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Title: Policy-relevant context of waterpipe tobacco smoking among university students in six countries across the Eastern Mediterranean Region : a qualitative study
Authors: Salloum, Ramzi G.
Abu-Rmeileh, Niveen
Hamadeh, Randah
Thomas, Justin
Mostafa, Aya
Yusufali, Afzalhussein
Kheirallah, Khalid A.
Macauda, Mark M.
Theis, Ryan P.
El Kadi, Lama
Johnson, Evan J.
Darawad, Muhammad W.
Nakkash, Rima
Keywords: Smoking - Adverse effects - Mediterranean Region
Tobacco - Adverse effects - Mediterranean Region
Hookahs - Health aspects
Issue Date: Sep-2017
Publisher: Asian Pacific Organization for Cancer Prevention
Citation: Asian Pac J Cancer Prev, 18 (9), 2533-2540
Abstract: background: Waterpipe tobacco smoking rates in the Eastern Mediterranean region are some of the highest worldwide, especially among young people. This study aimed to improve our knowledge of the policy-relevant context of waterpipe smoking among six countries in the Eastern Mediterranean region. Methods: In-depth interviews were conducted in Bahrain, Egypt, Jordan, Lebanon, Palestine, and the United Arab Emirates. Participants were young adult university students (18-29 years) from both genders who had ever smoked the waterpipe, recruited from universities participating in this study. Directed content analysis was used to analyze the transcripts. Results: A total of 53 in-depth interviews were conducted in Arabic in 2016. Findings were organized around 5 themes: waterpipe product characteristics; patterns of waterpipe smoking; the waterpipe café setting; perceived health consequences; and health warning labels. Waterpipe smoking was commonly perceived as a safe alternative to cigarettes. Waterpipe tobacco was reported to be widely accessible and affordable to young participants. There is a lack of knowledge among waterpipe smokers about the associated health effects. Warning labels are effective at communicating health risks associated with waterpipe smoking. Conclusions: Regulatory frameworks for waterpipe tobacco smoking should be developed and enforced, including waterpipe-specific health warning labels that elucidate the harmful effects of waterpipe smoki
Description: Article in : Asian Pacific Journal of Cancer Prevention, Vol 18, no. 9, pp. 2533-2540
Appears in Collections:Institute of Community and Public Health

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