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Review of hookah tobacco smoking among college students: policy implications and research recommendations	2015	School of Pharmacy and.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full The American Journal of Drug and Alcohol Abuse Periodical, Abbrev. Am.J.Drug Alcohol Abuse Pub Date Free Form Volume 41 Issue 4 Start Page 272 Other Pages 280 Notes LR: 20160114; GR: K05 DA031248/DA/NIDA NIH HHS/United States; JID: 7502510; OTO: NOTNLM; 2015/06/09 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1097-9891; 0095-2990 Accession Number PMID: 26057153 Language eng SubFile Journal Article; Review; IM DOI 10.3109/00952990.2015.1043738 [doi] Output Language Unknown(0) PMID 26057153 Abstract BACKGROUND: About 30% of college students have smoked hookah tobacco. Although most students perceive this product to be innocuous and non-addictive, hookah tobacco increases the risk for disease and nicotine dependence. Currently, the US Food and Drug Administration (FDA) does not regulate the manufacture, distribution, or sale of hookah tobacco. OBJECTIVE: Empirical literature pertaining to hookah tobacco smoking is reviewed with a focus on the implications for regulatory policy. METHODS: PubMed, PsycINFO, and Scopus databases were searched to locate articles published in English. The literature search combined several key words including "hookahs", "college", "advertising", "health effects", and "health policy". RESULTS: Smoking hookah tobacco may play a role in the initiation of smoking among tobacco-naive college students and may portend persistent smoking among those who have smoked cigarettes. College students are typically nondaily, social smokers. They do not perceive that their heightened risk for tobacco diseases and nicotine dependence relates to their smoking behavior. However, few public health messages target college-age adults to counter media messages that endorse hookah tobacco smoking. CONCLUSION: Given that the FDA is not authorized to ban specific tobacco products, policy actions should focus on the development of effective risk communication strategies that target college-age adults and on limiting the accessibility of hookah tobacco products to these adults. Accordingly, a research agenda that would inform these policy actions is proposed. Descriptors Links Book Title Database Publisher Data Source Authors Gathuru,I.M., Tarter,R.E., Klein-Fedyshin,M. Original/Translated Title URL Date of Electronic 20150609 PMCID Editors
Research report: Charcoal type used for hookah smoking influences CO production	2015		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc Periodical, Abbrev. Undersea Hyperb.Med. Pub Date Free Form Jul-Aug Volume 42 Issue 4 Start Page 375 Other Pages 380 Notes JID: 9312954; 16291-96-6 (Charcoal); 7U1EE4V452 (Carbon Monoxide); ppublish Place of Publication United States ISSN/ISBN 1066-2936; 1066-2936 Accession Number PMID: 26403022 Language eng SubFile Case Reports; Journal Article; Review; IM; S DOI Output Language Unknown(0) PMID 26403022 Abstract A hookah smoker who was treated for severe carbon monoxide poisoning with hyperbaric oxygen reported using a different type of charcoal prior to hospital admission, i.e., quick-light charcoal. This finding led to a study aimed at determining whether CO production differs between charcoals commonly used for hookah smoking, natural and quick-light. Our hypothesis was that quick-light charcoal produces significantly more CO than natural charcoal. A medium-sized hookah, activated charcoal filter, calibrated syringe, CO gas analyzer and infrared thermometer were assembled in series. A single 9-10 g briquette of either natural or quick-light charcoal was placed atop the hookah bowl and ignited. CO output (ppm) and temperature (degrees C) were measured in three-minute intervals over 90 minutes. The mean CO levels produced by quick-light charcoal over 90 minutes was significantly higher (3728 +/- 2028) compared to natural charcoal (1730 +/- 501 ppm, p = 0.016). However, the temperature was significantly greater when burning natural charcoal (292 +/- 87) compared to quick-light charcoal (247 +/- 92 degrees C, p = 0.013). The high levels of CO produced when using quick-light charcoals may be contributing to the increase in reported hospital admissions for severe CO poisoning. Descriptors Links Book Title Database Publisher Data Source Authors Medford,M.A., Gasier,H.G., Hexdall,E., Moffat,A.D., Freiberger,J.J., Moon,R.E. Original/Translated Title URL Date of Electronic PMCID Editors
Reply: false positive result in study on hookah smoking and cancer in Kashmir: measuring risk of poor hygiene is not the same as measuring risk of inhaling water-filtered tobacco smoke all over the world	2013		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Br J Cancer Periodical, Abbrev. Br.J.Cancer Pub Date Free Form Volume 108 Issue 6 Start Page 1391 Other Pages 2 Notes ID: 23470467 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract Descriptors Links Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Dar,N A., Islami,F., Boffetta,P. Original/Translated Title URL Date of Electronic PMCID Editors
Radiological hazards of Narghile (hookah, shisha, goza) smoking: activity concentrations and dose assessment	2008		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full J Environ Radioact Periodical, Abbrev. J.Environ.Radioact. Pub Date Free Form Volume 99 Issue 12 Start Page 1808 Other Pages 14 Notes ID: 18768240 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract Narghile (hookah, shisha, goza, "water-pipe") smoking has become fashionable worldwide. Its tobacco pastes, known as moassel and jurak, are not standardized and generally contain about 30-50% (sometimes more) tobacco, molasses/juice of sugarcane, various spices and dried fruits (particularly in jurak) and, in the case of moassel, glycerol and flavoring essences. Tobacco contains minute amounts of radiotoxic elements such as (210)Pb, (210)Po and uranium, which are inhaled via smoking. Only very few data have been published on the concentrations of natural radionuclides in narghile tobacco mixtures. Consequently, the aim of this study was to draw first conclusions on the potential hazards of radioactivity in moassel tobacco in relation to narghile smoking. The results indicate the existence of a wide range in the radioactivity contents where the average (range) activity concentrations of (238)U, (234)Th (226)Ra, (210)Pb, (210)Po, (232)Th and (40)K, in Bq/kg dry weight were 55 (19-93), 11 (3-23), 3 (1.2-8), 14 (3-29), 13 (7-32), 7 (4-10) and 719 (437-1044)Bq/kg dry weight, respectively. The average concentrations of natural radionuclides in moassel tobacco pastes are comparable to their concentration in Greek cigarettes and tobacco leaves, and lower than that of Brazilian tobacco leaves. The distribution pattern of these radionuclides after smoking, between smoke, ash and filter, is unknown, except for (210)Po during cigarette smoking and from one existing study during moassel smoking. Radiological dose assessment due to intake of natural radionuclides was calculated and the possible radio-toxicity of the measured radionuclides is briefly discussed. Descriptors Air Pollutants, Radioactive/analysis, Smoke/analysis, Smoking/adverse effects, Egypt, Humans, Polonium/analysis, Radiation Dosage, Radium/analysis, Saudi Arabia, Social Environment, Tobacco, Uranium/analysis Links http://dx.doi.org/10.1016/j.jenvrad.2008.07.005 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Khater,Ashraf E. M., Abd El-Aziz,Nawal,S., Al-Sewaidan,Hamed, Chaouachi,Kamal Original/Translated Title URL Date of Electronic PMCID Editors
Racial and ethnic differences in current use of cigarettes, cigars, and hookahs among lesbian, gay, and bisexual young adults	2011	Translational Tobacco Reduction Research Program, Mary Babb Randolph Cancer Center and Prevention Research Center, West Virginia University, PO Box 9190, Morgantown, WV 26506, USA. jblosnich@hsc.wvu.edu	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco Periodical, Abbrev. Nicotine Tob.Res. Pub Date Free Form Jun Volume 13 Issue 6 Start Page 487 Other Pages 491 Notes JID: 9815751; 2011/01/27 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1469-994X; 1462-2203 Accession Number PMID: 21330283 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1093/ntr/ntq261 [doi] Output Language Unknown(0) PMID 21330283 Abstract INTRODUCTION: Research demonstrates that lesbians, gays, and bisexuals (i.e., LGBs or sexual minorities) smoke more than their heterosexual peers, but relatively less is known about the heterogeneity within LGB populations, namely racial/ethnic differences. Moreover, smoking research on sexual minorities has focused mainly on cigarette smoking, with little attention to other forms of smoking, such as hookahs/water pipes. METHODS: Using a large national sample of college students, we examined differences by race and sexual orientation in prevalence of smoking cigarettes, cigars/cigarillos/clove cigarettes, and hookahs. RESULTS: All LGB racial groups had higher cigarette smoking prevalence than their heterosexual racial group counterparts. Significantly more White and Hispanic LGBs smoked hookahs when compared, respectively, with White and Hispanic heterosexuals. CONCLUSIONS: Given the higher prevalence of multiple forms of smoking among sexual minorities, the heterogeneity within sexual minority populations and the nuances of multiple identities (i.e., racial, ethnic, and sexual minority), targeted-if not tailored-prevention and cessation efforts are needed to address smoking disparities in these diverse communities. Prevention, intervention, and epidemiological research on smoking behaviors among college attending young adults should take into account other forms of smoking, such as hookah use. Descriptors Links Book Title Database Publisher Data Source Authors Blosnich,J.R., Jarrett,T., Horn,K. Original/Translated Title URL Date of Electronic 20110127 PMCID Editors
Pulmonary Abnormalities in Young, Light-use Waterpipe (Hookah) Smokers	2016	Weill Cornell Medical College, New York, New York, United States ; geneticmedicine6@med.cornell.edu.; Weill Cornell Medical College, New York, New York, United States ; geneticmedicine2@med.cornell.edu.; Weill Cornell Medical College, New York, New York,	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full American journal of respiratory and critical care medicine Periodical, Abbrev. Am.J.Respir.Crit.Care Med. Pub Date Free Form 23-Mar Volume Issue Start Page Other Pages Notes LR: 20160324; JID: 9421642; OTO: NOTNLM; aheadofprint Place of Publication ISSN/ISBN 1535-4970; 1073-449X Accession Number PMID: 27007171 Language ENG SubFile JOURNAL ARTICLE DOI 10.1164/rccm.201512-2470OC [doi] Output Language Unknown(0) PMID 27007171 Abstract RATIONALE: Waterpipe, also called hookah, is currently used by millions of people worldwide. Despite the increasing use of waterpipe smoking, there is limited data on the health effects of waterpipe smoking and no federal regulations to its use. OBJECTIVES: Assess the effects of waterpipe smoking on the human lung using clinical and bio-logic parameters in young, light-use waterpipe smokers. MEASUREMENTS: Assess young, light-use waterpipe-only smokers in comparison to lifelong non-smokers using clinical parameters including cough and sputum scores, lung function, and chest HRCT, and biologic parameters including lung epithelial lining fluid (ELF) metabolome, small airway epithelial (SAE) cell differential and transcriptome, alveolar macrophage (AM) transcrip-tome, and plasma apoptotic endothelial cell microparticles (EMPs). MAIN RESULTS: Compared to nonsmokers, waterpipe smokers had more cough and sputum, and lower lung diffusing capacity, abnormal ELF metabolome profile, increased proportions of SAE secretory and intermediate cells, reduced proportions of SAE ciliated and basal cells, markedly abnormal SAE and AM transcriptomes, and elevated levels of apoptotic EMPs. CONCLUSIONS: Young, light-use waterpipe-only smokers have a variety of abnormalities in multiple lung-related biologic and clinical parameters, suggesting that even limited waterpipe use has broad consequences on human lung biology and health. We suggest that large epidemiologic studies should be initiated on the harmful effects of waterpipe smoking. Descriptors Links Book Title Database Publisher Data Source Authors Strulovici-Barel,Y., Shaykhiev,R., Salit,J., Deeb,R.S., Krause,A., Kaner,R.J., Vincent,T.L., Agosto-Perez,F., Wang,G., Hollmann,C., Shanmugam,V., Almulla,A.M., Sattar,H., Mahmoud,M., Mezey,J.G., Gross,S.S., Staudt,M.R., Walters,M.S., Crystal,R.G. Original/Translated Title URL Date of Electronic 20160323 PMCID Editors
Psycho-social Needs Impact on Hookah Smoking Initiation among Women: A Qualitative Study from Iran	2015	Community-Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.; Department of Reproductive Health, Prenatal and Delivery, School of Nursing and Midwifery, Tehran	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full International journal of preventive medicine Periodical, Abbrev. Int.J.Prev.Med. Pub Date Free Form 24-Aug Volume 6 Issue Start Page 79 Other Pages 7802.163374. eCollection 2015 Notes LR: 20151004; JID: 101535380; OID: NLM: PMC4564902; OTO: NOTNLM; 2015 [ecollection]; 2014/06/08 [received]; 2015/04/13 [accepted]; 2015/08/24 [epublish]; epublish Place of Publication Iran ISSN/ISBN 2008-7802; 2008-7802 Accession Number PMID: 26425334 Language eng SubFile Journal Article DOI 10.4103/2008-7802.163374 [doi] Output Language Unknown(0) PMID 26425334 Abstract BACKGROUND: In Iranian women, the use of hookah is the most common method of tobacco smoking. This study aimed to find the role of psycho-social needs and gaps as a possible risk factor for hookah smoking initiation in women. METHODS: This qualitative study was conducted during 2012-2013 in Tehran, Iran. Thirty-six women participated in the study. They were current or former users of hookah. Data were collected through in-depth individual interviews and was analyzed through content analysis. RESULTS: Four main categories were identified from the data. This study focused on the category: Psycho-social needs and gaps. This category has five sub-categories which explain why women begin to smoke hookah including curiosity; desire for non-feminine, forbidden, and negative activities; need for amusement and recreation; for others: To show off; attract attention; satisfy and join others and protection. CONCLUSIONS: From this study, a variety of factors which contribute to the initiation of hookah smoking among women have been identified. Keeping young girls and women away from seemingly happy gatherings of hookah smokers; Providing appropriate recreational facilities for young women and training families on how to help their children in the event of a crisis-like intention to take up smoking behavior, can be some effective ways for reducing hookah smoking initiation among women. Descriptors Links Book Title Database Publisher Data Source Authors Baheiraei,A., Shahbazi Sighaldeh,S., Ebadi,A., Kelishadi,R., Majdzadeh,S.R. Original/Translated Title URL Date of Electronic 20150824 PMCID PMC4564902 Editors
Prevention and sporadic carbon monoxide poisoning related to shisha (hookah, narghile) tobacco smoking	2012		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full J Emerg Med Periodical, Abbrev. J.Emerg.Med. Pub Date Free Form Volume 42 Issue 1 Start Page 65 Other Pages 6 Notes ID: 20133102 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract Descriptors Links http://dx.doi.org/10.1016/j.jemermed.2009.11.027 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Chaouachi,Kamal Original/Translated Title URL Date of Electronic PMCID Editors
Prevalence, knowledge, and practices of hookah smoking among university students, Florida, 2012	2014	University of South Florida, Tampa, Florida.; University of South Florida, Tampa, Florida.; University of South Florida, Tampa, Florida.; University of South Florida, Tampa, Florida.; 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL 33612. E-mail: jcorvin1@he	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Preventing chronic disease Periodical, Abbrev. Prev.Chronic Dis. Pub Date Free Form 4-Dec Volume 11 Issue Start Page E214 Other Pages Notes LR: 20160317; JID: 101205018; OID: NLM: PMC4264467; epublish Place of Publication United States ISSN/ISBN 1545-1151; 1545-1151 Accession Number PMID: 25474386 Language eng SubFile Journal Article; IM DOI 10.5888/pcd11.140099 [doi] Output Language Unknown(0) PMID 25474386 Abstract INTRODUCTION: Although hookah smoking is becoming a source of tobacco use among college students in the United States, little is known of the students' knowledge, attitudes, and practices regarding hookah use. This cross-sectional study was aimed at determining the prevalence of hookah use and describing social and behavioral factors associated with hookah smoking among university students in a large urban university in Florida. METHODS: A convenience sample of 478 undergraduate and graduate students was recruited. Lifetime use and current use was evaluated. Logistic regression modeling was used to assess the independent association between study covariates and hookah use. RESULTS: Prevalence among students of having ever used hookah during their lifetime was 54.4%. Hookah use within the past 30 days was 16.3%. Hookah use was significantly associated with cigarette smoking (odds ratio [OR], 4.52; 95% confidence interval [CI], 2.13-9.60) and hookah ownership (OR, 10.67; 95% CI, 4.83-23.66) but not with alcohol use (OR, 1.73; 95% CI, 0.74-4.04). Findings also suggest hookah is perceived as a safer alternative to cigarette smoking. Almost 30% of those who never smoked hookah reported they would consider smoking hookah in the future. CONCLUSION: Hookah smoking is popular among college students. Misperceptions associated with hookah use indicate a starting point for developing health behavior change interventions. Future studies should investigate social and behavioral determinants of hookah use and determine the incidence of hookah use among college and high school students. Tobacco control activities should include prevention of hookah tobacco use in university settings. Descriptors Links Book Title Database Publisher Data Source Authors Rahman,S., Chang,L., Hadgu,S., Salinas-Miranda,A.A., Corvin,J. Original/Translated Title URL Date of Electronic 20141204 PMCID PMC4264467 Editors
Prevalence, frequency, and initiation of hookah tobacco smoking among first-year female college students: a one-year longitudinal study	2012	Center for Health and Behavior, Syracuse University, NY 13244, United States. rlfielde@syr.edu	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Addictive Behaviors Periodical, Abbrev. Addict.Behav. Pub Date Free Form Feb Volume 37 Issue 2 Start Page 221 Other Pages 224 Notes LR: 20150129; CI: Copyright (c) 2011; GR: R21 AA018257/AA/NIAAA NIH HHS/United States; GR: R21 AA018257-01/AA/NIAAA NIH HHS/United States; GR: R21-AA018257/AA/NIAAA NIH HHS/United States; JID: 7603486; NIHMS331411; OID: NLM: NIHMS331411; OID: NLM: PMC3230 Place of Publication England ISSN/ISBN 1873-6327; 0306-4603 Accession Number PMID: 22037255 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; IM DOI 10.1016/j.addbeh.2011.10.001 [doi] Output Language Unknown(0) PMID 22037255 Abstract Hookah tobacco smoking has become increasingly prevalent among college students, but little is known about frequency of use or patterns of use over time, including during the transition to college. The goals of this longitudinal cohort study were to assess the: (a) lifetime prevalence, (b) current prevalence, (c) frequency of use, and (d) pattern of initiation of hookah tobacco smoking among female students during the first year of college. First-year female college students (N=483) at a large private university in upstate New York completed 13 monthly online surveys about their hookah tobacco use from August 2009 to August 2010. Lifetime prevalence of hookah use increased from 29% at college entry to 45% at one-year follow-up. The highest rates of hookah initiation occurred in the first two months of students' first semester of college. Current (past 30 days) hookah use ranged from 5% to 13% during the year after college entry. On average, hookah users reported smoking hookah two days per month. Hookah tobacco use is common among female college students. The transition to college is a vulnerable time for hookah initiation. Preventive efforts should begin in high school and continue through college, with a focus on students' first few months on campus. Descriptors Links Book Title Database Publisher Elsevier Ltd Data Source Authors Fielder,R.L., Carey,K.B., Carey,M.P. Original/Translated Title URL Date of Electronic 20111013 PMCID PMC3230723 Editors

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