Published
2024-08-15
Section
Research Articles
License
The journal adopts the Attribution-NonCommercial 4.0 International (CC BY-NC 4.0), which means that anyone can reuse and redistribute the materials for non-commercial purposes as long as you follow the license terms and the original source is properly cited.
Author(s) shall retain the copyright of their work and grant the Journal/Publisher rights for the first publication with the work concurrently licensed since 2023 Vol.8 No.2.
Under this license, author(s) will allow third parties to download, reuse, reprint, modify, distribute and/or copy the content under the condition that the authors are given credit. No permission is required from the authors or the publisher.
This broad license intends to facilitate free access, as well as the unrestricted use of original works of all types. This ensures that the published work is freely and openly available in perpetuity.
By providing open access, the following benefits are brought about:
- Higher Visibility, Availability and Citations-free and unlimited accessibility of the publication over the internet without any restrictions increases citation of the article.
- Ease of search-publications are easily searchable in search engines and indexing databases.
- Rapid Publication – accepted papers are immediately published online.
- Available for free download immediately after publication at https://esp.as-pub.com/index.php/ESP
Copyright Statement
1.The authors certify that the submitted manuscripts are original works, do not infringe the rights of others, are free from academic misconduct and confidentiality issues, and that there are no disputes over the authorship scheme of the collaborative articles. In case of infringement, academic misconduct and confidentiality issues, as well as disputes over the authorship scheme, all responsibilities will be borne by the authors.
2. The author agrees to grant the Editorial Office of Environment and Social Psychology a licence to use the reproduction right, distribution right, information network dissemination right, performance right, translation right, and compilation right of the submitted manuscript, including the work as a whole, as well as the diagrams, tables, abstracts, and any other parts that can be extracted from the work and used in accordance with the characteristics of the journal. The Editorial Board of Environment and Social Psychology has the right to use and sub-licence the above mentioned works for wide dissemination in print, electronic and online versions, and, in accordance with the characteristics of the periodical, for the period of legal protection of the property right of the copyright in the work, and for the territorial scope of the work throughout the world.
3. The authors are entitled to the copyright of their works under the relevant laws of Singapore, provided that they do not exercise their rights in a manner prejudicial to the interests of the Journal.
About Licence
Environment and Social Psychology is an open access journal and all published work is available under the Creative Commons Licence, Authors shall retain copyright of their work and grant the journal/publisher the right of first publication, and their work shall be licensed under the Attribution-NonCommercial 4.0 International (CC BY-NC 4.0).
Under this licence, the author grants permission to third parties to download, reuse, reprint, modify, distribute and/or copy the content with attribution to the author. No permission from the author or publisher is required.
This broad licence is intended to facilitate free access to and unrestricted use of original works of all kinds. This ensures that published works remain free and accessible in perpetuity. Submitted manuscripts, once accepted, are immediately available to the public and permanently accessible free of charge on the journal’s official website (https://esp.as-pub.com/index.php/ESP). Allowing users to read, download, copy, print, search for or link to the full text of the article, or use it for other legal purposes. However, the use of the work must retain the author's signature, be limited to non-commercial purposes, and not be interpretative.
Click to download <Agreement on the Licence for the Use of Copyright on Environmental and Social Psychology>.
How to Cite
Prevalence of, and perceptions regarding water pipe smoking amongst college students in Johannesburg, South Africa
Lontshitse O
Department of Public Health, Sefako Makgatho Health Sciences University
Fernandes L
Department of Public Health, Sefako Makgatho Health Sciences University
Mokwena KE
Department of Public Health, Sefako Makgatho Health Sciences University
DOI: https://doi.org/10.59429/esp.v9i7.2577
Keywords: prevalence, perceptions, water pipe smoking, college students, South Africa
Abstract
Background: Water pipe tobacco smoking has similar health risks as other forms of tobacco use, such as increased risk of cardiovascular disease and lung cancer, decreased pulmonary function, as well as various other oral diseases. Because there are perceptions among young people that its health effects are less harmful, its use in this group is reportedly high, though its prevalence is not known. This study purposed to determine the prevalence and perceptions of water pipe smoking amongst Technical and Vocational Education and Training (TVET) college students in Johannesburg, South Africa.
Methods: A cross-sectional quantitative survey was conducted among the students. Using the STATA statistical software, bivariate analysis was used to calculate the prevalence of water pipe smoking, and the chi square test was used to explore associations between socio-demographic variables and water pipe smoking. The quantitative questions on perceptions were analysed using summary statistics.
Results: A total of 479 TVET students, 57.8% females and 42.2% males, with a mean age of 22 participated in the study. The prevalence of water pipe smoking was 61.6%, with more males compared to female students (70.8% vs 54.9%) using the pipe. More than half (62.2%) have a false perception regarding the health risks of water pipe smoking.
Conclusion: There is a high prevalence of water pipe smoking and false perceptions about the health risks of water pipe smoking amongst TVET college students. Thus, the current Tobacco policy should be amended to include the regulation of water pipe smoking as well as increased health education about the dangers of smoking water pipe.
References
[1]. Nakkash, R., Khader, Y., Chalak, A., Abla, R., Abu-Rmeileh, N. M., Mostafa, A., ... & Salloum, R. G. (2022). Prevalence of cigarette and waterpipe tobacco smoking among adults in three Eastern Mediterranean countries: a cross-sectional household survey. BMJ Open, 12(3), e055201.
[2]. South African Government. Tobacco Products Control Act 83 of 2008. https://www.gov.za › documents › tobacco-products-c. Accessed 17 July 2023.
[3]. Kruger L, Van Walbeek C, Vellios N. Water pipe and cigarette smoking among university students in Western Cape, South Africa. Am J Health Behav. 2016;40(4): 416-426.
[4]. Naicker N, Teare J, Albers P, Mathee A. Prevalence of hookah pipe smoking in high-school learners in Johannesburg, South Africa. S Afri Med J. 2020; 110(6):546-51.
[5]. Monyeki KD, Siweya HJ, Makgae PJ. The Use of Waterpipe Tobacco Products and Its Associated Risk Factors among University of Limpopo Students, South Africa. Lifestyle-Related Diseases and Metabolic Syndrome 2022.
[6]. Ramoa CP, Eissenberg T, Sahingur SE. Increasing popularity of water pipe tobacco smoking and electronic cigarette use: implications for oral health care. J. Periodontal Res. 2017; 52(5):813-823.
[7]. Khan N, Siddiqui MU, Padhiar AA, Haq Hashmi SA, Fatima S, Muzafar S. Prevalence, knowledge, attitude and practice of Shisha smoking among medical and dental students of Karachi, Pakistan. J. Dow Univ. 2014; 2(1):3-10.
[8]. Aboaziza E, Eissenberg T. Water pipe tobacco smoking: what is the evidence that it supports nicotine/tobacco dependence? Tob. Control. 2015; 24:144-153.
[9]. Motloutsi, A., & Lubinga, E. (2023). Assessing awareness, knowledge, and perceptions of hubbly bubbly smoking health risks among South African university students. Communicare: Journal for Communication Sciences in Southern Africa, 42(1), 97-112.
[10]. Momenabadi V, Hashemi SY, Borhaninejad VR. Factors affecting hookah smoking trend in the society: A review article. Addiction & Health. 2016, 8(2):123.
[11]. Al-Delaimy AK, Al-Ani WA. Prevalence of hookah smoking and associated factors among male high school students in Iraq. BMC Public health. 2021, 21:1-9.
[12]. Bhatnagar A, Maziak W, Eissenberg T, Ward KD, Thurston G, King BA, Sutfin EL, Cobb CO, Griffiths M, Goldstein LB, Rezk-Hanna M. Water pipe (hookah) smoking and cardiovascular disease risk: a scientific statement from the American Heart Association. Circulation. 2019; 139(19):e917-36.
[13]. Darawshy F, Rmeileh AA, Kuint R, Berkman N. Waterpipe smoking: a review of pulmonary and health effects. Eur Respir Rev. 2021; 30(160).
[14]. Daniels KE, Roman NV. A descriptive study of perceptions and behaviours of water pipe use by university students in the Western Cape, South Africa. Tob Induc Dis.2013; 11(1):2-5.
[15]. Van Der Merwe N, Banoobhai T, Gqweta A, Gwala A, Masiea T, Misra M,Zweigenthal V. Hookah pipe smoking among health science students. S Afr Med J. 2013; 103(11):847-849.
[16]. Senkubuge F, Ayo-Yusuf QA, Louwagie GM, Okuyemi KS. Water pipe and smokeless tobacco use among medical students in South Africa. Nicotine Tob Res. 2012; 14(6):755-760.
[17]. 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. S Afr Med J. 2010; 100(5): 297 – 299.
[18]. Çevik BE, Kocataş S. Hookah Smoking Profiles of University Students and Their Perceptions of its Health Risks. Addicta: The Turkish Journal on Addictions. 2020; 7(3).
[19]. de Carvalho Guimarães GL, Belo IS, Siqueira LF, Ribeiro MT, De Castro LL, De Oliveira GJ, De Castro LA. Hookah smoking among Brazilian university students: an exploratory survey on the prevalence and perceptions of addiction and its harmfulness. Addiction & Health. 2022; 14(3):166.
[20]. Heinz AJ., Giedgowd GE, Crane NA, Veilleux JC, Conrad M, Braun AR, Olejarska NA, Kassel JD. A comprehensive examination of hookah smoking in college students: use pattern and contexts, social norms and attitudes, harm perception, psychological correlates and co-occurring substance use. Addict. Behav. 2013; 38(11):2751-2760.
[21]. Yadav S, Rawal G. Waterpipe tobacco smoking: A mini-review. J Trans Inter Med 2018; 6(4):173-5.
[22]. Faria A, Faria A, Laher I. Water Pipe Smoking and E-Cigarettes: A Safer Alternative to Combustible Cigarettes?.Environmental Stressors and OxInflammatory Tissues Responses 2024; 153-164.
[23]. Daou KN, Bou-Orm IR, Adib SM. Factors associated with waterpipe tobacco smoking among Lebanese women. Women Health. (2018) 58:1124–34.
[24]. Tucktuck M, Ghandour R, Abu-Rmeileh NM. Waterpipe and cigarette tobacco smoking among Palestinian university students: a cross-sectional study. BMC Public Health. 2018; 18:1-2.
[25]. Akl EA, Ward KD, Bteddini D, Khaliel R, Alexander AC, Lotfi T, et al. The allure of the water pipe: a narrative review of factors affecting the epidemic rise in water pipe smoking among young person’s globally. 2015; 24:13-21.
[26].
[27]. Primack BA, Carroll MV, Weiss PM, Shihadeh AL, Shensa A, Farley ST, Fine MJ, Eissenberg T, Nayak S. Systematic review and meta-analysis of inhaled toxicants from waterpipe and cigarette smoking. Public Health Reports. 2016; 1(1):76-85.
[28]. Arshad A, Matharoo J, Arshad E, Sadhra SS, Norton-Wangford R, Jawad M. Knowledge, attitudes, and perceptions towards waterpipe tobacco smoking amongst college or university students: a systematic review. BMC Public Health. 2019; 19:1-1.
[29]. Venkatesh E, Al Jemal MY, Al Samani AS. Characteristics, reasons, behavior and knowledge towards waterpipe smoking in Saudi Arabia. International Journal of Adolescent Medicine and Health. 2020; 32(1):20170090.
[30]. Al-Sawalha NA, Almomani BA, Al-Shatnawi SF, Almomani BN. Attitudes and Knowledge of the Harmful Effects of Waterpipe Tobacco Smoking among university students: A study from Jordan. Environmental Science and Pollution Research. 2021; 43725-31.
[31]. Sterling KL, Fryer CS, Majeed B. Promotion of water tobacco use, its variants and accessories in young adult’s newspapers: a content analysis of message portrayal. Health Educ. Res. 2014; 30(1):152-161.
[32]. Badran M, Laher I. Waterpipe (shisha, hookah) smoking, oxidative stress and hidden disease potential. Redox biology. 2020; 34:101455.
[33]. Abdulrashid OA, Balbaid O, Ibrahim A, Shah HB. Factors contributing to the upsurge of water-pipe tobacco smoking among Saudi females in selected Jeddah cafés and restaurants: A mixed method study. Journal of Family and Community Medicine. 2018; 25(1):13-9.
[34]. Qasim H, Alarabi AB, Alzoubi KH, Karim ZA, Alshbool FZ, Khasawneh FT. The effects of hookah/water pipe smoking on general health and the cardiovascular system. Environ Health Prev Med. 2019; 24(58):24-58.
[35]. He H, Pan Z, Wu J, Hu C, Bai L, Lyu J. Health effects of tobacco at the global, regional, and national levels: results from the 2019 global burden of disease study. Nicotine and Tobacco Research. 2022; 24(6):864-70.
[36]. World Health Organization. Global action plan for the prevention and control of NCDs 2013 – 2020. 2013. http://www.who.int/nmh/events/ncd_action_plan/en/, Accessed 2 December 2019.
[37]. World Health Organization. Global health risks: mortality and burden of disease attributed to selected major risks: cancer. 2017. Available at: https://doi.org/10.1016/j.addbeh.2015.03.012, Accessed 9 November 2019.
[38]. Al Ali R, Vukadinović D, Maziak W, Katmeh L, Schwarz V, Mahfoud F, Laufs U, Böhm M. Cardiovascular effects of waterpipe smoking: a systematic review and meta-analysis. Reviews in Cardiovascular Medicine. 2020; 21(3):453-68.
[39]. CDC. Hookahs. Available from: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/hookahs/index.htm#:~:text=In%20a%20single%20water%20pipe,nicotine%20of%20a%20single%20cigarette.&text=The%20amount%20of%20smoke%20inhaled,inhaled%20when%20smoking%20a%20cigarette. Accessed 9 April 2024.
[40]. Hsieh JR, Mekoli ML, Edwards Jr RL. Levels of chemical toxicants in waterpipe tobacco and waterpipe charcoal solid waste. Journal of environmental protection. 2021; 12(11):913.
[41]. Velios N, Van Walbeek C. Determinants of regular smoking onset in South Africa using duration analysis. BMJ Open. 2016; 6:1-10.
[42]. Jawad M. Legislation enforcement of the water pipe tobacco industry: a qualitative analysis of the London experience. Nicotine Tob. Res .2014; 16(7):1000-1008.
[43]. World Health Organization. 2015. Water pipe tobacco smoking: health effects, research needs and recommended actions for regulations (2nd edition). Geneva: WHO Press.
[44]. Maziak W, Osibogun O, Asfar T. Waterpipe smoking: the pressing need for risk communication. Expert review of respiratory medicine. 2019; 13(11):1109-19.