Mugyenyi Ambrose Evarls K, Haberer Jessica E, O'Neil Ivy
Outreach department, Infectious Diseases Institute, Kampala, Uganda.
Department of Medicine, Havard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA.
BMJ Open. 2018 Apr 13;8(4):e018989. doi: 10.1136/bmjopen-2017-018989.
To explore (1) the social function of shisha cafes for young people living in the UK and (2) other alternative activities (existing or potential) that do not involve tobacco smoking.
We conducted qualitative interviews with young adults (age 18-30) in Leeds, UK. Snowballing sampling was used in selecting the participants. Interviews were audio-recorded and explored the perspectives and experiences of young people in as well as potential alternative activities. Data were transcribed and analysed thematically.
Shisha use plays a central role in social interactions. Youth described using shisha because of emotional and sensory pleasure. Shisha use was implicitly endorsed by respected professionals, such as doctors and university lecturers, who were seen smoking it. Most, but not all, shisha smokers acknowledged that shisha use is harmful. Suggestions for reducing shisha use included use of non- tobacco alternatives, legislation to reduce access and alternative means for socialising, such as sports.
For young people in the UK, the known health dangers of shisha are outweighed by its social benefits and shisha is perceived as acceptable. Interventions to reverse the increase in shisha cafes should focus on both individual smoker as well as the community, without sacrificing the importance of social interactions.
探讨（1）水烟咖啡馆对居住在英国的年轻人的社会功能，以及（2）其他不涉及吸烟的替代活动（现有或潜在的）。
我们对英国利兹市18至30岁的年轻人进行了定性访谈。采用滚雪球抽样法选取参与者。访谈进行了录音，探讨了年轻人的观点和经历以及潜在的替代活动。数据被转录并进行了主题分析。
吸水烟在社交互动中起着核心作用。年轻人表示吸水烟是出于情感和感官上的愉悦。吸水烟得到了受尊敬的专业人士（如医生和大学讲师）的默许，他们被看到在吸水烟。大多数但并非所有的水烟吸食者都承认吸水烟有害。减少水烟使用的建议包括使用非烟草替代品、通过立法减少获取途径以及采用替代社交方式，如体育运动。
对于英国的年轻人来说，水烟已知的健康危害被其社会效益所抵消，并且水烟被认为是可以接受的。扭转水烟咖啡馆数量增加趋势的干预措施应兼顾个体吸烟者和社区，同时不牺牲社交互动的重要性。
