The School of Public Health. Social and Psychological Issues Regarding Waterpipe Tobacco Use. Kenneth D. Ward, PhD University of Memphis, and Syrian Center for Tobacco Studies. 1 st International Conference on Waterpipe Research, Oct 21-23 rd , 2013, Abu Dhabi . Goals.
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The School of PublicHealth
Social and Psychological
Waterpipe Tobacco UseKenneth D. Ward, PhD University of Memphis, andSyrian Center for Tobacco Studies
1st International Conference on Waterpipe Research, Oct 21-23rd, 2013, Abu Dhabi
# Medline citations
Promoting Health: Intervention Strategies from Social and Behavioral Research, by the National Academy of Sciences.
We have less empirical evidence about determinants of Behavioral Researchinitiation than determinants of maintenance.
Maziak, et al., IJTLD, 2004
Due to the boredom of having free time, I used to go with my friends to a cafe´. When they invited me to try narghile, I found it interesting and good. I felt some dizziness, but I enjoyed the taste and the smell. It was fun. And so I became a daily smoker.
Hammal et al., Tobacco Control, 2008
Combrink et al., SAMJ, 2010
“…I started smoking narghile in public places. I go out with my friends. They are all [narghile] smokers. I smoke [narghile] with them to entertain myself and because I do not want to be different.”
Hammalet al., Tobacco Control, 2008
"The strong flavour and strong smoke are great. I can do smoke rings and impress the ladies. There would be no point in smoking if it wasn't flavoured.” (Roskin & Aveyard, 2009)
“.. I like the smoke when it comes out as it does…When I wasn’t smoking the waterpipe, I used to look at someone who smoked it and see how the smoke comes out of it and that made me love it.”(Nakkash 2011)
“...we can order it twice, three times...Sharing and if it’s for 10,000 L.L. and we are 3 or 4 [people], so approximately 2000 L.L. per person is affordable”
“I think if [the waterpipe was]… expensive relative to the income, it would not be that popular (...); a higher price would deter from use (Woman non-smoker - urban area)
Nakkash et al., BMC Public Health, 2011
"I have never smoked cigarettes in front of my parents. They'd be surprised, annoyed and disappointed. There is something more acceptable about shisha.”
"When I explained to my parents it was harmless, they were fine. They've tried it.”
Roskin, et al.,
Maziak et al., Ann Epidemiol, 2004
“I do not worry about narghile. I do not feel it is harmful. It is not more than entertainment. We have not heard about anyone who had a health problem because of the narghile.” (Hammal et al., 2008)
Maziak et al., Ann Epidemiol, 2004
Maziak, et al., Pharm, Biochem, Behav, 2005
Important to remember that determinants of waterpipe use are not invariant across time, population, and place.
Afifi not invariant across time, population, and place, et al., Eur J Public Health, 2009
Akl et al., Harm Reduction Journal, 2013
Martinasek not invariant across time, population, and place, et al., Am J Health Behavior, 2013
Barnett et al., Am J Health Behavior, 2013
Martinasek, unpublished data
Radwan Al Ali, MD
Tom Eissenberg, PhD
Wasim Maziak, MD, PhD
SamerRastam, MD, PhD