ArticleTobacco induced diseases2020
Gender differences in waterpipe tobacco smoking among university students in four Eastern Mediterranean countries.
Article in Tobacco induced diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Effects of Pictorial Health Warning Labels on Intention to Quit Waterpipe in Lebanon: A Mediation Analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Trial
- Comparisons between young adult waterpipe smokers and nonsmokers' reactions to pictorial health warning labels in Lebanon: a randomized crossover experimental study.Health education research · 2023Trial
- The attitudes toward hookah smoking in the MENA region scale (ATHS-MENA): factor analysis and validation.Frontiers in psychology · 2026Article
- Awareness of Cancer Risk Factors, Protective Factors, Symptoms and Barriers to Seek Medical Advice among Adult Population.Asian Pacific journal of cancer prevention : APJCP · 2025Article
- Tobacco smoking and the risk of eating behaviors and depression among Palestinian female university students.Discover mental health · 2025Article
- Vaping leads tobacco consumption among university students in Arab countries: a study of behavioral and psychosocial factors associated with smoking.Frontiers in public health · 2025Article
- A framework for researching the waterpipe tobacco business sector in the United States.Tobacco induced diseases · 2025Article
- Factors Associated with Tobacco Smoking Initiation in Jordan: A Cross-Sectional Study.Asian Pacific journal of cancer prevention : APJCP · 2024Article
- Secondhand smoke exposure among adolescents in the gulf cooperation council countries: analysis of global youth tobacco surveys.Scientific reports · 2024Article
- The association between nicotine stomatitis and waterpipe smoking.Tobacco induced diseases · 2024Article
- From knowledge production to knowledge translation: Waterpipe tobacco control research in the Eastern Mediterranean Region.Tobacco prevention & cessation · 2024Article
- Exploiting Vitamin D Receptor and Its Ligands to Target Squamous Cell Carcinomas of the Head and Neck.International journal of molecular sciences · 2023Article
- Adapting waterpipe-specific pictorial health warning labels to the Tunisian context using a mixed method approach.PloS one · 2023Article
- Prevalence of Cigarettes and Waterpipe Smoking among Jordanians, Refugees, and Migrants in Jordan and Its Associated Factors: A Secondary Data Analysis.International journal of environmental research and public health · 2022Article
- Water pipe smoking among public versus private university students in Ankara, Turkey: an online survey.BMC public health · 2022Article
- Overactive bladder syndrome in nulliparous female university students: prevalence and risk factors including waterpipe smoking.International urogynecology journal · 2022Article
- The Prevalence of Water Pipe Smoking and Perceptions on its Addiction among University Students in Palestine, Jordan, and Turkey.Asian Pacific journal of cancer prevention : APJCP · 2022Article
- Article
- Waterpipe smoking: Results from a population-based study in Qatar.Tobacco induced diseases · 2022Article
- Trends of maternal waterpipe, cigarettes, and dual tobacco smoking in Jordan. A decade of lost opportunities.PloS one · 2021Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMales have a higher prevalence of waterpipe tobacco smoking (WTS) than females in most Eastern Mediterranean Region (EMR) countries, with a smaller gender gap than that of cigarette smoking. The objective of this study was to determine gender differences among university students with respect to WTS initiation, smoking behavior, tobacco flavors, and expenditure on WTS, in four EMR countries.
methodsA cross-sectional online survey was conducted based on convenient samples of ever waterpipe smokers among university students in four EMR countries (Egypt, Jordan, Occupied Palestinian Territories, and the United Arab Emirates) in 2016. The total samples included 2470 participants. Study participants were invited through flyers, university portals, emails and Facebook, followed by emails with links to the internet survey.
resultsFemales (80.4%) were more likely than males (66.4%, p<0.001) to be in the younger age group (18-22 years) and they were less likely to be current waterpipe smokers (females, 60.0%; males 69.5%, p<0.001). Two-thirds of students across both genders smoked their first waterpipe at the age of 15-19 years, with more females starting with family members. Over one-third of males and 14.9% of the females usually smoked ≥10 heads (p<0.001). About half (46.6%) of females smoked for less than half an hour compared to 30.5% of males (p<0.001). Only 1% of females smoked non-flavored tobacco compared to 11% of males (p<0.001). There was a significant (p=0.05) positive correlation (r=0.808) with respect to tobacco flavor usually smoked between males and females with apple/double apple being the most popular.
conclusionsThere were gender differences in WTS in several aspects. The study has implications for educational establishments, tobacco control and women civil society groups, as well as policymakers.
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