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Are waterpipe users interested in quitting?

Kenneth D Ward1, Fadi Hammal, Mark W VanderWeg

  • 1University of Memphis Center for Community Health, Memphis, TN 38157, USA. kdward@memphis.edu

Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco
|April 5, 2005
PubMed
Summary
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Many waterpipe (narghile) smokers want to quit but face challenges. Health concerns drive cessation interest, yet perceived dependence hinders quit confidence among these 100 million daily users.

Area of Science:

  • Public Health
  • Behavioral Science
  • Tobacco Control

Background:

  • Waterpipe (narghile) smoking is a traditional Middle Eastern tobacco use method with a dramatic increase in global daily users, estimated at 100 million.
  • Research into waterpipe smoking cessation attitudes and experiences is limited, despite its growing prevalence.

Purpose of the Study:

  • To investigate the cessation-related attitudes, experiences, and predictors of quitting interest among waterpipe smokers in Aleppo, Syria.
  • To inform the development of effective tobacco use cessation programs tailored for waterpipe users.

Main Methods:

  • A random sample of 268 waterpipe smokers was surveyed in cafes and restaurants in Aleppo, Syria.
  • Data collected included demographics, smoking habits, perceived dependence, quit attempts, and reasons for cessation interest.

Related Experiment Videos

  • Logistic regression analysis was used to identify independent predictors of interest in quitting.

    • Main Results:

    • A significant majority (86.5%) of waterpipe smokers believed they could quit anytime, but this belief decreased with higher perceived dependence.
    • 28.4% of participants expressed interest in quitting, primarily due to health concerns (89.2%).
    • 59.2% had made an unsuccessful quit attempt in the past year. Predictors of quitting interest included being married, shorter smoking duration, stable smoking frequency, and non-smoking, disapproving family members.

    Conclusions:

    • A substantial proportion of waterpipe users are interested in quitting and have a history of unsuccessful quit attempts.
    • Waterpipe smoking cessation interventions need to address perceived dependence and consider social and familial factors.
    • Waterpipe use must be integrated into broader tobacco control and cessation strategies, particularly in the Middle East.