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Harmful Effects of SHISHA Tobacco | Business Research

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This project allowed us to learn the data collecting and analysis techniques. We measured the “reasons of shisha consumption” and “level of awareness of harmful effects of shisha” through this …

This project allowed us to learn the data collecting and analysis techniques. We measured the “reasons of shisha consumption” and “level of awareness of harmful effects of shisha” through this exploratory research. Interviews and survey questionnaire tools are used as source of collecting the data.

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  • 1. Submitted to:Ms. Kausar SaeedAdeel Badar - 10518Yousuf Hasan Siddiqui - 7711Saad Badar - 9956Syed Wahaj - 10580Talha Siraj - 10617Methods in Business Research
  • 2. Page | 2Table of ContentsEXECUTIVE SUMMARY............................................................................................................................3BACKGROUND INFORMATION................................................................................................................4PROBLEM IDENTIFICATION ....................................................................................................................4RESEARCH OBJECTIVES ...........................................................................................................................4ISSUES TO BE COVERED / INFORMATION SOUGHT ................................................................................5RESEARCH DESIGN ..................................................................................................................................5Primary Research:...............................................................................................................................5Secondary Research:...........................................................................................................................5SAMPLE SPREAD......................................................................................................................................6METHODOLOGY ......................................................................................................................................6QUALITY ASSURANCE..............................................................................................................................6RESEARCHER’S PROFILE ..........................................................................................................................7BUDGET & TIMELINE...............................................................................................................................7STATISTICAL ANALYSIS............................................................................................................................8Test: CHI – SQUARE TEST ....................................................................................................................8INTERVIEWS ..........................................................................................................................................10INTERVIEW # 1 ..............................................................................................................................11INTERVIEW # 2 ..............................................................................................................................12INTERVIEW # 3 ..............................................................................................................................13INTERVIEW # 4 ..............................................................................................................................15INTERVIEW # 5 ..............................................................................................................................16INTERVIEW # 6 ..............................................................................................................................17CONCLUSION.........................................................................................................................................19REFERENCE............................................................................................................................................20QUESTIONNAIRE ...................................................................................................................................21QUESTIONNAIRE ANALYSIS...................................................................................................................25
  • 3. Page | 3EXECUTIVE SUMMARYShisha has always been a source of entertainment for everybody around the globe. Especiallyin UAE it is trendy for people to have it after dinners. As the trend is changing and due toglobalization, shisha is getting popular day by day in Pakistan too. Mostly youngsters aregetting addicted to it. Restaurants, cafes, hotels are serving it and increasing sales. Thereforea research was conducted to find out whether people adopting shisha are aware of its harmfuleffects or not. 200 questionnaires were got filled in universities and cafés and we ended upwith a stats that 80% of the people were aware of the harmful effects but still they werehaving it for the reason being entertainment, addiction and fashion statement. 20% peoplewanted to quit and have it once in a blue moon. To support the research, interviews were alsoconducted from the owners of major shisha cafés asking their intentions to quit this businessand start a new socially responsible one.
  • 4. Page | 4RESEARCH PROPOSALBACKGROUND INFORMATIONThe shisha culture has really taken the city of Karachi by storm. Shisha is an oriental tobaccopipe with a long flexible tube connected to a container where the smoke is cooled by passingthrough water. It is a mixture of tobacco and treacle, honey or sugar, and distilled water withfruit flavors. Today, shisha smoking is popular among the masses all over the city, and thepopularity and demand seems to be growing day by day. Any given day, cafes and restaurantsare filled with groups of teenagers and young adults, getting high and exhaling clouds offlavored smoke. This form of smoking has become very popular for social gatherings,functions, and events. But, shisha has an extremely harmful side to it as well. The smokeproduced from a single pipe of shisha contains approximately the same amount of Nicotineand Tar equivalent to 20 Cigarettes. Research has also shown that after 45 minutes of Shishause expired air, carbon monoxide, plasma nicotine and heart rate are significantly elevated.Nicotine dependence may also result from repeated inhalation of tobacco smoke from Shisha.Besides Lung Cancer, Shisha may also lead to an increased risk of Mouth and UrinaryBladder Cancer. It is extremely dangerous for not only the one who inhales it but also forthose in his surroundings. There may be a proportion of people who might not be aware ofthese harmful effects, but there are many who know about it and still smoke shisha.PROBLEM IDENTIFICATIONDespite knowing about the deadly diseases that shisha can cause, there is an increasing trendin its popularity. The problems on which we base the research are:• Are all the people who smoke shisha actually aware of the harmful effects? If theyare, then why are they still having it?• What are the reasons behind the popularity in shisha?RESEARCH OBJECTIVES• To determine the awareness level among people about the negative effects of shisha.• To determine the reasons behind increase in popularity of shisha.
  • 5. Page | 5ISSUES TO BE COVERED / INFORMATION SOUGHT• Buyer’s profile• Cafes providing shisha• Frequency of visits to such places• Visit with friends or alone• From what age did they start having shisha• Frequency of having shisha• Value spent on shisha• Reasons for having shisha• Awareness among the masses about the harmful sides of shisha• Reasons for continuing shisha despite the harmful effects• Intention to quitRESEARCH DESIGNThe following is the research design recommended to fit the prevailing circumstances.Primary Research:Exploratory Research will be conducted to gather information regarding the objectives i.e.exploring the reasons of increase in popularity of shisha.Conclusive research will be carried out to evaluate the awareness levels and its impact on theuse of shisha. For this, males and females belonging to the age group of 16 years and abovewould be taken as a sample. We will use Non-Probability Quota sampling technique andstatistical analysis would be carried out.Both quantitative and qualitative research will be done through:-Self-administered surveys and interviews be carried out.• Interviews: In-depth interviews will be carried out and an outline will be followed ineach interview to guarantee consistency.• Survey Questionnaires: The survey will be carried out through questionnaires whichwould cover questions asking for the information sought. Open ended questions wouldalso be included to get a better insight.Secondary Research:Secondary data will be obtained with the help of internet and articles.
  • 6. Page | 6SAMPLE SPREADThe sample size is 200, belonging to the age group 16 and above.Level of awareness ofthe harmful effects ofShishaAge Groups – Shisha SmokersTotal16-20 21-25 26-30 31 &AboveAwareNot AwareTotalThe confidence interval would be 90% with 10% margin of error. [42 faultyquestionnaires out of 200]METHODOLOGYThe methodological framework includes an exploratory as well as the conclusive research.Our exploratory research will cover secondary data sources and face to face interviews withmedical experts to explore the harmful effects of shisha smoking. After that we will start aconclusive research procedure with a formal sampling plan. We will mostly cover the cafesbut would also cover people in institutes and other places to get a comparatively generalresponse.QUALITY ASSURANCE• An outline will be followed in all interviews as well as questionnaires toguarantee consistency.• Spot checking: after the questionnaires have been filled by the respondents,we will randomly check a few of them i.e. 20% of the total sample to see ifthe respondents have answered the important questions or not.• Overseeing the survey: We will monitor the survey of the respondents, to seeif they are being addressed and identified correctly.
  • 7. Page | 7RESEARCHER’S PROFILEThe research group consists of 5 students enrolled in the course Methods of BusinessResearch taught by Ms. Kausar Saeed at Institute of Business Management. Following arethe details of the students:Adeel BadarYousuf Hasan SiddiquiSaad BadarSyed WahajTalha SirajBUDGET & TIMELINEThe research would be carried out in 5 weeks• Week 1 : Preparation of survey questionnaires and interviews• Week 2 & 3: Data collection through primary and secondary research• Week 4: Data analysis and finding results• Week 5: Report writing and preparation of final presentationBudget:Item Number Unit Cost Total CostRs. Rs.ExpendituresPaper & Printing 50 10 500Photocopy[Questionnaires] 200 2 400Report Binding 1 30 30Travelling Cost [ Fuel] 2000Miscellaneous 1000TOTAL Rs. 3,930/-
  • 8. Page | 8STATISTICAL ANALYSISTest: CHI – SQUARE TESTThe sample size is 200, belonging to the age group 16 and above.Level of awareness ofthe harmful effects ofShishaAge Groups – Shisha SmokersTotal16-20 21-25 26-30 31 &AboveAware 36 64 13 13 126Not Aware 11 16 3 2 32Total 47 80 16 15 158The confidence interval would be 90% with 10% margin of error. [42 faulty questionnairesout of 200]Observed Value [O] Expected Value [E] (O-E)2/E36 37.48 0.05864 63 0.001513 12.76 0.004513 11.16 0.30311 9.52 0.2316 16.3 0.00243 3.24 0.0172 3.04 0.35X2=Ʃ [(O-E)2/E]= 0.9664
  • 9. Page | 9I. HypothesisOriginal Hypothesis: HO: Shisha smokers are aware of the harmful effectsAlternative Hypotheses: HA: Shisha smokers are not aware of the harmful effectsII. Level of Significance: α = 0.1III. Calculated X2: X2Cal =Ʃ[(O-E)2/E]= 0.9664IV. Reject HO, If X2Cal > X2( α , d f )Degree of Freedom, Df = (No. of Rows -1) x (No. of Columns -1)= (2-1) x (4-1)Df = 3So, X2( 0.1, 3 ) = 6.251==> X2Cal < X2( 0.1, 3)V. Do Not Reject HO.VI. HO holds true. Through this test, we have determined that shisha smokers are actually awareof the harmful effects to shisha.
  • 10. Page | 10INTERVIEWS
  • 11. Page | 11INTERVIEW # 1Cafe Name: Smoke Avenue [Saba Commercial]Owner Name/ The person being interviewed: Mr. TaimoorContact #: 0333-35210361. What led you to open up the shisha cafe? What was the strongest factor that influenced you todo so?The popularity is growing day by day and it’s a profitable business.2. For how long have you been in this business?4 months3. Is it profitable?Yes4. Do you feel an increase in the demand for shisha despite of its harmful effects?Yes there has been an increase. If you see that shesha is harmful than you should also see howmuch cigarette is harmful because 75% of the teenagers smoke cigarettes which has more tobaccoand is more injurious to health. So shisha is much better than a cigarette.5. Describe the demographical characteristics of people who come to your café (age, gender, socialeconomic class)?All kind of people come to this place. Most would be below 35, majority being school / universitystudents.6. Are you aware of the harmful effects of shisha? If ‘yes’, then don’t you feel you are promoting
  • 12. Page | 12something injurious to health?Yes. But it is in demand and I don’t think its more harmful than cigarettes.7. Is there any way of making shisha with ingredients other than these that may reduce/eliminatethe harmful side to it?Yes, One can do that if one stops using hard flavors.INTERVIEW # 2Cafe Name: Al-Fakher [Gulistan-e-Jauhar]Owner Name/ The person being interviewed: Mr. IbrahimContact #: 0300-98906061. What led you to open up the shisha cafe? What was the strongest factor that influenced you todo so?Came from Dubai and there it is very common so I wanted to start the trend over here. Opened thefirst branch at Mohammad Ali Society.2. For how long have you been in this business?Since 2006 – 4 Years3. Is it profitable?Yes it is.4. Do you feel an increase in the demand for shisha despite of its harmful effects?Demand is increasing even though people know about the harmful side , but so are the competitorsso it has led to a smaller share in the overall market
  • 13. Page | 135. Describe the demographical characteristics of people who come to your café (age, gender, socialeconomic class)?It’s a 50-50 ratio of students and businessman. Age bracket: 18-40, 95% males.6. Are you aware of the harmful effects of shisha? If ‘yes’, then don’t you feel you are promotingsomething injurious to health?It is less harmful than cigarette at least and it is a better alternative to it.7. Is there any way of making shisha with ingredients other than these that may reduce/eliminatethe harmful side to it?No, already they are minimized.8. Future plans: To start catering as well along with the shisha business.INTERVIEW # 3Cafe Name: Take N Taste [ Guru Mandir]Owner Name/ The person being interviewed: Mr. MehboobContact #: 0333-31092171. What led you to open up the shisha cafe? What was the strongest factor that influenced you todo so?Had some capital so thought of investing it here, easy money.2. For how long have you been in this business?6 Months
  • 14. Page | 143. Is it profitable?Yes, quite profitable.4. Do you feel an increase in the demand for shisha despite of its harmful effects?Demand is decreasing due to the awareness of harmful effects and competition.5. Describe the demographical characteristics of people who come to your café (age, gender, socialeconomic class)?Mostly are students. Age bracket 18-30. Hardly, any females come for shisha here.6. Are you aware of the harmful effects of shisha? If ‘yes’, then don’t you feel you are promotingsomething injurious to health?It is business, public demand.7. Is there any way of making shisha with ingredients other than these that may reduce/eliminatethe harmful side to it?Flavor comes ready made from the company, we just combine it, don’t add anything from ourselves.8. Future plans: To discontinue shisha and focus on food specially BBQ.
  • 15. Page | 15INTERVIEW # 4Cafe Name: Café Studio [ Khyaban-e-Shehbaz, Defence]Owner Name/ The person being interviewed: Mr. Hadi VazirContact #: 0300-21416621. What led you to open up the shisha cafe? What was the strongest factor that influenced you todo so?The main reason to open up shisha café was due to an increase in demand for shisha.2. For how long have you been in this business?About 6 Months3. Is it profitable?If it weren’t, we would not have started and then continued such a venture.4. Do you feel an increase in the demand for shisha despite of its harmful effects?Yes, it stills seems to be growing rapidly.5. Describe the demographical characteristics of people who come to your café (age, gender, socialeconomic class)?Both male / female , Aged between 18 – 40 years, Sec B+ & above. Mostly are College / Universitygoing students & young professionals.6. Are you aware of the harmful effects of shisha? If ‘yes’, then don’t you feel you are promotingsomething injurious to health?Everything if taken in excess becomes harmful be it a cigarette, chocolates, cold drinks or coffee.Many people are of the view that shisha is more harmful than a cigarette but this is a debatable
  • 16. Page | 16topic, besides that we do not serve shisha for those who are less than 18 years of age.7. Is there any way of making shisha with ingredients other than these that may reduce/eliminatethe harmful side to it?Additional filter can be used.INTERVIEW # 5Cafe Name: Dhuan Daar [Clifton]Owner Name/ The person being interviewed: Mr. FaizContact #: 0333-23638271. What led you to open up the shisha cafe? What was the strongest factor that influenced you todo so?Many people including youngsters seemed very much fond of shisha smoking so it seemed to be aprofitable business.2. For how long have you been in this business?10 years3. Is it profitable?Yes.4. Do you feel an increase in the demand for shisha despite of its harmful effects?Yes, it’s demand has increased over time.
  • 17. Page | 175. Describe the demographical characteristics of people who come to your café (age, gender, socialeconomic class)?Mostly are in the age bracket of 16-30 years. Students including both males and females.6. Are you aware of the harmful effects of shisha? If ‘yes’, then don’t you feel you are promotingsomething injurious to health?I think people who smoke would be smoking no matter what. They can have cigarettes if not shisha,besides we are not forcing anyone.7. Is there any way of making shisha with ingredients other than these that may reduce/eliminatethe harmful side to it?The only way to have reduced effects of tobacco/nicotine is to use a low grade nicotine that is 0.5. Itis almost negligible.INTERVIEW # 6Cafe Name: Café Carbon [Gulshan e Iqbal]Owner Name/ The person being interviewed: Mr. Mohammad ZardarContact #: 0345-28207271. What led you to open up the shisha cafe? What was the strongest factor that influenced you todo so?It was the’ in’ demand thing. I saw a lot of growth and profit in this business.2. For how long have you been in this business?More than a year.
  • 18. Page | 183. Is it profitable?Yes very profitable. The demand for shisha seems to be growing continuously4. Do you feel an increase in the demand for shisha despite of its harmful effects?Yes, people seem negligent5. Describe the demographical characteristics of people who come to your café (age, gender, socialeconomic class)?Mostly youngsters, school or university going individuals, age group between 16 to 30.6. Are you aware of the harmful effects of shisha? If ‘yes’, then don’t you feel you are promotingsomething injurious to health?We are just catering to the needs of a particular group.7. Is there any way of making shisha with ingredients other than these that may reduce/eliminatethe harmful side to it?Additional filters.
  • 19. Page | 19CONCLUSIONThe analysis of our research shows that 80% of the 200 respondents are well aware of the harmfuleffects but the majority still smoke shisha and 61% have no intention to quit. The reasons given fornot quitting were peer pressure, the flavour, fun or simply because they have got addicted to it,however these cannot justify the harms that shisha smoking can cause.In Pakistan tobacco sale is prohibited by law to anybody under the age of 18. Smoking is alsoprohibited at all public places, including hotels and restaurants. It is indeed sad that by allowingcigarette and shisha smoking in these closed premises, the anti-smoking laws of the country arebeing openly violated by almost all hotels and restaurants in the country.Restaurants and cafes in posh sectors of the city are openly offering shisha smoking with its variousflavours to attract customers especially the youth without realizing its harmful effects on publichealth. Also the use of drugs in combination with shisha is going un-checked. Unfortunately manyhave no problem with shisha being used as they consider cigarette more hazardous than shisha andconsider it an entertainment activity for seeking pleasure in stress.Our health authorities must take notice of the current situation and put a complete ban on servingShisha at any hotel or restaurants in the country. The concerned authorities are required to protectthe future generation by taking sincere steps including taking action against those who are offeringshisha smoking.
  • 20. Page | 20REFERENCE www.google.pk/images http://images.search.yahoo.com/search/images;_ylt=AkOWJI6cyyUkqefW02BTzQ6bvZx4?p=shisha&toggle=1&cop=mss&ei=UTF-8&fr=yfp-t-701 http://www.onepakistan.com/news/health/20778 http://www.irinnews.org/Report.aspx?ReportId=87355 http://hubpages.com/hub/The-Truth-about-Shisha-and-Hookah
  • 21. Page | 21QUESTIONNAIRE(Sample)
  • 22. Page | 22SURVEY QUESTIONNAIREName: ______________________________ Age: _____________Contact #:___________________________ Gender: __M __FOccupation: ___________________________________________Qualification:__________________________________________Company/Institute Name:________________________________Café/ Restaurant:_______________________________________City, Country: _________________________________________Instructions:The following survey has been designed as part of a research project on ‘IncreasingTrend of Shisha in Karachi’ carried out by the students of Institute of BusinessManagement, in order to determine the reasons behind having Shisha and the awarenesslevel among the people about its harmful effects.We appreciate your participation in sharing with us your valuable input and opinions,and we assure you that your data will be kept private and will only be used for compilingthis report.Please read each question carefully and be sure to answer and mark (√) your appropriatechoice for open-ended and close-ended questions, respectively. Thank you for yourparticipation.1. Have you ever smoked Shisha?__ Yes __ No[If ‘Yes’ Please skip to Q.4]2. Do you intend to smoke Shisha?__ Yes __No[If ‘‘No’, Please skip to Q.20]3. Please share with us your reasons behind the intention.__ Fashion statement __ Curiosity __ Peer pressure__ Good time pass __ Other[Please skip to Q.20]4. What type of Shisha smoker are you?__ Casual Smoker __ Regular Smoker __ Heavy Smoker
  • 23. Page | 235. At what age did you start smoking Shisha?__ 15-18 years __ 19-22 years __ 23-26 years__ 27-30 years __ 31 years or more6. Please share your first experience of having Shisha.Terrible Average Very Good7. With whom did you start having Shisha?__ Alone __ With Peers __ With Family__ Other8. Does any of your family member smoke Shisha?__ Yes __ No9. Select the factor(s) that made you start smoking Shisha.__ Stress __ Curiosity __ Peer influence__ Pleasure-seeking __ Family influences __ Boredom__ A Cigarette smoker __ Flavor__Other10. Have you had Shisha in the past one month?__ Yes __ No11. How often do you have Shisha?__ Daily __ Weekly __ Once in 2 weeks__ Monthly __ Other12. Do you know how to make Shisha?__ Yes __ No13. How do you get yourself Shisha?__ Make at Home __ Go out to the market to buy__ Go to Cafes / Restaurants __ Other14. How often do you prefer visiting restaurants or cafes for Shisha?__ Daily __ Weekly __ Once in 2 weeks__ Monthly __ Other
  • 24. Page | 2415. How much time do you generally spend having shisha?__ Less than 1 hour __ 1-2 hours __ 2-3 hours__ Other16. How much value are you willing to spend for Shisha?__ Less than Rs.300 __ Rs. 300 – Rs. 500 __Rs.500 – Rs.1000__ Rs. 1000 and more17. Select the prominent factor(s) that make you continue smoking Shisha.__ Stress __ Peer-pressure __ Pleasure-seeking__ Family influences __ Boredom __Flavor__ Aroma __Other18. What do you like most about having Shisha in cafes / restaurants?__ Flavor __ Smoke __ Café ambience__ Aroma __ Presentation19. Are you aware of the harmful side to Shisha smoking?__ Yes __No[For those who do smoke: If the answer is ‘No’, please skip to Q.23][For those who intend/ do not intend to smoke: If the answer is ‘Yes’, please attempt Q.21only. If ‘No’, please don’t attempt any further questions.]20. Which of the following are you aware of?__ Shisha contains Tobacco__ Shisha can cause Cancer__ Shisha can cause Lung Disease__ Shisha can cause Heart disease__ Shisha use may harm pregnancy__ Smoke produced from a single pipe of shisha contains approximately the same amountof Nicotine and Tar equivalent to 20 Cigarettes__ Other21. What is the reason that makes you continue having Shisha despite being aware ofthe harmful effects?__ Entertainment __ Addiction __ Fashion Statement__ Peer pressure __ All of the above22. Do you intend to quit?__ Yes __ NoThank you for your cooperation.
  • 25. Page | 25QUESTIONNAIRE ANALYSIS
  • 26. Page | 261. What type of Shisha smoker are you?Types of SmokersType Casual Regular Heavy TotalSmokers 97 35 26 158Percentage 61.4% 22.2% 16.5% 100.0%The 158 shisha smokers were asked to designate themselves among one of the three classes; casualsmokers, regular smokers, or heavy smokers. As the above figure shows, about 61% classifythemselves as casual smokers, 22% smoke regularly and about 17% smoke shisha heavily.61.4%22.2%16.5%0102030405060708090100Casual Regular HeavyType of Smokers
  • 27. Page | 272. At what age did you start smoking Shisha?Age of Starting Shisha SmokingAge 15-18 Years 19-22 Years 23-26 Years 27-30 Years OtherRespondents 63 62 19 9 5Percentage 40% 39% 12% 6% 3%As the above figure shows about 40% of respondents started smoking shisha when they werebetween 15- 18 years old, and 39% started when then were 19 – 22 years old. About 18% begansmoking shisha when they were between 23 to 30 years old. Whereas remaining 3% include thosewho started smoking shisha at the age of 10 years, 12 years, and even 40 years. This shows thatmost of the people started to smoke shisha in their teenage.Age of Respondents w.r.t. Starting Shisha Smoking40%39%12%6% 3%15-18 Years19-22 Years23-26 Years27-30 YearsOther
  • 28. Page | 283. Please share your first experience of having Shisha.As per the analysis of the responses, majority of the respondents, about 72% had a good experiencewhen they had shisha for the first time. They attribute their great experience to the following: Different taste Variety of flavors Feeling of relaxation that shisha provided The cool smoke Fun having shisha with friends Pleasant and soothing effect Something new and different Getting high and enjoyment A few shared that they had a good experience as they had shisha for the first time abroadwith their familiesHowever, about 25% did not enjoy their first experience as such. Few found it really bad as it causeda great deal of coughing and nearly choked them, few felt dizziness and had nausea. But then againthey still went for shisha and now they like it.About 3% could not recall their first experience.
  • 29. Page | 294. With whom did you start having Shisha?Started having Shisha:Alone With Peers With Family OtherSmokers 10 136 10 2Percentage 6.30% 86.10% 6.30% 1.30%Majority of shisha smokers have started smoking shisha with their friends. They make 86% out of thelot, whereas 6% started smoking shisha alone and the same proportion of the respondents whosmoke shisha had their first shisha with their families. The remaining 2 people had shisha withsomeone else [cousin, girlfriend].6.30%86.10%6.30% 1.30%0.00%10.00%20.00%30.00%40.00%50.00%60.00%70.00%80.00%90.00%Respondents [%]Alone With Peers With Family OtherCompany with/without which they started having Shisha
  • 30. Page | 305. Does any family member smoke Shisha?Family Member(s) Smoke(s) Shisha?Yes No TotalSmokers 69 89 158Percentage 56% 44% 100%The family members of 44% of smokers smoke shisha themselves, where as those of the other 56%do not. So where, this could be one of the factors that led them to have shisha, it is not one of themost influential ones for the majority, which is also relevant from the next question.56% 44% YesNo
  • 31. Page | 316. Select the factor(s) that made you start smoking Shisha.As the table shows, many factors contributed in making them start smoking shisha. The mostinfluential factor that made them to start smoking shisha was Flavor. About 23% smokers gotattracted to it by the flavored smoke and 22% seek pleasure in Shisha, whereas 20% did so becauseof the peer pressure or peer influence. A good proportion of about 12% had their first shisha out ofcuriosity, and 12% started as they previously had been or still well cigarette smokers. A smallproportion owed it to boredom, where only a minor 1% did so because of family influences. Fewclaimed that they went for shisha to have fun and also because its in trend so they wanted to try it.3%12%20%22%1%6%12%23%3%0%5%10%15%20%25%Respondents [%]StressCuriosityPeerInfluencePleasureSeekingFamilyInfluencesBoredomCigaretteSmokerFlavorOtherReasons for starting ShishaReasons given by smokers for having ShishaStress CuriosityPeerInfluence PleasureSeekingFamilyInfluences BoredomCigaretteSmoker Flavor Other8 31 50 55 2 14 30 59 43% 12% 20% 22% 1% 6% 12% 23% 3%
  • 32. Page | 32Yes66%No34%Yes No7. Have you had Shisha in the past one month?Of the 158 shisha smokers, about 66% have had shisha in the past one month, which include heavyand regular smokers as well as a comparatively less proportion of casual smokers. The remainingproportion has not had shisha in the last one month.Had Shisha in past 1 month?Yes No TotalSmokers 104 54 158% 66% 34% 100%
  • 33. Page | 338. Please share the first time you actually had Shisha by your own desire.What made you go for it?Following are the factors that attracted them towards having shisha by their own selves for thefirst time About 12% had it out of curiosity as they had heard about something new and wanted totry it. 17% were used to having it with friends so they went for having shisha for socialsmoking. 22% had it because they enjoyed the various flavors and taste of shisha. 4% were previously smokers, so they went for smoking shisha as well. About 3% liked the aroma and 7% liked the cool smoke. 5% went to have shisha out of boredom and 3% had it themselves for the first time justbecause they wanted to have it. It was like an impulse decision. 1% got so used to having shisha with friends that they developed a craving for it andhence had shishaAbout 22% of shisha smokers have never had shisha by themselves. They go for it usually insocial gatherings or when with friends.
  • 34. Page | 349. How often do you have Shisha?Frequency of having ShishaDaily Weekly Once in 2 Weeks Monthly Other TotalSmokers 21 28 24 45 40 158% 13% 18% 15% 28% 25% 100%The series 1 in the above figure shows the percentage of smokers who have shisha with certainfrequency as mentioned. About 13% smoke shisha on a daily basis who are classified as heavysmokers, about 18% do it weekly, 15% smoke once in two weeks’ time and about 28% smokemonthly. Whereas, among the casual smokers about 25% smoke shisha after at least 2 months’interval, or occasionally at parties or get-togethers.0%10%20%30%Respondents[%]Frequency of Having ShishaSeries1 13% 18% 15% 28% 25%Daily WeeklyOnce in2 WeeksMonthly Other
  • 35. Page | 35No51%Yes49% YesNo10. Do you know how to make Shisha?49% of the shisha smokers even know how to make shisha, which reflects their interest in shishasmoking. However 51% do not know how to prepare shisha.Know how to make Shisha?Yes No TotalSmokers 77 81 158
  • 36. Page | 36Monthly28%Once in 2Weeks20%Weekly19%Daily11%Other22%11. How often do you prefer visiting restaurants or cafes for Shisha?Frequency of preferring to visit Café/ RestaurantDaily Weekly Once in 2 Weeks Monthly OtherSmokers 17 30 31 45 35% 11% 19% 20% 28% 22%The preference to visit cafes or restaurants varies among the shisha smokers. Majority prefer visitingcafes or restaurants for having shisha on a monthly basis. However a good 11% visit such places dailyfor having shisha. Whereas 19% go there weekly and about 20% go once in two weeks. Others eitherdon’t specifically go for shisha in cafes but end up having shisha, or visit occasionally with friends oras per mood and don’t follow any pattern as such. This is one of the reasons that has led to a goodincrease in the shisha business, and therefore many cafes as well as restaurants providing shishahave come into competition.
  • 37. Page | 3712. How much time do you generally spend having Shisha?Time usually spent having ShishaLess than 1 hour 1 -2 Hours 2-3 Hours OtherSmokers 68 66 19 5% 43% 42% 12% 3%Time spent by shisha smokers for having shisha varies person to person. Almost 43% have it for lessthan one hour, whereas almost 42% spend 1 to 2 hours having shisha. About 12% have it for a longerperiod i.e. between 2 to 3 hours and as per the results others have it for as long as they wish for,ranging from 15 minutes to 4 hours to even 12 hours.6866195010203040506070No. ofRespondentsLess than1 hour1 -2 Hours 2-3 Hours OtherTime Spent
  • 38. Page | 3813. How much value are you willing to spend for Shisha?Willingness to spend money on shisha also varies. About 49% prefer spending less than Rs.300 onshisha, whereas 40% will to spend around Rs. 300 – Rs. 500. The remaining 10% mostly belonging tothe upper class will to spend anything between Rs. 500 to Rs. 1000 or even more. The increase insales and the value spent on shisha definitely contribute a lot to the shisha business.0% 10% 20% 30% 40% 50%<Rs.300Rs.300-Rs.500Rs.500-Rs.1000Rs.1000>Series1 49% 40% 8% 3%<Rs.300 Rs.300-Rs.500 Rs.500-Rs.1000 Rs.1000>Value willing to spend on Shisha<Rs.300Rs.300-Rs.500Rs.500-Rs.1000 Rs.1000>Smokers 78 63 12 5% 49% 40% 8% 3%
  • 39. Page | 3914. Select the prominent factor(s) that make you continue smokingShisha.Earlier we saw what made the smokers start having shisha; the above figure shows the reasonsbehind continuing shisha which are almost the same as those that led them towards starting it.About 26% continue having shisha because of the flavor as well as the pleasure they get from havingshisha [each], 21% have it because of their friends to have fun, 11% smoke shisha when they arebored, 9% like the aroma, and 5% have it when they are under stress for some reason. Familyinfluence again has a minor role to play here, whereas 2% have it for random reasons like being inmood, for entertainment, etc.5%21%25.5%1%11%25.5%9%2%0%5%10%15%20%25%30%StressPeerInfluencePleasureSeekingFamilyInfluencesBoredomFlavorAromaOtherReasons for continuing smoking ShishaStressPeerInfluence PleasureSeeking Family Influences Boredom Flavor Aroma Other12 54 65 2 27 65 24 45% 21% 25.5% 1% 11% 25.5% 9% 2%
  • 40. Page | 4015.What do you like most about having Shisha in cafes / restaurants?Reasons behind having Shisha in CafeFlavor Smoke Café Ambience Aroma PresentationSmokers 60 50 51 37 17% 28% 23% 24% 17% 8%As the series of percentage in the above figure indicates, 28% like having shisha in cafes orrestaurants because of the variety of flavors they offer, whereas 23% go for the cool smoke and 24%are attracted by the ambience of the café or restaurant. About 17% prefer the aroma and 8% like theway of presentation of shisha in cafes.0%5%10%15%20%25%30%Series1 28% 23% 24% 17% 8%Flavor SmokeCaféAmbienceAromaPresentation
  • 41. Page | 4116. Are you aware of the harmful side to Shisha smoking?Aware of harmful side to Shisha?Yes No TotalRespondents 161 32 158% 80% 20% 100%About 80% of the respondents are aware of the harmful effects of shisha out of which majority stillsmoke. Only 20% are unaware. The awareness level of the harmful effects of having shisha is furtherillustrated in the following question.Awareness level of the Harmful Side to ShishaYes80%No20% Yes No
  • 42. Page | 4217. Which of the following are you aware of?Majority is aware of the fact that shisha contains Tobacco, can cause both Lung and Heart diseases.They are aware that shisha smoking has tar equal to that of 20 cigarettes and that it may harmpregnancy, but still most of them continue smoking shisha. It can also cause urinary cancer, dyslexiaand can decrease stamina over time.0%10%20%30%TobaccoCancerLungDiseaseHeartDiseaseHarmPregnancyNicotine&Tar=20CigarettesOtherAwareness of the harmful effects of ShishaTobaccoCancerLung DiseaseHeart DiseaseHarm PregnancyNicotine&Tar=20CigarettesOtherAware that Shisha Contains/Causes:Tobacco CancerLungDiseaseHeartDiseaseHarmPregnancy Nicotine&Tar=20Cigarettes OtherRespondents 126 80 97 61 54 85 3% 25% 16% 19% 12% 11% 17% 0.6%
  • 43. Page | 4318. What is the reason that makes you continue having Shisha despitebeing aware of the harmful effects?About 80% of the total sample respondents are aware of the harmful effects of shisha and majorityof the proportion still smokes. The most prominent reasons given by them are as follows: The most common reason is that it’s a way of having fun and enjoyment when they are outwith friends Few are addicted to tobacco Casual smokers, in particular, are of the view that smoking shisha once a month would notmake any difference The flavor is what attracts many towards shisha smoking. Some have developed a strongliking towards it After having shisha regularly, it is difficult to leave it. Craving is what induces them to have itagain and again They believe its less harmful than cigarettes It is in fashion today and shisha makes them look cool Few take it as a good time pass and have shisha to overcome boredom It gives them feeling of satisfaction and pleasure Few say that they are carefree and believe in living in the momentOnly a minor percentage said that they have either quitted or are deciding to quit smoking shisha.
  • 44. Page | 4419. Do you intend to quit?Intention to QuitYes No TotalSmokers 61 97 158% 39% 61% 100%Despite the awareness level, unfortunately majority prefer continuing to smoke shisha. About 61%keep no intentions of quitting shisha, whereas about 39% intend to quit smoking shisha in the nearfuture.Intention To QuitYes39%No61%YesNo