ArticleBMC public health2017
Waterpipe and cigarette tobacco smoking among Palestinian university students: a cross-sectional study.
Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 45 papers, 1 of them a synthesis that pooled it.
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Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors Influencing the Use of Tobacco Among Youth in Low-Income, Lower-Middle-Income, and Upper-Middle-Income Countries: A Systematic Review.Journal of research in health sciences · 2024Pooled it
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- Theoretical Perspectives on Hookah Smoking Behavior: A Scoping Review of Studies Among Young Adults in Low- and Middle-Income Countries.Journal of community health · 2025Article
- Characterization of primary and secondary polycythemia among Palestinian blood donors in the West bank.Scientific reports · 2025Article
- Tobacco smoking and the risk of eating behaviors and depression among Palestinian female university students.Discover mental health · 2025Article
- Review
- Prevalence and Determinants of Tobacco Smoking Among University Students in Jordan: A Cross-Sectional Study.Tobacco use insights · 2025Article
- Spatial analysis of measles cases and vaccination coverage in the Somali region, eastern Ethiopia.Frontiers in epidemiology · 2025Article
- Risk of metabolic syndrome linked to tobacco smoking and caffeine consumption among Palestinian university students.Central European journal of public health · 2024Article
- Assessing the knowledge, attitude and practice of electronic cigarettes and their associated factors among undergraduate students of Institute of Medicine, Nepal: a cross-sectional study.BMC public health · 2024Article
- Predictors and health outcomes of cigarette and shisha smoking among men in Gaza: a cross-sectional study.Scientific reports · 2024Article
- Assessment of depression symptoms among cancer patients: a cross-sectional study from a developing country.Scientific reports · 2024Article
- Predictors and health outcomes of tobacco smoking among the population of Gaza: A large-scale study.Research square · 2024Article
- Factors contributing to the rising prevalence of waterpipe smoking dependence among university students: a cross-sectional study.BMC medical education · 2024Article
- Article
- Waterpipe and cigarette epigenome analysis reveals markers implicated in addiction and smoking type inference.Environment international · 2023Article
- Cancer status in the Occupied Palestinian Territories: types; incidence; mortality; sex, age, and geography distribution; and possible causes.Journal of cancer research and clinical oncology · 2023Article
- Exploring the effects of health behaviors and mental health on students' academic achievement: a cross-sectional study on lebanese university students.BMC public health · 2023Article
- A predictive model of waterpipe smoking cessation among women in southern Iran: application of the theory of planned behavior.BMC public health · 2023Article
- Monitoring and Combating Waterpipe Tobacco Smoking Through Surveillance and Taxation.JMIR public health and surveillance · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDuring the last two decades, waterpipe tobacco smoking (WTS), also known as hookah, witnessed a global increase in use, especially among youth. Little information is known about the burden of WTS among Palestinian youth. A cross-sectional study was conducted to estimate the prevalence of WTS and cigarette smoking and explore the associated factors among a sample of Palestinian university students.
methods1891 students, from five Palestinian universities in the West Bank and Gaza Strip, completed a self-administered, web-based survey in 2014-2015. The questionnaire, which was based on the Global Adults Tobacco Survey (GATS), had questions on WTS and cigarette smoking patterns and socio-demographic and university-related characteristics. Binary logistic regression analyses were computed to investigate associated factors with WTS and cigarette smoking.
results50.9% of the sample was women. The mean age was 20.1 ± 2.0. Overall, 30.0% of participants were current tobacco smokers and 33.4% reported ever smoking tobacco through a waterpipe. The prevalence of current WTS (24.4%) surpassed the prevalence of current cigarette smoking (18.0%), with a significantly higher prevalence among men compared to women. The gender gap for WTS (36.4% vs. 12.9%) was smaller than that for cigarette smoking (32.8% vs. 3.6%). Binary logistic regression models for the total sample (men and women) revealed that men were more likely to be current waterpipe and cigarette tobacco smokers compared to women (AOR = 4.20, 95% CI = 3.22-5.48, and AOR = 10.91, 95% CI = 7.25-16.42, respectively). Geographic area of residence, faculty of study and self-reported academic achievement were also associated with the likelihood of being current waterpipe and cigarette tobacco smokers.
conclusionA high prevalence of WTS was reported among our study sample, and it surpassed the prevalence of cigarette smoking. Interventions to curb the practice of tobacco smoking among Palestinian youth should be tailored differently to WTS and cigarette smoking, be gender-sensitive and specific and target the regional variation in the smoking behavior.
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