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Pelters P, Galanti MR. "It's nice to just be": A qualitative study on the meaning-imbued reality of waterpipe smoking among young adults in Sweden. NORDIC STUDIES ON ALCOHOL AND DRUGS 2023; 40:482-501. [PMID: 37969904 PMCID: PMC10634388 DOI: 10.1177/14550725231195183] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Accepted: 08/01/2023] [Indexed: 11/17/2023] Open
Abstract
Background and aims: Waterpipe smoking is regarded as a burgeoning public health problem due to its popularity among young adults. This study aims to understand the meaning-imbued reality of waterpipe smoking for young adults in Sweden. Method: Data from 18 individual interviews with ethnically diverse Swedish young adults were analysed using inductive latent-level qualitative content analysis. Results: The youth's experience of waterpipe smoking shows different dimensions (time, space, fun, community) that construct the practice of waterpipe smoking as a closed bubble characterised by harmlessness, cosiness and freedom to develop an adult self in the waterpipe group. The bubble provides a breathing space and timeout in everyday life, fuelled by an understanding of the hookah as hazard-free and liberating. A variety of control mechanisms are used to defend the bubble's constructed harmlessness, proving responsibility by applying practice-, communication- and Othering-oriented means. Conclusion: The study enhances the understanding of waterpipe smoking by highlighting its community- and self-forming meaning in a combined focus on ritualistic and symbolic qualities. For young adults, waterpipe smoking combines potentially beneficial and detrimental impacts on health. This complex situation requires a dialogical - rather than a traditional - approach to prevention that negotiates the risk landscape faced by young adults.
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Affiliation(s)
- Pelle Pelters
- Department of Education, Stockholm University, Stockholm, Sweden
| | - Maria Rosaria Galanti
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden; Centre for Epidemiology and Community Medicine, Stockholm County Council, Stockholm, Sweden
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Parimah F, Davour MJ, Tetteh C, Okyere-Twum E. Shisha Use Is Associated with Deviance among High School Students in Accra, Ghana. J Psychoactive Drugs 2021; 54:54-60. [PMID: 33779515 DOI: 10.1080/02791072.2021.1907002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
A number of studies have established an association between smoking, use of other drugs, and deviance. However, little is known about the association of shisha use or marijuana use, or their interaction, with deviance. We examined the effect of shisha and marijuana use within the past thirty days, including their interaction, on deviance among high school students in Accra, Ghana. In this cross-sectional survey, participants were selected from four senior high schools using quota sampling. The sample comprised 217 males and 112 females (Mage = 17.23, SDage = 1.33) who completed a self-administered questionnaires. A factorial ANOVA was used in analyzing the data. Main effects of shisha and marijuana use within the past thirty days, including their interaction effect on deviance was established. Although studies of shisha use have often been skewed toward the health problems associated with its use, current findings suggest that using shisha is associated with deviant behavior. Also, the use of marijuana is associated with committing deviant acts. Policy makers should consider a ban on shisha use among adolescents in Ghana.
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Affiliation(s)
- Feikoab Parimah
- Basic Research, Advocacy & Initiative Networks, Accra, Ghana
| | | | - Cephas Tetteh
- Essex Business School, University of Essex Ringgold Standard Institution, Colchester, Essex, UK
| | - Ernest Okyere-Twum
- Universite Paris Descartes - Laboratoire de Psychologie Sociale, Paris, France
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Allegrini AG, Verweij KJH, Abdellaoui A, Treur JL, Hottenga JJ, Willemsen G, Boomsma DI, Vink JM. Genetic Vulnerability for Smoking and Cannabis Use: Associations With E-Cigarette and Water Pipe Use. Nicotine Tob Res 2020; 21:723-730. [PMID: 30053134 DOI: 10.1093/ntr/nty150] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2017] [Accepted: 07/17/2018] [Indexed: 02/03/2023]
Abstract
INTRODUCTION Cigarette smoking and cannabis use are heritable traits and share, at least in part, a common genetic substrate. In recent years, the prevalence of alternative methods of nicotine intakes, such as electronic cigarette (e-cigarette) and water pipe use, has risen substantially. We tested whether the genetic vulnerability underlying cigarettes smoking and cannabis use explained variability in e-cigarette and water pipe use phenotypes, as these vaping methods are alternatives for smoking tobacco cigarettes and joints. METHODS On the basis of the summary statistics of the International Cannabis Consortium and the Tobacco and Genetics Consortium, we generated polygenic risk scores (PRSs) for smoking and cannabis use traits, and used these to predict e-cigarette and water pipe use phenotypes in a sample of 5025 individuals from the Netherlands Twin Register. RESULTS PRSs for cigarettes per day were positively associated with lifetime e-cigarette use and early initiation of water pipe use, but only in ex-smokers (odds ratio = 1.43, R2 = 1.56%, p = .011) and never cigarette smokers (odds ratio = 1.35, R2 = 1.60%, p = .013) respectively. CONCLUSIONS Most associations of PRSs for cigarette smoking and cannabis use with e-cigarette and water pipe use were not significant, potentially due to a lack of power. The significant associations between genetic liability to smoking heaviness with e-cigarette and water pipe phenotypes are in line with studies indicating a common genetic background for substance-use phenotypes. These associations emerged only in nonsmokers, and future studies should investigate the nature of this observation. IMPLICATIONS Our study showed that genetic vulnerability to smoking heaviness is associated with lifetime e-cigarette use and age at initiation of water pipe use. This finding has implications for the current debate on whether alternative smoking methods, such as usage of vaping devices, predispose to smoking initiation and related behaviors.
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Affiliation(s)
- Andrea G Allegrini
- Department of Developmental Psychopathology, Behavioural Science Institute, Faculty of Social Sciences, Radboud University, Nijmegen, The Netherlands
| | - Karin J H Verweij
- Department of Developmental Psychopathology, Behavioural Science Institute, Faculty of Social Sciences, Radboud University, Nijmegen, The Netherlands.,Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.,Department of Psychiatry, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
| | - Abdel Abdellaoui
- Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.,Department of Psychiatry, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
| | - Jorien L Treur
- Department of Developmental Psychopathology, Behavioural Science Institute, Faculty of Social Sciences, Radboud University, Nijmegen, The Netherlands
| | - Jouke-Jan Hottenga
- Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Gonneke Willemsen
- Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Dorret I Boomsma
- Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | | | - Jacqueline M Vink
- Department of Developmental Psychopathology, Behavioural Science Institute, Faculty of Social Sciences, Radboud University, Nijmegen, The Netherlands
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Jawad M, Charide R, Waziry R, Darzi A, Ballout RA, Akl EA. The prevalence and trends of waterpipe tobacco smoking: A systematic review. PLoS One 2018; 13:e0192191. [PMID: 29425207 PMCID: PMC5806869 DOI: 10.1371/journal.pone.0192191] [Citation(s) in RCA: 164] [Impact Index Per Article: 27.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2017] [Accepted: 01/19/2018] [Indexed: 12/27/2022] Open
Abstract
INTRODUCTION Waterpipe tobacco smoking is harmful to health however its prevalence estimates remain uncertain. We aimed to systematically review the medical literature on waterpipe tobacco prevalence and trends. METHODS We searched Medline, Embase and ISI Web of Science for 'waterpipe' and its synonyms, without using language or date restrictions. We included any measure of waterpipe tobacco smoking prevalence in jurisdictionally representative populations. We stratified findings by prevalence measure (past 30 day, ever, regular or occasional, daily, other or unspecified) and age (adults or youth). RESULTS We included 129 studies reporting 355 estimates for 68 countries. In general, prevalence estimates among adults were highest in the Eastern Mediterranean, and among youth were about equal between Eastern Mediterranean and European regions. Past 30 day use was highest among Lebanese youth (37.2% in 2008), ever use was highest among Lebanese youth in 2002 and Lebanese university students in 2005 (both 65.3%), regular or occasional use was highest in among Iranian university students (16.3% in 2005), and daily use was highest among Egyptian youth (10.4% in 2005). Trend data were limited but most studies reported increased use over time, ranging from 0.3-1.0% per year among youth in the US to 2.9% per year among youth in Jordan (both for past 30 day use). Results were similar for ever use trends. Turkey (2.3% in 2008 to 0.8% in 2010) and Iraq (6.3% in 2008 and 4.8% in 2012) both witnessed decreased waterpipe use. CONCLUSION Waterpipe tobacco smoking is most prevalent in Eastern Mediterranean and European countries, and appears higher among youth than adults. Continued surveillance will be important to assess and inform policy measures to control waterpipe tobacco use.
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Affiliation(s)
- Mohammed Jawad
- Public Health Policy Evaluation Unit, Imperial College London, London, United Kingdom
- * E-mail:
| | - Rana Charide
- Clinical Research Institute, American University of Beirut, Beirut, Lebanon
| | - Reem Waziry
- Department of Epidemiology Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States of America
- Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Andrea Darzi
- AUB GRADE Center, Clinical Research Institute, American University of Beirut, Beirut, Lebanon
| | - Rami A. Ballout
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Elie A. Akl
- Clinical Research Institute, American University of Beirut, Beirut, Lebanon
- Department of Internal Medicine, American University of Beirut, Beirut, Lebanon
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada
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Ramji R, Arnetz BB, Nilsson M, Wiklund Y, Jamil H, Maziak W, Arnetz J. Waterpipe use in adolescents in Northern Sweden: Association with mental well-being and risk and health behaviours. Scand J Public Health 2017; 46:867-876. [PMID: 29226800 DOI: 10.1177/1403494817746534] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
AIMS There is a lack of studies examining the association between waterpipe smoking and mental well-being among adolescents. This study sought to determine whether waterpipe smoking is associated with mental well-being and other risk and health behaviours in adolescents. METHODS A questionnaire was distributed to 1006 adolescents in grades 9-12 (with a response rate of >95%), containing questions on measures of stress, mental energy and sleep. In addition, the questionnaire assessed risk and health behaviours, including use of a waterpipe, cigarettes, e-cigarettes, snus, alcohol, narcotics, gambling and exercise. Logistic regression was used to assess factors associated with waterpipe use. RESULTS Thirty-seven per cent ( n=371) of the participants had used a waterpipe at some point. Waterpipe use was associated with lower mental energy (odds ratio [OR] = 0.90, 95% confidence interval [CI] 0.81-0.99), higher stress (OR = 1.10, 95% CI 1.02-1.20) and use of cigarettes (OR = 3.82, 95% CI 2.33-6.03), e-cigarettes (OR = 3.26, 95% CI 2.12-4.99), snus (OR = 2.29, 95% CI 2.12-4.99), alcohol (OR = 1.92, 95% CI 1.07-3.44) and narcotics (OR = 3.64, 95% CI 1.75-7.58). Waterpipe use was not significantly associated with gambling, exercise or sleep quality. CONCLUSIONS Waterpipe use in adolescents is associated with worse mental well-being, as well as use of other nicotine products, alcohol and narcotics. Prospective studies are needed to delineate causal and temporal relationships further between waterpipe use and mental well-being and its relationship to other risky behaviours in order to design effective prevention programs.
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Affiliation(s)
- Rathi Ramji
- 1 Department of Public Health and Caring Sciences, Uppsala University, Sweden
| | - Bengt B Arnetz
- 1 Department of Public Health and Caring Sciences, Uppsala University, Sweden.,2 Department of Public Health and Clinical Medicine, Unit of Epidemiology and Global Health, Umeå University, Sweden.,3 Department of Family Medicine, College of Human Medicine, Michigan State University, USA
| | - Maria Nilsson
- 2 Department of Public Health and Clinical Medicine, Unit of Epidemiology and Global Health, Umeå University, Sweden.,4 Västerbotten County Council, Sweden
| | | | - Hikmet Jamil
- 3 Department of Family Medicine, College of Human Medicine, Michigan State University, USA
| | - Wasim Maziak
- 5 Robert Stempel College of Public Health and Social Work, Florida International University, USA
| | - Judy Arnetz
- 1 Department of Public Health and Caring Sciences, Uppsala University, Sweden.,2 Department of Public Health and Clinical Medicine, Unit of Epidemiology and Global Health, Umeå University, Sweden.,3 Department of Family Medicine, College of Human Medicine, Michigan State University, USA
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Jawad M, McIver C. Waterpipe tobacco smoking prevalence and illegal underage use in waterpipe-serving premises: a cross-sectional analysis among schoolchildren in Stoke-on-Trent. Public Health 2017; 146:32-38. [DOI: 10.1016/j.puhe.2016.12.028] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2016] [Revised: 12/14/2016] [Accepted: 12/18/2016] [Indexed: 11/30/2022]
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Koprivnikar H, Zupanic T. The use of different tobacco and related products, with and without flavours, among 15-year-olds in Slovenia. Zdr Varst 2017; 56:74-81. [PMID: 28289466 PMCID: PMC5329770 DOI: 10.1515/sjph-2017-0010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2016] [Accepted: 08/29/2016] [Indexed: 11/16/2022] Open
Abstract
Background Different tobacco and related products, like waterpipe, e-cigarettes, are gaining popularity among adolescents in different countries; the data for Slovenia is currently limited. The purpose of this paper is to present the latest data on the use of different tobacco and related products, with or without flavours, among 15-year old students in Slovenia. Methods Data for 15-year-old students were drawn from 2014 Slovene database of the cross-national survey Health Behaviour in School-Aged Children. The survey sample was selected with stratified two-stage sampling method. The survey was performed in schools with a self-administered web questionnaire. The survey questionnaire included international compulsory, selected optional and national questions, all on a variety of topics related to youth health behaviour. Results 25.2% of 15-year-old students reported current (past 30-day) use of any tobacco related product, mainly cigarettes (93.1% of users), followed by waterpipe (11.7%) and cigars, cigarillos and pipes (9.4%). Exclusive use of unconventional products is low (5.1% of users). 85.5% of users of any product used one product, 48.5% of users used products with flavours. The use of different products, one or more products, and flavoured products was related to gender. Conclusion A comprehensive tobacco control and prevention must address all tobacco and related products.
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Affiliation(s)
- Helena Koprivnikar
- National Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, Slovenia
| | - Tina Zupanic
- National Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, Slovenia
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