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Waterpipe (shisha) smoking among adolescents in Germany: Results of the KiGGS study: first follow-up (KiGGS Wave 1) 2015 Abteilung fur Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Str. 62-66, 12101, Berlin, Deutschland, b.kuntz@rki.de.
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Journal Article
Periodical, Full
Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Periodical, Abbrev.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz
Pub Date Free Form
Apr
Volume
58
Issue
5-Apr
Start Page
467
Other Pages
473
Notes
LR: 20160707; JID: 101181368; ppublish
Place of Publication
Germany
ISSN/ISBN
1437-1588; 1436-9990
Accession Number
PMID: 25665891
Language
ger
SubFile
English Abstract; Journal Article; IM
DOI
10.1007/s00103-015-2128-3 [doi]
Output Language
Unknown(0)
PMID
25665891
Abstract
BACKGROUND: At the beginning of the 21st century, waterpipe (shisha) smoking has become a new and global youth trend in tobacco consumption. Despite the fact that this type of tobacco use can also lead to serious health problems, there are only a few studies on this topic in Germany. OBJECTIVES: The aim of this study was to determine the prevalence of waterpipe smoking among 12- to 17-year-old adolescents. Age- and sex-related differences were analyzed and, for the first time in Germany, the association between parental socioeconomic status and waterpipe use was examined. MATERIALS AND METHODS: Data were obtained from the first follow-up of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS Wave 1), which was conducted from 2009 to 2012. Waterpipe smoking was assessed among adolescents aged 12 to 17 years using three items (n = 4,543). We calculated prevalence rates and age-adjusted odds ratios (OR) with 95 % confidence intervals (95 % CI). RESULTS: Lifetime prevalence of waterpipe use was 28.9 % (95 % CI: 26.9-31.0). Approximately one fifth (20.6 %; 95 % CI: 18.8-22.6) of the adolescents reported waterpipe use in the past 12 months, one tenth (10.0 %; 95 % CI: 8.6-11.6) reported current use (at least once during the past 30 days). In both sexes, prevalence increased with age. Waterpipe smoking rates were significantly higher among boys than girls, while no significant differences were found regarding parental socioeconomic status. CONCLUSIONS: A considerable number of adolescents in Germany are at least occasional waterpipe (shisha) smokers. Because of waterpipe related health and addiction risks that are often underestimated by adolescents, specific health education and prevention measures are necessary.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Kuntz,B., Lampert,T., KiGGS Study Group
Original/Translated Title
Wasserpfeifenkonsum (Shisha-Rauchen) bei Jugendlichen in Deutschland : Ergebnisse der KiGGS-Studie - Erste Folgebefragung (KiGGS Welle 1)
URL
Date of Electronic
PMCID
Editors
The Relationship of "Shisha" (Water Pipe) Smoking to Postextraction Dry Socket 2004 Al-Belasy, F.A., Oral Surgery Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of Oral and Maxillofacial Surgery
Periodical, Abbrev.
J.Oral Maxillofac.Surg.
Pub Date Free Form
/
Volume
62
Issue
1
Start Page
10
Other Pages
14
Notes
Place of Publication
ISSN/ISBN
0278-2391
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Purpose: This study was undertaken to determine whether "shisha" (water pipe) smokers (SS) were at a different risk of developing dry socket (DS) than were cigarette smokers (CS) or nonsmokers (NS) and to assess the effect of preoperative and postoperative smoking habits on the incidence of DS. Materials and Methods: One hundred NS, 100 CS, and 100 SS were enrolled. Surgery for removal of mandibular third molars was performed under local anesthesia with no incision or bone removal. At 1, 4, and 7 days after surgery, postoperative evaluation and postoperative smoking were recorded by the same examiner. The χ2 test was used for statistical analysis of results. Statistical significance was defined as a value of P < .05. Results: Smokers had 2 to 3 times the risk of NS for developing DS. Although SS had a greater incidence of DS than did CS, the difference was not significant (P = .083). The incidence of DS was not age dependent. Smokers who smoked the day of surgery had a significantly higher incidence of DS than did smokers who smoked the second day after surgery. Compared with NS, CS who smoked the day of surgery and SS who smoked the day of surgery or the first day after surgery had a significantly increased incidence of DS (CS/NS, day 0, P = .001; SS/NS, day 0, P = .001; day 1, P = .005). Conclusion: SS had 3 times the risk of NS for developing DS, but there was no statistically significant difference between SS and CS. Increased frequency of smoking and smoking during the day of surgery significantly increased the incidence of DS. © 2004 American Association of Oral and Maxillofacial Surgeons.
Descriptors
adult, article, controlled study, high risk population, human, incidence, major clinical study, male, molar tooth, postoperative period, preoperative evaluation, smoking, tooth extraction, tooth pain
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Al-Belasy,F. A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Measuring the acute cardiovascular effects of shisha smoking: a cross-sectional study 2014 Cardiothoracic Medicine, St. George's Hospital Medical School, London SW17 0RE, UK.; Cardiothoracic Medicine, St. George's Hospital Medical School, London SW17 0RE, UK.; Cardiothoracic Medicine, St. George's Hospital Medical School, London SW17 0RE, UK.;
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
JRSM open
Periodical, Abbrev.
JRSM Open
Pub Date Free Form
6-May
Volume
5
Issue
6
Start Page
2.05427E+15
Other Pages
Notes
LR: 20150206; JID: 101625786; OID: NLM: PMC4100228; OTO: NOTNLM; 2014/06 [ecollection]; 2014/05/06 [epublish]; epublish
Place of Publication
England
ISSN/ISBN
2054-2704; 2054-2704
Accession Number
PMID: 25057403
Language
eng
SubFile
Journal Article
DOI
10.1177/2054270414531127 [doi]
Output Language
Unknown(0)
PMID
25057403
Abstract
OBJECTIVES: To investigate the acute cardiovascular effects of smoking shisha. DESIGN: A cross-sectional study was carried out in six shisha cafes. Participants smoked shisha for a period between 45 min (minimum) and 90 min (maximum). The same brand of tobacco and coal was used. SETTING: London, UK. PARTICIPANTS: Participants were those who had ordered a shisha to smoke and consented to have their blood pressure, heart rate and carbon monoxide levels measured. Excluded subjects were those who had smoked shisha in the previous 24 h, who smoke cigarettes or who suffered from cardiorespiratory problems. MAIN OUTCOME MEASURES: Blood pressure was measured using a sphygmomanometer. Pulse was measured by palpation of the radial artery. Carbon monoxide levels were obtained via a carbon monoxide monitor. These indices were measured before the participants began to smoke shisha and after they finished or when the maximum 90 min time period was reached. RESULTS: Mean arterial blood pressure increased from 96 mmHg to 108 mmHg (p
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Kadhum,M., Jaffery,A., Haq,A., Bacon,J., Madden,B.
Original/Translated Title
URL
Date of Electronic
20140506
PMCID
PMC4100228
Editors
The medical consequences of narghile (hookah, shisha) use in the world 2007 Chaouachi, K., Maisonneuve et Larose, Département des auteurs, 75005 Paris, France
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Revue d'epidemiologie et de sante publique
Periodical, Abbrev.
Rev.Epidemiol.Sante Publ.
Pub Date Free Form
/
Volume
55
Issue
3
Start Page
165
Other Pages
170
Notes
Place of Publication
ISSN/ISBN
0398-7620
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Background: Hookah (narghile, shisha) smoking is growing worldwide and particularly in France. The main reasons for this are: first, the arrival on the market of new highly flavored tobacco-based mixtures; second, a new type of charcoal used as a quick heating source; third, the pleasure to experiment with an exotic orientalist practice or the desire to return to the corresponding tradition; fourth, the belief that water filtration would lower the risk of smoking. Methods and results: Long-term epidemiological data on complications are scarce. Little is known about qualitative and quantitative transformations occurring when hookah is smoked (in particular regarding carcinogenic agents). Such information will be difficult to collect due to the lack of standardization for this mode of tobacco use. The only current consensus on this issue is that a significant amount of carbon monoxide is produced by the charcoal used to heat and distil the tobacco-molasses mixture. Apart from direct inhalation, concentrations measured in some fashionable hookah lounges and bars are particularly high. Moreover, the additives contained in the widely used quick-lighting charcoals and their harmlessness remain unknown. Conclusion: This study sets out the available scientific knowledge regarding the real medical consequences related to the growing use of hookah and focuses on the best known and urgent issue, i.e. concern related to carbon monoxide intoxication in a very peculiar context. © 2007 Elsevier Masson SAS. All rights reserved.
Descriptors
carcinogen, charcoal, drug additive, molasses, article, smoking, consensus, health hazard, heating, hookah smoking, human, smoking habit, standardization
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Chaouachi,K.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Water pipe (shisha) smoking and associated factors among Malaysian university students 2011 Community Medicine Department, International Medical School, Management and Science University, Malaysia. radhwan888@yahoo.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Asian Pacific journal of cancer prevention : APJCP
Periodical, Abbrev.
Asian Pac.J.Cancer.Prev.
Pub Date Free Form
Volume
12
Issue
11
Start Page
3041
Other Pages
3047
Notes
LR: 20151119; JID: 101130625; ppublish
Place of Publication
Thailand
ISSN/ISBN
1513-7368; 1513-7368
Accession Number
PMID: 22393987
Language
eng
SubFile
Journal Article; IM
DOI
Output Language
Unknown(0)
PMID
22393987
Abstract
OBJECTIVE: The objective of this study was to determine the prevalence of waterpipe (shisha) smoking and associated factors among Malaysian university students. METHODOLOGY: A total of 200 university students from Management and Science University participated in this study. The survey was conducted by simple random sampling by randomly distributing self-administered questionnaires to the library, cafeterias and classes. The protocol of this study was approved by the ethics committee of Management and Science University. Consent forms were obtained from the students before they answered the questionnaire. Statistical analyses were performed using the Statistical Package for Social Science (SPSS) version 13. with the Student's t-test for comparison of the mean practice and backward multiple linear regression for multivariate analysis. RESULTS: The majority of the subjects were male, single, Malay and from urban areas (61.5%, 94.5%, 66%, 76.5%; respectively). In this study 30% of the study participants were shisha smokers. Regarding knowledge about shisha smoking, the majority (48.5%) mentioned that shisha is less harmful than cigarettes and 55% reported that shisha is less addictive. Univariate analysis showed that age, race, sex and income significantly influenced the practice of smoking shisha among university students (p=0.019, p=0.002, p=0.001, p=0.018; respectively). For multivariate analysis, income and gender demonstrated significant influence (both p=0.001). CONCLUSION: There was a high prevalence of shisha smoking among Malaysian university students and knowledge about the dangers is low. Income and gender significantly influenced the practice of smoking shisha in our population. Banning of smoking including shisha smoking in public places is strongly recommended.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Al-Naggar,R.A., Saghir,F.S.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Shisha smoking and associated factors among medical students in Malaysia 2012 Community Medicine Department, International Medical School, Management and Science University, Shah Alam, Malaysia. radhwan888@yahoo.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Asian Pacific journal of cancer prevention : APJCP
Periodical, Abbrev.
Asian Pac.J.Cancer.Prev.
Pub Date Free Form
Volume
13
Issue
11
Start Page
5627
Other Pages
5632
Notes
LR: 20151119; JID: 101130625; ppublish
Place of Publication
Thailand
ISSN/ISBN
1513-7368; 1513-7368
Accession Number
PMID: 23317228
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
Output Language
Unknown(0)
PMID
23317228
Abstract
BACKGROUND: The aim of the study was to determine the prevalence of shisha smoking and associated factors among medical students in Malaysia. MATERIALS AND METHODS: A cross-sectional study was conducted at the Management and Science University from December 2011 until March 2012. The questionnaire consisted of five sections including socio-demographic, social environment, knowledge about shisha, psychosocial factors, and personal shisha smoking behavior. Obtained data were analyzed using Statistical Package for the Social Sciences (SPSS 13). T-test was used to determine the relationships between shisha smoking and socio-demographic characteristic. RESULTS: A total number of 300 medical students participated in this study. Mean age was 22.5+/-2.5 years. The majority were female, Malay, single, from urban areas (67%, 54%, 97%, 73%; respectively). The prevalence of shisha smoking among medical students was found to be 20%. The study revealed that many students believed that shisha does not contains nicotine, carbon monoxide, does not lead to lung cancer, dental problems and does not lead to cardiovascular diseases (25%, 20.7%, 22.3%, 29%, 26.7%; respectively). Age and sex were found to be significantly associated with smoking shisha status among medical students (p=0.029, p
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Al-Naggar,R.A., Bobryshev,Y.V.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Effect of shisha vs. cigarette smoking on endothelial function by brachial artery duplex ultrasonography: an observational study 2013 Department of Cardiology and Radiodiagnosis, Faculty of Medicine, Ain Shams University, Cairo-Egypt. Ghadaselim23@yahoo.com.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology
Periodical, Abbrev.
Anadolu Kardiyol Derg.
Pub Date Free Form
Dec
Volume
13
Issue
8
Start Page
759
Other Pages
765
Notes
JID: 101095069; CIN: Anadolu Kardiyol Derg. 2014 Jun;14(4):408. PMID: 24818978; 2013/11/25 [aheadofprint]; ppublish
Place of Publication
Turkey
ISSN/ISBN
1308-0032; 1302-8723
Accession Number
PMID: 24287354
Language
eng
SubFile
Journal Article; Observational Study; IM
DOI
10.5152/akd.2013.4499 [doi]
Output Language
Unknown(0)
PMID
24287354
Abstract
OBJECTIVE: In this study, we sought to investigate the effect of shisha smoking on endothelial function compared to cigarettes, using brachial artery ultrasound (BAUS) imaging in asymptomatic young adults with no other cardiovascular risk factors. METHODS: This is an observational case-control study where 30 young shisha smokers, 30 cigarette smokers and 10 healthy, non-smokers, age- matched subjects between 25-35 years old with no cardiovascular risk factors were recruited from all around Egypt. Flow-mediated dilation was assessed using brachial artery duplex ultrasonography. RESULTS: FMD% was significantly impaired among shisha smokers compared to cigarette smokers and non-smokers cigarettes (7.9 +/- 3.8% vs. 12 +/- 3.4% and 21.5 +/- 2.5% respectively p
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Selim,G.M., Elia,R.Z., El Bohey,A.S., El Meniawy,K.A.
Original/Translated Title
URL
Date of Electronic
20131125
PMCID
Editors
Knowledge, attitude and perception of water pipe smoking (Shisha) among adolescents aged 14-19 years 2008 Department of Community Health Sciences, Ziauddin University, Karachi.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
JPMA.The Journal of the Pakistan Medical Association
Periodical, Abbrev.
J.Pak.Med.Assoc.
Pub Date Free Form
Jun
Volume
58
Issue
6
Start Page
312
Other Pages
317
Notes
LR: 20151119; JID: 7501162; ppublish
Place of Publication
Pakistan
ISSN/ISBN
0030-9982; 0030-9982
Accession Number
PMID: 18988390
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
1419 [pii]
Output Language
Unknown(0)
PMID
18988390
Abstract
OBJECTIVE: To study the impact of educational intervention on knowledge, attitude and practices with regard to water pipe smoking among adolescents (14-19 years old) in Karachi. METHODS: A cross-sectional survey of adolescents aged 14-19 years studying at different educational institutions of Karachi, Pakistan was conducted through multistage sampling on a pre-tested self-administered questionnaire. They were divided into high, middle and lower socioeconomic strata on the basis of monthly fee structure. The impact of health messages was assessed two months after education sessions through post-test of only high and middle socioeconomic strata. RESULTS: A total of 646 students were surveyed for the pre test and 250 students for the post test. A significant association was found for water pipe smoking among the socioeconomic class (p < 0.001). Water pipe is more addictive as compared to cigarettes was marked by more students after the sessions (54% vs 68%; p < 0.001). A significant difference was seen for water pipe being more socially acceptable (58% vs 80%; p < 0.001), it is part of our cultural heritage (29% vs 58%; p < 0.001). CONCLUSION: Shisha smoking was more prevalent among the high socio economic group, which might be because of the cost, accessibility and availability. The knowledge of the students regarding water pipe smoking improved after the health awareness sessions.
Descriptors
Adolescent, Age Factors, Cross-Sectional Studies, Female, Health Education, Health Knowledge, Attitudes, Practice, Health Surveys, Humans, Male, Pakistan/epidemiology, Prevalence, Risk-Taking, Smoking/epidemiology, Social Perception, Socioeconomic Factors, Surveys and Questionnaires, Young Adult
Links
Book Title
Database
Publisher
Data Source
Authors
Anjum,Q., Ahmed,F., Ashfaq,T.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
The rise in narghile (shisha, hookah) waterpipe tobacco smoking: a qualitative study of perceptions of smokers and non smokers 2011 Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
14-May
Volume
11
Issue
Start Page
315
Other Pages
2458-11-315
Notes
LR: 20150204; JID: 100968562; 059QF0KO0R (Water); OID: NLM: PMC3112129; 2010/08/18 [received]; 2011/05/14 [accepted]; 2011/05/14 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 21569577
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1186/1471-2458-11-315 [doi]
Output Language
Unknown(0)
PMID
21569577
Abstract
BACKGROUND: The prevalence of waterpipe tobacco smoking (WTS) in the Middle East region and worldwide is increasing. There is evidence to indicate both short term and long term health effects of WTS, resulting in the issuance of an advisory note by the World Health Organization. METHODS: This research aimed at gaining an in-depth understanding of the factors contributing to the rise in WTS in Lebanon. Qualitative focus groups (25) and in-depth interviews (9) were conducted with adults in Lebanon in 2007. Participants were recruited to represent diversity in smoking status, gender, age groups and urban/rural residence. The interviews and focus groups were thematically analyzed, and recurrent themes noted and summarized. RESULTS: The main themes identified were availability, affordability, innovation, influence of media, lack of a policy framework, and the sensory characteristics evoked from WTS. Men and women, smokers and non-smokers, and younger and older participants differed in their emphases on the above themes. These themes, though specific to waterpipe, are similar to themes manipulated by the cigarette industry, and eventually controlled through tobacco control policies. CONCLUSIONS: Understanding reasons behind the rise in waterpipe tobacco use is important if appropriate prevention, cessation, and policy interventions are to be formulated. Strict adherence to the FCTC is warranted, with careful and vigilant attention that all tobacco products are covered by laws in both high as well as middle to lower income countries.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Nakkash,R.T., Khalil,J., Afifi,R.A.
Original/Translated Title
URL
Date of Electronic
20110514
PMCID
PMC3112129
Editors
The frequency of shisha (waterpipe) smoking in students of different age groups 2014 Department of Medicine, Ziauddin University, Karachi.; Department of Medicine, Ziauddin University, Karachi.; Department of Medicine, Ziauddin University, Karachi.; Department of Medicine, Ziauddin University, Karachi.; Department of Medicine, Ziauddin Un
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
Periodical, Abbrev.
J.Coll.Physicians Surg.Pak.
Pub Date Free Form
Apr
Volume
24
Issue
4
Start Page
265
Other Pages
268
Notes
LR: 20151119; JID: 9606447; 059QF0KO0R (Water); 2013/02/19 [received]; 2014/01/28 [accepted]; ppublish
Place of Publication
Pakistan
ISSN/ISBN
1681-7168; 1022-386X
Accession Number
PMID: 24709241
Language
eng
SubFile
Journal Article; IM
DOI
04.2014/JCPSP.265268 [doi]
Output Language
Unknown(0)
PMID
24709241
Abstract
OBJECTIVE: To determine the frequency of waterpipe smoking in students of different age groups. STUDY DESIGN: Cross-sectional survey. PLACE AND DURATION OF STUDY: Karachi, Pakistan, from February 2012 to February 2013. METHODOLOGY: The subjects were divided into two age groups. Group-I comprised of 13 - 17 years old randomly selected students from O' Level schools in Karachi and group-2 included 23 - 27 years old undergraduate and postgraduate students again randomly selected from various institutions in Karachi. A questionnaire was filled with prior consent, basic education on waterpipe smoking was given, and all the questions of the survey form were explained to the subjects according to context. RESULTS: In group-1, 39% students smoked waterpipe. Most students had been smoking waterpipe for the last 2 years. In group-2, 48% individuals smoked waterpipe, majority of smokers indulged in the last 5 years and among them, most were falling within the last 2 years. CONCLUSION: The frequency of waterpipe smoking in teenage students was 39% and older students for 48%. Social and recreational use of waterpipes is widespread among both groups despite being acknowledged by majority as a health hazard.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Basir,F., Khan,M.S., Ahmed,B., Farooq,W., Virji,R.N.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors