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Motives, beliefs and attitudes towards waterpipe tobacco smoking: A systematic review

Show simple item record Akl E.A. Jawad M. Lam W.Y. Co C.N. Obeid R. Irani J.
dc.contributor.editor Jul-2013 2017-10-05T15:48:06Z 2017-10-05T15:48:06Z 2013
dc.identifier 10.1186/1477-7517-10-12
dc.identifier.issn 14777517
dc.description.abstract Background: In spite of the negative health effects of waterpipe tobacco smoking, its use is becoming more common. The objective of this study is to systematically review the medical literature for motives, beliefs and attitudes towards waterpipe tobacco smoking.Methods: We electronically searched MEDLINE, EMBASE, and the ISI the Web of Science in January 2012. We included both quantitative and qualitative studies. We selected studies and abstracted data using standard systematic review methodology. We synthesized data qualitatively.Results: We included 58 papers reporting on 56 studies. The main motives for waterpipe tobacco smoking were socializing, relaxation, pleasure and entertainment. Peer pressure, fashion, and curiosity were additional motives for university and school students while expression of cultural identity was an additional motive for people in the Middle East and for people of Middle Eastern descent in Western countries. Awareness of the potential health hazards of waterpipe smoking was common across settings. Most but not all studies found that the majority of people perceived waterpipe smoking as less harmful than cigarette smoking. Waterpipe smoking was generally socially acceptable and more acceptable than cigarette smoking in general. In Middle Eastern societies, it was particularly more acceptable for women's use compared to cigarette use. A majority perceived waterpipe smoking as less addictive than cigarette smoking. While users were confident in their ability to quit waterpipe smoking at any time, willingness to quit varied across settings.Conclusions: Socializing, relaxation, pleasure and entertainment were the main motives for waterpipe use. While waterpipe users were aware of the health hazards of waterpipe smoking, they perceived it as less harmful, less addictive and more socially acceptable than cigarette smoking and were confident about their ability to quit. © 2013 Akl et al.; licensee BioMed Central Ltd.
dc.language English
dc.publisher LONDON
dc.relation.ispartof Publication Name: Harm Reduction Journal; Publication Year: 2013; Volume: 10; no. 1;
dc.source Scopus
dc.title Motives, beliefs and attitudes towards waterpipe tobacco smoking: A systematic review
dc.type Article
dc.contributor.affiliation Akl, E.A., Department of Medicine, State University of New York at Buffalo ECMC-DKM C216, 462 Grider St, Buffalo, NY 14215, United States, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon, Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada
dc.contributor.affiliation Jawad, M., Imperial College London, South Kensington, London, United Kingdom
dc.contributor.affiliation Lam, W.Y., North Shore-Long Island Jewish Health Systems, Great Neck, NY, United States
dc.contributor.affiliation Co, C.N., Department of Medicine, State University of New York at Buffalo ECMC-DKM C216, 462 Grider St, Buffalo, NY 14215, United States
dc.contributor.affiliation Obeid, R., Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, United States
dc.contributor.affiliation Irani, J., Faculty of Health Sciences, University of Balamand, Beirut, Lebanon
dc.contributor.authorAddress Akl, E.A.; Department of Medicine, State University of New York at Buffalo ECMC-DKM C216, 462 Grider St, Buffalo, NY 14215, United States; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Office of the VP for Medical Affairs;
dc.contributor.authorDepartment Office of the VP for Medical Affairs
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Akl, EA
dc.contributor.authorInitials Jawad, M
dc.contributor.authorInitials Lam, WY
dc.contributor.authorInitials Co, CN
dc.contributor.authorInitials Obeid, R
dc.contributor.authorInitials Irani, J
dc.contributor.authorReprintAddress Akl, EA (reprint author), SUNY Buffalo, Dept Med, ECMC DKM C216,462 Grider St, Buffalo, NY 14215 USA.
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 13
dc.description.citedTotWOSCount 18
dc.description.citedWOSCount 18
dc.format.extentCount 1
dc.identifier.articleNo 12
dc.identifier.pubmedID 23816366
dc.identifier.scopusID 84879818539
dc.publisher.address 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND
dc.relation.ispartOfISOAbbr Harm Reduct. J.
dc.relation.ispartOfIssue 1
dc.relation.ispartofPubTitle Harm Reduction Journal
dc.relation.ispartofPubTitleAbbr Harm Reduct. J.
dc.relation.ispartOfVolume 10
dc.source.ID WOS:000321585700001
dc.type.publication Journal
dc.subject.otherAuthKeyword Addiction
dc.subject.otherAuthKeyword Attitudes
dc.subject.otherAuthKeyword Beliefs
dc.subject.otherAuthKeyword Motives
dc.subject.otherAuthKeyword Tobacco
dc.subject.otherAuthKeyword Waterpipe
dc.subject.otherIndex article
dc.subject.otherIndex attitude to health
dc.subject.otherIndex awareness
dc.subject.otherIndex cultural factor
dc.subject.otherIndex Embase
dc.subject.otherIndex harm reduction
dc.subject.otherIndex health hazard
dc.subject.otherIndex human
dc.subject.otherIndex Medline
dc.subject.otherIndex methodology
dc.subject.otherIndex motivation
dc.subject.otherIndex peer pressure
dc.subject.otherIndex perception
dc.subject.otherIndex pleasure
dc.subject.otherIndex relaxation time
dc.subject.otherIndex smoking
dc.subject.otherIndex smoking cessation
dc.subject.otherIndex social belief
dc.subject.otherIndex systematic review
dc.subject.otherIndex tobacco dependence
dc.subject.otherIndex university student
dc.subject.otherIndex waterpipe tobacco smoking
dc.subject.otherIndex female
dc.subject.otherIndex male
dc.subject.otherIndex Middle East
dc.subject.otherIndex psychological aspect
dc.subject.otherIndex review
dc.subject.otherIndex social distance
dc.subject.otherIndex Attitude to Health
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex Male
dc.subject.otherIndex Middle East
dc.subject.otherIndex Motivation
dc.subject.otherIndex Perception
dc.subject.otherIndex Smoking
dc.subject.otherIndex Social Distance
dc.subject.otherIndex Tobacco Use Cessation
dc.subject.otherKeywordPlus UNIVERSITY-STUDENTS
dc.subject.otherKeywordPlus HOOKAH SMOKING
dc.subject.otherKeywordPlus NARGHILE SMOKING
dc.subject.otherKeywordPlus PIPE SMOKING
dc.subject.otherKeywordPlus IRANIAN UNIVERSITY
dc.subject.otherKeywordPlus CIGARETTE-SMOKING
dc.subject.otherKeywordPlus COLLEGE-FRESHMEN
dc.subject.otherKeywordPlus CARBON-MONOXIDE
dc.subject.otherKeywordPlus SCHOOL-STUDENTS
dc.subject.otherKeywordPlus HUBBLE-BUBBLE
dc.subject.otherWOS Substance Abuse

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