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Year : 2010  |  Volume : 5  |  Issue : 4  |  Page : 193-194
Tobacco consummation: Is it still a dilemma?

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

Date of Submission12-Aug-2010
Date of Acceptance13-Aug-2010
Date of Web Publication7-Sep-2010

Correspondence Address:
Mohamed S Al Moamary
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, P.O Box 84252, Riyadh - 11671
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1817-1737.69103

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How to cite this article:
Al Moamary MS. Tobacco consummation: Is it still a dilemma?. Ann Thorac Med 2010;5:193-4

How to cite this URL:
Al Moamary MS. Tobacco consummation: Is it still a dilemma?. Ann Thorac Med [serial online] 2010 [cited 2022 Oct 4];5:193-4. Available from:

Tobacco consumption is an ongoing public and health problem worldwide. Tobacco is known to play a significant role in many diseases leading to either death or disability. This is not a surprise as there are more than 4000 chemicals and toxins present in inhaled cigarettes. Recently, water-pipe smoking has emerged as a health risk that did not receive enough attention. [1] In Saudi Arabia, tobacco consummation has been reported to be up to 34%. [2],[3],[4] In the developing countries, A report from the World Health Organization (WHO) showed that the consumption is rising by almost 3.4% annually. [5],[6] Data extracted from a national survey in Saudi Arabia between 1990 and 1993 showed that the overall prevalence of current smoking was 21.1% for males and 0.9% for females. Most of the smokers were middle aged (21-50). [7] In a rural area in Saudi Arabia, the smoking prevalence was found to be 34.4% and 16.4% for current smokers and ex-smokers, respectively. [8] A survey for the prevalence of smoking among the parents of 1482 schoolboys has identified that the overall rate of smoking was 18% (32% for fathers and 4% for mothers). [9] Recent data published by the WHO in 2008 showed that the overall smoking prevalence was 22%, among male adults was 37%, and among female adults was 6%. [10] These worrying numbers emphasis two major facts: the increasing prevalence of smoking and more women started to smoke over the past two decades. In contrast to Saudi Arabia, tobacco consumption in the United State of America was estimated to be 21% and has dropped to almost half over the past three decades. [11]

Another major concern is the fact that tobacco consumption is prevalent among healthcare professionals and students. A recent study has estimated the prevalence of smoking among medical students was 19% where most of them were aware of health problems related to tobacco. [12] Another study showed that 5.3% were ex-smokers and 13% of male medical students were current smokers using both water-pipe (Sheesha) and cigarettes smoking. [2] The favourite place for smoking was mostly outside the college and their homes. [13] Among students of applied medical sciences, smoking prevalence was found to be 20% in male students and 9% in female students. [14] The above findings showed that tobacco prevalence among educated individuals from colleges of health sciences ranged between 13% and 20%. Based on literature from this country, the prevalence was found to be higher among less educated individuals. [15],[16]

Saudi Arabia imposed a law banning smoking in public places following signing FCTC (Framework Convention on Tobacco Control) in 2004. Despite this banning, Saudi Arabia is ranked fourth in the world of tobacco import. The presented data raise a major concern about the hidden health problems related to tobacco consumption. Although there are several papers pertaining to smoking, data on the prevalence of tobacco-related diseases are scanty. The high tobacco consumption in Saudi Arabia would indirectly project the magnitude of COPD, lung cancer, cardiovascular diseases, and other related diseases. Re-enforcement of tobacco banning in the country with special attention to younger age groups would lead to reduction of the morbidity and mortality related to tobacco consummation. Moreover, it is highly recommended to conduct comprehensive epidemiological studies on tobacco-related diseases and their impact on the healthcare system.

   References Top

1.Knishkowy B, Amitai Y. Water-Pipe (Narghile) Smoking: An emerging health risk behavior. Pediatrics 2005;116;e113-9.  Back to cited text no. 1      
2.Al-Turki Y. Smoking habits among medical students in Central Saudi Arabia. Saudi Med J 2006;27:700-3.  Back to cited text no. 2      
3.Al-Riyami A, Afifi M. The relation of smoking to body mass index and central obesity among Omani male adults. Saudi Med J 2003;24:875-80.  Back to cited text no. 3      
4.Behbehani N, Hamadeh R, Macklai N. Knowledge of and attitude towards tobacco control among smoking and nonsmoking physicians in 2 Gulf Arab States. Saudi Med J 2004;25:585-91.  Back to cited text no. 4      
5.World Health Organization. Smoking statistics, fact sheet 2002, WHO, Regional Office for the Western Pacific 2005. Available from: [last cited 2010 Jul 29].   Back to cited text no. 5      
6.Global Youth Tobacco Survey Collaborating Group. Differences in worldwide tobacco use by gender: Findings from the Global Youth Tobacco Survey. J Sch Health 2003;73:207-15.  Back to cited text no. 6  [PUBMED]    
7.Jarallah J, Al-Rubeaan K, Al-Nuaim A, Al-Ruhaily A, Kalantan K. Prevalence and determinants of smoking in three regions of Saudi Arabia. Tob Control 1999;8:53-6.  Back to cited text no. 7      
8.Siddiqui S, Ogbeide DO, Al Khalifa I. Smoking in a Saudi Community: Prevalence, influencing factors, and risk perception. Fam Med 2001;33:367-70.  Back to cited text no. 8  [PUBMED]    
9.Al-Dawood K. Pattern of smoking among parents of schoolboys. Saudi Med J 2000;21:735-9.  Back to cited text no. 9  [PUBMED]    
10.World Health Organization. Saudi Arabia Profile. Available from: [last accessed on 2010 Aug 10].  Back to cited text no. 10      
11.CDC, Center for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health promotion. Tobacco information and prevention source. Adult cigarette smoking in the United States: Current estimates. Facts sheet, December 2005. Available from: [last cited 2010 Jul 29].  Back to cited text no. 11      
12.Al-Haqwi AI, Tamim H, Asery A. Knowledge, attitude and practice of tobacco smoking by medical students in Riyadh, Saudi Arabia. Ann Thorac Med 2010;5:145-8.  Back to cited text no. 12    Medknow Journal  
13.Abolfotouh MA, Abdel Aziz M, Alakija W, Al-Safy A, Khattab MS, Mirdad S, et al. Smoking Habits Of King Saud University Students In Abha, Saudi Arabia. Ann Saudi Med 1998;18:212-6.  Back to cited text no. 13      
14.Hashim T. Smoking habits of students in college of applied medical science, Saudi Arabia. Saudi Med J 2000;21:76-80.  Back to cited text no. 14      
15.Saeed AA, Khoja TA, Khan SB. Smoking behaviour and attitudes among adult Saudi nationals in Riyadh City, Saudi Arabia. Tob Control 1996;5:215-9.  Back to cited text no. 15  [PUBMED]  [FULLTEXT]  
16.Memon A, Moody PM, Sugathan TN, El-Gerges N, Al-Bustan M, Al-Shatti A, et al. Epidemiology of smoking among Kuwaiti adults: prevalence, characteristics, and attitudes. Bull World Health Organ 2000;78:1306-15.  Back to cited text no. 16  [PUBMED]  [FULLTEXT]  

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