Skip to main content

Advertisement

Log in

Risk Factors for Hookah Smoking Among Arabs and Chaldeans

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Hookah smoking is more prevalent among individuals of Middle Eastern descent. This study examined general and ethnic-specific risk factors for hookah smoking among Arabs and Chaldeans. A self-administered anonymous questionnaire was conducted among 801 adults residing in Southeast Michigan. Binary logistic regression modeling was used to predict risk factors for hookah smoking. Hookah smoking was significantly more prevalent among Arabs (32 %) than Chaldeans (26 %, p < 0.01) and being Arab was a risk factor for lifetime hookah use. Younger age (<25 years), being male, higher annual income, and having health insurance were significant risk factors for hookah use. Chaldeans believed to a greater extent than Arabs that smoking hookah is less harmful than cigarette smoking (75 vs. 52 %, p < 0.001). Hookah smoking is prevalent in both ethnic groups, but significantly higher among Arabs. Results indicate that prevention efforts should target younger males with higher incomes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Chaouachi K. A critique of the WHO’s TobReg’s “Advisory Note” report entitled: “Waterpipe tobacco smoking: health effects, research needs and recommended actions by regulators”. J Negat Results Biomed. 2006;5:17.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Knishkowy B, Amitai Y. Water-Pipe (narghile) smoking: an emerging health risk behavior. Pediatrics. 2005;116(1):e113–9.

    Article  PubMed  Google Scholar 

  3. Aljarrah K, Ababneh ZQ, Al-Delaimy WK. Perceptions of hookah smoking harmfulness: predictors and characteristics among current hookah users. Tob Induc Dis. 2009;5:16–22.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Adams F. Hookah use common among college students, survey finds. Asthma allergic children: a parent’s guide (HealthDay News). April 8 2011. Available from: philly.com/Health. Posted: Wed, Nov. 2, 2011.

  5. Jamil H, Janisse J, Elsouhag D, Fakhouri M, Arnetz J, Arnetz B. Do household smoking behaviors constitute a risk factor for hookah use? Nicotine Tob Res. 2011;13(7):249.

    Google Scholar 

  6. Smith J, Novotny T, Edland S, Hofstetter C, Lindsay S, Al-Delaimy W. Determinants of hookah use among high school students. Nicotine Tob Res. 2011;13(7):565–72.

    Article  PubMed  Google Scholar 

  7. Giuliani K, Mire O, Ehrlich L, Stigler M, DuBois D. Characteristics and prevalence of tobacco use among Somali youth in Minnesota. Am J Prev Med. 2010;39(6S1):S48–55.

    Article  PubMed  Google Scholar 

  8. Jordan HM, Delnevo CD. Emerging tobacco products: hookah use among New Jersey youth. Prev Med. 2010;51(5):394–6.

    Article  PubMed  Google Scholar 

  9. Varsano S, Ganz I, Eldor N, Garenkin M. Water-pipe tobacco smoking among school children in Israel: frequencies, habits, and attitudes. Harefuah. 2003;142(11):736–741, 807.

    Google Scholar 

  10. Akl E, Gaddam S, Gunukula SK, Honeine R, AbouJaoude P, Irani J. The effects of waterpipe tobacco smoking on health outcomes: a systematic review. Int J Epidemiol. 2010;39:834–57.

    Article  PubMed  Google Scholar 

  11. Jacot Sadowski I, Cornuz J. New modes of tobacco and nicotine use. Rev Med Suisse. 2009;5(210):1457–61.

    PubMed  Google Scholar 

  12. Al-Fayez SF, Salleh M, Ardawi M, Zahran FM. Effects of sheesha and cigarette smoking on pulmonary function of Saudi males and females. Trop Geogr Med. 1988;40(2):115–23.

    CAS  PubMed  Google Scholar 

  13. Raad D, Gaddam S, Schunemann HJ, Irani J, AbouJaoude P, Honeine R, Akl EA. Effects of waterpipe tobacco smoking on function: a systematic review and meta-analysis. Chest. 2011;139(4):764–74.

    Article  PubMed  Google Scholar 

  14. Eissenberg T, Shihadeh A. Waterpipe yobacco and cigarette smoking direct comparison of toxicant exposure. Am J Prev Med. 2009;37(6):518–23.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Grekin ER, Dinah A. Argileh use among college students in the United States: an emerging trend. J Stud Alcohol Drugs. 2008;69:472–5.

    PubMed  Google Scholar 

  16. Noonan D, Kulbok PA. New tobacco trends: waterpipe (hookah) smoking and implications for healthcare providors. J Am Acad Nurse Pract. 2009;21(5):258–60.

    Article  PubMed  Google Scholar 

  17. Chaouachi K. Hookah (shisha, narghile) smoking and environmental tobacco smoke (ETS). A critical review of the relevant literature and the public health consequences. Int J Environ Res Public Health. 2009;6(2):798–843.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Hu X, Primack BA, Barnett TE, Cook RL. College students and use of K2: an emerging drug of abuse in young persons. Subst Abuse Treat Prev Policy. 2011;6:16.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Akl E, Gunukula S, Aleem S, Obeid R, Jaoude PA, Honeine R, Irani J. The prevalence of waterpipe tobacco smoking among the general and specific populations: a systematic review. BMC Public Health. 2011;11:244.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Narain R, Sardana S, Gupta S, Sehgal A. Age at initiation and prevalence of tobacco use among school children in Noida, India: a cross-sectional questionnaire based survey. Indian J Med Res. 2011;133:300–7.

    PubMed Central  PubMed  Google Scholar 

  21. Sajid KM, Chaouachi K, Mahmood R. Hookah smoking and cancer: carcinoembryonic antigen (CEA) levels in exclusive/ever hookah smokers. Harm Reduct J. 2008;24(5):19–32.

    Article  Google Scholar 

  22. Anjum Q, Ahmed F, Ashfaq T. Knowledge, attitude and perception of water pipe smoking (shisha) among adolescents aged 14–19 years. J Pak Med Assoc. 2008;58(6):312–7.

    PubMed  Google Scholar 

  23. Jamil H, Templin T, Fakhouri M, Rice VH, Khouri R, Fakhouri H, Al-Omran H, Al-Fauori I, Baker O. Comparison of personal characteristics, tobacco use, and health states in Chaldean, Arab American, and non-Middle Eastern White adults. J Immigr Minor Health. 2009;11(4):310–7.

    Article  CAS  PubMed  Google Scholar 

  24. Jamil H, Janisse J, Elsouhag D, Hiller S, Arnetz J, Arnetz B. Sociodemographic risk indicators of hookah smoking among White Americans: a pilot study. Nicotine Tob Res. 2010;12(5):525–9.

    Article  PubMed  Google Scholar 

  25. Primack BA, Walsh M, Bryce C, Eissenberg T. Water-pipe tobacco smoking among middle and high school students in Arizona. Pediatrics. 2009;123(2):e282–8.

    Article  PubMed Central  PubMed  Google Scholar 

  26. Barnett T, Curbow B, Weitz J, Johnson T, Smith-Simone S. Water pipe tobacco smoking among middle and high school students. Am J Public Health. 2009;99(11):2014–9.

    Article  PubMed Central  PubMed  Google Scholar 

  27. Weglicki L, Templin T, Rice V, Jamil H, Hammad A. Comparison of cigarette and water-pipe smoking by Arab and non-Arab-American youth. Am J Prev Med. 2008;35(4):334–9.

    Article  PubMed Central  PubMed  Google Scholar 

  28. Weglicki L, Templin T, Hammad A, Jamil H, Abou-Medien S, Farroukh M, Rice VG. Tobacco use patterns among high school students: do Arab American youth differ? Ethn Dis. 2007;17:S3-22–4.

    Google Scholar 

  29. Rice V, Templin T, Hammad A, Weglicki L, Jamil H, Abou-MedienSh F. Collaborative research of tobacco use and its predictors in Arab and non-Arab American 9th grades. Ethn Dis. 2007;17:S3-19–21.

    Google Scholar 

  30. Templin T, Rice V, Gadelrab H, Weglicki L, Hammad A, Kulwicki A, Al-Omran H, Al-Faouri I, Baker O, Jamil H, Thompson F, Dakroub M, Abou-MedienSh M. Trends in tobacco use among Arab/Arab-American adolescents: preliminary findings. Ethn Dis. 2005;15:S1-65–8.

    Google Scholar 

  31. Jamil H, Grzybowski M, Hakim-Larson J, Fakhouri M, Sahutoglu J, Khoury R, Fakhouri H. Factors associated with self-reported depression in Arab, Chaldean, and African Americans. Ethn Dis. 2008;18:464–470.

    PubMed  Google Scholar 

  32. Rice VH, Weglicki LS, Templin T, Hammad A, Jamil H, Kulwicki A. Predictors of Arab American adolescent tobacco use. J Dev Physiol. 2006;52(2):327–42.

    Google Scholar 

  33. Jackson D, Aveyard P. Waterpipe smoking in students: prevalence, risk factors, symptoms of addiction, and smoke intake. Evidence from one British university. BMC Public Health. 2008;8:174–8.

    Article  PubMed Central  PubMed  Google Scholar 

  34. Carroll T, Poder N, Perusco A. Is concern about waterpipe tobacco smoking warranted? Aust N Z J Public Health. 2008;32(2):181–2.

    Article  PubMed  Google Scholar 

  35. Centers for Disease Control and Prevention (CDC). The National Health Interview Survey (NHIS), 2006.

  36. Al-Turky YA. Smoking habits among medical students in central Saudi Arabia. Saudi Med J. 2006;27(5):700–3.

    Google Scholar 

  37. Maziak W, Ward KD, Soweid RA, Eissenberg T. Standardizing questionnaire items for the assessment of waterpipe tobacco use in epidemiological studies. Public Health. 2005;119(5):400–4.

    Article  CAS  PubMed  Google Scholar 

  38. 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;10:415.

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hikmet Jamil.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jamil, H., Geeso, S.G., Arnetz, B.B. et al. Risk Factors for Hookah Smoking Among Arabs and Chaldeans. J Immigrant Minority Health 16, 501–507 (2014). https://doi.org/10.1007/s10903-013-9772-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-013-9772-1

Keywords

Navigation