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J Pak Med Assoc. 2014 Feb;64(2):155-8.

Knowledge, attitude, and practice of water-pipe smoking among medical students in Rawalpindi, Pakistan.



To assess knowledge, attitude and practice of water-pipe smoking among medical students.


The cross-sectional study using self-administered questionnaire was conducted at Rawalpindi Medical College, Rawalpindi, in 2011, and included all five batches of medical students. SPSS 17 was used for statistical analysis of the data.


The final sample comprised 724 participants; 505 (69.7%) being female and 219 (30.2%) being male students. Besides, 625 (86.6%) participants knew about shisha smoking, and 140 (22.4%) reported to have smoked shisha. Curiosity (n = 44; 31.4%) and social trends (n = 41; 29.2%) were cited as main reasons for shisha smoking. Overall, 572 (91.5%) participants thought shisha was dangerous for health, with majority 261 (41.8%) believing it to be more dangerous than cigarettes.


There was awareness among medical students about the hazards of shisha smokng. Even then water-pipe smoking was relatively common among them.

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