{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:49:16Z","timestamp":1790023756626,"version":"4.0.1"},"reference-count":46,"publisher":"Maad Rayan Publishing Company","issue":"4","content-domain":{"domain":["ahj.kmu.ac.ir"],"crossmark-restriction":false},"short-container-title":["Addict Health"],"published-print":{"date-parts":[[2024,10,29]]},"abstract":"<jats:p>Background: Tobacco use is highly prevalent in Afghanistan, posing a significant challenge among young people, including university students. This study aims to investigate tobacco product usage patterns and associated factors among male students at Herat University, Afghanistan, addressing the critical need for understanding and addressing this public health issue. Methods: In this cross-sectional study conducted between April and May 2021, 640 male university students were surveyed using interview-based stratified random sampling to assess cigarette, smokeless tobacco (ST), hookah, and e-cigarette use alongside sociodemographic factors. Logistic regression identified significant predictors. Findings: The prevalence was 35.3% for cigarette smoking, 15% for ST use, 14.1% for e-cigarette vaping, and 35.5% for hookah smoking. In the cigarette model, predictors included age (OR=1.20), mother\u2019s education (secondary\/high school OR=2.19; university OR=2.68), friends\u2019 use (OR=9.54), and employment status (OR=2.52). The hookah model highlighted friends\u2019 use (OR=31.05), marital status (OR=2.10), employment status (OR=1.76), and mother\u2019s education (secondary\/high school OR=2.18; university OR=3.57) as predictors. In the ST model, predictors were friends\u2019 use (OR=20.12), employment status (OR=3.37), and mother\u2019s education (secondary\/high school OR=2.91). Lastly, the e-cigarette model revealed the predictors of friends\u2019 use (OR=7.91) and employment status (OR=1.87). Conclusion: Tobacco use among Afghan male university students is significantly influenced by peer behavior, employment status, and parental education. Interventions should target accessibility and sociocultural attitudes and include educational programs and policy measures to reduce tobacco consumption in the university setting.<\/jats:p>","DOI":"10.34172\/ahj.1547","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T04:09:56Z","timestamp":1734926996000},"page":"237-247","update-policy":"https:\/\/doi.org\/10.34172\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Tobacco Use Patterns Among University Students in Herat, Afghanistan: A Cross-sectional Study"],"prefix":"10.34172","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2481-5234","authenticated-orcid":true,"given":"Danyal","family":"Ewaz","sequence":"first","affiliation":[{"name":"Department of Curative Medicine, Faculty of Medicine, Jami University, Herat, Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5821-9177","authenticated-orcid":true,"given":"Ali","family":"Rahimi","sequence":"additional","affiliation":[{"name":"Department of Curative Medicine, Faculty of Medicine, Jami University, Herat, Afghanistan"},{"name":"Department of Pediatrics, Faculty of Medicine, Herat University, Herat, Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4250-3063","authenticated-orcid":true,"given":"Sharareh","family":"Shayan","sequence":"additional","affiliation":[{"name":"Department of Curative Medicine, Faculty of Medicine, Jami University, Herat, Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8857-7765","authenticated-orcid":true,"given":"Nasar Ahmad","family":"Shayan","sequence":"additional","affiliation":[{"name":"Department of Public Health and Infectious Diseases, Faculty of Medicine, Herat University, Herat, Afghanistan"},{"name":"Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"20123","published-online":{"date-parts":[[2024,10,29]]},"reference":[{"key":"R1","unstructured":"Drope J, Schluger NW. 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