A Randomized Controlled Trial of a Theory-Informed School-Based Intervention to Prevent Waterpipe Tobacco Smoking: Changes in Knowledge, Attitude, and Behaviors in 6th and 7th Graders in Lebanon

Nakkash, Rima; Lotfi, Tamara; Bteddini, Dima; Haddad, Pascale; Najm, Hala; Jbara, Lina; Alaouié, Hala; Aridi, Lama Al; Mulla, Ahmad Al; Mahfoud, Ziyad; Afifi, Rima

doi:10.3390/ijerph15091839

Cited by 13 publications

(11 citation statements)

References 54 publications

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“…For intance, Al-Mulla et al conducted a study to test the impact and feasibility of introducing a waterpipe prevention program to control the use of waterpipe among 7th and 8th graders in Doha. This study demonstrated the benefits of creating school-based interventions that can help delay or prevent initiation to waterpipe use [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of tobacco use in Qatar: Prevalence and its associated factors

et al. 2021

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Tobacco use is a serious public health concern as it causes various deleterious health problems. The aim of this study was to determine the prevalence of tobacco use and various types of tobacco used among a population-based sample of adults 18 years and above in Qatar (residents and expatriates). The study also attempted to assess tobacco use initiation age, tobacco dependency, and to identify factors associated with current tobacco use. This 2019 cross-sectional study was conducted among governmental employees and University students in Qatar using cluster sampling methodology. Study participants completed a self-administered, country-adapted summarized version of the Global Adult Tobacco Survey. 25.2% (n = 1741; N = 6904) of the surveyed sample reported current tobacco use. 21.5% (n = 1481) smoked tobacco (cigarettes, waterpipe, medwakh and cigar) concomitant with other forms of tobacco and only 1.0% (n = 69) were using other forms of tobacco (electronic cigarettes, smokeless tobacco and heat-not-burn tobacco products) and 2.7% (n = 191) did not mention the type of tobacco products used by them. Of the 1550 tobacco users, 42.8% were cigarette smokers, 20.9% waterpipe, 3.2% medwakh (Arabic traditional pipe) and 0.7% cigar. Moreover, 1.9% reported smokeless tobacco use (sweika), 2.0% electronic cigarette use, and 0.3% heat-not-burn tobacco use. The mean age for smoking initiation was 19.7±5.3 (Qataris 18.6±4.8 and non-Qataris 20.3±5.6). Using multivariable logistic regression, significant association was observed between tobacco use and gender, nationality, age, monthly income, living with a smoker, and self-rated health. This large population-based cross-sectional survey provides the first evidence for the prevalence of different types of tobacco use including medwakh smoking among adults (Qataris and non-Qataris) 18 years and above in Qatar. This can serve as a baseline for future research studies on the topic. Based on the review of previous and current tobacco survey findings, it is evident that the prevalence of tobacco use (current) in Qatar has declined suggesting that tobacco control measures implemented by the country have been effective in reducing tobacco consumption.

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Section: Discussionmentioning

confidence: 99%

Epidemiology of tobacco use in Qatar: Prevalence and its associated factors

et al. 2021

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“…Short-term gains received an evaluation after 3 months of intervention and long-term benefits after 6 months of intervention [15], [16]. Tobacco consumption in this review is not only by traditional methods but also tobacco consumption in other forms such as waterpipe tobacco smoking or shisha, SLT, and betel quid or betel [17], [18].…”

Section: Resultsmentioning

confidence: 99%

“…The overall results of the study showed the effectiveness of school-based interventions proved by the increase in knowledge and attitude changes in all journal respondents. There is one journal that shows the results of increased knowledge and attitudes, but no change in behavior existed in the intervention group [17].…”

Section: Resultsmentioning

confidence: 99%

School-based Smoking Prevention in Adolescents in Developing Countries: A Literature Review

Huriah

Lestari

2020

Open Access Maced J Med Sci

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BACKGROUND: The incidence of diseases due to tobacco consumption has increased, especially in developing countries, where around 90% of smokers start consuming tobacco before the age of 18 years. School-based smoking prevention programs can prevent smoking among adolescents. This program is often implemented in developing countries because it is considered cost-effective, and the results are promising. At present, the school-based smoking prevention program is expanding with many methods. AIM: This study aims to describe the various types of school-based smoking prevention interventions in developing countries. METHODS: This research applied a literature review approach with the process of collecting data through the Science Direct, ProQuest, EBSCO, and NCBI databases. Search literature was by keyword “smoking AND prevention AND school-based AND adolescent AND randomized controlled trials or randomized controlled trials.” Inclusion criteria used for data collection were studies on school-based smoking prevention interventions, full text, and journal publishing from 2015 to 2019, using English. The research conducted in developing countries and prevention interventions was not only for smoking in the traditional way but also in the form of other than the consumption of tobacco such as cigars, smokeless tobacco, and hookah or shisha. Exclusion criteria in this review were publication articles not in the form of original publications such as letters to editors, only abstracts, and books. RESULTS: The literature search results found 594 journals with details of 99 Science direct journals, ProQuest 385 journals, NCBI 85 journals, and 25 EBSCO journals. The entire database belongs to the inclusion criteria and only seven articles meet the requirements. The results of the analysis revealed that interventions conducted in school-based smoking prevention programs for adolescents in developing countries included the application of the anti-smoking curriculum, behavior change intervention (BCI), and peer education. CONCLUSION: Interventions considered useful for preventing smoking in adolescents are the anti-smoking curriculum, BCI, and peer education.

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“…Another school-based hookah prevention program in Lebanon succeeded in enhancing the knowledge and shifting the students' attitude against hookah yet had no impact on behavior. Their failure to change behavior was attributed to the short study period, overall positive social context towards hookah, and weak anti-tobacco policy (39). Another important issue in hookah control programs is the lack of consensus on the need to design hookah-speci c interventions.…”

Section: Discussionmentioning

confidence: 99%

The Long-term Effectiveness of a Community-based Lifestyle Intervention on Tobacco-related Habits in Adolescent Boys and Girls: Tehran Lipid and Glucose Study

Masihay-Akbar

Amiri

Rezaei

et al. 2021

Preprint

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Background: To assess the long-term effectiveness of a community-based intervention on cigarette, passive, and hookah smoking in adolescent boys and girls. Methods: 1159 adolescents who participated in the Tehran Lipid and Glucose Study (TLGS) between 2001 and 2004 were followed for 12 years (every-three-year follow-ups). Participants in the intervention area received lifestyle interventions in the settings of family, schools, and community. After excluding those with missing baseline parental data (n=66), complete parental data of 1093 adolescents was used for cluster analysis, and families were classified as low- and high-risk. Afterward, 296 individuals who did not complete intervention/follow-ups were excluded. The GEE analysis was performed on 797 adolescents (369 boys) to assess the intervention effect on tobacco-related habits; 605 and 192 resided in the control and intervention area, respectively.Results: Mean age of adolescents was 15.21±1.95 years at baseline. Adolescents living in high-risk families were more at risk of cigarette, passive, and hookah smoking. The intervention decreased the odds of cigarette and passive smoking by 38% and 57%, respectively. The intervention was not successful in reducing the risk of hookah smoking in adolescents. After sex-specific analysis, the intervention reduced the risk of current cigarette smoking by 40% only in boys and passive smoking in both sexes.Conclusions: Targeting lifestyle behaviors in adolescents and their families in a community setting reduces cigarette smoking in school-aged boys and protects both sexes from secondhand smoke; findings that could be valuable for designing future health promotion interventions focusing on adolescents smoking.Trial registration: This study is registered at Iran Registry for Clinical Trials (IRCT), a WHO primary registry (http://irct.ir). The registry date is 29/10/2008; (IRCTID: IRCT138705301058N1).

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A Randomized Controlled Trial of a Theory-Informed School-Based Intervention to Prevent Waterpipe Tobacco Smoking: Changes in Knowledge, Attitude, and Behaviors in 6th and 7th Graders in Lebanon

Cited by 13 publications

References 54 publications

Epidemiology of tobacco use in Qatar: Prevalence and its associated factors

Epidemiology of tobacco use in Qatar: Prevalence and its associated factors

School-based Smoking Prevention in Adolescents in Developing Countries: A Literature Review

The Long-term Effectiveness of a Community-based Lifestyle Intervention on Tobacco-related Habits in Adolescent Boys and Girls: Tehran Lipid and Glucose Study

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