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Comparison of patterns of use, beliefs, and attitudes related to waterpipe between beginning and established smokers

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BioMed Central
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PMC
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  • Research Article

Abstract

1471-2458-5-19.fm ral ss BioMed CentBMC Public Health Open AcceResearch article Comparison of patterns of use, beliefs, and attitudes related to waterpipe between beginning and established smokers Taghrid Asfar1, Kenneth D Ward1,2, Thomas Eissenberg1,3 and Wasim Maziak*1,4 Address: 1Syrian Center for Tobacco Studies, Aleppo, Syria, 2Department of Health & Sport Sciences, and Center for Community Health, University of Memphis, Memphis, USA, 3Department of Psychology, Virginia Commonwealth University, Richmond, USA and 4Institute of Epidemiology and Social Medicine, University of Muenster, Muenster, Germany Email: Taghrid Asfar - [email protected]; Kenneth D Ward - [email protected]; Thomas Eissenberg - [email protected]; Wasim Maziak* - [email protected] * Corresponding author Abstract Background: To compare patterns of use, beliefs, and attitudes related to waterpipe smoking between university students (beginning smokers) and café customers (established smokers) in Aleppo Syria, in order to explore the evolution of this smoking method. Methods: Two cross-sectional surveys were conducted among representative samples of university students (total 587, 48.4% men, mean age 22 years), and waterpipe users among cafe' customers (total 268, 60% men, mean age 30 years) in Aleppo, Syria. We used interviewer- administered questionnaire inquiring about pattern of waterpipe smoking (initiation, frequency), situational characteristics of use (partner, place, sharing), beliefs related to waterpipe smoking (harmful/addictive properties of waterpipe), attitudes related to waterpipe smoking (confidence in quitting, will to quit, motivation for quitting, past year quit attempt), and cigarette smoking. Results: Daily and regular patterns of smoking become more prevalent with increased duration of smoking, but intermittent smoking remains the predominant pattern of waterpipe use. Women seem to be drawn later to the habit, which seem to escape the usual taboo against women's cigarette smo

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