Knowledge Attitudes and Practices of Shisha Smoking Among Medical Practitioners in Karachi, Pakistan

Abstract

Background: It is well established that tobacco use in the form of shisha has adverse effects similar to cigarette smoking. Medical-practitioners can play an important role in spreading awareness regarding health hazards associated with shisha smoking. Misconception about shisha is an important factor responsible for its increasing use, the need to evaluate medical practitioner's knowledge about shisha is an important step in controlling the growing epidemic.Objectives: To investigate the knowledge, attitudes and practices of shisha smoking among different designations of medical practitioners in Karachi.Methodology: A self-administered questionnaire was distributed to interns, postgraduate-trainees, medical-officers and consultants in various teaching hospitals of Karachi, Pakistan.Results: A total of 343 medical practitioners participated in the study including 38.2% interns, 43.1% postgraduate trainees, 12% medical-officers and 6.7% consultants. Of the total study population 29.5% of the medical practitioners admitted using shisha at some point in their life. Significant results were obtained when knowledge of medical practioners regarding shisha containing tobacco and its harmful effects on health were judged with p-values of 0.001 and <0.003 respectively. Knowledge regarding hazards of passive shisha exposure was found to be varying with 25.2% interns, 40.5% postgraduates, 34.1% medical-officers and 69.6% consultants being aware of association of neonatal deaths with passive shisha exposure (p-value <0.001) while 51.9% house physicians, 64.2% postgraduates, 53.7% medical officers and 87% consultants believed that shisha exposure during pregnancy can lead to Sudden Infant Death Syndrome (p value 0.001).Conclusions: There is a lack of knowledge among medical practitioners, especially house physicians, regarding contents used in shisha and its hazards.

Shisha use and trends in Pakistan: A narrative review

“…Similarly, in other studies only a minority of students had any intent to stop shisha smoking [24,30]. Even among shisha-using medical practitioners, the majority was not ready to quit [29].…”

“…In Pakistani adolescents aged 13-17 years the rate of shisha smoking was 39% [28]. In a study involving medical practitioners in Pakistan, 29.5% admitted to shisha smoking at some point in their lives [29]. A cross-sectional descriptive study executed in four cities of Pakistan including Karachi, Islamabad, Rawalpindi and Peshawar at shisha cafes, shopping malls and restaurants found a higher prevalence of 61% [30].…”

Worldwide Experienced Policy and Management Interventions in Preventing and Controlling Water Pipe Smoking

“…In a study conducted by Moyer VJP et al, health care professionals were found to be helping adolescents to change their behavior [71] using evidence-based counseling tools [62]. Similarly, Kumar et al reported that the lack of WPS control programs among health care professionals can act as a positive vision to WP and cause low incentive to cooperate in WPS control programs [72][73].…”

Preventing and controlling water pipe smoking: a systematic review of management interventions

“…In a study conducted by Moyer VJP (2013), health care professionals were found to be helping adolescents to change their behavior [78]. On the other hand, reported that the prevalence of WPS among health care professionals, especially medical and nursing students [79], can act as a positive vision to WP and cause low motivation to cooperate in WPS control programs [80,81].…”