Current Problems in Pediatric and Adolescent Health Care
Waterpipe (Hookah) Tobacco Smoking Among Youth
Section snippets
Overview of Hookah Smoking
The prevalence of waterpipe tobacco smoking has increased worldwide, in part, because of misconceptions about its safety. Waterpipe tobacco smoking has become popular among youth and young adults owing to its social acceptance, its novelty, its availability in numerous appealing flavors, and its relatively low cost. Although both the chronic and the acute health consequences of waterpipe smoking are beginning to surface in the literature, information about the negative short-term and long-term
Incidence and Prevalence: An International Assessment
Waterpipe tobacco smoking has been around for centuries with 1 of the earliest recordings of its use in 1616 in India.12 Identifying the actual country in which waterpipes were invented is less clear; however, there seems to be consensus on India for invention and the Muslims for the growth of its popularity.12 The Middle East experienced a resurgence of waterpipe smoking in the 1990s with the introduction of maassel.4, 13 Although customary among men, the practice of waterpipe tobacco smoking
Misconceptions About Waterpipe Tobacco Smoking
Several studies have looked at misconceptions related to waterpipe smoking—ones ranging from the way the smoke enters the lungs to the water filtering capability of the device. Roskin and colleagues44 found that British university students perceived waterpipe tobacco smoke as entering the lungs in a different pathway than cigarette smoke, thus rendering it less harmful. The smoothness of the fruit-flavored tobacco smoke was equated with less harm as well. Students also thought that because
Increased Popularity of Waterpipe Tobacco Smoking
Increased marketing no doubt has contributed to the growing popularity of waterpipe smoking, higher overall sales, particularly through Internet sites, sponsorship at events, distribution of free samples, and direct advertisements.27, 41 Marketing techniques conceal potential dangers associated with waterpipes. For example, in the Eastern Mediterranean Region, the package is labeled as being “100% natural,” making the product seem more acceptable and perhaps even a healthy behavior to consider.5
Overview of Youth Smoking
The WHO66 has declared tobacco smoking as the single most preventable cause of death and disability in the USA.1 Despite global warnings about the health consequences of smoking, every day another 80,000-100,000 children worldwide begin smoking cigarettes.66 Nearly half of the adolescents who start smoking cigarettes continue to smoke for another 15-20 years, an indicator of tobacco's addictiveness.66 The overwhelming relationship between tobacco and youth has prompted the FDA47 to declare
Health Effects
Tobacco smoking is responsible for 440,000 deaths and 5.6 million years of potential life lost in the USA each year.62, 71 Although smoking is causally related to coronary artery disease, stroke, and lung disease, many people continue to smoke because of nicotine's addictive nature.44, 72 Although waterpipe smoking is perceived as being less harmful than cigarettes, evidence suggests that it contains similar harmful agents and has similar addictive potential as cigarettes.8, 10, 53, 73 Unlike
Regulatory Efforts
Policies related to tobacco control include efforts, such as establishment of smoke-free environments, regulation of the sale of tobacco products, including excise taxes and restrictions on sales to minors, regulation of advertising, and control of the content of tobacco products. Efforts at tobacco control occur nationally in the USA as well as worldwide.
The WHO FCTC was adopted by the World Health Assembly in May 2003. It was the first treaty of its kind established under the auspices of the
Conclusions
Waterpipe smoking has had a long and culturally strong tradition in the Middle East, Eastern Mediterranean, parts of Asia, and elsewhere, particularly among men. Since the 1990s its use has migrated to other parts of the world, including the USA, and has given rise to hookah bars and lounges that attract college students and other young adults who enjoy the novelty, social atmosphere, and bonding that they perceive it provides. The introduction of flavored and sweetened tobacco has contributed
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Cited by (167)
Particulate matter pollution in Hookah lounges in Palestine
2022, Journal of Aerosol ScienceCitation Excerpt :In the Middle East, Hookah smoking has had a long and culturally-strong tradition especially among men. However, since the 1990's the factors mentioned above have made it more popular among college students and other young adults (Martinasek et al., 2011). Many studies have found the hookah smoking has become very popular among college students in Saudi Arabia, Jordan, Egypt, United Arab Emirates, Oman, Syria, and Palestine (Abu-Rmeileh et al., 2018; Awan, Alrshedan, Al Kahtani, & Patil, 2016; Ben Taleb, Ward, Asfar, Bahelah, & Maziak, 2015; Jaber et al., 2015; Tucktuck, Ghandour, & Abu-Rmeileh, 2017).
Hookah Smoking: A Potentially Risk Factor for First-Ever Ischemic Stroke
2020, Journal of Stroke and Cerebrovascular DiseasesReproductive outcomes of water pipe smoking: A scoping review
2023, Asian Pacific Journal of ReproductionPrevalence of cigarette and waterpipe smoking and associated cancer incidence among adults in the Middle East
2023, Eastern Mediterranean Health Journal