Shisha guidance for GPs: eliciting the hidden history.

摘要: Waterpipe tobacco smoking (or ‘shisha’) is a 600-year old practice, commonly known as hookah, nargile, and hubble-bubble. It growing health concern of global significance, published literature already points to an association with lung cancer, chronic disease, reduced birth weight, oral disease.1 Although traditionally perceived being prevalent only in the Middle East Indian subcontinent, shisha now endemic much globe, including metropolitan cities UK, where estimated 8% Birmingham university students are regular smokers. In study by Jackson Aveyard ( n = 937 students), 7.1% (48/637) white responders were smokers, 10.1% (16/159) Asian, 5.6% (2/36) Chinese, 6.5% (3/46) black, 31.3% (5/16) Arab, 20% (1/5) other ethnic origin respondents, indicating that among young UK adults may be, at present day, cross-cultural fad.2 As its popularity continues grow, especially adults, there urgent need for be better understood acknowledged healthcare professionals, within primary care consultations so it can incorporated into existing evidence-based control strategies. undermining public efforts if professionals remain silent on do not acknowledge injurious health. Such approach well smokers tacit approval, promotion, safe alternative cigarettes.3 ![][1] Shisha operates … [1]: /embed/graphic-1.gif