Impact of water pipe smoking

23
NAME: SOBIA SIDDIQUI COURSE: WRR 1128 REG ID: 3433 Research Title : Water-pipe smoking among undergraduate students ? Key words: beliefs , attitudes, awareness, perception 1.0 Introduction: Water-pipe smoking is originated from Middle east including the sweet flavour of tobbaco with a pleasant fragrance inside. It is increasing day by day but people are less aware that waterpipe contains the hazardous substances as smoking does. It will cause serious health issue regarding our brain and respiratory system .It contains toxins, nicotine and all carcinogenic substances. This research discusses the different aspects why people are consuming waterpipe although it is harmful to our health and their awareness about the waterpipe smoking.This study also highlights the factors that attract undergraduate students for consuming waterpipe and also limitation and de limitation of our research. We will be providing useful information and facts about the water-pipe smoking and the ways to avoid it. This research will be helpful in finding out and resolving the Beliefs , attitudes and awareness of the water-pipe smokers. Different starategies should take to cope up addiction of water- pipes. 1.1 Background to the study: According to Ali, Rastam , Ibrahim ,Bazzi ,Fayad ,Shihadeh , AL Zaatari and Maziak (2013) There is a lack of proper study in the past about waterpipe smoking so there is a result of emerging

Transcript of Impact of water pipe smoking

NAME: SOBIA SIDDIQUI

COURSE: WRR 1128

REG ID: 3433

Research Title : Water-pipe smoking among undergraduatestudents ?

Key words: beliefs , attitudes, awareness, perception

1.0 Introduction:

Water-pipe smoking is originated from Middle east including the sweet flavour of tobbaco with a pleasant fragrance inside. It is increasing day by day but people are less aware that waterpipe contains the hazardous substances as smoking does. It will cause serious health issue regarding our brain and respiratory system .It contains toxins, nicotine and all carcinogenic substances. This research discusses the different aspects why people are consuming waterpipe although it is harmful to our health and their awareness about the waterpipe smoking.This studyalso highlights the factors that attract undergraduate students for consuming waterpipe and also limitation and de limitation of our research. We will be providing useful information and facts about the water-pipe smoking and the ways to avoid it.

This research will be helpful in finding out and resolving the Beliefs , attitudes and awareness of the water-pipe smokers. Different starategies should take to cope up addiction of water-pipes.

1.1 Background to the study:

According to Ali, Rastam , Ibrahim ,Bazzi ,Fayad ,Shihadeh , AL Zaatari and Maziak (2013) There is a lack of proper study in the past about waterpipe smoking so there is a result of emerging

trend of waterpipe smokers. No proper policies are implemented toreduce waterpipe. They considered water pipe smoking to be less unhealthy than cigarette smoking. Similarly Neergaard, Singh ,Joband Montgomery (2007) It is very common to consume water pipe among middle east , India and all parts of asia. This study tell the side effects of water pipe smoking that each session of waterpipe smoking is equal of smoking two cigarette in one day.

In accordance with Cobb , Ward, Maziak , Shihadeh and ALEissenberg(2010) popularity of water pipe smokers in so emergedin United States of America that every 10-20% of the youth of USAis consuming waterpipe because lack of information about its sideeffects.

Similarly Grekin and Ayna (2012) despite its destructive health impacts, water pipe smoking is quite common among undergraduate students. Its initiation among adolescents means that the probability of addiction is higher and the adverse health consequences are potentially more severe (Zouqhaib, Adib & Jabbour, 2004)

Students and their parents perceive that tobacco smoking via water-pipe is much safer than cigarette smoking (Varsano, Ganz, Eldor & Garenkin, 2003). Water pipe smoking is prevalent among university students mainly in the context of social activities with friends (Maziak, Fouad, Asfar, Hammal, Bachir, Rastam, Eissenberg & Ward, 2004).

According to Shaikh, Vijayaraghavan, Sulaiman, Kazi and Shafi (2008) smoking water pipe has significant effects on both the cardiovascular and respiratory system. Education plays an important role and creates awareness about the hazards of smokingpractices, including water pipe.

1.2 Statement of the Problem:

There is a increasing trend of number of water pipe smokers day by day. No measures have been taken to reduce it as a result number of water-pipe parlors are increased as a result Under graduate are taking risk of their lives. Ahmed (2011) has

explored that Water-pipe smoking is very harmful to health but people consume because of their social circle, flavour and energy. Muhammed et al. (2013) has examined that water-pipe smokers are not aware of the health issues caused by it. They think it is less addictive and less harmful instead it is socially acceptable as compare to cigarette smoking. Merlyn et al. (2007) has explored that water-pipe smoking is a form of inhaling tobacco. The young generation believes that water-pipe smoking is not causing harm to their health and it does not contain tobacco. It is the popular time pass for the students of College and universities. In order to persuade the undergraduate students of Karachi to decrease the consumption of water pipe smoking awareness seminars and workshops should be arrange to create the awareness among students and Government should ban theproducts that contain tobbaco and the harmful substances that could take the risks of human lives.

1.3 Objectives of the Study:

To analyze the perception of undergraduate students concerning waterpipe smoking.

1.4 Research Questions:

Why waterpipe smoking is popular among undergraduate students?

1.5 Significance of the Study:

The reason for this study is to give awareness about water-pipesmoking among under graduate students of schools, colleges anduniversities through a proper research. Therefore, the effects ofthis study will be the profit for the learners who are going toresearch in future on smoking water-pipes. This study isbeneficial for the youth who are less aware about water-pipesmoking considered it harmless. It covers the perception ofundergraduate students and hazards of water-pipe smoking and itsincreasing trends among youth in Karachi.

It would be helpful for the students and their parents who makewater-pipe as a symbol, custom and the emerging trend. They are

less aware about the side effects which cause different healthissues among undergraduates.This study will serve as ahypothetical model for future investigations of water-pipessmoking.

1.6 Ethical consideration: 

This research has been conducted with the consent of ouradministrator and our facilitator of Writing Research Report. Weasked just relevant questions and a comprehensive interview whichare necessary for this study. We guarantee that the data which weare getting will be utilized for research purpose. In the surveyWe asked to fill the questionnaires .When we spread thequestionnaires so we confirmed our respondent that this is ourresponsibility that data will not be misused and used in theacademic research of Writing Research Report. At last we wereexceptionally thank full to our respondents that they filled ourresearch instruments. Before interview we ensure our respondentthat your name won't be uncover in anyplace and after finished wewere thank ful to him appreciate his depth of knowledge andefforts..

1.7 Limitation and Delimitation of the Study:

Our limitation of the research is many limited factors like due to lack of time and resources we can’t collect much data because our study is self-funded .This research accessed to karachi as itis convenient and easy to reach different places in Karachi. Thisresearch should be completed at the time of Five months which wasalloted to us. Our sample is limited of 120 questionnaires. This study is delimited to hookah bars and cafes of Karachi. Our target population was delimited to the undergraduate students of Karachi.

1.8 Review of Related Literature:

In accordance with nagger and saghir (2010) carried out research on“ water-pipe smoking and associated factors among Malaysian university students”. The study tells us the knowledge about the usage of water pipe and less awareness of the under graduates of

Malaysian university. Questionnaire was distributed among undergraduate SPSS was used for data analysis. The result shows of the smokers after that mostly students think that water-pipe smoking is less addictive and less harmful than a cigarette. Theyconcluded that the usage of water pipe is high as compare to the awareness is very low and recommended that water-pipe smoking should be banned in public include ciagerette smoking.

Acoording to Akl , Jawad, Lam, Co, Obeid, and Irani (2013) concluded a research “Motives, beliefs and attitudes towards water pipe tobacco smoking: a systematic review”. This study was conducted to know the hazards of water-pipe smoking its beliefs, causes and attitude towards it. They used both techniques qualitative by reviewing 58 papers reporting on 56 studies and quantitative approach by surveys and questionnaire among school students and university students of Middle East. As a result mostof the people say it is less harmful than smoking cigarette. Thisstudy concluded that it is a trend and fashion among undergraduates to reduce stress or it is a way of socializing, relaxing and a form of entertainment even the middle eastern country says that it is our cultural identity as well as sociallyacceptable by their society. On the basis of these result author encouraged to marketers to develop marketing campaigns and workshops to aware the hazards of water-pipe smoking in Middle Eastern societies where it is considered as a fashion.

1.9 Research Methodology:

This section of the report discusses the purpose of the study that explore and evaluate the impact of Water-pipe smoking among undergraduate students. We have done both Qualitative and Quantitative research. Quantitative research is collected throughQuestionnaire and Qualitative through interview. A set of 120 questionnaires were distributed among under graduate students at different restaurants and shisha bars of Gulshan –e- Iqbal. Our research covered the restaurant located at Gulshan –e-Iqbal namedIndulge which is a restaurant as well as smoking bar and cafe. Wedistributed 120 questionnaire in which 90 were returned back. There were 70 male students and 23 female students.

1.10 Sampling Technique:

Our sampling technique is Non random (convenient) because it is convenient to us to reach smoking bars and restaurants.Our targetpopulation was undergraduate students who usually smoke shisha and habitual to visit shisha bars in social gatherings. Due to lack of resources we have selected the places which was near to us.

1.11 Research Instrument:

We adapt the Five point likert scale technique .Our research instrument contains four sections in which one is demographics. Our three main items were awareness , beliefs and attitudes . Each variable section contains set of 7 to 8 questions.It consists of total 21 questions. We have done mix design study both Qualitative and Quantitative. Data was in the form of both interview and Questionnaires. An interview was conducted of half an hour covering the perception of our interviewee about the beliefs, attitudes and awareness among students.

1.12 Instrument’s Reliability:

Our instrument have 21 items and consist of Four sections of each variable including demographics. The first variable of our instrument is awareness which consist of 6 items it tells about theawareness among undergraduate students if they were aware about thehazards of water pipe smokers so the cronbach’s alpha of our first section is 0.386.The second variable is Beliefs it tells the perceptions of the water pipe smokers and the cronbach’s alpha ofthis section is 0.727. The third variable is attitudes it tells theapproaches of the smokers and its reliability is 0.600. The overallreliability is 0.730 which shows that our instrument is reliable.

1.13 Research Procedure:

For the quantitative purpose the questionnaires were distributed indifferent places of Karachi.Some places like indulge restaurant, yum yum café, kush, alfakir , down town and pink Cadillac. We reached to our respondent at Al-hamd institute for the qualitative

data. Our expert is a lawyer and advocate as well in the narcotics department.

1.14 Data analysis and statistical tools:

This study has been analysed with the help through Statistical social package for social sciences(SPSS) version 18.0.The demographics are analyzed through frequency of age and gender of both male and female then over all reliability of instruments waswritten down For data interpretation.Cross-tabulation is held out for the analysis of our study. We have also conducted the interview then transcribed it a given format with different coding and techniques.

Table 1.1: Demographics

DemographicsF %

Gender

Age

Country

MaleFemale

Below 15 years15 or 16 yearsAbove 16 years

UrbanRural

7023

75.324.7

3387

3.23.293.5

875

93.55.4

Table 1.2

No. Items1 Smoke inhaled from water-pipe contains harmful chemicals.2 Tobacco toxins are filtered out by the water in water-pipes3 Water-pipe smoke contains nicotine4 Water-pipe smoking can be harmful to those exposed to second

hand smoke5 Water-pipe smoking is less harmful than smoking cigarettes.6 Water-pipe smoke contains addictive ingredients (nicotine).

7 I smoke water-pipe occasionally 8

A large number of my friends smoke water-pipes.

9

I enjoyed smoking water-pipes with friends.

10 I feel relaxed when I smoke with my friends11 I started smoking water-pipes due to peer pressure.12 I like the fruity flavors of water-pipe.13 Quitting water-pipe is easier than cigarette smoking.14 Water-pipe smoking has less obscenity than cigarettes15 Smoking water-pipe is a normal thing by students16 I feel smoking water-pipe with friends is a fun.17 The cost of water-pipe is affordable for undergraduate

students. 18

My parents would be upset if they realize I smoke water-pipes.

19

It helps me not smoke cigarette.

20

I looked cool when I smoke water-pipes.

21

I smoke water-pipe because I find it as a style symbol.

Table 1.3

Items

Strongly Disagree

Disagree Neither Agree nor Disagree

Agree Strongly agree

Male Female Male Female Male Female Male Female Male Femalef (%) f (%) f (%) f (%) f (%) f (%) f (%) f (%) f (%) f (%)

1 5(7.1) 0(0) 6(8.6) 3(13.0)

7(10.0) 1(4.3) 29(41.4)

12(52.2)

23(32.9)

7(30.4)

2 12(17.1)

4(17.4)

8(11.4) 4(17.4)

18(25.7)

3(13.0) 26(37.1)

8(34.8) 6(8.6) 4(17.4)

3 10(14.3 2(8.7) 12(17.4 4(17.4 4(5.7) 1(4.30) 31(44.3 12(52.2 30(18.6 4(17.4)

) ) ) ) ) )4 5(7.1) 0(0) 8(11.4) 1(4.3) 20(28.6

)1(4.3) 21(30.0

)12(52.2)

15(21.4)

9(39.1)

5 21(30.0)

9(39.1)

15(21.4)

3(13.0)

9(12.9) 4(17.4) 16(22.9)

6(26.1) 9(12.9) 1(4.3)

6 15(21.4)

4(17.4)

13(18.6)

3(13.0)

3(4.3) 2(8.7) 27(38.6)

11(47.8)

12(17.1)

3(13.0)

7 11(15.7)

3(13.0)

11(15.7)

3(13.0)

3(4.3) 2(8.7) 27(38.6)

11(47.8)

18(25.7)

4(17.4)

8 3(4.3) 0(0) 11(15.7)

5(21.7)

7(10.0) 1(4.3) 21(30.0)

10(43.5)

28(40) 7(30.4)

9 8(11.4) 1(4.3) 6(8.6) 6(26.1)

3(4.3) 2(8.7) 26(37.1)

11(47.9)

27(38.6)

3(13.0)

10 12(17.1)

7(30.4)

11(15.7)

3(13) 11(15.7)

5(21.7) 18(25.7)

8(26.1) 18(25.7)

2(8.7)

11 21(30) 4(17.4)

17(24.3)

8(34.8)

14(20) 4(17.4) 8(11.4) 3(13) 10(14.3)

4(17.4)

12 8(11.4) 1(4.3) 10(14.3)

5(21.7)

6(8.6) 3(13) 21(30) 10(43.5)

25(35.7)

4(17.4)

13 5(7.1) 1(4.3) 14(20.0)

5(21.7)

9(12.9) 4(17.4) 14(20) 6(26.1) 28(40) 7(30.4)

14 7(10) 2(8.7) 11(15.7)

7(30.4)

18(25.7)

6(26.1) 20(28.6)

3(13) 14(20) 5(21.7)

15 5(7.1) 1(4.3) 7(10.0) 1(4.3) 6(8.6) 2(8.7) 25(35.7)

8(34.8) 27(38.6)

8(34.8)

16 9(12.9) 3(13.0)

7(10.0) 7(30.4)

5(7.1) 2(8.7) 28(40.0)

9(39.1) 21(30.0)

2(8.7)

17 7(10) 1(4.3) 11(15.7)

4(17.4)

13(18.6)

4(17.4) 26(37.1)

9(39.1) 13(18.6)

5(21.7)

18 6(8.51) 1(4.3) 12(17.1)

1(4.3) 7(10) 2(8.69) 17(24.2)

5(21.7) 28(40) 14(60.8)

19 19(27.1)

5(21.7)

19(27.1)

6(26.1)

10(14.3)

5(21.7) 10(14.3)

3(13.0) 12(7.1) 4(17.4)

20 20(28.6)

8(34.8)

15(21.4)

7(30.4)

14(20.0)

2(8.7) 13(18.6)

4(17.4) 8(11.4) 2(8.7)

21 18(25.7)

5(21.7)

14(20.0)

8(34.8)

10(14.3)

2(8.7) 18(25.7)

3(13.0) 10(14.3)

5(21.7)

N= 83

Perception on harmfulness of Water pipes:

The analysis of the data in table no.1.3 shows that 74.3% of malewaterpipe smokers and 82.6% of female waterpipe smokers showedagreement with statement 1 as they have chosen 4 and 5. 45.7% ofmale waterpipe smokers and 52.2% of female waterpipe showedagreement on statement number 2 because they think that tobaccotoxins are filtered out by water in water pipes. Waterpipescontains nicotine ingredient and waterpipe smokers are well awareof this fact because the percentages show high agreement onstatement no. 3 as respondents chose 4 and 5. 51% of male smokersand 91.3% of female significantly shows agreement on statement 4as they chose 4 and 5. The respondents show highly disagreementon statement no 5 as they chose 1 and 2 and the percentages are51.4% male smokers and 52.1% female smokers. 55.7% of malesmokers and 60.8% of female smokers shows agreement on statementno. 6. 64.3% of male amokers and 65.2% of female waterpipesmokers says that they smoke waterpipe occasionally as they chose4 and 5.

It is very clear from this table that a high number of smokersshowed agreement on statement no. 8 as 70% of male smokers and73.9% female smokers chose 4 and 5. 75.7 percent of male smokersand 60.9 female smokers showed agreement on statement no.9. 51.4%of male waterpipe smokers and 34.8% of female smokers showedagreement on statement no. 10 and only 32.8% of male smokers and43.3% of female waterpie smokers showed disagreement on statementno. 10. 54.3 percent of male smokers and 52.2 percent femalesmokers showed disagreement on statement no. 11. 65.7% of malesmokers and 60.9% of female smokers showed agreement on statementno. 12 because they like the fruity flavors of waterpipes. 60% ofmale smokers and 56.5% of female smmokers showed agreement onstatement no. 13. 48.6% of male smokers and 34.75 of femalesmokers showed agreement with statement no. 14. 74.3% of malesmokers and 69.6% of female smokers showed highly agreeableness

with statement no. 15. 70 percent of male smokers and 47.8% offemale smokers showed agreement with statement no. 16. 55.7% ofmale smokers and 60.85 of female smokers showed agreement onstatement no.17. 64.2% of male smokers and 82.5% of femalesmokers showed agreement on statement no. 18. 54.2% of maleundergraduate smokers and 53.2% of female smokers showeddisagreement on statement no. 19. 50% of male smokers and 65.2%of female smokers showed disagreement with statement no 20. 45.7percent of male smokers and 56.5 percent of female smokers showeddisagreement on statement no. 21.

S.No

Variables Items Cronbach’s alpha

Overall

1

2

34

5

6

7891011121314151617

18

192021

Smoke inhaled from water-pipe containsharmful chemicals.Tobacco toxins are filtered out by thewater in water-pipes.Water-pipe smoke contains nicotine.Water-pipe smoking can be harmful tothose exposed to second hand smoke.Water-pipe smoking is less harmfulthan smoking cigarettes.Water-pipe smoke contains addictiveingredients (nicotine).I smoke water-pipe occasionally.A large number of my friends smoke water-pipe.I enjoyed smoking water-pipe with friends.I feel relaxed when I smoke with my friends.I started smoking water-pipes due to peer pressure.I like the fruity flavors of water-pipe.Quitting water-pipe is easier than cigarette smoking.Water-pipe smoking has less obscenitythan cigarettes.Smoking water-pipe is a normal thingby students.I feel smoking water-pipe with friendsis a fun.The cost of water-pipe is affordablefor undergraduate students.My parents would be upset if theyrealize I smoke water-pipes.It helps me not smoke cigarette.I looked cool when I smoke water-pipes.I smoke water-pipe because I find itas a style symbol.

6

8

7

0.386

0.721

0.600

.730 (of all 21 items)

Impact of Water-pipe Smoking amongundergraduate Students.

Mean RatingOverallMean

Rating

Gender

1

Smoke inhaled from water-pipe contains harmful chemicals.

Male

3.84

Female

4.00

2 Tobacco toxins are filtered out by the water in water-pipes

3.09 3.17

3 Water-pipe smoke contains nicotine. 3.36

3.52

4 Water-pipe smoking can be harmful to those exposed to second hand smoke.

3.51 4.26

5 Water-pipe smoking is less harmful than smoking cigarettes.

2.67 2.43

6 Water-pipe smoke contains addictive ingredients (nicotine).

3.11 3.26

7 I smoke water-pipes occasionally. 3.43 3.438 A large number of my friends smoke water-

pipes.3.86 3.83

9 I enjoyed smoking water-pipes with friends

3.83 3.39

10

I feel relaxed when I smoke with my friends

3.27 2.70

11

I started smoking water-pipe due to peer pressure.

2.56

2.78

12

I like the fruity flavors of water-pipe. 3.64 3.48

13

Quitting water-pipes is easier than cigarette smoking

3.66 3.57

14

Water-pipe smoking has less obscenity than cigarettes

3.33 3.09

15

Smoking water-pipe is a normal thing by students

3.89 4.04

16

I feel smoking water-pipe with friends isa fun.

3.64 3.00

17

The cost of water-pipe is affordable forundergraduate students.

3.39 3.57

18

My parents would be upset if they realizeI smoke water-pipe.

3.70 4.30

19

It helps me not smoke cigarette. 2.67 2.78

20

I looked cool when I smoke water-pipe 2.63 2.35

21

I smoke water-pipe because I find it as astyle symbol

2.83 2.78

1.15 Findings of qualitative data:

Water-pipe smoking is getting common among students and thisaffecting their academics. It is not a part of our culture andreligion but now a days it is becoming a custom specially inundergraduate students and these customs makes our culture whichaffect our society positively or negatively. We collected thequalitative data from an expert in the form of a comprehensiveinterview of 30 minutes in which each and every researcher asksquestions from the respondent. The verbatim transcription ofrecorded interview is given below.

Waterpipe smoking is getting common among students and thisaffecting their academics. It is not a part of our culture andreligion but now a days it is becoming a custom specially inungergraduate students and these customs makes our culture whichaffect our society positively or negatively. We collected thequalitative data from an expert in the form of a detailedinterview of 30 minutes in which each and every researcher asksquestions from the respondent. The verbatim transcription ofrecorded interview is given below.

Q1: RS (R1) f: sir pehla sawal humara ye hai k jesay ap ki bohotsey educational institutions se association hai aur do chaar saalpehle ap khud bhi ek student thay tw ap bohot zada familiar hongey is waterpipe jis ko aam tor pe hum sheesha smoking bhi kehtay

hain is k increasing trend se aur all over Karachi all overPakistan jo hain smoking bars pop up ho chukay hain. Tw sir yehumaray culture ka basically part nahi hai tw sir apka kyaperception hai is chez pe kay kya isko socially acceptable honachahye humaray culture main?

“Dekhen jb main baat karta hu culture main acceptance ki thekhai whatever is wrong shall not be acceptable in any culture.Galat cheez ko culture ka part bana dena khud ek galat harkathoti hai aur jab hum ek chez bar bar kartay rehtay hain kartayrehtay hain tou that becomes custom and that customs transformsitself into culture. Tou ye galat ho jata hai aur jahan taksmoking ki baat hai ya waterpipe ki baat hai ye agar ap notekaren ye fashion chal gaya hai aj kal agar hum han ye fashionchal gaya hai ek tareeqay se trend hai ap aksar oqat studentshotay hain they smoke in order to reduce their depression andstress wagera apki behavioral studies bhi ye reflect karti hainkey zada tar students jo smoke kar rahay hain wo apna stressreduce karnay k lye k kar rahay hotay hain ya phr emotionaldisorder ki waja se kar rahay hotay hain aur aksar ap ek cheznote karen k behavioral changes atay rehtay hain jesay hi apbaray ho rahay hotay hain. Jb ap choti umar k hotay hainobviously you get attracted towards things more kyun key galathoti hain because of the benefit you get from it. Utility unchezon ki ba nisbat zada hoti hai jo k galat hoti hain aurutility un chezon ki kam hoti hai jo key sahi hoti hain right soit is the utility factor that encourage people to go for it andthey smoke and they think that they look very dashing and theylook very smart by doing it. Tou culture main esi cheez hona nahichahye hai lekin hum kya karen ye humaray muaashray ka hissabangayi hai aur ye chal raha hai aj kal.

Q2: RS (R2) f: Sir jo ye trend hai aj kal waterpipe ka ye barh raha hai aj kal so should government ban smoking?

Dekhen jahan tak smoking ki baat hai it’s really impossible toban smoking jahan tak agar main dekhun har banda road pe kharahua har kinaray pe smoking kar raha hota hai lekin there arecertain rules and regulations jese smoking ordinance2002 uskasection number 5 apka ye kehta hai k “that you cannot smoke inpublic places”. It is clearly written in section no 5 of smokingordinance 2002 aur wo ye clearly keh raha hai key agar ap publicplaces pe smoking kar rahay hain tou ye ek galat harkat hai. Ubsmoking bhi do qism ki ati hain. Ek ati hai active smoking aur ekati ha passive smoking. Thek hai. Active smoking cannot beeliminated tou us k lye unho ne ek kaam ye kia hai k unho ye kahaha ek makhsoos places pe ja k ap smoke kar len. Apko ijazat hai kap us places pe smoke karen jese k smoking areas as u can alsosee in some universities and some collegs. Hota ye hai key youbecome so addicted to it that you cannot survive without it ap klungs wagera jo hain na they are not virgin any more tou jablungs virgin nae hon gey un ko adat par jai gi smoke ki tou phirwo doctors bhi ye kehtay hain k slowly, gradually usko kam karentou us k lye separate places unho ne rakh di hain aur separateplaces rakhnay ka sirf maqsad ye hai k passive smoking koeliminate karna aur passive smoking khatam hogae hai agar mainap k sath betha hun and you are smoking tou definitely I aminhaling some of the smoke. Tou rules hain aur is k ilava bhi eknaya inho ne rule nikala tha k sheesha shall be ban or jaga jagaraid hui hai khas tor pe Islamabad main agar ap ghor karen twbohot jag ape raid kari hai.

Q3: RS (R2) f: Tou sir woe k din k lye band hotay hain dosray dinphr khul jatay hain?

“Han uski waja hai, uski waja ye hai key jab tak humara rule oflaw sahi nahi hoga jab tak proper uski implementation nae hogidekhen qanoon pass kar leta hai judiciary jo hai uskiinterpretation kar leti hai assembly usko pass kar deti hai whenassembly is passing it judiciary is interpretating it theek hai

now it becomes the duty of the executives to implement it ubexecutive usko sahi tareeqay se implement nahi kar rahi touentire liability goes to executives. Executives agar kaam karaygi usko sahi tarha implement karay gi aur executive kaam kart haino doudt karti hai leki humaray executive k andar bohot sari esicheezen hain jo rishwat ki bunyad ki bunyad par kam kar rahayhotay hain wahan un se pesay le lye jatay hain aur is waja se apsheesha bars dekhtay hain lekin legally it is not allowed legallyit is banned because you cannot smoke in public places”.

Q4: SS (R3) f: Sir ap kya samajhtay hain kay government ko kya steps lenay chahiye kay is ko cover up kar saken?

“Dekhen meray hisab, se meray hisab se complete ban on smoking isimpossible. You cannot ban smoking because people get so addictedeven white collar job k log hotay hain they are also smoking eventhough they know the aftereffects of smoke lekin phr bhi wo smokekar rahay hotay hain lekin ek kaam hum zaroor kar saktay hain wohum kaam ye kar saktay hain kay hum smoking ko ban tou nahi karsaktay lekin usko kisi tareeqay se restrict karen itna k woreduce, yes reduce ap reduce karden, uski consumption ko reducekarden aur smoking main b khas tor pe bhi ap sheesha ko reducekaren matlab uska ye hai k naujawan aj kal sheeshay ki tarafbohot attract ho raha hai even not only boys but also girls aremore attracted towards sheesha.tou ye ek tareeqay se wastage oftime and money hai, wastage of health hai thek hai tou agar aphealth conscious hain ap money conscious hain you won’t go forthat”.

"Hamare government kia kare hai jo ye itne sare shisha bars khul gye hey iske lie kia laws banaye gaye hein jaha tak narcotics ki bat hai it deals with drug like opium etc. Narcotics ka basicallytaaluk hta h drugs and drugs lene wale logo se. Laws bane hain orimplement b hue hey lekin India k laws better hain Pakistani lawsse regarding narcotics India m completely ban hey shisha smoking.Pakistan mein shisha ban hai par in respect to this log shisha

peerahe hain parliament or judiciary ki taraf se fault nahe hai balke high executives ki taraf s fault hai jo log ab bhi shisha peerahe hain."

Q5: SS (R3) f: Kia shisha less harmful hai than smoking cigarette?

Smoking is harm ful according to law number 9a and 9b in case wo cigar ki ho ya shisha smoking koi se bhi smoking ho wo completelyban hai at public places, lekin wo horaha hey ab kia karsakte hain ek program chala ta t.v pe jisme batarehe the shisha ki jo consumption hai wo 100 cigarettes ke barabar hai.

Q6: SS (R3) f: Sir jese k apko pata hey log bahut less aware hai shisha kay related ap ye bataen iske kia side effects hotay hain ?

"Dekhe sab se pehle cheez to ye hoti hai ke tobacco jo hai na cacer cause karta hai sab se bade waja to yehe hai, isme nicotinehota hai tar hota hai and othertoxis hote hain joapki health ko severely effect karte hain and ap uske addictive hojate hain if Iam talking about cigar water pipe or other products agar ap pipesuse karte hain to uska effect zada hota hei cigarette se kyun ke jo chemicals hote hain na wo sab apke mou mein jarahe hote hey directly, to cigarette harmful hai use zada apke harmful hain water-pipes because you are inhaling that"

Q7: RS (R1) f : Sir humein hmare survey kay doran pata chala kay jitne logo se bhi humne questionnaire wagera fill karaye usme zada tar students ne ye kaha ke unko esa lagta hey agar unke parents ko ye bat pata chali kay unke bache shisha smoking karte hai wo b ek social setting mein to unke parents bht upset honge ye unka perception hai wo ye sab jante hai apne maa bap se chupa kay jate hain ek taraf pata hai unko k ye unko hurt karege phir b jate hai wo?

" Dekhe jab thora sa difference hota hai tab ese baat hote hai jab maa baap or bacho mein difference hota tab biologically closehjaenge bache apne parents se to ye khatam hojaega, maa baap or bacho mein apas m relationship frank hona chie aj kal ka Pakistani culture ye hain kai bacha darta hai apne maa baap se. dosri cheez ye hain kai jab jab bacha ghalat harkat karta hai to uske dilm ehsaas dilaye na kay uspe pabandi lagade, agar ap usko continuously tokenge to zidd pakar lega , agar bacha ziddi hogayato usko kisi or tareke se samjhaye kay uske after effects kia haiaddiction barh skte hain cancer hosakta hey mouth cancer hosakta hai to ye problem resolve hosakte hai."

Q8: RS (R2) f : Sir trend ki bat to humne karli phir ab upper-middle or upper class jo hoti hai wo ye sochte hai k hum bahut cool lagenge or unke samne dosre kuch bhi nahe hai or is bat pe dosro ko kum tar feel karwate hai agar ye nahe peeta to ye kuch bhi nahe hai hmare aagay ap is bare m kia kahenge ?

"Aksar aukat esa hota hai kuch bhi naya product launch hota hain to Pakistani awam thori jazbati hai and victim of depression to trend ban jata hai uski waja se kafi influence hota. jese IT ka trend chalega to banda IT m ajaega. Ese he jab naya product launch hota hai to people go for that to ap ye kare kay shisha kasubstitute dhunde to usko fashion mein leke aye take wo sahe effect banisbat ghalat effect kay iska solution hai apki jo problem that cannot be eliminated because it is a custom of Pakistan. People say hum stylish lagrahe hai social setting mein hai stress reduce karahe hain aj kal to fact hai."

Q:9 RS (R1) Sir lekin jb humne bht saray students se pucha k aapko kya lgta hae sheesha smoking less harmfull hae smoking se tou unhone kaha k jee hme lgta hae k less harm full hae jb k bht saari researchers jo ab horae haen wo is perception ko challenge kr chuki haen k jo sheesha smoking hae wo harm full ye jo log smjhte haen k nae hae lekin harm full hae lekin iski awareness

logon tk ye baat communicate he nahe ho saki hae tou iske liye kon responsible hae?

“ Daikhen sbse pehli baat ye hae k aap ko logon ko aware krna paray ga k sheesha jo hota hae wo banisbat more harm full hae kyun k us mei carbon mono oxide hota hae usme benzene hota hae usme nicotin hota hae usme tar hota hae awr ye sari ki sari chezen aap direct consume kr rhy hote haen tou definitely it is more harm full than that ab hmare Doctors ka ye kaam hae k come on line go to media go to an internet daikhen there are various way in which u can convince people tell them about negative impact of sheesha awr logon ko ye baate bataen yahan tk k aapne daikha hoga k bht sari news mtlb aap sunte hongy k abi bht saray aise programs aye haen jo k sheesha ki negative impact ko khaas tor par point out kr rhy haen tou ye kafi achi chez hae k aap uske har negative point ko point kren awr logon ko bataen k bhaiye cigarette se zda khatarnak hae”

Continuation of Q no 9 RS (R1) Sir ek awr sawal hae k ye jo aaj kal tv pe bht mtlb k hipe create hua wa hae k jo anchors hote haen unki rating chal rae hoti hae k jo hae is sheesha parlour perate krna hae larke larkiyon ko pakarna hae takay log bht intresting mtlb us chez ko bht intresting bna dyte haen k sb daikhte haen awr jo hae hmne ye rate kari hae tou isse jo students andr baithe way hote haen wo aksar hmne shows mei daikhahae k wo btamizi krte haen anchors se unke camera wagera tor dytehaen agr yehe baat jakay unhe pyar se awr bht convincing way mei smjhayi jae k ye galat hae tou ye zda sahe hae ya cameray onn kr k hujoom ikhatta kr k??

“ Daikhen camera onn krna ya daikhen meri baat sunen galti kiski hae galti us nau jawaan ki hae jo wahan jakay sheesha per ha hae yah hmare executive authorities ki hae jinhone allow kiya wa hae k aise sheesha smoking cafes ko open hone ko jb ek galat chez saamne open rhy ge aapke theek hae awr insan apne nafs pe qaabu nae kr pa rha tou definitely he or she will be go for there

theek hae wo wahan jaega is tariqay se media ka wahan pe pohacnaawr media trial krna awr unko beizzat krna of the fact that they belong to the very good family tou is trha se ye unke andr awr aggression paida kry ga and they become more attractive toward that rather than k aap usko bahar bhagaen tou is trha persuationzda hojati hae tou behtar tariqa ye hae k ap logon mei awareness paida kren ye kis trha paida kr skte haen ye aapne bara acha ideadiya tha k wahan khud jaen awr khud iske negative fact bataen awr unko ye aware kren k bhai ye na kren aap tou usi tariqay se ye maamla hal ho skta hae awr koe tariqa iska maujood nae hae awrhmare executive ka sbse behtareen kaam ye hae k executive responsible hae k police jae police jakay mauqa e waardaat createkry awr jakay bolay k ye chez galat hae awr naujawanon ko smjha kbahar bheje awr jo kaam krwa rhy haen unko pakren.

Q:10 AH (R4) Sir aap kya smjhte haen k ye drugs ki wjase hmari agr ye khuli ban krdi jaen hmari country mei tou aap kya smjhte haen k hmari economy pe kitna effect paray ga?

“Daikhen jb aap drug ki baat krte haen tou drug entirely ek alag chez hae right jb aap drug ki baat kr rhy haen tou drug ko rkhna he gunah hae pehli baat theek hae drug is completely ban drug allow nae hae daikhen section no 9 hae narcotic act ka wo ye kehta hae k if u carry 100gm tk ki chars tou drug I mean to say tou phir tou aapke opr kuch na kuch sada hae jese mai aapko abi batata hn theek hae agr aap 100 se opr carry kr rhy haen 1000 tk tou aap pe 9D aaply hota hae awr agr aap use opr carry kr rhy haen tou aap pe phir 90 apply hojata hae awr uske opr ek punishment saza e maut b hae tou iska mtlb hae k drugs k opr tou senior kanoon aapke maujood haen sahe ab jahan tk baat rae tobacco ki tou tobacco can’t ban completely yahan tk k companies khuli hui haen j otobacco se deal kr rae haen so how it can b banlekin han drugs ko ban kr dyna chahye drugs ban b hae hmare mazhab mei bhe hmare Islam mei bhe theek hae aapko principle of law pta he hoga k hmara ek principle of law hae Qisaab ek hota

hae qisaad awr ek hota hae qiyaas , qisaab is a kind of punishment in according to inspection no of 53 of Pakistan ye aapko pta hoga awr jb mai baar krta hn qiyaas ki tou qiyaas is basically means analogy awr intoxication ki bunyad pe har jaga woapply liya gya hae awr har chez ko ban kiya gya hae k iske andr intoxication involve hae even cigarette k andr b intoxication involve hae tou ethically socially it is undesirable and it shallbe ye ban hona chahye.

Q:11 RS (R2) Sir jese log haen jahan no smoking ka board lga wa hae awr agr wahan koe kisi ko pakar leta hae peatay way tou govt ko action lena chahye?

“Bilkul lena chahye awr unko pakarna chahye hota ye hae k aise cases k andr chote motay se cases hote haen jese fine lag jata hae penalty lag jati hae par ye hae k aise logon ko zrur pakarna chahye jo k law k khilaf warzi kren theek hae when you are going outside your boundry your authority out side of your limt jo k govt ne set ki hui hae tou han there was punishment k han jb proper application hoge tou tbhe aap kaamyaab hoskte haen wrna kaamyaabi ka awr koe zaryaa nae hae.

Q:12 SS (R3) Sir ek taraf jo hae log smoking krte haen unko roka jana chahye ek taraf cigarette k dabbay pe likha hota hae smoking is injurious to health tou aisa kyun hae?

1.17 Recommendations based on the Findings:

After the research is conducted we like to recommend the studentsthat don’t make water-pipe as emerging trend and before usage of any product at least do verification of the ingredients and contents of the products because marketers influence you to buy the products it cause them benefits where as you are responsible for your health.

resolving the Beliefs , attitudes and awareness of the water-pipesmokers. Different starategies should take to cope up addiction of water-pipes.

1.18 Recommendations for the Future Research: