Young people continue to use hookah despite knowledge of possible health risks
Keywords:
Cross-sectional studies, Hookah, Qualitative research, TobaccoAbstract
Objective
Although the scientific literature show that waterpipe tobacco smoking causes irreversible damage to health, users continue to use it.
Method
This study evaluates the users’ perceptions about the effect of this consumption on health. This is a qualitative study. A purposeful sample of current users was recruited. Participants were invited to undertake an in-depth semi-structured interview. The interviews were evaluated by content analysis method.
Results
Most speeches pointed out that the interviewees are aware of the harm to health from using waterpipe tobacco smoking. Although most interviewees were already developing a problematic use of tobacco, alcohol or other drugs, they rarely related waterpipe tobacco smoking with mental health consequences. The essential motivators for its continued use were the perception of control over waterpipe tobacco smoking use, the reinforcing tobacco effects, and the absence of negative health experiences in life.
Conclusion
Understand that educational campaigns and control measures should be encouraged.
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References
Aljadani, R. H., Algabbani, A. M., Alamir, J. A., Alqahtani, A. S., & BinDhim, N. F. (2020). Waterpipe tobacco chemical content, microbial contamination, and genotoxic effects: a systematic review. International Journal of Toxicology, 39(3), 256-262. https://doi.org/10.1177/1091581820905108
Alves, M. G. O., Carvalho, B. F. D. C., Marques, S. S., Lopes, M. A., & Almeida, J. D. (2021). Waterpipe tobacco smoking and oral health: what is important to know? Addiction, 117(5), 1493-1494. https://doi.org/10.1111/add.15776
Antin, T. M. J., Hess, C., Kaner, E., Lipperman-Kreda, S., Annechino, R., & Hunt, G. (2020). Pathways of nicotine product use: a qualitative study of youth and young adults in California. Nicotine and Tobacco Research, 22(5), 722-727. https://doi.org/10.1093/ntr/ntz028
Bardin, L. (2016). Análise de conteúdo. Edições 70.
Case, K. R., Creamer, M. R., Cooper, M. R., Loukas, A., & Perry, C. L. (2018). Hookah use as a predictor of other tobacco product use: a longitudinal analysis of Texas college students. Addict Behav, 87, 131-137. https://doi.org/10.1016/j.addbeh.2018.06.028
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: choosing among five approaches. Sage publications.
Dadipoor, S., Kok, G., Aghamolaei, T., Heyrani, A., Ghaffari, M., & Ghanbarnezhad, A. (2019). Factors associated with hookah smoking among women: a systematic review. Tobacco Prevention and Cessation, 5, e26. https://doi.org/10.18332/tpc/110586
Daniels, K. E., & Roman, N. V. (2013). A descriptive study of the perceptions and behaviors of waterpipe use by university students in the Western Cape, South Africa. Tobacco Induced Diseases, 11(1), e4. https:// doi.org/10.1186/1617-9625-11-4
Franco, M. L. P. B. (2018). Análise de Conteúdo. Autores Associados.
Griffiths, M. A., & Ford, E. W. (2014). Hookah smoking: behaviors and beliefs among young consumers in the United States. Social Work in Public Health, 29(1), 17-26. https://doi.org/10.1080/19371918.2011.619443
Jafaralilou, H., Latifi, A., Khezeli, M., Afshari, A., & Zare, F. (2021). Aspects associated with waterpipe smoking in Iranian youths: a qualitative study. BMC Public Health, 21(1), 1633. https://doi.org/10.1186/s12889- 021-11675-y
Jeihooni, A. K., Khiyali, Z., Kashfi, S. M., Kashfi, S. H., Zakeri, M., & Amirkhani, M. (2018). Knowledge and attitudes of university students towards hookah smoking in Fasa, Iran. Iranian Journal of Psychiatry and Behavioral Sciences, 12(1).
Karaman, N. G., Çeber, Ç., & Eraslan, S. (2022). Waterpipe tobacco smoking among university students in Turkey. Addictive Behaviors Reports, 15, e100409. https://doi.org/10.1016/j.abrep.2022.100409
Kienhuis, A. S., & Talhout, R. (2020). Options for waterpipe product regulation: a systematic review on product characteristics that affect attractiveness, addictiveness and toxicity of waterpipe use. Tobacco Induced Diseases, 18, e69. https://doi.org/10.18332/tid/125079
Kotecha, S., Jawad, M., & Iliffe, S. (2016). 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, 17(2), 166-174. https://doi.org/10.1017/S1463423615000237
Kuk, A. E., Bluestein, M. A., Chen, B., Harrell, M., Spells, C. E., Atem, F., & Pérez, A. (2022). The effect of perceptions of hookah harmfulness and addictiveness on the age of initiation of hookah use among Population Assessment of Tobacco and Health (PATH) youth. International Journal of Environmental Research and Public Health, 19(9), 5034. https://doi.org/10.3390/ijerph19095034
Martins, S. R., Paceli, R. B., Bussacos, M. A., Fernandes, F. L., Prado, G. F., Lombardi, E. M., Terra-Filho, M., & Santos, U. P. (2014). Experimentation with and knowledge regarding water-pipe tobacco smoking among medical students at a major university in Brazil. Jornal Brasileiro de Pneumologia, 40(2), 102-110. https://doi.org/10.1590/s1806-37132014000200002
Ministério da Saúde (Brasil). (2012). O controle do tabaco no Brasil: uma trajetória. INCA. https://bvsms.saude. gov.br/bvs/publicacoes/exposicao_controle_tabaco_brasil_trajetoria.pdf
Noonan, D., & Patrick, M. E. (2013). Factors associated with perceptions of hookah addictiveness and harmfulness among young adults. Substance Abuse, 34(1), 83-85. https://doi.org/10.1080/08897077.2012.718251
Patel, M. P., Khangoora, V. S., & Marik, P. E. (2019). A Review of the Pulmonary and Health Impacts of Hookah Use. Annals of the American Thoracic Society, 16(10), 1215-1219. https://doi.org/10.1513/AnnalsATS.201902- 129CME
Pratiti, R., & Mukherjee, D. (2019). Epidemiology and adverse consequences of hookah/waterpipe use: a systematic review. Cardiovascular & Hematological Agents in Medicinal Chemistry, 17(2), 82-93. https://doi.org/10.2174/1871525717666190904151856
Salles, T. V., Andrade, A. G., & Oliveira, L. G. (2021). A qualitative study of chronic hookah use in São Paulo, Brazil. Substance Use and Misuse, 56(12), 1-5. https://doi.org/10.1080/10826084.2021.1958857
Salloum, R. G., Nakkash, R., Abu-Rmeileh, N. M. E., Hamadeh, R. R., Darawad, M. W., Kheirallah, K. A., Al-Farsi, Y., Yusufali, A., Thomas, J., Mostafa, A., Salama, M., El Kadi, L., Alzyoud, S., Al-Sheyab, N., & Thrasher, J. F. (2019). Individual-level determinants of waterpipe smoking demand in four Eastern-Mediterranean countries. Health Promotion International, 34(6), 1157-1166. https://doi.org/10.1093/heapro/day084
Shihadeh, A., Schubert, J., Klaiany, J., El Sabban, M., Luch, A., & Saliba, N. A. (2015). Toxicant content, physical properties and biological activity of waterpipe tobacco smoke and its tobacco-free alternatives. Tobacco Control, 24, i22-i30. https://doi.org/10.1136/tobaccocontrol-2014-051907
Víctora, C. G., Knauth, D. R., & Hassen, M. N. A. (2000). Ténicas de pesquisa. In C. G. Victora, D. R. Knauth, & M. N. A. Hassen (Eds.), Pesquisa qualitativa em saúde: uma introdução ao tema (pp. 61-78). TOMO Editorial.
Vinuto, J. (2014). A amostragem em bola de neve na pesquisa qualitativa: um debate em aberto. Temáticas, 22(44), 203-220.
Waziry, R., Jawad, M., Ballout, R. A., Al Akel, M., & Akl, E. A. (2017). The effects of waterpipe tobacco smoking on health outcomes: an updated systematic review and meta-analysis. International Journal of Epidemiology, 46(1), 32-43. https://doi.org/10.1093/ije/dyw021
Yin, R. K. (2016). Pesquisa qualitativa do início ao fim (D. Bueno, Trans.). Penso.
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Copyright (c) 2023 Thais Vidal SALLES, Arthur Guerra de ANDRADE, Lucio Garcia de OLIVEIRA
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