Current Addiction Reports

, Volume 5, Issue 1, pp 65–71 | Cite as

International Approaches to Tobacco-Use Cessation Programs and Policy for Adolescents and Young Adults in Saudi Arabia

  • Mohammed Alrabah
  • Islam Gamaleddin
  • Fahad Allohidan
Tobacco (S Sussman and R Garcia, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Tobacco


Purpose of Review

In this review, we are aiming to explore the recent literature regarding the current state of smoking and control plans and the recent changes in regulations in the Kingdom of Saudi Arabia.

Recent Findings

Despite the strong efforts of tobacco control agencies in the Kingdom of Saudi Arabia to curb smoking rates, prevalence rates among youth are still around 12.1% with no indicators for a decline. The main reasons that could lead to smoking are peer pressure, stress, easy access, media influence, and lack of knowledge of harmful effects of smoking. School programs, religious background, and health concerns are considered as the main protective factors from smoking in the Saudi community. Most primary health care physicians report that they did not receive any smoking cessation training in medical school or in residency program.


There is a strong need for school- and community-based anti-smoking awareness and cessation programs. Allocation of sufficient funds is necessary to reinforce laws combating smoking. Accessibility to smoking cessation clinics is very important and needs to improve significantly. Structured training for health care providers about cessation programs is pivotal. The availability of nicotine replacement therapy in all pharmacies is strongly needed.


Smoking Policies Prevalence Saudi Arabia Impact Smoking cessation 


Compliance with Ethical Standards

Conflict of Interest

The authors declare they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. 1.
    WHO. Tobacco Fact Sheets 2017 Available from:
  2. 2.
    Prevention CCfDCa. 2017. Available from:
  3. 3.
    Barnum H. The economic burden of the global trade in tobacco. Tob Control. 1994;3(4):358–61. Scholar
  4. 4.
    Lee YC, Hashibe M. Tobacco, alcohol, and cancer in low and high income countries. Ann Glob Health. 2014;80(5):378–83. Scholar
  5. 5.
  6. 6.
    Schaap MM, Kunst AE, Leinsalu M, Regidor E, Ekholm O, Dzurova D, et al. Effect of nationwide tobacco control policies on smoking cessation in high and low educated groups in 18 European countries. Tob Control. 2008;17(4):248–55. Scholar
  7. 7.
    • WHO. Tobacco control country profiles 2017 cited 2017. Available from: This link provides tobacco control profile for each country based on WHO report on global tobacco epidamic, 2017. The profile present tobacco control status through information, e.g., prevelance, prevention, cessation, and tobacco economics.
  8. 8.
    • Tobacco Control Program 2017 Available from: This is the main website of tobacco control program. It provides public information about smoking effects and different contents for awareness purposes. It also provides counseling services and guide smokers to book an appointment in cessation clinics.
  9. 9.
    MM B. Smoking in Saudi Arabia. Saudi Med J. 2009;1(30):876–1.Google Scholar
  10. 10.
    Tobacco Control Program—About us 2017 Available from:
  11. 11.
    Al-Zalabani AH, Amer SM, Kasim KA, Alqabshawi RI, Abdallah AR. Second-hand smoking among intermediate and secondary school students in Madinah, Saudi Arabia. Biomed Res Int. 2015;2015:672393.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    The Coordinating committee for the anti-smoking associations at the kingdom Available from:
  13. 13.
    • Moradi-Lakeh M EBC, Tuffaha M, Daoud F, Al Saeedi M, Basulaiman M, et al.. Tobacco consumption in the Kingdom of Saudi Arabia, 2013: findings from a national survey. BMC Public Health. 2015;5(15). This paper assess the current status of tobacco consumption through a national survey looking at smoking behaviors, e.g., type of tobacco consumption, ever smoking, exposure to secondhand smoking, and quitting behaviors. Google Scholar
  14. 14.
    WHO|Tobacco threatens us all Available from:
  15. 15.
    Menezes RG, Hussain SA, Madadin M. Tackling tobacco smoking in Saudi Arabia. Lancet Glob Health. 2015;3(6):e314. Scholar
  16. 16.
    Staff R. Saudi to impose tobacco, sugary drinks tax on June 10. May 28, 2017.Google Scholar
  17. 17.
    • Almutairi KM. Smoking among Saudi students: a review of risk factors and early intentions of smoking. J Community Health. 2014;39(5):901–7. This paper aims to determine the prevalence of smoking among students and identify the risk and protective factors to initiate smoking CrossRefPubMedGoogle Scholar
  18. 18.
    • Al-Bedah AM, Qureshi NA, Al-Guhaimani HI, Basahi JA. The Global Youth Tobacco Survey 2007. Comparison with the Global Youth Tobacco Survey 2001–2002 in Saudi Arabia. Saudi Med J. 2010;31(9):1036–43. This paper provides a comprehensive comparison between the results of the global youth tobacco survey in 2001 and 2007, pre and post implementation of tobacco programs in kingdom, looking for epidemiological trends and risk factors of smoking among intermediate school boys in Riyadh region PubMedGoogle Scholar
  19. 19.
    Al-Bedah AM, Qureshi NA. Smoking in Saudi Arabia. Some constructive comments. Saudi Med J. 2010;31(4):463–4. author reply 5-6 PubMedGoogle Scholar
  20. 20.
    Al Moamary MS, Al Ghobain MO, Al Shehri SN, Gasmelseed AY, Al-Hajjaj MS. Predicting tobacco use among high school students by using the global youth tobacco survey in Riyadh, Saudi Arabia. Ann Thorac Med. 2012;7(3):122–9. Scholar
  21. 21.
    Abdel Rahim BE, Mahfouz MS, Yagoub U, Solan YM, Alsanosy RM. Practice and attitude of cigarette smoking: a community-based study. PLoS One. 2014;9(4):e92939. Scholar
  22. 22.
    Venkatesh E, Al Jemal MY, Al Samani AS. Characteristics, reasons, behavior and knowledge towards waterpipe smoking in Saudi Arabia. Int J Adolesc Med Health. 2017;
  23. 23.
    Al Agili DE, Park HK. The prevalence and determinants of tobacco use among adolescents in Saudi Arabia. J Sch Health. 2012;82(3):131–8. Scholar
  24. 24.
    Mohammed M, Eggers SM, Alotaiby FF, de Vries N, de Vries H. Smoking uptake among Saudi adolescents: tobacco epidemic indicators and preventive actions needed. Glob Health Promot 2014, 175797591454819.
  25. 25.
    The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Publications and Reports of the Surgeon General. Atlanta (GA) 2006.Google Scholar
  26. 26.
    Cancer IAfRo. Tobacco smoke and involuntary smoking. In: Cancer IAfRo, editor. 2004. p. 1–1438.Google Scholar
  27. 27.
    • Mohammed M, Eggers SM, Alotaiby FF, de Vries N, de Vries H. Effects of a randomized controlled trial to assess the six-months effects of a school based smoking prevention program in Saudi Arabia. Prev Med. 2016;90:100–6. This paper aims to describe the effects of 6-month school-based program on smoking initiation and regular smoking behavior in addition to smoking-related attitudes. As a school-based program study, this is the only paper that we are aware of have been done in Saudi Arabia CrossRefPubMedGoogle Scholar
  28. 28.
    Park HK, Al Agili DE, Bartolucci A. Factors affecting tobacco use among middle school students in Saudi Arabia. Matern Child Health J. 2012;16(9):1828–36. Scholar
  29. 29.
    Ministry program helps over 2,000 to quit smoking Arab News; 2016.Google Scholar
  30. 30.
    • Kingdom of Saudi Arabia, Ministry of Health Online Portal. 2017. Available from: This is the offical English version of the ministry of health website.
  31. 31.
    Al-Zalabani AH, Abdallah AR, Alqabshawi RI. Intention to quit smoking among intermediate and secondary school students in Saudi Arabia. Asian Pac J Cancer Prev. 2015;16(15):6741–7.CrossRefPubMedGoogle Scholar
  32. 32.
    • Tobacco Control Program Available from: Here are books released by the tobacco smoking control program which includes the latest local statistics of smoking done by the ministry of health.
  33. 33.
    Abdelwahab SI, El-Setohy M, Alsharqi A, Elsanosy R, Mohammed UY. Patterns of use, cessation behavior and socio-demographic factors associated with smoking in Saudi Arabia: a cross-sectional multi-step study. Asian Pac J Cancer Prev. 2016;17(2):655–60. Scholar
  34. 34.
    Wyne AH, Chohan AN, Al-Moneef MM, Al-Saad AS. Attitudes of general dentists about smoking cessation and prevention in child and adolescent patients in Riyadh, Saudi Arabia. J Contemp Dent Pract. 2006;7(1):35–43.PubMedGoogle Scholar
  35. 35.
    • Jradi H. Awareness, practices, and barriers regarding smoking cessation treatment among physicians in Saudi Arabia. J Addict Dis. 2017;36(1):53–9. This paper aims to evaluate the knowledge, use, and barriers that hinder the implementation of guidelines developed by WHO for smoking cessation, reported by family physicians CrossRefPubMedGoogle Scholar
  36. 36.
    • AlAteeq M, Alrashoud AM, Khair M, Salam M. Smoking cessation advice: the self-reported attitudes and practice of primary health care physicians in a military community, central Saudi Arabia. Patient Prefer Adherence. 2016;10:651–8. This paper aims to assess the attitude and practice of primary health care providers towards delivering cessation advice for smokers in central area of Saudi Arabia. This study reflect how improtant to educate primary health care providors about smoking cessation program PubMedPubMedCentralGoogle Scholar
  37. 37.
    Jradi H, Al-Shehri A. Knowledge about tobacco smoking among medical students in Saudi Arabia: findings from three medical schools. J Epidemiol Glob Health. 2014;4(4):269–76.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Mohammed Alrabah
    • 1
  • Islam Gamaleddin
    • 2
    • 3
  • Fahad Allohidan
    • 4
    • 5
  1. 1.King Saud Bin Abdulaziz University For Health SciencesRiyadhSaudi Arabia
  2. 2.Department of Medical Sciences, Institute of Environmental Studies and ResearchAin Shams UniversityCairoEgypt
  3. 3.Directorate of Poison Control and Forensic Chemistry CentresMinistry of HealthRiyadhSaudi Arabia
  4. 4.College Of MedicineKing Saud Bin Abdulaziz University for Health SciencesRiyadhSaudi Arabia
  5. 5.King Abdulaziz Medical CityRiyadhSaudi Arabia

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