Early experiences of adolescent waterpipe smokers according to waterpipe-specific dependence measures (SCTS-28 and LWDS-10J)
| % of waterpipe smokers who endorsed each symptom | |
|---|---|
| Syrian Center for Tobacco Studies (SCTS-28)* | |
| Smoking waterpipe helps me to concentrate | 53.1 |
| Smoking waterpipe is a good way to reward myself | 79.4 |
| When I smoke waterpipe, I feel less irritable, frustrated, or angry | 35.0 |
| When I smoke waterpipe, I feel less sad, blue, or depressed | 48.8 |
| When I smoke waterpipe, I have less insomnia or trouble sleeping | 43.8 |
| I enjoy blowing waterpipe smoke from my mouth and nose, and the feeling of inhaling waterpipe smoke into my mouth and lungs | 60.0 |
| I am confident that I can quit smoking waterpipe anytime I want | 40.0 |
| I spend too much money on waterpipe | 91.9 |
| Smoking waterpipe makes me feel sociable | 30.0 |
| Smoking waterpipe makes me feel happy | 71.9 |
| Just the sight or smell of waterpipe is enough to make me want to smoke | 82.5 |
| Smoking waterpipe makes me feel energetic | 34.4 |
| Most of my friends smoke waterpipe | 65.6 |
| I smoke waterpipe usually with friends or in cafés/restaurants | 54.4 |
| When I smoke waterpipe I usually share it with others | 21.3 |
| Even if I was sure that waterpipe is not good for my health, I would still smoke it as often | 78.8 |
| It would be very difficult for me to be in a restaurant, and not smoke waterpipe | 78.1 |
| It would be difficult for me to refuse an invitation to smoke waterpipe | 51.9 |
| If I was with someone who objected to my waterpipe smoking, I would smoke it anyway | 15.6 |
| My favourite waterpipe is the one I smoke after having gone on an extended period without smoking it | 17.5 |
| If the cost of waterpipe smoking doubled, I would still smoke it as often | 69.4 |
| I always make sure I have an adequate supply of waterpipe materials (tobacco, coal, foil, etc) | 35.0 |
| If my waterpipe smoking session was to get interrupted, I would be annoyed | 40.6 |
| If I could not smoke waterpipe for a while, I would have difficulty concentrating | 80.6 |
| I usually allocate a special time of the day for smoking waterpipe | 71.3 |
| If I could not smoke waterpipe for a while, I would feel an urge or craving to smoke | 33.1 |
| I want to quit smoking waterpipe | 78.8 |
| I have family or friends who would like me to quit smoking waterpipe | 91.9 |
| Lebanon Waterpipe Dependence Scale-10J (LWDS-10J)† | |
| (A) Psychosocial | |
| Do you smoke waterpipe to improve your morale? | 65.6 |
| Do you smoke waterpipe to please others? | 64.4 |
| (B) Relaxation/pleasure | |
| Do you smoke waterpipe for pleasure? | 36.9 |
| Do you smoke waterpipe to relax your nerves? | 47.5 |
| (C) Physical dependence | |
| Do you smoke waterpipe when you are seriously ill? | 50.6 |
| Do you smoke waterpipe alone? | 30.0 |
| Number of times you could stop waterpipe for more than 7 days At least once (vs none) | 50.0 |
| What percentage of income would you spend on waterpipe smoking? ≤50% of monthly income (vs >50% of monthly income) | 98.8 |
| Number of days you could spend without waterpipe >7 days (vs ≤7 days) | 82.5 |
| Number of waterpipes you usually smoke per week <7 waterpipes/week (vs ≥7 waterpipes/week) | 94.4 |
*These items are specific to waterpipe use patterns and include aspects associated with dependence that are not captured by the LWDS-10J.
†Categories were collapsed due to small cell sizes.