Dokha: An Emerging Public Health Issue as a Form of Tobacco Smoking in the Middle East

John, Lisha Jenny; Muttappallymyalil, Jayakumary

doi:10.7314/apjcp.2013.14.12.7065

Cited by 12 publications

(14 citation statements)

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“…rs of cigarette users (Crookes and Wolff, 2014). Thus far most surveys carried out among school children in the region have not reported the use of dokha (John and Muttappallymyalil, 2013). UAE GYTS showed that the prevalence of ever smokers was 20.9% and current smokers were 29.7% among school boys (WHO, 2010).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Dokha Use among Secondary School Students in Ajman, United Arab Emirates

Shemmari

Shaikh²,

Sreedharan³

2015

Asian Pacific Journal of Cancer Prevention

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Background: Dokha is a novel form of smoking in United Arab Emirates (UAE) on which there is very little published literature, especially among adolescents, and this form of smoking has been not been addressed adequately in the smoking cessation strategies in the UAE. Objectives: To assess the prevalence of dokha smoking among male secondary school students in Ajman UAE. Materials and Methods: A cross sectional survey was conducted among male secondary school students in Ajman, UAE. A total of 560 participants filled in selfadministered questionnaires. Results: The prevalence of ever smokers was 39%; ever dokha smokers was 36% and current dokha smokers was 24%. The prevalence is very high when compared to other forms of smoking in the region and globally. Prevalence increased with increasing age and grade of students, prevalence of ever smokers, ever dokha smokers and current dokha smokers was lower in students in the science stream. 40% of the smokers used dokha, cigarettes and shisha, 30% used dokha and cigarettes, and 21% used dokha alone. 30% of the students smoked dokha on all days of the month. Conclusions: The prevalence of ever smokers, ever dokha smokers and current dokha smokers is very high. There is an urgent need for specific health promotion programs tailored to this age group on prevention of dokha smoking and policies restricting the availability of dokha to this age group.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Dokha Use among Secondary School Students in Ajman, United Arab Emirates

Shemmari

Shaikh²,

Sreedharan³

2015

Asian Pacific Journal of Cancer Prevention

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“…In the Arab world, consumption of alternative tobacco products, including waterpipe smoking, has increased rapidly, particularly among young people (4). Dokha -an Arabic word meaning dizziness -is another alternative tobacco product that is gaining popularity in the Arab world (5).…”

Section: Introductionmentioning

confidence: 99%

“…About 0.5 g of dokha is placed in the midwakh, one or two deep inhalations are taken to burn the dokha, and this is done an average of 12 times a day (6). Dokha is available in different strengths ranging from mild to strong (4).…”

Section: Introductionmentioning

confidence: 99%

“…Emerging evidence suggests that dokha is not a safe alternative to traditional cigarette smoking. Acute effects of smoking dokha include increased systolic blood pressure, heart rate and respiratory rate (4,5,7,8). Chronic use of dokha can result in excessive stimulation of the sympathetic nervous system leading to increases in heart rate and cardiac output which can damage blood vessels (8).…”

Section: Introductionmentioning

confidence: 99%

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Evidence from the Lebanon Global School-based Student Health Survey on midwakh tobacco smoking in school students: a harbinger of the next global tobacco pandemic ?

Afifi

Saravanan

Salibi

et al. 2020

East Mediterr Health J

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Background: Cigarette smoking is the most common form of tobacco consumption but other methods have grown in popularity. In the United Arab Emirates and other Gulf countries, smoking dokha, a form of tobacco mixed with herbs and spices in a midwakh pipe, is common. Aims: The aim of this study was to determine the prevalence of midwakh use in school students in Lebanon and factors associated with its use. Methods: Data on tobacco use from the Lebanon Global School-based Student Health Survey (GSHS), 2017 were analysed, including current midwakh use (defined as midwakh use at least once in the 30 days before the survey). The survey includes school students in grades 7-12 (12-18 years). Current midwakh use was analysed according to sociodemographic and tobacco-related variables using bivariate and logistic regression analyses. Results: Of the 5590 students included in the analysis, 4.6% were current midwakh users. Current midwakh use was significantly more prevalent in students 13 years and older and in male students (P < 0.01). Current use was also statistically significantly more prevalent in students in public than private schools. Current cigarette smoking (OR = 15.22; 95% CI: 11.08-20.90), ever use of a waterpipe (OR = 9.61; 95% CI: 6.66-13.86) and parental smoking (OR = 1.56; 95% CI: 1.05-2.31) were also significantly associated with current midwakh use. Conclusion: Although midwakh use is low in Lebanon, the patterns of association of midwakh use are similar to those of cigarette and waterpipe smoking in young people. Further research is needed to understand the context of midwakh use and prevent it from spreading.

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“…Dokha was traditionally smoked by the Bedouins and sailors in the Arabian Peninsula, particularly the Gulf area. Over the past few years, dokha smoking has become popular among the adolescents, from the Middle East (John and Muttappallymyalil, ).…”

mentioning

confidence: 99%

Dokha: an emerging smoking habit with possible oral effects

Hassona

Scully

2015

Oral Diseases

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Dokha: An Emerging Public Health Issue as a Form of Tobacco Smoking in the Middle East

Cited by 12 publications

References 11 publications

Prevalence of Dokha Use among Secondary School Students in Ajman, United Arab Emirates

Prevalence of Dokha Use among Secondary School Students in Ajman, United Arab Emirates

Evidence from the Lebanon Global School-based Student Health Survey on midwakh tobacco smoking in school students: a harbinger of the next global tobacco pandemic ?

Dokha: an emerging smoking habit with possible oral effects

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