Hama Salh, H., Aziz, D., Obeid, K. (2024). Health Awareness Among Waterpipe Smokers in Sulaimani City/Iraq: Anticipation of Hazardous Impacts and Attitudes Towards Nicotine Replacement Therapy. , 21(3), 107-116. doi: 10.33899/iraqij.p.2024.148273.1092
Hozan Jaza Hama Salh; Dlivan Fattah Aziz; Kawa Ahmed Obeid. "Health Awareness Among Waterpipe Smokers in Sulaimani City/Iraq: Anticipation of Hazardous Impacts and Attitudes Towards Nicotine Replacement Therapy". , 21, 3, 2024, 107-116. doi: 10.33899/iraqij.p.2024.148273.1092
Hama Salh, H., Aziz, D., Obeid, K. (2024). 'Health Awareness Among Waterpipe Smokers in Sulaimani City/Iraq: Anticipation of Hazardous Impacts and Attitudes Towards Nicotine Replacement Therapy', , 21(3), pp. 107-116. doi: 10.33899/iraqij.p.2024.148273.1092
Hama Salh, H., Aziz, D., Obeid, K. Health Awareness Among Waterpipe Smokers in Sulaimani City/Iraq: Anticipation of Hazardous Impacts and Attitudes Towards Nicotine Replacement Therapy. , 2024; 21(3): 107-116. doi: 10.33899/iraqij.p.2024.148273.1092

Health Awareness Among Waterpipe Smokers in Sulaimani City/Iraq: Anticipation of Hazardous Impacts and Attitudes Towards Nicotine Replacement Therapy

Iraqi Journal of Pharmacy
Volume 21, Issue 3, September 2024, Pages 107-116    PDF (702.81 K)
Document Type: Research Paper
DOI: 10.33899/iraqij.p.2024.148273.1092
Authors
Hozan Jaza Hama Salh1; Dlivan Fattah Aziz* 2; Kawa Ahmed Obeid1
1Department of Clinical Pharmacy, College of Pharmacy, University of Sulaimani, Sulaimanyia, Iraq
2Department of Pharmaceutics, College of Pharmacy, University of Sulaimani, Sulaimanyia, Iraq
Abstract
Background: Over the past decade, the number of waterpipe smokers in Iraqi Kurdistan Region has increased. The driven factors behind this surge, as well as the extent of knowledge about its medical ramifications has not been fully elucidated among its users in this region. Therefore, this study was designed to evaluate the prevalence of waterpipe smokers in the Sulaimani city/Iraq and to investigate the knowledge and attitude towards this habit along with methods of evading this habit. Method: This cross-sectional study was carried out from July 2022 to August 2022 in Sulaimani/Iraq. One hundred eighty-one waterpipe smokers participated in the study. Various aspects have been addressed using questionnaires including behaviors, perception and knowledge towards waterpipe smoking (WPS). Moreover, personal awareness regarding nicotine replacement therapy (NRT) were addressed. Data analysis was performed using Graphpad Prism 7. Results: Results have shown that significant number of participants (79.6%) are waterpipe smoking in the cafes while huge number of them (57.5%) have not any family members smoking WP. Results also revealed that 86.2 % of participants are male and they mainly single. Most of the participants are aware of the health risks of their smoking behaviors. While, majority of them have not heard about NRT. Despite the awareness of its ramifications, 19.9 % of participants suffered harm from using waterpipe smoking. Conclusion: In conclusion, most of our participants had the good perception that waterpipe smoking has health problems. However, there is no information regarding the method of using NRT. Resulting efforts are needed to further raise the public awareness about the impacts of WPS, and they should be guided towards behavioural changes and using NRT as an alternative method.  
Keywords
Health awareness; Waterpipe smokers; Hazardous; Nicotine replacement therapy
References
  1. Eissenberg T, Ward K D, Smith-Simone S, Maziak W. Waterpipe Tobacco Smoking on a U.S. College Campus: Prevalence and Correlates. Journal of Adolescent Health. 2008; 42:526–29.
  2. Badr FA, Asrar AA, Mazen SF. Knowledge Attitude and Practices Towards Water Pipe Smoking Among Adults in Saudi Arabia: Findings from A Cross Sectional Study. Journal of health informatics in developing countries. 2020;14(1): 2-15.
  3. El-Zaatari ZM, Chami HA, Zaatari GS. Health effects associated with waterpipe smoking. Tobacco Control. 2015;24: i31–i43.
  4. Amin TT. Amr MA, Zaza BO, Suleman W. Harm Perception, Attitudes and Predictors of Waterpipe (Shisha) Smoking among Secondary School Adolescents in Al- Hassa,Saudi Arabia. Asian Pacific Journal of Cancer Prevention. 2010;11: 293-301.
  5. Lopez AA, Eissenberg T, Jaafar M, Afifi Now is the time to advocate for interventions designed specifically to prevent and control waterpipe tobacco smoking. Addictive Behaviors. 2017;66: 41-7.
  6. Jradi H, Wewers ME, Pirie PR, Binkley PF, Ferketich K. Cigarette and waterpipe smoking associated knowledge and behaviour among medical students in Lebanon. Eastern Mediterranean Health Journal. 2013;19(10):861-8.
  7. Shalaby SF, Soliman MA. Knowledge, attitude, and practice of medical students regarding smoking and substance abuse, Cairo University, Egypt. Journal of the Egyptian Public Health Association. 2019; 94:1-9.
  8. Ward K D, Siddiqi K, Ahluwalia J S, Alexander A C, Asfar T. Waterpipe tobacco smoking: The critical need for cessation treatment. Drug and Alcohol Dependence. 2015; 153:14-21.
  9. Koul PA, Hajni MR, Sheikh MA, Khan UH, Shah A, Khan Y, Ahangar A G, Tasleem Hookah Smoking and Lung Cancer in the Kashmir Valley of the Indian Subcontinent. Asian Pacific Journal of Cancer Prevention. 2011;12: 519-24.
  10. Dar NA, Bhat GA, Shah IA, Iqbal B, Kakhdoom MA, Nisar I, Rafiq R, Iqbal ST, Bhat AB, Nabi S, et al. Hookah smoking, nass chewing, and oesophageal squamous cell carcinoma in Kashmir, India. British Journal of Cancer. 2012; 107:1618–23.
  11. Sadjadi A, Derakhshan MH , Yazdanbod A , Boreiri M , Parsaeian M, Babaei M , Alimohammadian M, Samadi F, Etemadi A, Pourfarzi F, et al. Neglected role of hookah and opium in gastric carcinogenesis: A cohort study on risk factors and attributable fractions. International Journal of Cancer. 2014; 34:181–88.
  12. Nguyen CL, Sengngam K, Hoc TH, Le PH, Minh Hang LT, Dao HV, Ngoan Waterpipe Tobacco Smoking and Risk of Stomach Cancer: A Case-Control Study in Vietnamese Men. Asian Pacific Journal of Cancer Prevention. 2022;23(5):1587-92.
  13. Schmidt-Westhausen AM, Al Sanabani J, Al-Sharabi Prevalence of oral white lesions due to qat chewing among women in Yemen. Oral Diseases. 2014; 20:675–81.
  14. Zheng YL, Amr S, Saleh DA, Dash C, Ezzat S, Mikhail NN, Gouda I, Loay I, Hifnawy T, Abdel-Hamid M, et al. Urinary Bladder Cancer Risk Factors in Egypt: A Multicenter Case–Control Study. Cancer Epidemiology, Biomarkers & Prevention. 2011;21(3):537–46.
  15. She J, Yang P, Wang Y, Qin X, Fan J, Wang Y, Gao G, Luo G, Ma K, Li B, et al. Chinese Water-Pipe Smoking and the Risk of COPD. CHEST. 2014;146(4):924-31.
  16. Hawari FI, Obeidat NA, Abu Alhalawa M, Al-Busaidi Z, Amara B, Baddar S, Elhabiby M, Elkholy Respiratory health and quality of life in young exclusive, habitual smokers - a comparison of waterpipe smokers, cigarette smokers and non-smokers. International Journal of Chronic Obstructive Pulmonary Disease. 2019; 14:1813-24.
  17. Sirkeci O, Sirkeci EE, Ulaş Does waterpipe smoking increase the risk of Helicobacter pylori infection? Journalof Research in Medical Sciences.2022;27(7):1-4.
  18. Medhat A, Shehata M, Magder LS, Mikhail N, Abdel-Baki L, Nafeh M, Abdel-Hamid M, Strickland GT, Fix AD. Hepatitis c in a community in Upper Egypt: risk factors for infection. The American journal of tropical medicine and hygiene. 2002;66(5):633-8.
  19. Najeeb HA, Karim KK, Othman GO, Mohammed AA, Salih AM, Zuhdi SS, Jamel DNA damage level in lymphocytes and buccal epithelial cells in Narghile smokers and non-smokers in Duhok city-KRG-Iraq. Oral Oncology Reports. 2022;1-2(100002): 1-6.
  20. Khalil R, Ali D, Al bsoul E, Ghanayem R, Ghanayem R. The Effect of Waterpipe Smoking on DNA Integrity Among Youth in Jordan. Arabian Journal for Science and Engineering. 2019;44: 6253–57.
  21. El-Setouhy M, Loffredo CA, Radwan G, Abdel Rahman R, Mahfouz E, Israel E, Mohamed MK, Ayyad SBA. Genotoxic effects of waterpipe smoking on the buccal mucosa cells. Mutation Research. 2008; 655:36–40.
  22. Chami HA, Isma'eel H, Mitchel GF, Tamim H, Makki M, Berbari A, Al Mulla The association of waterpipe smoking with arterial stiffness and wave reflection in acommunity- based sample. Blood Pressure.2021; (30) 5: 300–09.
  23. Platt DE, Hariri E, Salameh P, Helou M, Sabbah N, Merhi M, Chammas E, Ammar W, Abchee AB, Zalloua Association of waterpipe smoking with myocardial infarction and determinants of metabolic syndrome among catheterized patients. Inhalation Toxicology. 2017;1-6.
  24. Maarouf AA, Mohammad B, Alnukkari Effect of Smoking during pregnancy on the Dimension of the Newborn and Anthropometric Indices: a cohort study in Lattakia, Syria. Journal of Medical & Pharmaceutical Sciences. 2022;6(3):52-65.
  25. Tamim H, Yunis KA, Chemaitelly H, Alameh M, Nassar Effect of narghile and cigarette smoking on newborn birthweight. British Journal of Obstetrics and Gynaecology. 2008; 115:91–7.
  26. Ahmadian M, Ghorbani S, Beiki Y, Brandes M, Saeidi A, Leicht Influence of waterpipe smoking on haematological parameters and cognitive function before and after supramaximal exercise. Science & Sports. 2017;1-8.
  27. Soflaei SS, Darroudi S , Tayefi M, Tirkani A N, Moohebati M, Ebrahimi M, Esmaily H, Seyed Parizadeh SMR, Heidari‐Bakavoli AR, Ferns GA, et al. Hookah smoking is strongly associated with diabetes mellitus, metabolic syndrome and obesity: a population-based study. Diabetology & Metabolic Syndrome. 2018;10(33): 1-6.
  28. Javed F, Al-Kheraif AA, Rahman I, Millan-Luongo LT, Feng C, Yunker M, Malmstrom H, Romanos GE. Comparison of Clinical and Radiographic Periodontal Status Among Habitual Waterpipe Smokers and Cigarette Smokers. Journal of Periodontology.2015; 1-9.
  29. King JL, Reboussin BA, Spangler J, Ross JC, Sutfin Tobacco Product Use and Mental Health Status Among Young Adults. Addictive Behaviors. 2017.
  30. Maziak W, Osibogun O, Asfar T. Waterpipe smoking: the pressing need for risk communication. Expert Review of Respiratory Medicine. 2019.
  31. Islam F, Salloum RG, Nakkash R, Maziak W, Thrasher JF. Effectiveness of health warnings for waterpipe tobacco smoking among college students. International Journal of Public Health. 2016.
  32. Sarkees AN, Issa SA. Smoking Behaviors and Related Factors Among Secondary School Students in Duhok City. Iraqi Journal of Pharmacy. 2024;21(1):36-44.
  33. Kanmodi KK, Adegbile OE, Ogidan IO, Kanmodi PA. What are we learning on social media about shisha? a case study of top 50 short English youtube shisha videos. YenagoaMedical Journal. 2020;2(4): 38-47.
  34. Maziak W, Jawad M, Jawad S, Ward KD, Eissenberg T, Asfar Interventions for waterpipe smoking cessation. Cochrane Database of Systematic Reviews.2015; (7):1-22.
  35. Hawash M, Mosleh R, Jarrar Y, Hanani A, Hajyousef Y. The prevalence of water pipe smoking and perceptions on its addiction among university students in Palestine, Jordan, and Turkey. Asian Pacific journal of cancer prevention. 2022;23(4):1247-56.
  36. Kakodkar PV, Bansal S S. Hookah Smoking: Characteristics, Behavior and Perceptions of Youth Smokers in Pune, India. Asian Pacific Journal of Cancer Prevention. 2013;14 (7): 4319-23.
  37. Sahin S, Cinar N. Perceptions of Turkish University Students about the Effects of Waterpipe Smoking on Health. Asian Pacific Journal of Cancer Prevention. 2015;16 (11): 4615-2
  38. Al-Sawalha NA, Almomani BA, Al-Shatnawi SF and Almomani BN. Attitudes and Knowledge of the Harmful Effects of Waterpipe Tobacco Smoking among university students: A study from Jordan. Environmental Science andPollution Research. 2021; 28:43725–31.
  39. Cakmak V, Cinar N. Turkish Adolescent Perceptions about the Effects of Water Pipe Smoking on their Health. Asian Pacific Journal of Cancer Prevention. 2015;16 (18): 8645-52.
  40. Asfar T, Ward KD, Eissenberg T, Maziak W. Comparison of patterns of use, beliefs, and attitudes related to waterpipe between beginning and established smokers. BMC Public Health. 2005;5 (19): 1-9.
  41. Alhawsawi EMF, Alahmadi JR, Alhawsawi EMF, Assaqaf DM, Judah AH, Alghanemi AG, Alhawsawi AMF. Knowledge, Attitudes, and Practices Regarding Waterpipe Smoking among Health Science Students at King Abdulaziz University, 2016: A Cross Sectional Study. Saudi Journal of Internal Medicine. 2016;9 (1- 2019): 21-28.
  42. Almogbel YS, Aladhadh T, Alammar A, Aloraini A, Alghofaili S, Almutairi A, AlAmri A. Predictors of waterpipe smoking among university students in the Qassim region, Saudi Arabia. TobaccoInduced Diseases. 2021;19(67): 1-11.
  43. Thabit MF, Abdul Mohsin MAB, Niazy SM. Water pipe (Shisha) smoking among a sample of Iraqi male college students: knowledge and attitudes. IOSRJournal of Nursing and health Science. 2015; 4(6): 50-54.
  44. Nasser AM, Geng Y, Al-Wesabi SA. The prevalence of smoking (cigarette and waterpipe) among university students in some Arab countries: a systematic review. Asian Pacific journal of cancer prevention. 2020;21(3):583- 91.
  45. Amin TT, Amr MA M, Zaza BO and Kaliyadan F. Predictors of Waterpipe Smoking Among Secondary School Adolescents in Al Hassa, Saudi Arabia. International Journal of Behavioral Medicine. 2012; 19:324–35
  46. Hessami Z, Masjedi MR, Ghahremani R, Kazempour M and Emami H. Evaluation of the prevalence of waterpipe tobacco smoking and its related factors in Tehran, Islamic Republic of Iran. Eastern Mediterranean Health Journal. 2017; 23 (2): 94-9.
  47. Joseph R and Alshayban D. Changes in Attitude to Waterpipe Tobacco Smoking among Youngsters in Eastern Province, Saudi Arabia: A Cross-Sectional Study. Asian Pacific Journal of Cancer Prevention. 2021; 22 (5): 1443-50.
  48. Aljarrah K, Ababneh ZQ and Al-Delaimy WK. Perceptions of hookah smoking harmfulness: predictors and characteristics among current hookah users. Tobacco Induced Diseases. 2009; 5 (16): 1-7.
  49. Erbaydar NP, Bilir N, Yildiz AN. Knowledge, behaviors and health hazard perception among Turkish narghile (waterpipe)-smokers related to narghile smoking. Pakistan Journal of Medical Sciences. 2010;26(1): 195-200.
  50. Borgan SM, Marhoon ZA and Whitford DL. Beliefs and Perceptions toward Quitting Waterpipe smoking among Café Waterpipe tobacco smokers in Bahrain. Nicotine & Tobacco Research. 2013; 15(11): 1816–21.
  51. Jawad M, McIver C and Iqbal Z. Prevalence and correlates of lifetime waterpipe, cigarette, alcohol and drug use among secondary school students in Stoke-on-Trent, UK: a post hoc cross-sectional analysis. Journal of Public Health. 2014;36 (4): 615–2
  52. Shuja S, Hussain A, Malik S, Rizwan T, Amin M, Choudhry Z. Perceptions of health professional students regarding Waterpipe smoking and its effects on Oral health. Journal of Ayub Medical College, Abbottabad. 2018;30(1): 90-93.
  53. Wadgave U, and Nagesh L. Nicotine Replacement Therapy: An Overview. International Journal of Health 2016;10 (3): 427-35.
  54. Taneja P , Kashyap P, Marya CM, Nagpal R, Kataria S, Mahapatra S and Marya A. Knowledge, Attitude, Practices, and Preparedness of Dental Professionals in Prescribing Nicotine Replacement Therapy. BioMed Research International. 2022;1-7.
  55. Gill GV, Morgan C and MacFarlane IA. Awareness and use of smoking cessation treatments among diabetic patients. Diabetic Medicine. 2005; 22: 658–60.
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