Author(s): Anjum Q, Ahmed F, Ashfaq T
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Abstract OBJECTIVE: To study the impact of educational intervention on knowledge, attitude and practices with regard to water pipe smoking among adolescents (14-19 years old) in Karachi. METHODS: A cross-sectional survey of adolescents aged 14-19 years studying at different educational institutions of Karachi, Pakistan was conducted through multistage sampling on a pre-tested self-administered questionnaire. They were divided into high, middle and lower socioeconomic strata on the basis of monthly fee structure. The impact of health messages was assessed two months after education sessions through post-test of only high and middle socioeconomic strata. RESULTS: A total of 646 students were surveyed for the pre test and 250 students for the post test. A significant association was found for water pipe smoking among the socioeconomic class (p < 0.001). Water pipe is more addictive as compared to cigarettes was marked by more students after the sessions (54\% vs 68\%; p < 0.001). A significant difference was seen for water pipe being more socially acceptable (58\% vs 80\%; p < 0.001), it is part of our cultural heritage (29\% vs 58\%; p < 0.001). CONCLUSION: Shisha smoking was more prevalent among the high socio economic group, which might be because of the cost, accessibility and availability. The knowledge of the students regarding water pipe smoking improved after the health awareness sessions.
This article was published in J Pak Med Assoc
and referenced in Health Care : Current Reviews