CONNECTION BETWEEN DIFFERENT FACTORS OF PSYCHO-SOCIAL NATURE AND SMOKING OF SHISHA AMONG THE MEDICAL STUDENTS: A CASE-CONTROL STUDY

Shisha is pipe of water which contains charcoal. Through a flavored mixture of tobacco, the air of heated charcoal is inhaled.

Objective: The goal of this study was to assess the connection between the different factors of psycho-social nature and smoking of shisha among the medical students. These students belong to Lahore and their age was between 18-25 years.

Design: The study was case-control.

Place and Duration: The time of period for this study was from January, 2017 to December, 2017.The study was conducted in Services institute of medical sciences, Lahore.

Subject and Methods: For this study, total 100 people were selected (50 cases: 50 controls) This study was conducted with 1:1 case to control ratio. The students were selected from the Services institute of medical sciences on the basis of particular criteria. A written agreement was sign and by using pretested questionnaire, interviews of students were organized. By using SPSS version 20, information was assembled, organized and assessed.

Results: For this study, 100 people were chosen in total. The age of these selected students was between 18 to 25 years. The habit of shisha smoking was widespread in age group of 18-22years (67%).All of these students were not married (100%).The aspects like traditional effects (OR:9.333,95% CI:1.994-413.681)but  friendship (OR:3.431,95%, CI:1.461-8.057)easy approach  (OR:24.00,95% CI:75.253-109.650), depression (OR:3.692,95% CI:1.520-8.970),absence of parental attention (OR:3.273,95%, CI:0.627-17.071),flavor liking (OR:18-857,95% ,CI:6.580-54.45) parents with the habit of smoking (OR:18.857,95%,CI:1;412-7.355), economic stress (OR:2.875,95% CI:1.412-7.355),and social effect or effects of fashion (OR:103.5,95% CI :26.103-410.379)are noticed that are significantly connected with habit of shisha smoking in males in bivariate assessment. On the other hand, easy approach (OR:18.579, CI :1.712-198.118), absence of parental attention (OR:13.031, CI:0.756-224.518), liking of flavor (OR:4.386, CI:0.866-22.214) and fashion effects social effect were some factors observed in multivariate assessment that cause shisha smoking in males while reducing all other possibilities.

Conclusion: The study concludes that the easy approach, absence of parental attention, liking of flavor and social effects fashion influence were the factor that significantly leads to habit of shisha smoking in males.

Keywords: Shisha smoking, psychosocial, Bad company, depression, fashion, flavor preference.