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Background: Tobacco consumption remains a major public-health concern in the Eastern Mediterranean region, particularly among migrant populations who experience socioeconomic stress, limited access to healthcare, and barriers to preventive services. Evidence describing smoking patterns in displaced communities remains limited. Objective: To estimate the prevalence and behavioural characteristics of cigarette and shisha smoking among Sudanese adults residing in Beirut and Amman, and to examine whether tobacco-use patterns differed according to migration region. Methods: A cross-sectional study was conducted between January and March 2026 among 50 adult participants recruited through non-probability convenience sampling in community locations where Sudanese migrants commonly reside. Data was collected using a structured self-administered survey adapted from validated tobacco-use instruments, including indicators aligned with the ASSIST framework. Descriptive statistics and chi-square tests were performed using SPSS v26, with significance set at p<0.05. Results: Current cigarette smoking prevalence was 46.0%, with 36.0% daily smokers. Tobacco use in the past three months was reported by 36.0% of participants. Among smokers, 65.2% initiated smoking between ages 15–18, 52.2% smoked >10 cigarettes/day, and 52.2% reported strong cravings. Ever shisha use was 12.0%, and dual use was 6.0%. Nearly half (48.0%) reported attempting to quit within the past year, while 28.0% reported failed attempts. No statistically significant associations were observed between smoking status and age group (p=0.122), gender (p=0.908), marital status (p=0.197), or duration of residence (p=0.457). Dependence scores were not associated with age (p=0.633). No statistically significant differences were identified between migrants residing in Lebanon and Oman regarding cigarette smoking prevalence (p=0.496), age distribution (p=0.616), previous shisha use (p=0.547), or smoking cessation attempts (p=0.461). Conclusion: The findings indicate a substantial burden of cigarette smoking and nicotine dependence within this migrant population, with no significant differences observed between migrants residing in Lebanon and Oman. These findings highlight the need for culturally responsive cessation interventions and improved access to support services.
cigarette smoking; migrants; nicotine dependence; shisha; cessation attempts; prevalence