Shisha consumption in cotonou: Epidemiological profile, sanitary consequences and associated factors

Abstract

Introduction: Consumption of shisha is an increasingly popular form of smoking among young people around the world. This study aimed to determine the epidemiological profile of shisha consumers in Cotonou as well as socio-demographic associated factors with this practice. Methods: A cross-sectional survey was conducted in Cotonou from May to November 2020 among shisha consumers. The sample size was 427. Non-probability convenience sampling with exhaustive selection of all consumers willing to participate in the study was performed. A questionnaire and an interview guide were administered to active and passive consumers respectively. A few samples of substances consumed by means of the shisha were collected and then analysed by Thin Layer Chromatography (TLC). Results: The mean age of the respondents was 22.38 years ± 6.40. The sex ratio (Male/Female) was 9.6. 55.3% of those surveyed began to use shisha between the ages of 15 and 25. They were mostly students (59.5%) with a low monthly income. Up to 70% of respondents have already sought medical assistance for symptoms like cough (36.84%), chest pain (32.33%), sore throat (27.83%), and abdominal burns ((3.0%). About 28% of respondents claim to become nervous after consumption. Substances such as tobacco (35%), cannabis alone (24%), cannabis/marijuana (18%), cocaine (16%), and alcohol (7%) have been identified in the products consumed. Conclusion: This investigation highlighted consumption of illicit drugs with shisha and the negative socio-health impacts linked to the consumption of shisha. The drug regulatory authorities should improve the control of shisha consumption in Benin especially among adolescents and youth.