Journal of Qualitative Research in Health Sciences

Authors

bushehr university of medical sciences

Abstract

Introduction: Recently, there has been an increasing trend in hookah use. If this trend continues, morbidity and mortality due to smoking will increase dramatically. Thus, the aim of this study was to investigate the causes of the increasing trend in hookah use in adolescents and youth living in Bushehr, Iran. Method: This qualitative study was performed using qualitative content analysis. The research environment consisted of all public areas and the research population was comprised of all children and youth in Bushehr. The 12 participants were selected using purposive sampling. Data was collected using semi-structured interviews. After gaining the consent of the participants, the interviews were tape recorded and transcribed verbatim. Qualitative content analysis was used to analyze the data. Results: Data analysis led to the extraction of the 5 main themes of "the influence of culture, media preparation, sensory appeal, mistaken belief, and difficulty of quitting". Hookah use among family and friends, lack of enforcement of laws prohibiting public consumption, lack of awareness and the mistaken belief that it is less harmful than cigarettes, the pleasant fruity smell and taste, not having any alternative healthy pastimes, and social pressure were the most common reasons for the increasing trend of hookah use in Bushehr. Conclusion: These results suggest the need for authorities to view this issue as an important dilemma, and to plan to reduce hookah use and solve this problem using effective methods to educate and inform people

Keywords

1. Roskin J, Aveyard P. Canadian and English students' beliefs about waterpipe smoking: a qualitative study. BMC Public Health. 2009;9(1):10. 2. Noonan D, Kulbok PA. New tobacco trends: waterpipe (hookah) smoking and implications for healthcare providers. Journal of the American Academy of Nurse Practitioners. 2009;21(5):258-60. 3. Erbaydar NP, Bilir N, Yildiz AN. Knowledge, behaviors and health hazard perception among Turkish narghile (waterpipe)-smokers related to narghile smoking. Pak J Med Sci. 2010;26:195-200. 4. Beaglehole R, Bonita R. Global public health: a scorecard. The Lancet. 2008;372(9654):1988-96. 5. Taha AZ, Sabra AA, Al-Mustafa ZZ, Al-Awami HR, Al-Khalaf MA, Al-Momen MM. Water pipe (shisha) smoking among male students of medical colleges in the eastern region of Saudi Arabia. Annals of Saudi medicine. 2010;30(3):222. 6. Maziak W. The global epidemic of waterpipe smoking. Addictive behaviors. 2011;36(1):1-5. 7. Anjum Q, Ahmed F, Ashfaq T. Knowledge, attitude and perception of water pipe smoking (Shisha) among adolescents aged 14-19 years. JPMA The journal of the Pakistan Medical Association. 2008;58(6):312. 8. Poyrazoglu S, Sarli S, Gencer Z, Günay O. Waterpipe (narghile) smoking among medical and non-medical university students in Turkey. Upsala journal of medical sciences. 2010;115(3):210-6. 9. Salameh P, Waked M, Aoun Z. Waterpipe smoking: construction and validation of the Lebanon Waterpipe Dependence Scale (LWDS-11). Nicotine & Tobacco Research. 2008;10(1):149-58. 10. Almerie M, Matar H, Salam M, Morad A, Abdulaal M, Koudsi A, et al. Cigarettes & waterpipe smoking among medical students in Syria: a cross-sectional study. The international journal of tuberculosis and lung disease: the official journal of the International :union: against Tuberculosis and Lung Disease. 2008;12(9):1085. 11. momenan A SZ, Etemadi A, azizi F, . Pattern of Waterpipe using in Adolescence in Tehran. Paiesh. 1386;2:134-5. 12. Creswell JW. Research design: Qualitative, quantitative, and mixed methods approaches: Sage Publications, Incorporated; 2013. 13. Corbin J, Strauss A. Basics of qualitative research: Techniques and procedures for developing grounded theory: Sage; 2008. 14. Joe S, Canetto SS, Romer D. Advancing prevention research on the role of culture in suicide prevention. Suicide and Life-Threatening Behavior. 2008;38(3):354-62. 15. Ahmadi nk. Relationship between Religious beliefs and Cultural Vulnerability in the family. Journal of Behaivoral Sciences. 1386;1:7-16. 16. Yang LH, Kleinman A, Link BG, Phelan JC, Lee S, Good B. Culture and stigma: adding moral experience to stigma theory. Social Science & Medicine. 2007;64(7):1524-35. 17. Azab M, Khabour OF, Alkaraki AK, Eissenberg T, Alzoubi KH, Primack BA. Water pipe tobacco smoking among university students in Jordan. Nicotine & Tobacco Research. 2010;12(6):606-12. 18. Khor PY, Harun N, Ishak F, Anuar NAIM, Karim NA, Azman A, et al. Contributory factors to the smoking of shisha among teenagers in the Perak City of Ipoh: A Preliminary qualitative survey. International Journal of Public Health Research. 2012;2(1):80-4. 19. Combrink A, Irwin N, Laudin G, Naidoo K, Plagerson S, Mathee A. High prevalence of hookah smoking among secondary school students in a disadvantaged community in Johannesburg. SAMJ: South African Medical Journal. 2010;100(5):297-9. 20. Vanderhoek AJ, Hammal F, Chappell A, Wild TC, Raupach T, Finegan BA. Future physicians and tobacco: an online survey of the habits, beliefs and knowledge base of medical students at a Canadian University. Tobacco induced diseases. 2013;11(1):9. 21. Shihadeh A, Azar S, Antonios C, Haddad A. Towards a topographical model of narghile water-pipe café smoking: a pilot study in a high socioeconomic status neighborhood of Beirut, Lebanon. Pharmacology Biochemistry and Behavior. 2004;79(1):75-82. 22. Aljarrah K, Ababneh ZQ, Al-Delaimy WK. Perceptions of hookah smoking harmfulness: predictors and characteristics among current hookah users. Tobacco Induced Diseases. 2009;5(1):16.