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Factors related to frequency of narghile (waterpipe) use: The first insights on tobacco dependence in narghile users 2004 Maziak, W., Syrian Center for Tobacco Studies, P.O. Box 16542, Aleppo, Syrian Arab Republic
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Drug and alcohol dependence
Periodical, Abbrev.
Drug Alcohol Depend.
Pub Date Free Form
2004/10
Volume
76
Issue
1
Start Page
101
Other Pages
106
Notes
Place of Publication
ISSN/ISBN
0376-8716
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Aims: To evaluate factors related to level of narghile (waterpipe) use as a first step towards modeling tobacco dependence among narghile users. Design: Cross sectional survey done in 2003 using interviewer-administered anonymous questionnaires. Setting: Cafes/restaurants serving narghiles in Aleppo, Syria. Participants: Narghile smokers (161 men and 107 women; mean age, 30.1 ± 10.2, 161; age range, 18-68 years; response rate, 95.3%) randomly selected from the 17 cafes/restaurants sampled. Measurements: Frequency of narghile use (daily, weekly, monthly) was assessed as a function of several factors potentially indicative of dependence, including situational characteristics (where, when, and with whom smoking occurs; seasonality of use, and sharing of narghile), attitudes, and experience with quitting narghile use, escalation of use over time, future intentions regarding use, perception of being "hooked" on narghile, and cognitions/behaviors engaged in to support use (carrying one's own narghile; think of narghile when it is not available; considering narghile for selection of cafes/restaurants). Findings: Frequency of narghile use was strongly correlated with participant's subjective judgment of how hooked they are on narghile (coefficient, 0.5). Predictors of narghile use frequency according to multinomial logistic regression were: male gender, smoking mainly alone versus with others; smoking mainly at home versus outside; smoking more frequently since initiation, being hooked on narghile, carrying narghile, and considering it for cafe/restaurant choice. Conclusions: Our data reveal two main domains of a tobacco dependence syndrome likely to be relevant to narghile; the first reflects the effects of nicotine contained in narghile tobacco, and is not very different from what is seen with other tobacco products, and the second is unique to narghile and is related mainly to its social dimension, with more intensive smokers showing an increasingly individual pattern of narghile smoking. © 2004 Elsevier Ireland Ltd. All rights reserved.
Descriptors
adult, aged, article, behavior, catering service, cognition, correlation analysis, female, human, logistic regression analysis, male, prevalence, priority journal, questionnaire, smoking, Syrian Arab Republic, tobacco dependence, tube
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Maziak,W., Ward,K. D., Eissenberg,T.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Otoscopic appearances and tympanometric changes in narghile smokers 2004 Effat, K.G., Medinet El-Mohandeseen, Giza, Egypt
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of Laryngology and Otology
Periodical, Abbrev.
J.Laryngol.Otol.
Pub Date Free Form
/
Volume
118
Issue
10
Start Page
818
Other Pages
821
Notes
Place of Publication
ISSN/ISBN
0022-2151
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Narghile (water-pipe) smoking requires the generation of significant negative intrapharyngeal pressure, which may be transmitted to the middle ear through the Eustachian tube. A total of 80 ears from regular narghile smokers were examined otoscopically and by tympanometry. Seventy ears from heavy cigarette smokers were similarly examined and served as a control group. There was a highly significant increase in the prevalence of attic retractions (P 0.05).
Descriptors
adult, aged, article, atmospheric pressure, auditory tube, cholesteatoma, smoking, clinical article, controlled study, cultural factor, human, male, middle ear pressure, Middle East, narghile smoker, otoscopy, prevalence, smoking habit, swallowing, tympanometry
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Effat,K. G.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Prevalence and characteristics of narghile smoking among university students in Syria 2004 Maziak, W., Syrian Center for Tobacco Studies, Aleppo, Syrian Arab Republic
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International Journal of Tuberculosis and Lung Disease
Periodical, Abbrev.
Int.J.Tuberc.Lung Dis.
Pub Date Free Form
/
Volume
8
Issue
7
Start Page
882
Other Pages
889
Notes
Place of Publication
ISSN/ISBN
1027-3719
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
SETTING: Narghile (waterpipe) smoking is increasing in all Arab societies, but little is known about its pattern of use. METHODS: In 2003, a cross-sectional survey was conducted among students at Aleppo University using an interviewer-administered questionnaire. A representative sample of 587 students participated (278 males, 309 females; mean age 21.8 ± 2.1 years; response rate 98.8%). RESULTS: Ever narghile smoking was seen among 62.6% of men and 29.8% of women, while current smoking was seen among 25.5% of men and 4.9% of women. Only 7.0% of the men used narghile daily. Age of initiation was 19.2 ± 2.2 and 21.7 ± 3.2 years for men and women, respectively (P < 0.001). The salient feature of narghile smoking was its social pattern, where most users initiated and currently smoked narghile with friends. Narghile and cigarette smoking were related among students, with narghile smoking most prevalent among daily cigarette smokers. Multivariate correlates of narghile smoking were being older, male, originating from the city, smoking cigarettes, having friends who smoke narghile, and coming from a household where a greater number of narghiles were smoked daily. CONCLUSIONS: Narghile smoking is prevalent among university students in Syria, where it is mainly practiced by men, intermittently, and in the context of social activities with friends.
Descriptors
adult, age, article, smoking, college student, female, gender, health survey, human, male, prevalence, priority journal, social aspect, social behavior, Syrian Arab Republic
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Maziak,W., Fouad,F. M., Asfar,T., Hammal,F., Bachir,E. M., Rastam,S., Eissenberg,T., Ward,K. D.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Prevalence and determinants of water pipe or narghile use among students in Beirut&#39;s southern suburbs 2004 Zoughaib, S.S., Beirut, Lebanon
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal Medical Libanais
Periodical, Abbrev.
J.Med.Liban.
Pub Date Free Form
/
Volume
52
Issue
3
Start Page
142
Other Pages
148
Notes
Place of Publication
ISSN/ISBN
0023-9852
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
OBJECTIVES: Measuring the prevalence and determinants of narghile smoking among teenagers in schools in the southern suburbs (Dahia) of Beirut, Lebanon. METHODS: A simplified questionnaire was self-completed by intermediate and secondary students selected from private and public schools in Dahia the year 2001-2002. Variables obtained included details on narghile and cigarette smoking, sociodemographic characteristics of the student and his/her family, friendship networks, and beliefs regarding health. RESULTS : A total of 1461 students completed the questionnaire, of which 24% admitted regularly (> once/week) smoking the narghile and 14.4% occasionally, with a male predominance. The initiation was at about 13.6 yrs of age, but it varied from as low as 5 to 18 yrs. At least 28% of first narghile trial took place with a member of the immediate family, even though 58.2% initiated with a user friend. The monthly cost of using narghile did not exceed 7 USD for about half of narghile users in that area. CONCLUSIONS: Narghile use is a behavior gaining in importance in Lebanon in general, and in the Dahia area in particular. Its initiation among adolescents means that the probability of addiction is higher and the adverse health consequences are potentially more severe. It requires immediate interventional procedures including the launching of a campaign of national awareness for which hard data, such as those provided by this study, will be needed.
Descriptors
addiction, adolescent, adult, article, child, child behavior, smoking, female, health education, human, Lebanon, male, narghile, normal human, prevalence, questionnaire, tobacco
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Zoughaib,S. S., Adib,S. M., Jabbour,J.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Towards a topographical model of narghile water-pipe café smoking: A pilot study in a high socioeconomic status neighborhood of Beirut, Lebanon 2004 Shihadeh, A., Department of Mechanical Engineering, American University of Beirut, P.O. Box 11-0236, Riad El S., Beirut, Lebanon
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Pharmacology Biochemistry and Behavior
Periodical, Abbrev.
Pharmacol.Biochem.Behav.
Pub Date Free Form
/
Volume
79
Issue
1
Start Page
75
Other Pages
82
Notes
Place of Publication
ISSN/ISBN
0091-3057
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
A pilot study of narghile water-pipe smokers in a cafe in the Hamra neighborhood of Beirut, Lebanon, was conducted to develop a preliminary model of narghile water-pipe smoking behavior for use in laboratory smoking machine studies. The model is based on data gathered from smoking sessions of 30 min or longer duration from 52 smoker volunteers using a differential pressure puff topography instrument, as well as anonymous visual observations of 56 smokers in the same cafe. Results showed that the "average" water-pipe cafe smoking session consists of one hundred seventy-one 530-ml puffs of 2.6-s duration at a frequency of 2.8 puffs/min. The implications of this comparatively high-intensity puffing regimen on the production of toxic smoke constituents are discussed. © 2004 Elsevier Inc. All rights reserved.
Descriptors
adult, article, behavior, comparative study, female, human, devices, laboratory, Lebanon, male, pilot study, priority journal, smoking, social status, topography
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Shihadeh,A., Azar,S., Antonios,C., Haddad,A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
hookah (shisha, narghile) and our teenagers in the USA and Europe 2003
Source Type
Print(0)
Ref Type
Generic
Periodical, Full
J Egypt Soc Parasitol
Periodical, Abbrev.
J.Pediatr.Health Care
Pub Date Free Form
Volume
22; 33
Issue
4; 3
Start Page
270; author reply 270; 1087
Other Pages
270; author reply 270; 101
Notes
TY: JOUR; ID: 18590877; ID: 15119472
Place of Publication
ISSN/ISBN
Accession Number
Language
en; en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
An interview survey was carried out in a rural village and two nearby schools in Qalyubia Governorate to assess the pattern of smoking and knowledge about religious ruling (Fatwa) and its impact on the quit attempts. Also, a similar survey was conducted in 6 Shisha cafés in Cairo. The results showed that the majority of respondents (81% among rural adults, 83.2% among Shisha café patrons, 73.3% among rural youth and 81.4% among rural students) knew about the Fatwa on smoking. Higher proportions of all participants thought that smoking is a sin (97.3% among rural adults, 80.8% among Shisha café patrons, 94.4% among rural youth and 98.4% among rural students). There was a significantly higher knowledge about Fatwa on smoking among men than women. This indicates a successful outreach program targeted mainly to men through mosques. Knowledge about Fatwa on smoking increased significantly with increased exposure to antismoking messages from religious leader. Knowledge about the Fatwa on smoking or belief that smoking is a sin had no significant effect on quit attempts. Our results point to the need for intensive efforts on the part of religious leaders to translate the current belief that smoking is a sin into quitting among smokers. Better results may be achieved through personal interactions in small groups rather than in mosque settings.
Descriptors
Smoking, Adolescent, Europe, Humans, United States, Health Knowledge, Attitudes, Practice, Religion, Smoking/epidemiology, Adult, Child, Egypt/epidemiology, Female, Male, Restaurants, Rural Health, Smoking/prevention & control, Smoking Cessation
Links
http://dx.doi.org/10.1016/j.pedhc.2008.03.003; http://pesquisa.bvsalud.org/ghl/resource/en/mdl-15119472
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/; MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Chaouachi,Kamal, Radwan,Ghada N., Israel,Ebenezer, El-Setouhy,Maged, Abdel-Aziz,Fatma, Mikhail,Nabiel, Mohamed,Mostafa K.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Narghile (water pipe) smoking influences platelet function and (iso-)eicosanoids 2003 Sinzinger, H., Inst. Diagn./Treatm. Lipid D., A-1090 Vienna, Austria
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Life Sciences
Periodical, Abbrev.
Life Sci.
Pub Date Free Form
2003/11
Volume
74
Issue
1
Start Page
47
Other Pages
53
Notes
Place of Publication
ISSN/ISBN
0024-3205
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
The biological effects of smoking water pipe on haemostasis and the eicosanoid system is unknown. Water pipe smoking is familiar to approximately 1 billion people around the world. Considering this quite impressive number, we investigated the potential effect of smoking the Narghile on oxidation injury by monitoring parameters of the (iso)eicosanoid system. Patients were allowed to smoke a water pipe once daily for 14 days. Blood was drawn from 7 healthy adult non-cigarette smoking male volunteers before and immediately after the first smoking of the water pipe and additionally after 6 hours. One and 2 weeks thereafter, blood was drawn again before and after smoking. A total of 7 blood samples was drawn during the study, and parameters of in vivo oxidation injury (8-epi-PGF2α, malondialdehyde [MDA]) and haemostasis (11-dehydro-thromboxane B2 [11-DH-TXB2]) were investigated. A single smoking session increased oxidation injury (8-epi-PGF2α: p = 0.03; MDA: p = 0.001) and 11-DH-TXB 2 (p = 0.00003) significantly, and repeated daily smoking induced a persistent long-lasting oxidation injury reflected by elevated prevalues but a smaller response to the actual water pipe smoke. These findings indicate a significant increase of in vivo oxidative stress by regular water pipe smoking. © 2003 Elsevier Inc. All rights reserved.
Descriptors
11 oxothromboxane B2, 8 isoprostaglandin E2, icosanoid, malonaldehyde, article, blood sampling, smoking, controlled study, electric potential, hemostasis, human, human experiment, in vivo study, male, normal human, oxidation, thrombocyte function
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Wolfram,R. M., Chehne,F., Oguogho,A., Sinzinger,H.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Narghile (hubble-bubble) smoking, low birth weight, and other pregnancy outcomes 1998 Nuwayhid, I.A., American University of Beirut, New York, NY 10022, United States
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Epidemiology
Periodical, Abbrev.
Am.J.Epidemiol.
Pub Date Free Form
1998/08
Volume
148
Issue
4
Start Page
375
Other Pages
383
Notes
Place of Publication
ISSN/ISBN
0002-9262
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Narghile smoking, a common habit among women in many non-Western societies, is assumed by the public to be minimally harmful. This study aims at identifying the effect of smoking narghiles during pregnancy on the weight of the newborn and other pregnancy outcomes. Three groups of pregnant women were interviewed in several hospitals in Lebanon between 1993 and 1995: 106 who smoked narghiles during their pregnancy, 277 who smoked cigarettes, and 512 who did not smoke. The adjusted mean birth weight of babies born to women who smoked one or more narghiles a day during pregnancy and to women who started smoking in the first trimester was more than 100 g less than that of babies born to nonsmokers (p < 0.1). The adjusted odds ratio of having babies with low birth weight (<2,500 g) among the narghile smokers was 1.89 (95% confidence interval (CI) 0.67-5.38). The risk increased to 2.62 (95% CI 0.90- 7.66) among those who started smoking narghiles in the first trimester. A stronger association and a dose-response relation were found among cigarette smokers. The association between narghile smoking and other pregnancy outcomes, especially Apgar score and respiratory distress, was also noticeable. Further research and a policy action to fight the misperception that narghile smoking is safe are both recommended.
Descriptors
adult, Apgar score, article, controlled study, female, fetus outcome, human, Lebanon, low birth weight, major clinical study, respiratory distress, risk assessment, risk factor, smoking
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Nuwayhid,I. A., Yamout,B., Azar,G., Kambris,M. A. K.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors