Issrani Rakhi, Alruwaili Danah Sultan R, Alruwaili Rola H G, Tasleem Robina, Almuaddi Abdulmajeed, Abdelaziz Khalid M, Alruwaili Shahad M M, Alruwaili Naif Sultan R, Bader Alzarea K, Khan Zafar A, Prabhu Namdeo
College of Dentistry, Jouf University, Al-Jawf, Kingdom of Saudi Arabia.
College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia.
Tob Induc Dis. 2024 May 28;22. doi: 10.18332/tid/186185. eCollection 2024.
Shisha tobacco use is gaining popularity around the world, especially among young people and college students. Shisha users are exposed to many of the same harmful substances as cigarette smokers but at much higher levels, which could have more serious adverse health impacts. The aims of this study were to: 1) determine the patterns of shisha smoking among university students in the Northern Province of Saudi Arabia; 2) identify the reasons for using shisha tobacco; and 3) ascertain whether usage of shisha smoking differs by their sociodemographic characteristics.
A cross-sectional survey was conducted among students of seven different colleges at a public university between October and December 2022. A modified version of the Global Youth Tobacco Survey questionnaire was used to collect information specifically on shisha smoking. After adjusting for confounding variables, a logistic regression analysis was used to determine the related factors.
A total of 418 participants were included in the study. Of the studied population, shisha smoking was seen in 73.7% (n=308). Out of 308 shisha smokers, 208 (67.5%) had their first session of shisha smoking within the past two years; 34.4% of participants had used it in the past 30 days (current users), of which 27.4% had smoked shisha from 1 to 7 days during the past 30 days. The majority of respondents (63.6%) reported having friends that smoke. The most popular flavor among respondents (24.6%) was apple. For quitting attempts, 46.4% reported a 24-hour quit attempt in the previous year. Stress (23.0%) was reported as the main reason for beginning shisha use. Shisha smoking was significantly associated with age (Ref. 18-20 years; 24-26 years, AOR=0.08; 95% CI: 0.02-0.33, p<0.001; ≥27 years, AOR=0.12; 95% CI: 0.02-0.62, p=0.01), living status (Ref. alone; with family, AOR=0.23; 95% CI: 0.11-0.47, p<0.001; with friends, AOR=0.36; 95% CI: 0.18-0.76, p<0.001), with parents having higher education level (Ref. primary school and lower; Bachelor's, AOR=0.33; 95% CI: 0.14-0.76, p<0.001; diploma, AOR=0.33; 95% CI: 0.15-0.73, p<0.001; PhD, AOR=5.15; 95% CI: 1.00-9.65, p=0.05).
Shisha use was more frequent among Saudi Arabian college students, especially those who were aged 18-20 years, living alone, and having highly educated parents.
水烟吸食在全球范围内越来越流行，尤其是在年轻人和大学生中。水烟使用者接触到的许多有害物质与香烟吸烟者相同，但含量要高得多，这可能会对健康产生更严重的不利影响。本研究的目的是：1）确定沙特阿拉伯北部省份大学生的水烟吸食模式；2）找出使用水烟烟草的原因；3）确定水烟吸食的使用情况是否因社会人口学特征而异。
2022年10月至12月期间，在一所公立大学的七所不同学院的学生中进行了一项横断面调查。使用全球青年烟草调查问卷的修改版专门收集有关水烟吸食的信息。在对混杂变量进行调整后，使用逻辑回归分析来确定相关因素。
共有418名参与者纳入研究。在研究人群中，73.7%（n = 308）的人吸食水烟。在308名水烟吸食者中，208人（67.5%）在过去两年内首次吸食水烟；34.4%的参与者在过去30天内使用过水烟（当前使用者），其中27.4%的人在过去30天内吸食水烟1至7天。大多数受访者（63.6%）报告有吸烟的朋友。受访者中最受欢迎的口味（24.6%）是苹果味。对于戒烟尝试，46.4%的人报告在前一年有过24小时的戒烟尝试。压力（23.0%）被报告为开始使用水烟的主要原因。水烟吸食与年龄（参照组18 - 20岁；24 - 26岁，调整后比值比[AOR]=0.08；95%置信区间[CI]：0.02 - 0.३३，p<0.001；≥27岁，AOR = 0.12；95% CI：0.02 - 0.62，p = 0.01）、居住状况（参照组独居；与家人同住，AOR = 0.23；९५% CI：0.11 - 0.47，p<0.001；与朋友同住，AOR = 0.36；95% CI：0.१८ - 0.76，p<0.001）、父母受教育程度较高（参照组小学及以下；本科，AOR = 0.33；95% CI：0.१४ - 0.76，p<0.001；文凭，AOR = 0.33；95% CI：0.१५ - 0.73，p<0.001；博士，AOR = 5.15；95% CI：1.00 - 9.65，p = 0.05）显著相关。
沙特阿拉伯大学生中水烟使用更为频繁，尤其是那些年龄在18 - 20岁、独居且父母受教育程度高的学生。
