Journal of Community Health

, Volume 42, Issue 3, pp 461–465 | Cite as

Water Pipe (shisha) Use and Legislation Awareness Against Shisha Smoking Among Medical Students: A study from Karachi, Pakistan

  • Arham Zavery
  • Faisal Qureshi
  • Arbaz Riaz
  • Fatima Pervez
  • Nousheen Iqbal
  • Javaid A. Khan
Original Paper


The aim of the study was to determine the prevalence of shisha smoking; its associated factors and awareness among medical students of Karachi, Pakistan following the imposition of nationwide shisha ban. A cross sectional study was conducted among medical students of two medical universities, namely Sindh Medical College and Aga Khan University Karachi, Pakistan from October till December 2014. A total of 422 participants were included. Data was collected via a self-administered questionnaire. The mean age was 21 ± 1.6 years and 229 (54.26 %) were females. Shisha smoking was found to be relatively common among medical students; the prevalence being 21.5 % out of which 73.62 % were males and belonged to a private medical college p value < 0.001. Majority of those who smoked shisha were aware that it contains tobacco (59.34 %), it has no filtration system (42.85 %), it is harmful (91.20 %) and 47.25 % held the opinion that shisha was not any better than cigarettes. It was alarming that majority students were aware of its harmful effects. However, a significant lack of awareness of the legislation against shisha was found among students.


Shisha Waterpipe Tobacco control Medical students 


Compliance with Ethical Standards

Conflict of interest


Informed consent


Ethics approval

Ethics approval was taken from the ethics review committee of both institutions.


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Arham Zavery
    • 1
  • Faisal Qureshi
    • 1
  • Arbaz Riaz
    • 1
  • Fatima Pervez
    • 1
  • Nousheen Iqbal
    • 2
  • Javaid A. Khan
    • 2
  1. 1.The Dow University of Health SciencesKarachiPakistan
  2. 2.Section of Pulmonary & Critical Care, Department of MedicineAga Khan UniversityKarachiPakistan

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