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Prevalence and correlates of hookah use: a nationally representative sample of US adults ages 18-40 years old 2016 a Department of Psychology, Queens College and The Graduate Center , The City University of New York , Queens , NY , USA.; a Department of Psychology, Queens College and The Graduate Center , The City University of New York , Queens , NY , USA.; b Departm
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Journal Article
Periodical, Full
The American Journal of Drug and Alcohol Abuse
Periodical, Abbrev.
Am.J.Drug Alcohol Abuse
Pub Date Free Form
16-May
Volume
Issue
Start Page
1
Other Pages
10
Notes
LR: 20160517; JID: 7502510; OTO: NOTNLM; aheadofprint; SO: Am J Drug Alcohol Abuse. 2016 May 16:1-10.
Place of Publication
ISSN/ISBN
1097-9891; 0095-2990
Accession Number
PMID: 27184516
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
10.3109/00952990.2016.1167214 [doi]
Output Language
Unknown(0)
PMID
27184516
Abstract
BACKGROUND: Hookah use may be increasing among adults in the US. Information on the prevalence and correlates of hookah use in the adult population is relatively limited. OBJECTIVES: To determine the prevalence of current (past 30-day) and lifetime use of hookah among adults ages 18-40 in the US and to investigate the socio-demographic characteristics associated with lifetime use. METHODS: Data were drawn from the Tobacco Use Supplement of the Current Population Survey data from May 2010, August 2010, and January 2011 (n = 85,545). Logistic regression was used to examine various demographic correlates of lifetime hookah use. RESULTS: Among 18-40 year olds, the past month prevalence rate of hookah use was 0.6% and the lifetime prevalence rate of hookah use was 3.9%. Being male, non-Hispanic white, having higher levels of educational attainment, having never been married, not having any children, earning less than $20,000 annually, residing in the Midwest or western US, being a student, and being a cigarette smoker were associated with increased likelihood of lifetime hookah use. The prevalence of hookah use among current, cigarette smokers was 7.9%, more than double that of the general adult population. CONCLUSIONS: Hookah use is significantly more common among cigarette smokers and among various demographic subgroups among general adult population. Given the risks associated with hookah and poly-tobacco use, targeted public health efforts are recommended. Additionally, health-care providers may consider expanding screening tests to include hookah use.
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Database
Publisher
Data Source
Authors
Grinberg,A., Goodwin,R.D.
Original/Translated Title
URL
Date of Electronic
20160516
PMCID
Editors
Adolescent and Young Adult Perceptions of Hookah and Little Cigars/Cigarillos: Implications for Risk Messages 2016 a Department of Social Sciences & Health Policy , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA.; a Department of Social Sciences & Health Policy , Wake Forest School of Medicine , Winston-Salem , North Carolina , USA.; a Departmen
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Journal Article
Periodical, Full
Journal of health communication
Periodical, Abbrev.
J.Health Commun.
Pub Date Free Form
Jul
Volume
21
Issue
7
Start Page
818
Other Pages
825
Notes
LR: 20160701; GR: P50 CA180907/CA/NCI NIH HHS/United States; JID: 9604100; 2016/06/23 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1087-0415; 1081-0730
Accession Number
PMID: 27337629
Language
eng
SubFile
Journal Article; T
DOI
10.1080/10810730.2016.1177141 [doi]
Output Language
Unknown(0)
PMID
27337629
Abstract
Use of hookah and little cigars/cigarillos (LCCs) is high among adolescents and young adults. Although these products have health effects similar to cigarettes, adolescents and young adults believe them to be safer. This study examined adolescent and young adult perceptions of hookah and LCCs to develop risk messages aimed at discouraging use among users and at-risk nonusers. Ten focus groups with 77 adolescents and young adults were conducted to explore their perceptions about the perceived risks and benefits of hookah and LCC use. Participants were users of other (non-cigarette) tobacco products (n = 47) and susceptible nonusers (n = 30). Transcripts were coded for emergent themes on participants' perceptions of hookah and LCCs. Participants did not perceive health effects associated with hookah and LCC use to be serious or likely to happen given their infrequency of use and perceptions that they are less harmful than cigarettes. Participants generally had positive associations with smoking hookah and LCCs for several reasons, including that they are used in social gatherings, come in various flavors, and can be used to perform smoke tricks. Because adolescents and young adults underestimate and discount the long-term risks associated with hookah and LCC use, effective messages may be those that focus on the acute/immediate health and cosmetic effects.
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Data Source
Authors
Cornacchione,J., Wagoner,K.G., Wiseman,K.D., Kelley,D., Noar,S.M., Smith,M.H., Sutfin,E.L.
Original/Translated Title
URL
Date of Electronic
20160623
PMCID
Editors
Sex Differences in Hookah-Related Images Posted on Tumblr: A Content Analysis 2016 a Division of General Internal Medicine, Department of Medicine , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA.; b Center for Research on Media, Technology, and Health , University of Pittsburgh School of Medicine , Pittsb
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of health communication
Periodical, Abbrev.
J.Health Commun.
Pub Date Free Form
Volume
21
Issue
3
Start Page
366
Other Pages
375
Notes
LR: 20160520; GR: K07 CA114315/CA/NCI NIH HHS/United States; GR: R01 CA140150/CA/NCI NIH HHS/United States; GR: R01-CA140150/CA/NCI NIH HHS/United States; GR: R01-CA140150-S1/CA/NCI NIH HHS/United States; JID: 9604100; NIHMS779493; OID: NLM: NIHMS779493 [
Place of Publication
United States
ISSN/ISBN
1087-0415; 1081-0730
Accession Number
PMID: 26890733
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; T
DOI
10.1080/10810730.2015.1095814 [doi]
Output Language
Unknown(0)
PMID
26890733
Abstract
Hookah tobacco smoking is prevalent, widespread, and associated with large amounts of toxicants. Hookah tobacco smoking may be viewed differently by males and females. For example, females have been drawn to types of tobacco that are flavored, milder, and marketed as more social and exotic. Individuals often use the growing segment of anonymous social networking sites, such as Tumblr, to learn about potentially dangerous or harmful behaviors. We used a systematic process involving stratification by time of day, day of week, and search term to gather a sample of 140 Tumblr posts related to hookah tobacco smoking. After a structured codebook development process, 2 coders independently assessed all posts in their entirety, and all disagreements were easily adjudicated. When data on poster sex and age were available, we found that 77% of posts were posted by females and 35% were posted by individuals younger than 18. The most prominent features displayed in all posts were references to or images of hookahs themselves, sexuality, socializing, alcohol, hookah smoke, and tricks performed with hookah smoke. Compared with females, males more frequently posted images of hookahs and alcohol-related images or references. This information may help guide future research in this area and the development of targeted interventions to curb this behavior.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Primack,B.A., Carroll,M.V., Shensa,A., Davis,W., Levine,M.D.
Original/Translated Title
URL
Date of Electronic
20160218
PMCID
PMC4873310
Editors
Understanding tobacco-related attitudes among college and noncollege young adult hookah and cigarette users 2014 a Public Health Research Division , RTI International , Research Triangle Park , North Carolina.
Source Type
Print(0)
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Journal Article
Periodical, Full
Journal of American college health : J of ACH
Periodical, Abbrev.
J.Am.Coll.Health
Pub Date Free Form
Volume
62
Issue
1
Start Page
10
Other Pages
18
Notes
LR: 20150422; GR: R01 CA087472/CA/NCI NIH HHS/United States; GR: R01-CA87472/CA/NCI NIH HHS/United States; GR: R25 CA113710/CA/NCI NIH HHS/United States; GR: R25T-113710/PHS HHS/United States; GR: U01 CA154240/CA/NCI NIH HHS/United States; GR: U01-CA15424
Place of Publication
United States
ISSN/ISBN
1940-3208; 0744-8481
Accession Number
PMID: 24313692
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1080/07448481.2013.842171 [doi]
Output Language
Unknown(0)
PMID
24313692
Abstract
OBJECTIVE: To examine differences in tobacco-related attitudes and hookah and cigarette use among college and noncollege young adults. PARTICIPANTS: Time-location samples of young adult bar patrons in San Diego, California (N = 2,243), Tulsa (N = 2,095) and Oklahoma City (N = 2,200), Oklahoma, Albuquerque (N = 1,044) and Las Cruces (N = 894), New Mexico, between September 2009 and July 2011. METHODS: Multinomial logistic regression examined associations between hookah and cigarette use and tobacco-related attitudes. RESULTS: Current college students and graduates are less likely to smoke cigarettes, but more likely to use hookah. Among current hookah users, 22.6% were hookah-only users and 77.4% were dual users (cigarettes and hookah). College status is associated with different hookah use patterns, and those with anti-tobacco industry attitudes were more likely to smoke hookah. CONCLUSIONS: Novel interventions are needed for college students using hookah. Existing strategies targeting smokers with anti-tobacco industry messages may be irrelevant to hookah users.
Descriptors
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Database
Publisher
Data Source
Authors
Lee,Y.O., Bahreinifar,S., Ling,P.M.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC3920485
Editors
Comparison of Cotinine Salivary Levels in Hookah Smokers, Passive Smokers, and Non-Smokers 2015 Assistant Professor, Oral and Dental Disaese Research Center AND Department of Oral Medicine, School of Dentistry, Zahedan University of Medical Sciencse, Zahedan, Iran.; Associate Professor, Oral and Dental Research Center AND Department of Oral Medicine
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addiction & health
Periodical, Abbrev.
Addict.Health.
Pub Date Free Form
Summer-Autumn
Volume
7
Issue
4-Mar
Start Page
184
Other Pages
191
Notes
LR: 20160219; JID: 101582275; OID: NLM: PMC4741239; OTO: NOTNLM; ppublish
Place of Publication
Iran
ISSN/ISBN
2008-4633; 2008-4633
Accession Number
PMID: 26885355
Language
eng
SubFile
Journal Article
DOI
Output Language
Unknown(0)
PMID
26885355
Abstract
BACKGROUND: At present smoking is considered a great health-related problem. Smoking cigarettes and use of tobacco are on the rise in the Middle East countries; therefore, the number of people exposed to passive cigarette smoke is increasing, too. The aim of the present study was to determine and compare salivary cotinine levels in hookah smokers, individuals exposed to passive cigarette smoke and non-smoker (passive smokers). METHODS: In the present cross-sectional study, unstimulated salivary samples were collected from 150 subjects, including 50 hookah smokers, 50 passive smokers, and 50 non-smokers. Bioassay Technology Laboratory cotinine kit was used to determine salivary levels of cotinine using the enzyme-linked immunosorbent assay (ELISA) technique at a sensitivity rate of 0.019 pg/ml. Data were analyzed with SPSS software using t-test and Pearson's correlation coefficient. FINDINGS: The highest salivary cotinine levels were recorded in hookah users (20.24 +/- 5.62 ng/ml), followed by passive smokers (16.09 +/- 3.51 ng/ml), in descending order. No detectable cotinine levels were observed in non-smokers. Pearson's correlation coefficient showed a strong and positive correlation between use of hookah and salivary cotinine levels (r = 0.932, P = 0.001). CONCLUSION: Based on the results of the present study, salivary cotinine levels were higher in hookah smokers compared with passive smokers and non-smokers, in descending order.
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Database
Publisher
Data Source
Authors
Nosratzehi,T., Arbabi-Kalati,F., Alijani,E., Tajdari,H.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC4741239
Editors
Nicotine and carcinogen exposure after water pipe smoking in hookah bars 2014 Authors' Affiliations: Center for Tobacco Control Research and Education, University of California, San Francisco; Division of Clinical Pharmacology and Experimental Therapeutics, Medical Service, San Francisco General Hospital Medical Center; Departments
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
Periodical, Abbrev.
Cancer Epidemiol.Biomarkers Prev.
Pub Date Free Form
Jun
Volume
23
Issue
6
Start Page
1055
Other Pages
1066
Notes
LR: 20160331; CI: (c)2014; GR: DA012393/DA/NIDA NIH HHS/United States; GR: P30 DA012393/DA/NIDA NIH HHS/United States; GR: R25 CA113710/CA/NCI NIH HHS/United States; GR: R25 CA113710/CA/NCI NIH HHS/United States; GR: RR026437/RR/NCRR NIH HHS/United States
Place of Publication
United States
ISSN/ISBN
1538-7755; 1055-9965
Accession Number
PMID: 24836469
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1158/1055-9965.EPI-13-0939 [doi]
Output Language
Unknown(0)
PMID
24836469
Abstract
BACKGROUND: Water pipe tobacco smoking is spreading globally and is increasingly becoming popular in the United States, particularly among young people. Although many perceive water pipe smoking to be relatively safe, clinical experimental studies indicate significant exposures to tobacco smoke carcinogens following water pipe use. We investigated biomarkers of nicotine intake and carcinogen exposure from water pipe smoking in the naturalistic setting of hookah bars. METHODS: Fifty-five experienced water pipe users were studied before and after smoking water pipe in their customary way in a hookah bar. Urine samples were analyzed for nicotine, cotinine, the tobacco-specific nitrosamine, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL), and mercapturic acid metabolites of volatile organic compounds (VOC). RESULTS: We found an average 73-fold increase in nicotine, 4-fold increase in cotinine, 2-fold increase in NNAL, and 14% to 91% increase in VOC mercapturic acid metabolites immediately following water pipe smoking. We saw moderate to high correlations between changes in tobacco-specific biomarkers (nicotine, cotinine, and NNAL) and several mercapturic acid metabolites of VOCs. CONCLUSION: Water pipe smoking in a hookah bar is associated with significant nicotine intake and carcinogen exposure. IMPACT: Given the significant intake of nicotine and carcinogens, chronic water pipe use could place users at increased risk of cancer and other chronic diseases. Cancer Epidemiol Biomarkers Prev; 23(6); 1055-66. (c)2014 AACR.
Descriptors
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Book Title
Database
Publisher
American Association for Cancer Research
Data Source
Authors
St Helen,G., Benowitz,N.L., Dains,K.M., Havel,C., Peng,M., Jacob,P.,3rd
Original/Translated Title
URL
Date of Electronic
20140516
PMCID
PMC4047652
Editors
Levels of Urine Cotinine from Hookah Smoking and Exposure to Hookah Tobacco Secondhand Smoke in Hookah Lounges and Homes 2018 Center for Behavioral Epidemiology and Community Health (CBEACH), Graduate School of Public Health, Division of Health Promotion, San Diego State University, San Diego, California, U.S.A.; Center for Behavioral Epidemiology and Community Health (TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International journal of high risk behaviors & addiction
Periodical, Abbrev.
Int.J.High.Risk Behav.Addict.
Pub Date Free Form
Mar
Volume
7
Issue
1
Start Page
10.5812/ijhrba.67601. Epub 2018 Feb 19
Other Pages
Notes
LR: 20181114; GR: R01 CA138192/CA/NCI NIH HHS/United States; GR: R01 HL103684/HL/NHLBI NIH HHS/United States; JID: 101589648; NIHMS966762; OTO: NOTNLM; 2018/05/29 06:00 [entrez]; 2018/05/29 06:00 [pubmed]; 2018/05/29 06:01 [medline]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
2251-8711; 2251-8711
Accession Number
PMID: 29805963
Language
eng
SubFile
Journal Article
DOI
e67601 [pii]
Output Language
Unknown(0)
PMID
29805963
Abstract
Background: Nicotine, an addictive drug, is present in all forms of tobacco products, including hookah tobacco, which is not yet regulated in the United States. Objectives: This study aimed to investigate the uptake of nicotine in hookah smokers and non-smokers exposed to secondhand smoke (SHS) at indoor hookah social events in natural settings where hookah tobacco was smoked exclusively. Patients and Methods: We quantified cotinine, a metabolite of nicotine, in the urine of 105 hookah smokers and 103 non-smokers. Participants provided spot urine samples the morning of and the morning after attending an indoor hookah-only smoking social event at a hookah lounge or in a private home. Results: Following a social event where exclusively hookah tobacco was smoked, urinary cotinine levels increased significantly 8.5 times (geometric mean (GM): 16.0 ng/mg to 136.1 ng/mg) among hookah smokers, and 2.5 times (GM: 0.4 ng/mg to 1.0 ng/mg) among non-smokers exposed exclusively to hookah tobacco SHS. Among hookah smokers, the highest increase in urinary cotinine levels post a hookah event was found in occasional hookah smokers in which GM levels increased significantly 31.2 times post smoking (from 2.0 ng/mg to 62.3 ng/mg). Reported reasons for preference to smoke hookah at home by hookah smokers who attended a hookah social event in a private home included recreational purposes, socializing with friends and family, 'Me' time and relaxing at home, more comfortable to smoke hookah at home, owning a hookah and hookah tobacco, eating and drinking while smoking hookah, and saving money by smoking at home and not going to hookah lounges. Conclusions: Hookah tobacco smoke is a source of substantial nicotine exposure. Our results call for protecting hookah smokers' and non-smokers' health by requiring accurate hookah tobacco labels, raising taxes on hookah tobacco, reducing the spread of hookah lounges, and encouraging voluntary bans on smoking hookah tobacco in private homes.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Kassem,N.O.F., Kassem,N.O., Liles,S., Jackson,S.R., Posis,A.I.B., Chatfield,D.A., Hovell,M.F.
Original/Translated Title
URL
Date of Electronic
20180219
PMCID
PMC5967845
Editors
Arab-American Hookah Smokers: Initiation, and Pros and Cons of Hookah Use 2015 Center for Behavioral Epidemiology and Community Health (CBEACH), San Diego State University Research Foundation, San Diego, CA, USA. nadakassem@hotmail.com.; Center for Behavioral Epidemiology and Community Health (CBEACH), San Diego State University Res
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Health Behavior
Periodical, Abbrev.
Am.J.Health Behav.
Pub Date Free Form
Sep
Volume
39
Issue
5
Start Page
680
Other Pages
697
Notes
JID: 9602338; ppublish
Place of Publication
United States
ISSN/ISBN
1945-7359; 1087-3244
Accession Number
PMID: 26248178
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.5993/AJHB.39.5.10 [doi]
Output Language
Unknown(0)
PMID
26248178
Abstract
OBJECTIVES: To examine initiation, pros and cons of hookah tobacco smoking among Arab Americans. METHODS: In this descriptive cross-sectional study, we recruited a community-based convenience sample of 458 adult Arab-American hookah smokers, mean age 28.4 years, who completed self-administered questionnaires. RESULTS: Irrespective of sex, most participants initiated hookah tobacco use by young adulthood in private homes or hookah lounges influenced by friends and family. Women initiated hookah use later than men. Ever dual smokers (hookah smokers who ever smoked a cigarette) initiated hookah use later than cigarettes; however, early hookah initiators
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Kassem,N.O., Kassem,N.O., Jackson,S.R., Daffa,R.M., Liles,S., Hovell,M.F.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Hookah Smoking and Facilitators/Barriers to Lounge Use among Students at a US University 2015 Center for Behavioral Epidemiology and Community Health (CBEACH), San Diego State University Research Foundation, San Diego, CA, USA. nadakassem@hotmail.com.; Center for Behavioral Epidemiology and Community Health (CBEACH), San Diego State University Res
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Health Behavior
Periodical, Abbrev.
Am.J.Health Behav.
Pub Date Free Form
Nov
Volume
39
Issue
6
Start Page
832
Other Pages
848
Notes
LR: 20151013; GR: 5R01CA138192/CA/NCI NIH HHS/United States; GR: 5R01HL103684/HL/NHLBI NIH HHS/United States; GR: R01 CA138192/CA/NCI NIH HHS/United States; GR: R01 HL103684/HL/NHLBI NIH HHS/United States; JID: 9602338; NIHMS722080; OID: NLM: NIHMS722080
Place of Publication
United States
ISSN/ISBN
1945-7359; 1087-3244
Accession Number
PMID: 26450551
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.5993/AJHB.39.6.11 [doi]
Output Language
Unknown(0)
PMID
26450551
Abstract
OBJECTIVE: To examine hookah tobacco use, hookah lounge attendance, and facilitators and barriers to hookah lounge attendance. METHODS: A cross-sectional Web-based survey of a random sample of 1332 undergraduate students (Mean Age = 21.2 years) attending a United States university. RESULTS: The majority of respondents (72.8%) had ever smoked hookah tobacco, and 28% of those had ever smoked during adolescence. The majority of ever hookah smokers (81.5%) and a portion of never hookah smokers (20%) had ever been to a hookah lounge. The adjusted odds of ever visiting a hookah lounge were 2.1 times higher among participants who reported that the closest hookah lounge to the university was /= 5 miles away. Facilitators of visiting hookah lounges included friends and close proximity of hookah lounges to campus; barriers included cost of smoking hookah, crowded lounges, and having to be 18 years old. CONCLUSION: Youth are vulnerable to experimenting with hookah tobacco smoking. Hookah lounges provide patrons the opportunity to smoke hookah tobacco with smoker and non-smoker friends in entertaining settings. Our findings suggest that zoning laws and anti-hookah smoking legislation may help curb hookah uptake by prohibiting hookah lounges from opening in close proximity to universities, reducing the density of hookah lounges in cities, and raising the admission age for hookah lounges to 21 years.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Kassem,N.O., Jackson,S.R., Boman-Davis,M., Kassem,N.O., Liles,S., Daffa,R.M., Yasmin,R., Madanat,H., Hovell,M.F.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC4594953
Editors
Children's exposure to secondhand and thirdhand smoke carcinogens and toxicants in homes of hookah smokers 2014 Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, Division of Health Promotion, San Diego State University, San Diego, CA; nadakassem@hotmail.com.; Center for Behavioral Epidemiology and Community Health, Graduate
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
Jul
Volume
16
Issue
7
Start Page
961
Other Pages
975
Notes
LR: 20151119; CI: (c) The Author 2014; GR: CA-81301/CA/NCI NIH HHS/United States; GR: P30 DA012393/DA/NIDA NIH HHS/United States; GR: P30 DA012393/DA/NIDA NIH HHS/United States; GR: R01 CA138192-01A1/CA/NCI NIH HHS/United States; GR: R01HL103684-01A1/HL/N
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 24590387
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/ntr/ntu016 [doi]
Output Language
Unknown(0)
PMID
24590387
Abstract
INTRODUCTION: We examined homes of hookah-only smokers and nonsmokers for levels of indoor air nicotine (a marker of secondhand smoke) and indoor surface nicotine (a marker of thirdhand smoke), child uptake of nicotine, the carcinogen 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK), and the toxicant acrolein by analyzing their corresponding metabolites cotinine, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) and NNAL-glucuronides (total NNAL) and 3-hydroxypropylmercapturic acid. METHODS: Data were collected at 3 home visits during a 7-day study period from a convenience sample of 24 households with a child 5 years or younger. Three child urine samples and 2 air and surface samples from the living room and the child bedroom were taken in homes of nonsmokers (n = 5) and hookah-only smokers (n = 19) comprised of daily hookah smokers (n = 8) and weekly/monthly hookah smokers (n = 11). RESULTS: Nicotine levels in indoor air and on surfaces in the child bedrooms in homes of daily hookah smokers were significantly higher than in homes of nonsmokers. Uptake of nicotine, NNK, and acrolein in children living in daily hookah smoker homes was significantly higher than in children living in nonsmoker homes. Uptake of nicotine and NNK in children living in weekly/monthly hookah smoker homes was significantly higher than in children living in nonsmoker homes. CONCLUSIONS: Our data provide the first evidence for uptake of nicotine, the tobacco-specific lung carcinogen NNK, and the ciliatoxic and cardiotoxic agent acrolein in children living in homes of hookah smokers. Our findings suggest that daily and occasional hookah use in homes present a serious, emerging threat to children's long-term health.
Descriptors
Links
Book Title
Database
Publisher
. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco
Data Source
Authors
Kassem,N.O., Daffa,R.M., Liles,S., Jackson,S.R., Kassem,N.O., Younis,M.A., Mehta,S., Chen,M., Jacob,P.,3rd, Carmella,S.G., Chatfield,D.A., Benowitz,N.L., Matt,G.E., Hecht,S.S., Hovell,M.F.
Original/Translated Title
URL
Date of Electronic
20140303
PMCID
PMC4072898
Editors