Author(s): Abdul Salam Nazmi, Pratap David, Alka Ahuja, Shah Alam Khan, Marwa Al Hakak, Joseph Francis


DOI: 10.52711/0974-360X.2022.00986   

Address: Abdul Salam Nazmi1*, Pratap David1, Alka Ahuja1, Shah Alam Khan1, Marwa Al Hakak1, Joseph Francis2
1College of Pharmacy, National University of Science and Technology, Muscat, Sultanate of Oman.
2College of Medicine and Health Sciences, National University of Science and Technology, Sohar Campus, Sultanate of Oman.
*Corresponding Author

Published In:   Volume - 15,      Issue - 12,     Year - 2022

Tobacco epidemic has become one of the biggest public health threats to the world as it kills more than 8 million people annually. The purpose of this study was to assess the prevalence and predictors of waterpipe (shisha) use among Pre-medicine and Pharmacy students in the Muscat region. A validated questionnaire containing 32 questions on shisha use, knowledge & attitudes concerning shisha use, cessation, initiation trends and exposure to second hand smoke (SHS) was self-administered to 140 students. Approximately half of the students were Omanis and 19.4% of the students had smoked shisha at least once. About 22.9% of the students, felt that smoking made them more comfortable in social gatherings. Approximately 21.6% students smoked in places outside their homes, contributing to SHS. The prevalence of shisha and cigarette smoking were 2.9% and 4.3% respectively. Males and non-Omanis (64.7% and 42.4%) were found to be more susceptible to initiate smoking within a year. This study indicated that shisha smoking and cigarette smoking are on the rise among young adults. Hence, there is a need to educate students about the harms of shisha smoking, to quit smoking and to protect the non-smokers from being initiated into this vicious habit.

Cite this article:
Abdul Salam Nazmi, Pratap David, Alka Ahuja, Shah Alam Khan, Marwa Al Hakak, Joseph Francis. Evaluation of Prevalence and Predictors of Waterpipe (Shisha) use among Pre-medicine and Pharmacy students in the Muscat Region- A Pilot Study. Research Journal of Pharmacy and Technology 2022; 15(12):5841-8. doi: 10.52711/0974-360X.2022.00986

Abdul Salam Nazmi, Pratap David, Alka Ahuja, Shah Alam Khan, Marwa Al Hakak, Joseph Francis. Evaluation of Prevalence and Predictors of Waterpipe (Shisha) use among Pre-medicine and Pharmacy students in the Muscat Region- A Pilot Study. Research Journal of Pharmacy and Technology 2022; 15(12):5841-8. doi: 10.52711/0974-360X.2022.00986   Available on:

1.    World Health Organization. Tobacco. (2021). Available at: [Accessed 03 Feb 2021].
2.    Khandakar AM. Smoking and Chewing Tobacco: Obstacle towards Sustainable Development. Research J. Humanities and Social Sciences. 4(4): October-December. 2013. 603-607.   Available on:
3.    Aslam HM. Saleem S. German S. Qureshi WA. Harmful effects of shisha: literature review. Int Arch Med. 2014 Apr 4; 7:16. doi: 10.1186/1755-7682-7-16. PMID: 24708750; PMCID: PMC4003490.
4.    Saldanha SJ. Fernandes PJ. Antony EM. Manar B. Jai J et al. Knowledge of Mothers on the effect of Passive Smoking in Children in a selected Hospital at Mangalore. Asian J. Nur. Edu. and Research.2017; 7(1): 43-47. doi: 10.5958/2349-2996.2017.00010.6
5.    Soule EK. Lipato T. Eissenberg T. Waterpipe tobacco smoking: A new smoking epidemic among the young. Curr Pulmonol Rep. 2015; 4(4):163-172. doi: 10.1007/s13665-015-0124-6
6.    Sara C. Ouidad A. Islam B. Yousra GI. Samir D. The effect of Chronic Tobacco smoking on Atherogenic index and Cardiovascular diseases risk in El-Oued (Algeria) Men. Asian J. Research Chem. 2020; 13(6):489-493. doi: 10.5958/0974-4150.2020.00086.3   
7.    Qasim H. Alarabi AB. Alzoubi KH. Karim ZA. Alshbool FZ et al. The effects of hookah/waterpipe smoking on general health and the cardiovascular system. Environ Health Prev Med. 2019; 24(1):58.
8.    Kurgat CC. Kibet LK. Cheplogoi PK. Limo SC. Kimani PM. Determination of major tobacco alkaloids in mainstream cigarette smoking. Asian J. Research Chem. 2016; 9(5): 205-211. doi : 10.5958/0974-4150.2016.00035.3
9.    Alavi-Naini R. Sharifi-Mood B. Metanat M. Association between tuberculosis and smoking. Int J High Risk Behav Addict. 2012; 1(2):71-74. doi: 10.5812/ijhrba.5215
10.    Al-Khaikani SAM. Latif FHA. Al-Hussein AF. The Effect of Smoking Types in Some Semen Characteristics of Men in the City of Diwaniyah. Iraq. Research J. Pharm. and Tech. 2019; 12(7): 3328-3332. doi: 10.5958/0974-360X.2019.00561.4
11.    Divyadharsini V. Sankari M. Effect of Smoking on Interleukin- 1 and Reactive Oxygen Species in Periodontitis. Research J. Pharm. and Tech. 2018; 11(3): 1247-1250. doi: 10.5958/0974-360X.2018.00232.9
12.    Shori R. Shori C. Impact of Addiction (Alcohol and Smoking) on Glaucoma. Research Journal of Pharmacology and Pharmacodynamics. 2015; 7(2): 74-75. Doi: 10.5958/2321-5836.2015.00015.4
13.    Das S. Chandel S. The Age-old tradition of Hookah smoking and its association with Geriatric Anaemia in rural women of north India. Res. J. Humanities and Social Sciences. 2019; 10(2): 487-494. doi: 10.5958/2321-5828.2019.00081.0
14.    Doyle K. Hookah is not harmless. experts say. Healthcare & Pharma. February 22. 2014. Available at
15.    Global Youth Tobacco Survey (GYTS). Report of the Sultanate of Oman 2013. Available at  [Accessed 26 March 2021].
16.    Global Youth Tobacco Survey 2007. Oman. 2007 Ministry of Health. Available at [Accessed 27 March 2021].
17.    Global Youth Tobacco Survey Fact Sheet Oman 2016. Available at [Accessed 27 March 2021].
18.    Al-Lawati JA. Muula AS. Hilmi SA. Rudatsikira E. Prevalence and Determinants of Waterpipe Tobacco Use among Adolescents in Oman. Sultan Qaboos Univ Med J. 2008 Mar;8(1):37-43. PMID: 21654955; PMCID: PMC3087736.
19.    Al Riyami AA. Afifi M. Smoking in Oman: prevalence and characteristics of smokers. East Mediterr Health J. 2004 Jul-Sep;10(4-5):600-9. PMID: 16335652.
20.    WHO Report on the Global Tobacco Epidemic Country profile –Oman. 2013. Available at: [Accessed 01 May 2016].
21.    Taha AZ. Sabra AA. Al-Mustafa ZZ. Al-Awami HR. Al-Khalaf MA et al. Water pipe (shisha) smoking among male students of medical colleges in the eastern region of Saudi Arabia. Ann Saudi Med. 2010 May-Jun; 30(3):222-226. doi: 10.4103/0256-4947.62838. PMID: 20427939; PMCID: PMC2886873.
22.    Husain H. Al-Fadhli F. Al-Olaimi F. Al-Duraie A. Qureshi A et al. Is smoking shisha safer than cigarettes: Comparison of health effects of Shisha and Cigarette smoking among young adults in Kuwait. Med Princ Pract. 2016; 25(2):117-22. doi: 10.1159/000442417.  PMID: 26566225; PMCID: PMC5588354.
23.    Daradka H; Khabour O; Alzoubi K; Nakkash R; Eissenberg T. Tobacco and waterpipe use among university students in Saudi Arabia: impact of tobacco sales ban. East Mediterr Health J. 2019; 25(2):111–118.
24.    Abu-Shomar RT. Lubbad IK. El Ansari W. Al-Khatib IA. Alharazin HJ. Smoking. awareness of smoking-associated health risks. and knowledge of national tobacco legislation in Gaza. Palestine. Cent Eur J Public Health. 2014 Jun;22(2):80-9. doi: 10.21101/cejph.a4005. PMID: 25230536.
25.    Tucktuck M. Ghandour R. Abu-Rmeileh NM. Waterpipe and cigarette tobacco smoking among Palestinian university students: a cross-sectional study. BMC public health. 2018; 18(1):1. doi:10.1186/s12889-017-4524-0
26.    Hawash M. Mosleh R. Hanani A. Jarar Y. Hajyousef Y.  A Comparison of Shisha Smoking among University students in Palestine. Jordan and Turkey. Preprint from Research square. 2019. doi:10.21203/rs.2.18834/v1
27.    Health Facts report for the year 2012 issued by Ministry of Health. Oman. Available at
28.    Al-Rawas OA. Al-Riyami BM. Al-Kindy H. Al-Maniri AA. Al-Riyami AA. Regional Variation in the Prevalence of Asthma Symptoms among Omani School Children: Comparisons from Two Nationwide Cross-sectional Surveys Six Years Apart. Sultan Qaboos Univ Med J. 2008 Jul; 8(2):157-64. PMID: 21748053; PMCID: PMC3074827.
29.    Alansari B. Prevalence of cigarette smoking among male Kuwait University undergraduate students. Psychol Rep. 2005; 96: 1009–1010. doi: 10.2466/pr0.96.3c.1009-1010.
30.    Al-Ghaneem SG. Al-Nefisah OS. The prevalence of smoking among male students of Majmaah University. KSA. J Taibah Uni Med Sci. 2016; 11(2): 175–178. doi:10.1016/j.jtumed.2016.01.006
31.    Alzohairy MA. Water Pipe & Cigarette Smoking among Qassim University Male Students: Prevalence and Beliefs. Int J Health Sci (Qassim). 2012 Jan; 6(1):45-57. doi: 10.12816/0005972. PMID: 23267303; PMCID: PMC3523782.
32.    Almutairi KM. Predicting Relationship of Smoking Behavior Among Male Saudi Arabian College Students Related to Their Religious Practice. J Relig Health. 2016 Apr; 55(2):469-79. doi: 10.1007/s10943-015-0003-z. PMID: 25613192.
33.    Peng S. Yu L. Yang T. Wu D. Bottorff JL et al. “Susceptibility to smoking and determinants among medical students: A representative nationwide study in China.” Tobacco induced diseases vol. 17 36. 24 Apr. 2019. doi:10.18332/tid/106188.
34.    Park IS. Yun HK. Factors Associated with Smoking Frequency among Intermittent Smokers Focused on Male Adolescents. Research J. Pharm. and Tech. 2017; 10(7): 2345-2349. doi: 10.5958/0974-360X.2017.00415.2
35.    Masih J. Kumar S. Kumar D. An epidemiological study of Profiles of Smoker's. Res. J. Pharmacology and Pharmacodynamics.2018; 10(2): 73-76. doi: 10.5958/2321-5836.2018.00013.7
36.    Johnson NB. Hayes LD. Brown K. Hoo EC. Ethier KA. Centers for Disease Control and Prevention (CDC). CDC National Health Report: leading causes of morbidity and mortality and associated behavioral risk and protective factors--United States. 2005-2013. MMWR Suppl. 2014; 63(4):3-27.

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