“It’s beyond the pale to smoke hookah”: perceptions of Iranian adolescents on social unacceptability of hookah smoking
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Keywords

Hookah smoking, adolescents, high school students, social unacceptability, qualitative

Abstract

The present study aimed to explore the perceptions of high school students on Social Unacceptability (Arabic/Persian term = Qabahat) of Hookah Smoking (SUoHS). In this qualitative study, 31 student adolescents in Tabriz, Iran, were invited to participate in semi-structured individual interviews and focus group discussions (FGDs). Data were analyzed using interpretative thematic analysis. The unacceptability of hookah smoking was viewed at the “disreputability of hookah smoking and hookah smokers”. The students also explained SUoHS in the “incivility of hookah smoking and smokers in the society”, “disrespectfulness of hookah smokers and their families”, and “the consequences of hookah smoking”. The SUoHS is rooted from the social values and norms within communities. To decrease hookah smoking levels among adolescents, school health nursing interventions should be tailored to bridge the gap between their recognition of SUoHS and subsequent behavior change through creating group dynamics highlighting the domains of social unacceptability of the behavior.

https://doi.org/10.15167/2421-4248/jpmh2021.62.1.1809
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References

1. Akl, E., Jawad M, Lam WY, Obeid R, Irani J. (2013). "Motives, beliefs and attitudes towards waterpipe tobacco smoking: a systematic review." Harm Reduction Journal 10(1): 12.
2. Almerie, M. Q., Matar, H.E., Salam, M., Morad, A., Abdulaal, M., Koudsi, A. and Maziak, W. (2008). "Cigarettes & waterpipe smoking among medical students in Syria: a cross-sectional study." Int J Tuberc Lung Dis. 12(9): 1085-1091.
3. Azab, M., Khabour, OF, Alkaraki, AK, Eissenberg, T, Alzoubi, KH, Primack, BA. (2010). "Water pipe tobacco smoking among university students in Jordan." Nicotine & Tobacco Research, 12(6): 606-612.
4. Barbouni, A., Hadjichristodoulou, C, Merakou, K, Antoniadou, E, Kourea, K, Miloni, E, Warren, CW, Rahiotis, G, Kremastinou, J. (2012). "Tobacco Use, Exposure to Secondhand Smoke, and Cessation Counseling Among Health Professions Students: Greek Data from the Global Health Professions Student Survey (GHPSS)." Int. J. Environ. Res. Public Health 9(9): 331-342.
5. Baska, T., Pudule, I, Tilgale N, Warren CW, Lee J, Lea V, Jones NR. (2008 ). "Smoking tobacco in waterpipes among adolescents in Europe: the case of Latvia and Slovakia." Tobacco Control 17(6): 432.
6. Braun, V., Clarke, V. (2006 ). "Using thematic analysis in psychology." Qualitative research in psychology 3(2): 77-101.
7. Dehkhoda, A. A. (2018). "Dehkhoda Online Dictionary." from https://dictionary.abadis.ir/dehkhoda/.
8. Gholami, O. A., Zavareh, M.S.A., Jalilian, M. and Mirzaei, A. (2016). "Student's Positive and Negative Attitudes Towards the Hookah Tobacco Smoking." Research Journal of Medical Sciences 10(Special Issue 1): 813-816.
9. Hessami, Z., Masjedi, M, Sharifi, H, Emami H, Kazempour M, Jamaati H. (2016). "Characteristics of Iranian Hookah Smokers Aged 15 and Above: A Primary Report." Health Scope 5(4): e36011.
10. I., A. (1991 ). "The theory of planned behavior. ." Organizational behavior and human decision processes. 50(2): 179-211.
11. Jahanpour, F., Sharif, F, Salsali, M, Kaveh, MH, Williams, LM. (2010). "Clinical decision-making in senior nursing students in Iranijn." International Journal of Nursing Practice 16(6): 595-602.
12. Jahanpour, F., Vahedparast, H, Ravanipour, M, Azodi, P. (2015). "The Trend of Hookah Use among Adolescents and Youth: A Qualitative Study." J Qual Res Health Sci 3(4): 340-348 [Article in Persian].
13. Jawad, M., Abass, J, Hariri, A, Rajasooriar, KG, Salmasi, H, Millett, C, Hamilton, FL. (2013). "Waterpipe smoking: prevalence and attitudes among medical students in London." The International Journal of Tuberculosis and Lung Disease 17(1): 137-140.
14. Khalil, J., Afifi, R, Fouad, FM, Hammal, F, Jarallah, Y, Mohamed, M, Nakkash, R. (2013). "Women and Waterpipe Tobacco Smoking in the Eastern Mediterranean Region: Allure or Offensiveness." Women & Health 53(1): 100-116.
15. Khattab, A., Javaid, A, Iraqi, G, Alzaabi, A, Kheder, AB, Koniski, ML, Shahrour, N, Taright, S, Idrees, M, Polatli, M, Rashid, N. (2012). "Smoking habits in the Middle East and North Africa: Results of the BREATHE study." Respiratory Medicine 106(52): 516-524.
16. Khor, P., Harun, NB, Ishak, FB, Anuar, NA, Karim, NA, Azman, A, Mahmood, TS. (2012). "Contributory Factors to the Smoking of Shisha among Teenagers in the Perak City of Ipoh: A Preliminary Qualitative Survey." International Journal of Public Health Research 2(1): 80-84.
17. Maziak, W., T. Asfar, and J. Mock. (2003). "Why most women in Syria do not smoke: Can the passive barrier of traditions be replaced with an information-based one?" Public Health 117: 237-241.
18. Mohammadkhani, S. a. R., J.H. (2016). "Relationship between Cigarette and Hookah Smoking with Individual, Family and Social Factors in Adolescents." Journal of Sabzevar University of Medical Sciences, 23(2): 262-280.
19. Noonan, D., Kulbok, PA. (2009). "New tobacco trends: Waterpipe (hookah) smoking and implications for healthcare providers." Journal of the American Academy of Nurse Practitioners 21(5): 258-260.
20. Organazation, W. H. (2011). Global status report on noncommunicable disease 2010. Geneva Switzerland, World Health Organazation.
21. Primack, B., Fertma,n CI, Rice, KR, Adachi-Mejia, AM, Fine, MJ. (2010). "Waterpipe and Cigarette Smoking Among College Athletes in the United States." J Adolesc Health. 46(1): 45-51.
22. Primack BA, S. J., Agarwal AA, Shadel WG, Donny EC, Eissenberg TE. (2008). "Prevalence of and Associations with Waterpipe Tobacco Smoking among U.S. University Students." Ann Behav Med. 36(1): 81-86.
23. Roskin, J., and Aveyard, P. (2009). "Canadian and English students' beliefs about waterpipe smoking: a qualitative study." BMC Public Health 9(1): 10.
24. Sabahy, A., Divsalar K, Nakhaee N. (2011). "Attitude of University Students towards Waterpipe Smoking: A Study in Iran." Addict & Health 3(1-2): 9-14.
25. Sahin, S. a. C., N. (2015). "Perceptions of Turkish University Students about the Effects of Water Pipe Smoking on Health." Asian Pacific Journal of Cancer Prevention, 16: 4615-4621.
26. Steinmetz H, K. M., Ajzen I, Schmidt P, Kabst R. (2016 Oct 28.). "How effective are behavior change interventions based on the theory of planned behavior?." Zeitschrift für Psychologie.