Association of health warning labels and motivation to quit waterpipe tobacco smoking among university students in the Eastern Mediterranean Region
Open Access
- 7 June 2021
- journal article
- research article
- Published by E.U. European Publishing in Tobacco Prevention & Cessation
- Vol. 7 (June), 1-10
- https://doi.org/10.18332/tpc/134561
Abstract
INTRODUCTION This study aimed to determine associations between health warning label content and motivation to quit waterpipe smoking by gender and smoking location. METHODS Convenience samples of university students in three Eastern Mediterranean countries - Egypt (n= 442), Jordan (n=535) and Palestine (n= 487) - completed an online survey assessing health warning labels. Multinomial logit regression models were conducted to determine the association between different variables, particularly gender and smoking location, with motivation to quit. RESULTS In Palestine, female smokers were more motivated to quit waterpipe smoking when seeing textual warning labels related to children (T2) and pregnancy (T6) [T2: 1.8 (95% CI: 1.1-2.8), T6: 2.7 (95% CI: 1.6-4.3)] compared to males. Similar results were found in Jordan [T2: 1.6 (95% CI: 1.0-2.6), T6: 1.8 (95% CI: 1.1-3.0)]. As for the smoking location, home-only smokers in Palestine were more likely to quit in response to the following warnings: waterpipe smoking is addictive T1: 2.3 (95% CI: 1.4-3.7), harmful for children T2: 2.3 ( 95% CI: 1.4-4.1), harmful for the baby during pregnancy T6: 2.4 (95% CI: 1.3-4.3), and to believe that quitting reduces the health risks T9: 1.8 (95% CI: 1.0-3.1). These results were not found in Jordan nor Egypt. Smokers reported that the most noticeable location of a HWL on a waterpipe device is the mouthpiece. CONCLUSIONS A better understanding of motivation to quit and its association with various warnings and smoking location could guide countries on which warnings to require in legislation and where best to require them particularly in relation to location.Keywords
This publication has 33 references indexed in Scilit:
- Collision of waterpipe and cigarette smoking epidemics among youth in Arab countriesJournal of Substance Use, 2016
- Predictors of waterpipe smoking progression among youth in Irbid, Jordan: A longitudinal study (2008–2011)Drug and Alcohol Dependence, 2015
- Impact of Waterpipe Tobacco Pack Health Warnings on Waterpipe Smoking Attitudes: A Qualitative Analysis among Regular Users in LondonBioMed Research International, 2015
- Waterpipe Tobacco Smoking Prevalence and Correlates in 25 Eastern Mediterranean and Eastern European Countries: Cross-Sectional Analysis of the Global Youth Tobacco SurveyNicotine & Tobacco Research, 2015
- The role of theory-driven graphic warning labels in motivation to quit: a qualitative study on perceptions from low-income, urban smokersBMC Public Health, 2015
- The global epidemiology of waterpipe smokingTobacco Control, 2014
- Social norms and attitudes linked to waterpipe use in the Eastern Mediterranean RegionSocial Science & Medicine (1982), 2013
- The rise in narghile (shisha, hookah) waterpipe tobacco smoking: A qualitative study of perceptions of smokers and non smokersBMC Public Health, 2011
- Health warning labelling practices on narghile (shisha, hookah) waterpipe tobacco products and related accessoriesTobacco Control, 2010
- Characteristics of U.S. waterpipe users: A preliminary reportNicotine & Tobacco Research, 2007