RESEARCH PAPER
The role of sociodemographic factors associated with waterpipe smoking among male adolescents in western Iran: A cross-sectional study
 
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1
Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
2
Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
3
Behavioral & Environmental Health School of Public Health, Jackson State University, Jackson, United States
4
Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
Publish date: 2018-06-05
 
Tob. Induc. Dis. 2018;16(June):29
KEYWORDS:
TOPICS:
ABSTRACT:
Introduction:
Waterpipe smoking (WPS) is an increasingly popular leisure activity among young people in Iran. The purpose of this study was to identify the role of sociodemographic factors associated with WPS among male adolescents in Iran.

Methods:
The study used a cross-sectional design. It included 730 high school male students (Grades 10–12) recruited through multistage random sampling conducted in 2017 in Hamadan city, western Iran. The self-administered questionnaires included information on demographic variables and behavioral risk factors related to WPS. Descriptive statistics and multinomial logistic regression modeling were conducted using SPSS.

Results:
The student mean age, and standard deviation (SD), and age at WPS initiation were 16.41 (0.84) and 13.31 (2.43) years, respectively. The percentages of never, former and current WPS were 37.3%, 36.4% and 26.3%, respectively. We found that ever cigarette smoking (OR=5.14, 95% CI: 2.56– 10.32) and WPS family (OR=2.55, 95% CI: 1.40–4.64) were significantly associated with former WPS. Furthermore, being 18 years, studying in technical fields, reporting ever and current smoking of cigarettes and family usage of WP were significantly associated with current WPS. Friends with WPS (OR= 0.50, 95% CI: 0.34–0.72) however played a protective role on former WPS.

Conclusions:
The results indicate that the prevalence of former and current WPS was high in Hamadan city. Thus, designing and implementing interventions for increasing students’, friends’ and family’s awareness regarding the harms of WPS and cigarette smoking are necessary to facilitate behavior change.

CORRESPONDING AUTHOR:
Hamid Abasi   
Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
 
REFERENCES (38):
1. Abdullah P, Costanian C, Khanlou N, Tamim H. Prevalence and characteristics of water-pipe smoking in Canada: results from the Canadian Tobacco Use Monitoring Survey. Public Health. 2017;148(Supplement C):102-108. doi:10.1016/j.puhe.2017.03.007
2. Maziak W. The global epidemic of waterpipe smoking. Addictive Behaviors. 2011;36(1-2):1-5. doi:10.1016/j.addbeh.2010.08.030
3. El-Zaatari ZM, Chami HA, Zaatari GS. Health effects associated with waterpipe smoking. Tobacco Control. 2015;24(Suppl 1):i31-i43. doi:10.1136/tobaccocontrol-2014-051908
4. Mehboudi MB, Nabipour I, Vahdat K, et al. Inverse association between cigarette and water pipe smoking and hypertension in an elderly population in Iran: Bushehr elderly health programme. Journal of Human Hypertension. 2017;31(12):821-825. doi:10.1038/jhh.2017.64
5. WHO Study Group on Tobacco Product Regulation. Waterpipe Tobacco Smoking: Health Effects, Research Needs and Recommended Actions for Regulators. 2nd ed. Geneva, Switzerland: World Health Organization Document Production Services; 2015. http://apps.who.int/iris/bitst.... Accessed January 23, 2018.
6. Ziaei R, Mohammadi R, Dastgiri S, et al. The Prevalence, Attitudes, and Correlates of Waterpipe Smoking Among High School Students in Iran: a Cross-Sectional Study. Int J Behav Med. 2016;23(6):686-696. doi:10.1007/s12529-016-9555-x
7. Swedish Public Health Authorities. Water pipe. Smoking with adverse effects. http://www.folkhalsomyndighete... Vattenpipa-rokning-med-skadliga-effekter_NY.pdf Published 2013. Accessed December 10, 2014.
8. Czoli CD, Leatherdale ST, Rynard V. Bidi and Hookah Use Among Canadian Youth: Findings From the 2010 Canadian Youth Smoking Survey. Prev Chronic Dis. 2013;10:E73. doi:10.5888/pcd10.120290
9. Bashirian S, Barati M, Mohammadi Y, Mostafaei H. Factors Associated with Hookah Use among Male High School Students: The Role of Demographic Characteristics and Hookah User and Non-User Prototypes. Journal of Research in Health Sciences. 2016;16(4):217-223.
10. Jawad M, Nakkash RT, Mahfoud Z, Bteddini D, Haddad P, Afifi RA. Parental smoking and exposure to environmental tobacco smoke are associated with waterpipe smoking among youth: results from a national survey in Lebanon. Public Health. 2015;129(4):370-376. doi:10.1016/j.puhe.2015.01.011
11. Maziak W, Eissenberg T, Ward KD. Patterns of waterpipe use and dependence: implications for intervention development. Pharmacology Biochemistry and Behavior. 2005;80(1):173-179. doi: 10.1016/j.pbb.2004.10.026
12. Afifi R, Khalil J, Fouad F, et al. Social norms and attitudes linked to waterpipe use in the Eastern Mediterranean Region. Social Science & Medicine. 2013;98:125-134. doi:10.1016/j.socscimed.2013.09.007
13. Fakhari A, Mohammadpoorasl A, Nedjat S, Sharif Hosseini M, Fotouhi A. Hookah smoking in high school students and its determinants in Iran: a longitudinal study. American Journal of Men's Health. 2015;9(3):186-192. doi:10.1177/1557988314535236.
14. Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Tavananezhad N, Karkhaneh M. Prevalence of cigarette and water pipe smoking and their predictors among Iranian adolescents. International Journal of Adolescent Medicine and Health. 2015;27(3):291-298. doi:10.1515/ijamh-2014-0028
15. M Barati, A Heidarnia, S Niknami, Allahverdipour H. Factors Associated With Tobacco Smoking Among Male Adolescents: the Role of Psychologic, Behavioral, and Demographic Risk Factors. Avicenna J Neuro Psych Physio. 2015;2(1):e27152. doi:10.17795/ajnpp-27152
16. Momenan A, Etemadi A, Azizi F. Pattern of hookah use among teenager students: a cross-sectional study in Tehran. Payesh. 2007;6(2):135-144.
17. Azab M, Khabour OF, Alkaraki AK, Eissenberg T, Alzoubi KH, Primack BA. Water pipe tobacco smoking among university students in Jordan. Nicotine Tob Res. 2010;12(6):606-612. doi:10.1093/ntr/ntq055
18. Jawad M, Nakkash RT, Mahfoud Z, Bteddini D, Haddad P, Afifi RA. Parental smoking and exposure to environmental tobacco smoke are associated with waterpipe smoking among youth: results from a national survey in Lebanon. Public Health. 2015;129(4):370-376. doi:10.1016/j.puhe.2015.01.011
19. Abedini S, MorowatiSharifabad M, Chaleshgar Kordasiabi M, Ghanbarnejad A. Predictors of non-hookah smoking among high-school students based on prototype/willingness model. Health Promot Perspect. 2014;4(1):46-53. doi:10.5681/hpp.2014.006
20. Barati M, Allahverdipour H, Hidarnia A, Niknami S. Predicting tobacco smoking among male adolescents in Hamadan City, west of Iran in 2014: an application of the prototype willingness model. Journal of Research in Health Sciences. 2015;15(2):113-118.
21. Dehdari T, Jafari A, Joveyni H. Students' perspectives in Tehran University of Medical Sciences about factors affecting smoking hookah. Razi Journal of Medical Sciences. 2012;19(95):17-24.
22. Joveyni H, Gohari MR, Gharibnavaz H. Attitudes, subjective norms, and perceived behavioral control of college students about hookah smoking cessation. Journal of Health System Research. 2013;8(7):1311-1321.
23. Kelishadi R, Heshmat R, Shahsanai A, et al. Determinants of tobacco and hookah smoking in a nationally representative sample of Iranian children and adolescents: The Caspian-IV Study. Iran Red Crescent Med J. 2016;18(8):e31099. doi:10.5812/ircmj.31099
24. Majeed BA, Sterling KL, Weaver SR, Pechacek TF, Eriksen MP. Prevalence and harm perceptions of hookah smoking among U.S. adults, 2014-2015. Addictive Behaviors. 2017;69(Supplement C):78-86. doi:10.1016/j.addbeh.2017.01.032
25. Primack BA, Walsh M, Bryce C, Eissenberg T. Water-pipe tobacco smoking among middle and high school students in Arizona. Pediatrics. 2009;123(2):e282-e288.
26. Jiang Q, Huang X, Tao R. Examining Factors Influencing Internet Addiction and Adolescent Risk Behaviors Among Excessive Internet Users. Health Communication. 2017;29:1-11. doi:10.1080/10410236.2017.1358241
27. Seyrek S, Cop E, Sinir H, Ugurlu M, Senel S. Factors associated with Internet addiction: Cross-sectional study of Turkish adolescents. Pediatrics International. 2017;59(2):218-222. doi: 10.1111/ped.13117
28. Prasanna C, Lai L. Some Observations On Internet Addiction Disorder Research. Journal of Information Systems Education. 2012;11(3-4):97-107.
29. Villanti AC, Cobb CO, Cohn AM, Williams VF, Rath JM. Correlates of Hookah Use and Predictors of Hookah Trial in U.S. Young Adults. Am J Prev Med. 2015;48(6):742-746. doi:10.1016/j.amepre.2015.01.010
30. Sutfin EL, McCoy TP, Reboussin BA, Wagoner KG, Spangler J, Wolfson M. Prevalence and correlates of waterpipe tobacco smoking by college students in North Carolina. Drug and Alcohol Dependence. 2011;115:131-136. doi:10.1016/j.drugalcdep.2011.01.018
31. Jaber R, Madhivanan P, Khader Y, Mzayek F, Ward KD, Maziak W. Predictors of waterpipe smoking progression among youth in Irbid,Jordan: A longitudinal study (2008-2011). Drug and Alcohol Dependence. 2015;153:265-270. doi:10.1016/j.drugalcdep.2015.05.008
32. McKelvey K, Attonito J, Madhivanan P, et al. Determinants of waterpipe smoking initiation among school childrenin Irbid, Jordan: A 4-year longitudinal analysis. Drug and Alcohol Dependence. 2014;142:307-313. doi:10.1016/j.drugalcdep.2014.06.038
33. Huang LL, Sutfin EL, Kowitt S, Patel T, Ranney L, Goldstein AO. Trends and corrolations of hookah use among high school students in North Carolina. North Carolina Medical Journal. 2017;78(3):149-155. doi:10.18043/ncm.78.3.149
34. Kotecha S, Jawad M, Iliffe S. Knowledge, attitudes and beliefs towards waterpipe tobacco smoking and electronic shisha (e-shisha) among young adults in London: a qualitative analysis. Primary Health Care Research & Development. 2016;17(2):166-174. doi:10.1017/S1463423615000237
35. Abbasi-Ghahramanloo A, Rahimi-Movaghar A, Zeraati H, Safiri S, Fotouhi A. Prevalence of Hookah Smoking and Its Related Factors Among Students of Tehran University of Medical Sciences, 2012 - 2013. Iranian Journal of Psychiatry and Behavioral Sciences. 2016;10(2):e4551. doi:10.17795/ijpbs-4551
36. Amin TT, Amr MA, Zaza BO, Kaliyadan F. Predictors of waterpipe smoking among secondary school adolescents in Al Hassa, Saudi Arabia. International Journal of Behavioural Medicine. 2012;19(3):335-324. doi:10.1007/s12529-011-9169-2
37. Griffiths MA, Harmon TR, Gilly MC. Hubble Bubble Trouble: The Need for Education About and Regulation of Hookah Smoking. Journal of Public Policy & Marketing. 2011;30(1):119-132. doi:10.1509/jppm.30.1.119
38. Jamil H, Janisse J, Elsouhag D, Fakhouri M, Arnetz JE, Arnetz BB. Do household smoking behaviors constitute a risk factor for hookah use? Nicotine Tob Res. 2011;13(5):384-388. doi: 10.1093/ntr/ntq249
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