Zhu BP. Cigarette smoking and its risk factors among senior high school students in Beijing, China, 2013. Tobbacco Control. 2015;7(3):107-14.
Ward KD, Eissenberg T, Gray JN, Srinivas V, Wilson N, Maziak W. Characteristics of U.S. waterpipe users: a preliminary report. Nicotine Tob Res. 2009;9(12):1339-46.
World Health Organization. Tobacco. Fact sheet 339. Geneva, Switzerland; 2013.
World Health Organization. Tobacco. Fact sheet 272. Geneva, Switzerland; 2008.
Maziak W, Ward KD, Eissenberg T. Factors related to frequency of narghile (waterpipe) use: The first insights on tobacco dependence in narghile users. Drug Alcohol Depend. 2010;276:101-6.
Morris DS, Fiala SC, Pawlak R. Opportunities for policy interventions to reduce youth hookah smoking in the United States. Prev Chronic Dis. 2012;9(2):118-20.
Joveyni H, Dehdari T, Gohari MR, Gharibnavaz H. The survey of attitudes, subjective norms and perceived behavioural control of college students about hookah smoking cessation. J Health Syst Res. 2012;8(7):1311-21.
Huisman M, Kunst AE, Mackenbach JP. Inequalities in the prevalence of smoking in the European Union: comparing education and income. Prevent Med. 2005;40(6):756-64.
Redondo A, Benach J, Subirana I, Martinez JM, Muñoz MA, Masiá R, et al. Trends in the prevalence, awareness, treatment, and control of cardiovascular risk factors across educational level in the 1995-2005 period. Ann Epidemiol. 2011;21(8):555-63.
