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Social norms and attitudes linked to waterpipe use in the eastern mediterranean region

Show simple item record Afifi R. Khalil J. Fouad F. Hammal F. Jarallah Y. Abu Farhat H. Ayad M. Nakkash R.
dc.contributor.editor 2013 2017-10-18T13:37:03Z 2017-10-18T13:37:03Z 2013
dc.identifier 10.1016/j.socscimed.2013.09.007
dc.identifier.issn 02779536
dc.description.abstract Waterpipe tobacco smoking (WTS) is on the rise globally, particularly among vulnerable populations such as youth and women. Increasing knowledge about toxicant yield from waterpipe tobacco and deleterious health effects points to the potential for a health epidemic. WTS is often viewed as a safe alternative to cigarette smoking. Though the original objective of the research was to explore the social norms and attitudes that lead to waterpipe being a more acceptable form of tobacco smoking for women than cigarettes in the Eastern Mediterranean Region, the use of a qualitative research methodology resulted in rich data that helped to understand more generally the phenomenon of waterpipe smoking. Both focus group discussions (FGDs) and key informant interviews were used. Participants were recruited to represent genders, various age groups, socioeconomic status, waterpipe smoking status, and residents of urban and rural areas. A total of 81 FGDs and 38 in-depth interviews were conducted in 2007. Thematic analysis was used to analyze the transcripts. A total of ten themes emerged: socio-cultural norms, gender differences, motivation to smoke, sensory characteristics of waterpipe, metaphors, consumerism, indicators of dependence, comparison between cigarettes and waterpipe, health effect of smoking, and intervention. Results indicated that WTS has socio-cultural dynamics associated with it that are far more pronounced than health considerations. An increased socio-cultural acceptability, the perceived reduced harm and the advent of the fruity Moassel tobacco are among the many reasons for WTS acceptability. Findings point to the need for a unified strategy to address this health issue at all levels of the ecological framework and have important implications for future policy and practice. © 2013.
dc.format.extent Pages: (125-134)
dc.language English
dc.publisher OXFORD
dc.relation.ispartof Publication Name: Social Science and Medicine; Publication Year: 2013; Volume: 98; Pages: (125-134);
dc.source Scopus
dc.title Social norms and attitudes linked to waterpipe use in the eastern mediterranean region
dc.type Article
dc.contributor.affiliation Afifi, R., Department of Health Promotion and Community Health, Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon
dc.contributor.affiliation Khalil, J., Department of Health Promotion and Community Health, Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon
dc.contributor.affiliation Fouad, F., Syrian Center for Tobacco Studies, Aleppo, Syrian Arab Republic
dc.contributor.affiliation Hammal, F., Department of Anesthesiology and Pain Medicine, University of Alberta, AB, Canada
dc.contributor.affiliation Jarallah, Y., Egyptian Smoking Prevention Research Institute, Egypt
dc.contributor.affiliation Abu Farhat, H., Department of Health Promotion and Community Health, Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon
dc.contributor.affiliation Ayad, M., Sociology Department, Faculty of Social Sciences, Brown University, RI, United States
dc.contributor.affiliation Nakkash, R., Department of Health Promotion and Community Health, Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon
dc.contributor.authorAddress Nakkash, R.; Department of Health Promotion and Community Health, Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut; Faculty: Faculty of Health Sciences; Department: Health Promotion and Community Health;
dc.contributor.authorDepartment Health Promotion and Community Health
dc.contributor.faculty Faculty of Health Sciences
dc.contributor.authorInitials Afifi, R
dc.contributor.authorInitials Khalil, J
dc.contributor.authorInitials Fouad, F
dc.contributor.authorInitials Hammal, F
dc.contributor.authorInitials Jarallah, Y
dc.contributor.authorInitials Abu Farhat, H
dc.contributor.authorInitials Ayad, M
dc.contributor.authorInitials Nakkash, R
dc.contributor.authorReprintAddress Nakkash, R (reprint author), Amer Univ Beirut, Fac Hlth Sci, Ctr Res Populat and Hlth, Dept Hlth Promot and Community Hlth, POB 11-0236, Beirut 11072020, Lebanon.
dc.contributor.authorUniversity American University of Beirut
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dc.description.citedCount 1
dc.description.citedTotWOSCount 5
dc.description.citedWOSCount 5
dc.format.extentCount 10
dc.identifier.coden SSMDE
dc.identifier.pubmedID 24331890
dc.identifier.scopusID 84890219336
dc.relation.ispartofFundingAgency IDRC, International Development Research Centre
dc.relation.ispartOfISOAbbr Soc. Sci. Med.
dc.relation.ispartofPubTitle Social Science and Medicine
dc.relation.ispartofPubTitleAbbr Soc. Sci. Med.
dc.relation.ispartOfVolume 98
dc.source.ID WOS:000329273600016
dc.type.publication Journal
dc.subject.otherAuthKeyword Addiction
dc.subject.otherAuthKeyword Egypt
dc.subject.otherAuthKeyword Lebanon
dc.subject.otherAuthKeyword Palestine
dc.subject.otherAuthKeyword Smoking
dc.subject.otherAuthKeyword Social norms
dc.subject.otherAuthKeyword Syria
dc.subject.otherAuthKeyword Waterpipe
dc.subject.otherIndex toxic substance
dc.subject.otherIndex attitudinal survey
dc.subject.otherIndex epidemic
dc.subject.otherIndex gender relations
dc.subject.otherIndex health impact
dc.subject.otherIndex health risk
dc.subject.otherIndex qualitative analysis
dc.subject.otherIndex rural society
dc.subject.otherIndex smoking
dc.subject.otherIndex socioeconomic status
dc.subject.otherIndex tobacco
dc.subject.otherIndex urban society
dc.subject.otherIndex adult
dc.subject.otherIndex aged
dc.subject.otherIndex article
dc.subject.otherIndex female
dc.subject.otherIndex gender
dc.subject.otherIndex groups by age
dc.subject.otherIndex harm reduction
dc.subject.otherIndex health hazard
dc.subject.otherIndex human
dc.subject.otherIndex information processing
dc.subject.otherIndex interview
dc.subject.otherIndex juvenile
dc.subject.otherIndex male
dc.subject.otherIndex middle aged
dc.subject.otherIndex motivation
dc.subject.otherIndex qualitative research
dc.subject.otherIndex rural area
dc.subject.otherIndex sex difference
dc.subject.otherIndex smoking
dc.subject.otherIndex social attitude
dc.subject.otherIndex social behavior
dc.subject.otherIndex social norm
dc.subject.otherIndex social status
dc.subject.otherIndex thematic analysis
dc.subject.otherIndex tobacco
dc.subject.otherIndex urban area
dc.subject.otherIndex vulnerable population
dc.subject.otherIndex waterpipe tobacco smoking
dc.subject.otherIndex young adult
dc.subject.otherIndex Egypt
dc.subject.otherIndex Lebanon
dc.subject.otherIndex Palestine
dc.subject.otherIndex Syrian Arab Republic
dc.subject.otherIndex Nicotiana tabacum
dc.subject.otherIndex Addiction
dc.subject.otherIndex Egypt
dc.subject.otherIndex Lebanon
dc.subject.otherIndex Palestine
dc.subject.otherIndex Smoking
dc.subject.otherIndex Social norms
dc.subject.otherIndex Syria
dc.subject.otherIndex Waterpipe
dc.subject.otherIndex Adolescent
dc.subject.otherIndex Adult
dc.subject.otherIndex Aged
dc.subject.otherIndex Attitude
dc.subject.otherIndex Female
dc.subject.otherIndex Focus Groups
dc.subject.otherIndex Humans
dc.subject.otherIndex Male
dc.subject.otherIndex Mediterranean Region
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Qualitative Research
dc.subject.otherIndex Risk Factors
dc.subject.otherIndex Smoking
dc.subject.otherIndex Social Perception
dc.subject.otherIndex Young Adult
dc.subject.otherKeywordPlus TOBACCO SMOKING
dc.subject.otherKeywordPlus CIGARETTE-SMOKING
dc.subject.otherKeywordPlus UNIVERSITY-STUDENTS
dc.subject.otherKeywordPlus MARKETING STRATEGIES
dc.subject.otherKeywordPlus NARGHILE WATERPIPE
dc.subject.otherKeywordPlus MAINSTREAM SMOKE
dc.subject.otherKeywordPlus WOMEN
dc.subject.otherKeywordPlus BELIEFS
dc.subject.otherKeywordPlus LEBANON
dc.subject.otherKeywordPlus SYRIA
dc.subject.otherWOS Public, Environmental and Occupational Health
dc.subject.otherWOS Social Sciences, Biomedical

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