Social norms and attitudes linked to waterpipe use in the Eastern Mediterranean Region

Afifi, Rima; Khalil, Joanna; Fouad, Fouad; Hammal, Fadi; Jarallah, Yara; Farhat, Hala Abu; Saber-Ayad, Maha; Nakkash, Rima

doi:10.1016/j.socscimed.2013.09.007

Cited by 83 publications

(88 citation statements)

References 43 publications

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“…Participants from ME origin were skeptical regarding the cultural claims seeing this perception as a result of a focused marketing strategy. This is aligned with regional evidence that does not seem to be supportive of this behavior especially among women [1,19], together with the evidence that the high prevalence of WP use in some ME societies is a relatively recent phenomenon associated with the introduction of the flavoured tobacco to WP market and a very successful marketing effort by industry [13,28,16].…”

Section: Discussionsupporting

confidence: 57%

Knowledge About the Waterpipe (Hookah), a Qualitative Assessment Among Community Workers in a Major Urban Center in Canada

2015

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Waterpipe (WP) use has surged in popularity since the introduction of flavoured shisha. It is now an increasingly popular form of smoking among youth in North America. Health professionals/educators knowledge about the WP may well be inadequate. This study, using qualitative methods, sought to explore the knowledge and attitude of leaders in the community toward the WP. Family physicians, pharmacists, tobacco counsellors, social workers and educators were invited to participate in a one-one interview using open-ended questions. A total of 27 interviews were conducted. Individuals from Eastern Mediterranean backgrounds raised doubt about the overemphasised cultural significance of the WP and perceived this as a marketing strategy by industry. Most felt that WP smokers believed the WP to be less harmful than cigarettes and that the use of flavoured tobacco was motivating people to smoke. Participants believed that education should be directed at the general public and healthcare professionals, suggesting school programs and the use of social media to inform young smokers. Most thought that the current practices regarding packaging and second hand smoke exposure are confusing. They identified the lack of knowledge, poor enforcement procedures, "so called cultural aspects" and the economic impact of banning the WP on small businesses as barriers to change. Despite the awareness of an increase in WP use, our participants recognized that little has been done to curb this problem. Our findings emphasize the need for further education and better legislation to regulate WP use and availability.

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Section: Discussionsupporting

confidence: 57%

Knowledge About the Waterpipe (Hookah), a Qualitative Assessment Among Community Workers in a Major Urban Center in Canada

2015

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“…First, waterpipe use is a social habit frequently practiced around food and/or in cafés and restaurants. [46][47][48] Second, waterpipe is smoked while sitting and relaxing, unlike cigarettes which can be smoked "on the go." It is possible that daily waterpipe smokers, compared to nonsmokers, on average tend to have higher energy intake and lower energy expenditure.…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Waterpipe Smoking and Body Weight: Population-Based Findings From Syria

Ward

Ahn

Mzayek

et al. 2014

Nicotine & Tobacco Research

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“…In addition to direct protection from the harmful effect of SHS exposure,7 8 clean indoor air laws have also been attributed with decreasing the social acceptability of smoking 39. Social denormalisation, “the programs and actions undertaken to reinforce the fact that tobacco use is not a mainstream or normal activity in our society,’’40 has become a lynchpin of global tobacco control strategies and has helped to achieve sustainable reductions in smoking 15 18 41. The present data provide further evidence for the need for smoke-free legislation that is comprehensive in its scope.…”

Section: Discussionmentioning

confidence: 99%

“…The failure to include WP smoking in the clean indoor air legislation of many countries and jurisdictions may be due to a number of reasons. Compared with cigarette smoking, WP use is perceived as relatively low risk 17 18. Such beliefs may also contribute to a perception that WP SHS does not pose health risks.…”

Section: Discussionmentioning

confidence: 99%

Secondhand smoke emission levels in waterpipe cafes in Doha, Qatar

et al. 2014

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Social norms and attitudes linked to waterpipe use in the Eastern Mediterranean Region

Cited by 83 publications

References 43 publications

Knowledge About the Waterpipe (Hookah), a Qualitative Assessment Among Community Workers in a Major Urban Center in Canada

Knowledge About the Waterpipe (Hookah), a Qualitative Assessment Among Community Workers in a Major Urban Center in Canada

The Relationship Between Waterpipe Smoking and Body Weight: Population-Based Findings From Syria

Secondhand smoke emission levels in waterpipe cafes in Doha, Qatar

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