Personal Attitudes, Risk Perception and Perceived Vulnerability toward Water Pipe Smoking among Male Students in Zarandieh

Authors
Mahmood Karimy 1
Mahmood Karimy 1
Shamsaddin Niknami 2
Alireza Hidarnia 2
Ebrahim Hajizadeh 3
Mohsen Shamsi 4
1 Faculty of health, Department of Public Health, Saveh school of medical science, Saveh, Iran
2 Department of Health Education & Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
3 Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
4 Department of Public Health, Faculty of Health, Arak University of Medical Sciences, Arak, Iran
Abstract
Aim: Tobacco use is one of the major causes of death worldwide and the most preventable risk factor of the coronary heart disease. The purpose of this study was to determine attitudes, risk perception and perceived vulnerability toward to water pipe (WP) smoking among male students in Zarandieh city of Iran. Methods: This cross-sectional descriptive study was carried out on 400 male adolescents in 2011-2012. A multiple-stage sampling protocol was used. The participants completed a self-report questionnaire about demographics, knowledge, attitude and beliefs about WP smoking and their tobacco use background. Data were analyzed by SPSS16. Findings: The prevalence of WP smoking was 72 (18%). Also 50% of participants believed water pipe smoking is less harmful compared to cigarettes. The mean score of knowledge, attitude, and risk perception for non smokers was higher from smokers (knowledge 4.9±2.1, attitude 19.5±4.3 and risk perception 18.6±3.3 versus 3.4±1.5, 15.6±5.5 and 15.4±4.3 respectively), whereas smokers reported a fairly high level of perceived stress and depression (perceived vulnerability). Conclusion: Noticing the side effects of tobacco use and the high prevalence of incorrect perceived WP smoking beliefs among students, provision of educational programs for the correction of the beliefs of students regarding WP smoking is recommended.

Keywords

Refrences
[1]               Karimy M, Niknami S, Hidarnia AR, Hajizadeh I. Intention to start cigarette smoking among Iranian male adolescents: usefulness of an extended version of the theory of planned behaviour. Heart Asia 2012; 4(1): 120-4.
[2]               Akl EA, Aleem S, Gunukula SK, Honeine R, Jaoude PA, Irani J. Survey instruments used in clinical and epidemiological research on waterpipe tobacco smoking: a systematic review. BMC Public Health 2010; 10(1): 415.
[3]               Maziak W, Rastam S, Eissenberg T, Asfar T, Hammal F, Bachir M, et al. Gender and smoking status-based analysis of views regarding waterpipe and cigarette smoking in Aleppo, Syria. Prev Med 2004; 38(4): 479-84.
[4]               Akl EA, Gaddam S, Gunukula SK, Honeine R, Jaoude PA, Irani J. The effects of waterpipe tobacco smoking on health outcomes: a systematic review. Int J Epid 2010; 39(3): 834-57.
[5]               Amin TT, Amr MA, Zaza BO, Suleman W. Harm Perception, Attitudes and Predictors of Waterpipe (Shisha) Smoking among Secondary School Adolescents in Al-Hassa, Saudi Arabia. Asian Pacific J Cancer Prev 2010; 11(2): 293-301.
[6]               Ward KD, Eissenberg T, Gray JN, Srinivas V, Wilson N, Maziak W. Characteristics of US waterpipe users: a preliminary report. Nicotine Tob Res 2007; 9(12): 1339-46.
[7]               Kennedy DP, Tucker JS, Pollard MS, Go MH, Green HD. Adolescent romantic relationships and change in smoking status. Addict behav 2011; 36(4): 320-6.
[8]               Ramezankhani A, Sarbandizaboli F, Zarghi A, Heidari G, Masjedi M. Pattern of cigarette smoking in adolescent students in Tehran. Pejouhandeh 2010; 15(3): 115-22.
[9]               Karimy M, Niknami S, Hidarnia AR, Hajizadeh I. Prevalence and Determinants of Male Adolescents’ Smoking in Iran: An Explanation Based on the Theory of Planned Behavior. Iran Red Crescent Med J 2013; 15(3): 21-29.
[10]           Park HY, Dent C, Abramsohn E, Dietsch B, McCarthy WJ. Evaluation of California's in-school tobacco use prevention education (TUPE) activities using a nested school-longitudinal design, 2003–2004 and 2005–2006. Tob control 2010; 19(Suppl 1): i43-i50.
[11]           Huang HL, Chen FL, Hsu CC, Yen YY, Chen T, Huang CM, Shi HY, Hu CY, Lee CH. A multilevel-based study of school policy for tobacco control in relation to cigarette smoking among children in elementary schools: gender differences. Health Educ Res 2010; 25(3): 451.
[12]           Karimy M, Niknami Sh, Hidarnia Al, Hajizadeh E, Shamsi M. Evaluation of intrapersonal and interpersonal factors of male adolescent smoking. J Research Health 2013; 3(3): 445-51.
[13]           Warren CW, Lea V, Lee J, Jones NR, Asma S, McKenna M. Change in tobacco use among 13–15 year olds between 1999 and 2008: findings from the Global Youth Tobacco Survey. Global Health Promot 2009; 16(2): 38-90.
[14]           GYTS. Core Questionnaire. Centers for Disease Control and Prevention. GYTS; 2009; Available at: http://www.cdc.gov/tobacco/ global/GYTS/questionnaire.htm.
[15]           Allahverdipour H, Farhadinasab A, Bashirian S, Mahboub H. Pattern and tendency reason of adolescent to drug use. J Shaheed Sadoughi Univ Med Sci 2008; 15(4): 14-20.
[16]           Mohammadi MR, Mohammad K, Farahani FKA, Alikhani S, Zare M, Tehrani FR, Ramezankhani A, Alaeddini F. Reproductive knowledge, attitudes and behavior among adolescent males in Tehran, Iran. Int Fam Plan Perspect 2006: 35-44. Available at: http://www.jstor.org/stable/4147610
[17]           Wong D, Chan S, Ho S, Fong D, Lam T. Predictors of intention to quit smoking in Hong Kong secondary school children. J Public Health 2010; 32(3): 360.
[18]           Shashidhar A, Harish J, Keshavamurthy SR. Adolescent smoking - a study of knowledge, attitude and practice in high school children. Pediatric OnCall 2011; 8(1): 22-9.
[19]           Mallia C, Hamilton-West K. Smoking-related attitudes and perceptions among young adults in Malta and the UK. Psychology, Hlth Med2010; 15(3): 347-56.
[20]           Luhtanen R, Crocker J. A collective self-esteem scale: Self-evaluation of one's social identity. Pers Soc Psychol Bulletin1992; 18(3): 302.
[21]           Rosenberg M, Schooler C, Schoenbach C, Rosenberg F. Global self-esteem and specific self-esteem: Different concepts, different outcomes. Am Sociol Rev 1995: 60(1): 141-56.
[22]           Schmitt DP, Allik J. Simultaneous administration of the Rosenberg Self-Esteem Scale in 53 nations: exploring the universal and culture-specific features of global self-esteem. J Pers Soc Psychol 2005; 89(4): 623.
[23]           Niknami S, Akbari M, Ahmadi F, Babaee-Rouchi G, Heidarnia A. Smoking initiation among Iranian adolescents: a qualitative study. East Mediterr Health J 2008; 14: 1290-300.
[24]           Costa FM, Jessor R, Turbin MS. College student involvement in cigarette smoking: The role of psychosocial and behavioral protection and risk. Nicotine Tob Res 2007; 9(2): 213.
[25]           Toghianifar N, Sarrafzadegan N, Roohafza H, Sadeghi M, Eshrati B, Sadri G. Smoking cessation support in Iran: Availability, sources & predictors. Indian J Med Res 2011; 133(6): 627.
[26]           Goudarzi S, Kameli ME, Hatami H. Improvement in health indicators of islamic republic of iran in the years 2004 and 2008. Iran Red Crescent Med J. 2011; 13(8): 574-7.
[27]           Goli S, Mahjub H, Moghimbeigi A, Poorolajal J, Heidari Pahlavian A. Application of mixture models for estimating the prevalence of cigarette smoking in Hamadan, Iran. J Res Health Sci 2011; 10(2): 110-5.
[28]           Kelishadi R, Mokhtari M, Tavasoli AA, Khosravi A, Ahangar-Nazari I, Sabet B, Kazemi A, Amini A. Determinants of tobacco use among youths in Isfahan, Iran. Int J Public Health 2007; 52(3): 173-9.
[29]           Moghimbeigi A, Eshraghian MR, Mohammad K, Nourijelyani K, Husseini M. Determinants Number of Cigarette Smoked with Iranian Adolescents: A Multilevel Zero Inflated Poisson Regression Model. Iran J Public Health 2009; 38(4): 91-6.
[30]           Yazdani R, Vehkalahti MM, Nouri M, Murtomaa H. Smoking, tooth brushing and oral cleanliness among 15-year-olds in Tehran, Iran. Oral Health & Prev Dent 2008; 6(1): 45.
[31]           El-Amin SET, Nwaru BI, Ginawi I, Pisani P, Hakama M. The role of parents, friends and teachers in adolescents' cigarette smoking and tombak dipping in Sudan. Tob Control 2011; 20(2): 94.
[32]           Weiss JW, Mouttapa M, Cen S, Johnson CA, Unger J. Longitudinal effects of hostility, depression, and bullying on adolescent smoking initiation. J Adolesc Health 2011; 48(6): 591-6.
[33]           Villanti A, Boulay M, Juon HS. Peer, parent and media influences on adolescent smoking by developmental stage. Addict behav 2011; 36(1-2): 133-6.
[34]           Wen C, Tsai S, Cheng T, Hsu C, Chen T, Lin H. Role of parents and peers in influencing the smoking status of high school students in Taiwan. Tob Control 2005; 14(suppl 1): i10.
[35]           Nehl E, Blanchard C, Peng C, Rhodes R, Kupperman J, Sparling P, Courneya K, Baker F. Understanding Nonsmoking in African American and Caucasian College Students: An Application of the Theory of Planned Behavior. Behav Med 2009; 35(1): 23-9.
[36]           Baska T, Warren CW, Hudeckova H, Ochaba R, Stastny P, Lea V, Lee J. The role of family background on cigarette smoking among adolescent school children in Slovakia: findings from the 2007 Slovakia Global Youth Tobacco Survey. Int J Public Health 2010; 55(6): 591-7.
[37]           Cohn LD, Macfarlane S, Yanez C, Imai WK. Risk-perception: Differences between adolescents and adults. Health Psychol 1995; 14(3): 217.
[38]           Anjum Q, Ahmed F, Ashfaq T. Knowledge, attitude and perception of water pipe smoking (Shisha) among adolescents aged 14-19 years. JPMA 2008; 58(6): 312.
[39]           Jawaid A, Zafar A, Rehman T, Nazir M, Ghafoor Z, Afzal O, Khan JA. Knowledge, attitudes and practice of university students regarding waterpipe smoking in Pakistan. Int J Tuberc Lung Disease2008; 12(9): 1077-84.
[40]           Van De Ven MO, Engels RC, Otten R, Van Den Eijnden RJ. A longitudinal test of the theory of planned behavior predicting smoking onset among asthmatic and non-asthmatic adolescents. J Behav Med 2007; 30(5): 435-45.
[41]           Lazuras L, Eiser J, Rodafinos A. Predicting Greek Adolescents' Intentions to Smoke: A Focus on Normative Processes. Health Psychol 2009; 28(6): 770-8.
[42]           Li X, Mao R, Stanton B, Zhao Q. Parental, Behavioral, and Psychological Factors Associated with Cigarette Smoking among Secondary School Students in Nanjing, China. J Child Fam Stud 2010; 19(3): 308-17.
[43]           Lewis TL, Kotch J, Wiley TRA, Litrownik AJ, English DJ, Thompson R, Zolotor AJ, Block SD, Dubowitz H. Internalizing Problems: A Potential Pathway From Childhood Maltreatment to Adolescent Smoking. J Adolesc Health 2011; 48(3): 247-52.
[44]           O'Loughlin J, Karp I, Koulis T, Paradis G, DiFranza J. Determinants of first puff and daily cigarette smoking in adolescents. Am J Epid 2009; 170(5): 585.
[45]           Unger JB, Rohrbach LA, Cruz TB, Baezconde-Garbanati L, Palmer PH, Johnson CA, Howard KA. Ethnic variation in peer influences on adolescent smoking. Nicotine Tob Res 2001; 3(2): 167.
[46]           Promnuch P. Factors related to intention to smoke cigarettes in secondary school students: Mahidol University, 2006; Available at: www.li.mahidol.ac.th./4637420
[47]           Weiss JW, Mouttapa M, Cen S, Johnson CA, Unger J. Longitudinal Effects of Hostility, Depression, and Bullying on Adolescent Smoking Initiation. J Adolesc Health 2010; 48: 591–6.
[48]           Minnix JA, Blalock JA, Marani S, Prokhorov AV, Cinciripini PM. Self-ef f icacy Mediates the Effect of Depression on Smoking Susceptibility in Adolescents. Nicotine Tob Res 2011; 13(8):699-705.
Health Education and Health Promotion
Volume 1, Issue 2
Spring 2013
Pages 47-59