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Water-pipe smoking and metabolic syndrome: a population-based study 2012
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
PLoS One
Periodical, Abbrev.
Pub Date Free Form
Volume
7
Issue
7
Start Page
e39734
Other Pages
e39734
Notes
ID: 22848361
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Water-pipe (WP) smoking has significantly increased in the last decade worldwide. Compelling evidence suggests that the toxicants in WP smoke are similar to that of cigarette smoke. The WP smoking in a single session could have acute harmful health effects even worse than cigarette smoking. However, there is no evidence as such on long term WP smoking and its impact on chronic health conditions particularly cardiovascular and metabolic conditions. Therefore, we conducted this study to investigate the relationship between WP smoking and metabolic syndrome (MetS). This was a cross-sectional study carried out in Punjab province of Pakistan using the baseline data of a population-based study--Urban Rural Chronic Diseases Study (URCDS). Information was collected by trained nurses regarding the socio-demographic profile, lifestyle factors including WP smoking, current and past illnesses. A blood sample was obtained for measurement of complete blood count, lipid profile and fasting glucose level. MetS was ascertained by using the International Diabetic Federation's criteria. We carried out multiple logistic regressions to investigate the association between WP smoking and MetS. Final sample included 2,032 individuals--of those 325 (16.0%) were current WP smokers. Age adjusted-prevalence of MetS was significantly higher among current WP smokers (33.1%) compared with non-smokers (14.8%). Water-pipe smokers were three times more likely to have MetS (OR 3.21, 95% CI 2.38-4.33) compared with non-smokers after adjustment for age, sex and social class. WP smokers were significantly more likely to have hypertriglyceridemia (OR 1.63, 95% CI 1.25-2.10), hyperglycaemia (OR 1.82, 95% CI 1.37-2.41), Hypertension (OR 1.95, 95% CI 1.51-2.51) and abdominal obesity (OR 1.93, 95% CI 1.52-2.45). However, there were no significant differences in HDL level between WP smokers and non-smokers. This study suggests that WP smoking has a significant positive (harmful) relationship with MetS and its components.
Descriptors
Links
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Shafique,Kashif, Mirza,Saira Saeed, Mughal,Muhammad Kashif, Arain,Zain Islam, Khan,Naveed Ahmed, Tareen,Muhammad Farooq, Ahmad,Ishtiaque
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
The prevalence and characteristics of water-pipe smoking among high school students in Saudi Arabia 2012
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
J Infect Public Health
Periodical, Abbrev.
Pub Date Free Form
Volume
5
Issue
2
Start Page
159
Other Pages
68
Notes
ID: 22541263
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
OBJECTIVE: To identify the prevalence and predictors of the water-pipe (WP) smoking epidemic in the Kingdom of Saudi Arabia (KSA). METHODS: A cross-sectional study conducted with 16-18 year-old high school students in Riyadh, Saudi Arabia. RESULTS: Of the 1272 participants, 414 (33.0%) reported having tried WP smoking. Of this group, 141 (34.1%) were female and 273 (65.9%) were male. Further, 129 (10.2%) students were current WP smokers who had used at least one rock in the past month; 20 were female (1.6%) and 120 were male (8.6%). Regarding age, 276 (68.1%) students who tried WP smoking at least once began when they were over 11 years of age, whereas 129 (31.9%) began WP smoking at or before 11 years of age. Adjusted odds ratios showed that trying WP smoking at least once was associated with smoking after the age of 11 (p=0.021, OR 7.7; CI: 1.4-43.6) and accepting water-pipes from a friend (p=0.024, OR 10.6; CI: 1.4-83.4). CONCLUSION: A high prevalence of WP smoking exists among male and female high schools students in Riyadh, KSA. WP smoking was reported to begin in early adulthood.
Descriptors
Links
http://dx.doi.org/10.1016/j.jiph.2012.01.002
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Al Moamary, Mohamed,S., Al Ghobain, Mohamed,A., Al Shehri, Sulieman,N., Alfayez,Abdulrhman I., Gasmelseed,Ahmed Y., Al-Hajjaj, Mohamed
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Effects of water-pipe smoking on lung function: a systematic review and meta-analysis 2011
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Chest
Periodical, Abbrev.
Chest
Pub Date Free Form
Volume
139
Issue
4
Start Page
764
Other Pages
74
Notes
ID: 20671057
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
BACKGROUND: Although common in many Middle Eastern countries, water-pipe tobacco smoking, commonly known as water-pipe smoking (WPS), is increasingly popular in Western cultures. The primary objective of this study was to systematically review the effects of WPS on lung function. The secondary objective was to compare the effects of WPS and cigarette smoking on lung function. METHODS: We conducted a systematic review using the approach of the Cochrane Collaboration to search for, select, and abstract studies. We conducted two separate meta-analyses comparing water-pipe smokers with nonsmokers, and water-pipe smokers with cigarette smokers for each of three spirometric measurements (FEV1, FVC, and FEV1/ FVC). We used the standardized mean difference (SMD) to pool the results. RESULTS: Six cross-sectional studies were eligible for this review. Compared with no smoking, WPS was associated with a statistically significant reduction in FEV1 (SMD = -0.43; 95% CI, -0.58 to -0.29; equivalent to a 4.04% lower FEV1%), a trend toward lower FVC (SMD = -0.15; 95% CI, -0.34 to 0.04; equivalent to a 1.38% reduction in FVC%), and lower FEV1/ FVC (SMD = -0.46; 95% CI, -0.93 to 0.01; equivalent to a 3.08% lower FEV1/ FVC). Comparing WPS with cigarette smoking, there was no statistically significant difference in FEV1, FVC, and FEV1/ FVC. The six studies suffered from methodologic limitations. CONCLUSIONS: WPS negatively affects lung function and may be as harmful as cigarette smoking. WPS, therefore, is likely to be a cause of COPD.
Descriptors
Lung Diseases/physiopathology, Smoking/adverse effects, Tars/adverse effects, Humans, Respiratory Function Tests, Tobacco, Tobacco Smoke Pollution/adverse effects
Links
http://dx.doi.org/10.1378/chest.10-0991
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Raad,Dany, Gaddam,Swarna, Schunemann,Holger J., Irani,Jihad, Abou Jaoude,Philippe, Honeine,Roland, Akl,Elie A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
The acute effects of water-pipe smoking on the cardiorespiratory system 2011
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Chest
Periodical, Abbrev.
Chest
Pub Date Free Form
Volume
139
Issue
4
Start Page
775
Other Pages
81
Notes
ID: 21030492
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
OBJECTIVE: There are limited data on the acute effects of water-pipe tobacco smoking, commonly known as water-pipe smoking (WPS), on cardiopulmonary parameters. This study evaluated the acute effects of a single 30-min session of WPS on carboxyhemoglobin (COHb) levels, pulmonary function test results, vital signs, fractional exhaled nitric oxide (Feno) levels, and exhaled breath condensate (EBC) cytokine levels in volunteers in a domestic, open-air, group smoking setting. METHODS: This prospective study evaluated the above-noted outcome parameters before and after 30 min of WPS. The primary outcome parameter was the change in COHb levels. RESULTS: Forty-five volunteers (30 men, 15 women), aged 32.35 ± 15.33 years, were recruited. After one session of WPS, the COHb levels rose significantly, from 1.47% ± 0.57% (median 1.4) to 9.47% ± 5.52% (median 7.4), P < .001. Systolic and diastolic BP levels significantly increased after smoking (systolic, 119.52 ± 12.07 mm Hg vs 131.98 ± 17.8 mm Hg; diastolic, 74.84 ± 7.89 mm Hg vs 82.98 ± 12.52 mm Hg, respectively; P < .001). Heart rates increased from 80.39 ± 9.92 beats/min to 95.59 ± 17.41 beats/min, P < .001; and respiratory rates increased from 14.36 ± 1.63 breaths/min to 16.68 ± 2.24 breaths/min, P < .001. There were decreases in forced expiratory flow between 25% and 75% of FVC, peak expiratory flow rate, Feno levels, percentage of eosinophils in peripheral blood, and 8-isoprostane levels in EBC. CONCLUSIONS: This study shows that one session of WPS causes acute biologic changes that might result in marked health problems. It adds to the limited evidence that WPS is harmful and supports interventions to control the continuing global spread of WPS, especially among youth. TRIAL REGISTRY: ClinicalTrials.gov; No.: NCT01157832; URL: www.clinicaltrials.gov.
Descriptors
Blood Pressure/physiology, Cardiovascular System/physiopathology, Forced Expiratory Flow Rates/physiology, Respiratory System/physiopathology, Smoking/adverse effects, Tars/adverse effects, Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Prognosis, Respiratory Function Tests, Risk Factors, Tobacco, Young Adult
Links
http://dx.doi.org/10.1378/chest.10-1833
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Hakim,Fahed, Hellou,Elias, Goldbart,Aviv, Katz,Rina, Bentur,Yedidia, Bentur,Lea
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Carboxyhaemoglobin levels in water-pipe and cigarette smokers 2010 Lung Unit, Department of Internal Medicine, Steve Biko Academic Hospital, School of Medicine, University of Pretoria. theronansa@gmail.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
Periodical, Abbrev.
S.Afr.Med.J.
Pub Date Free Form
29-Jan
Volume
100
Issue
2
Start Page
122
Other Pages
124
Notes
LR: 20140912; JID: 0404520; 059QF0KO0R (Water); 142M471B3J (Carbon Dioxide); 9061-29-4 (Carboxyhemoglobin); 2009/04/29 [received]; 2009/07/10 [accepted]; epublish
Place of Publication
South Africa
ISSN/ISBN
0256-9574
Accession Number
PMID: 20459918
Language
eng
SubFile
Comparative Study; Controlled Clinical Trial; Journal Article; IM
DOI
Output Language
Unknown(0)
PMID
20459918
Abstract
Water-pipe smoking is growing in popularity, especially among young people, because of the social nature of the smoking session and the assumption that the effects are less harmful than those of cigarette smoking. It has however been shown that a single water-pipe smoking session produces a 24-hour urinary cotinine level equivalent to smoking 10 cigarettes per day. AIM: We aimed to measure carboxyhaemoglogin (COHb) blood levels before and after water-pipe and cigarette smoking sessions. METHOD: Self-confessed smokers older than 18 years (N=30) volunteered to smoke a water-pipe or a cigarette and have their blood COHb levels measured under controlled conditions. RESULTS: Mean baseline COHb levels were 2.9% for the 15 cigarette smokers and 1.0% for the 15 water-pipe smokers. Levels increased by a mean of 481.7% in water-pipe smokers as opposed to 39.9% in cigarette smokers. CONCLUSION: The study demonstrated that water-pipe smokers had significantly higher increases in blood COHb levels than cigarette smokers during a single smoking session.
Descriptors
Administration, Inhalation, Adult, Carbon Dioxide/metabolism, Carboxyhemoglobin/metabolism, Cohort Studies, Equipment Design, Female, Humans, Male, Nebulizers and Vaporizers, Smoking/blood, South Africa, Tobacco/metabolism, Water, Young Adult
Links
Book Title
Database
Publisher
Data Source
Authors
Theron,A., Schultz,C., Ker,J. A., Falzone,N.
Original/Translated Title
URL
Date of Electronic
20100129
PMCID
Editors
Water-pipe smoking among North American youths 2010 University of Montreal, Department of Social and Preventive Medicine, 3875 St Urbain, Montreal, Quebec H2W 1V1, Canada.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Pediatrics
Periodical, Abbrev.
Pediatrics
Pub Date Free Form
Jun
Volume
125
Issue
6
Start Page
1184
Other Pages
1189
Notes
LR: 20131121; JID: 0376422; 059QF0KO0R (Water); 2010/05/10 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1098-4275; 0031-4005
Accession Number
PMID: 20457679
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; AIM; IM
DOI
10.1542/peds.2009-2335 [doi]
Output Language
Unknown(0)
PMID
20457679
Abstract
OBJECTIVES: The objectives of this analysis were to identify the sociodemographic characteristics of water-pipe users in a North American context and to describe concurrent psychoactive substance use. METHODS: Data on sociodemographic characteristics, water-pipe smoking, and use of other psychoactive substances were collected in 2007 through mailed self-report questionnaires completed by 871 young adults, 18 to 24 years of age, who were participating in the Nicotine Dependence in Teens Study, a longitudinal investigation of the natural history of nicotine dependence among adolescents in Montreal, Canada. Independent sociodemographic correlates of water-pipe use were identified in multivariate logistic regression analyses. RESULTS: Previous-year water-pipe use was reported by 23% of participants. Younger age, male gender, speaking English, not living with parents, and higher household income independently increased the odds of water-pipe use. Water-pipe use was markedly higher among participants who had smoked cigarettes, had used other tobacco products, had drunk alcohol, had engaged in binge drinking, had smoked marijuana, or had used other illicit drugs in the previous year. CONCLUSIONS: Water-pipe users may represent an advantaged group of young people with the leisure time, resources, and opportunity to use water-pipes. Evidence-based public health and policy interventions are required to equip the public to make informed decisions about water-pipe use.
Descriptors
Adolescent, Adolescent Behavior, Alcohol Drinking/epidemiology, Female, Health Behavior, Humans, Leisure Activities, Male, Public Health, Quebec/epidemiology, Smoking/epidemiology/trends, Substance-Related Disorders/epidemiology, Tobacco Use Disorder/epidemiology, Water
Links
Book Title
Database
Publisher
Data Source
Authors
Dugas,E., Tremblay,M., Low,N. C., Cournoyer,D., O'Loughlin,J.
Original/Translated Title
URL
Date of Electronic
20100510
PMCID
Editors
Water-pipe (narguile) smokers in Lebanon: a pilot study 2009
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
East Mediterr Health J
Periodical, Abbrev.
East.Mediterr.Health J.
Pub Date Free Form
Volume
15
Issue
2
Start Page
432
Other Pages
42
Notes
ID: 19554991
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
We carried out a comparative study to assess the demographic and social characteristics of water pipe (WP) smokers, the association with cigarette smoking and chronic respiratory diseases and the dependence profile on 4 groups: exclusive WP smokers, exclusive cigarette smokers, mixed smokers and absolute non-smokers. Cigarette smoking was statistically significantly higher in WP smokers than non-WP smokers; 36.5% of exclusive WP smokers smoked > or =7 WPs/week. Chronic respiratory disease and chronic bronchitis were reported more frequently in exclusive WP smokers than absolute non-smokers. WP smoking seems to be as great a risk factor as cigarette smoking for chronic respiratory disease.
Descriptors
Bronchitis, Smoking, Water, Adult, Bronchitis/epidemiology, Bronchitis/etiology, Case-Control Studies, Chi-Square Distribution, Chronic Disease, Comorbidity, Female, Filtration/instrumentation, Health Surveys, Humans, Lebanon/epidemiology, Logistic Models, Male, Middle Aged, Pilot Projects, Risk Factors, Smoking/adverse effects, Smoking/epidemiology, Statistics, Nonparametric, Questionnaires, Tobacco Use Disorder/complications, Tobacco Use Disorder/epidemiology
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-19554991
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Waked,M., Salameh,P., Aoun,Z.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Water-pipe tobacco smoking among middle and high school students in Arizona 2009 Center for Research on Health Care, 230 McKee Place, Suite 600, Pittsburgh, PA 15213, USA. bprimack@pitt.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Pediatrics
Periodical, Abbrev.
Pediatrics
Pub Date Free Form
Feb
Volume
123
Issue
2
Start Page
e282
Other Pages
8
Notes
LR: 20141210; GR: K07 CA114315/CA/NCI NIH HHS/United States; GR: K07 CA114315-03/CA/NCI NIH HHS/United States; GR: K07-CA114315/CA/NCI NIH HHS/United States; GR: R01 CA140150/CA/NCI NIH HHS/United States; GR: R01 CA140150-01A1/CA/NCI NIH HHS/United States
Place of Publication
United States
ISSN/ISBN
1098-4275; 0031-4005
Accession Number
PMID: 19171581
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; AIM; IM
DOI
10.1542/peds.2008-1663 [doi]
Output Language
Unknown(0)
PMID
19171581
Abstract
BACKGROUND: Using a water pipe to smoke tobacco is increasing in prevalence among US college students, and it may also be common among younger adolescents. The purpose of this study of Arizona middle and high school students was to examine the prevalence of water-pipe tobacco smoking, compare water-pipe tobacco smoking with other forms of tobacco use, and determine associations between sociodemographic variables and water-pipe tobacco smoking in this population. METHODS: We added items assessing water-pipe tobacco smoking to Arizona's 2005 Youth Tobacco Survey and used them to estimate statewide water-pipe tobacco smoking prevalence among various demographic groups by using survey weights. We also used multiple logistic regression to determine which demographic characteristics had independent relationships with each of 2 outcomes: ever use of water pipe to smoke tobacco and water-pipe tobacco smoking in the previous 30 days. RESULTS: Median age of the sample was 14. Accounting for survey weights, among middle school students, 2.1% had ever smoked water-pipe tobacco and 1.4% had done so within the previous 30 days. Among those in high school, 10.3% had ever smoked from a water pipe and 5.4% had done so in the previous 30 days, making water-pipe tobacco smoking more common than use of smokeless tobacco, pipes, bidis, and kreteks (clove cigarettes). In multivariate analyses that controlled for covariates, ever smoking of water-pipe tobacco was associated with older age, Asian race, white race, charter school attendance, and lack of plans to attend college. CONCLUSIONS: Among Arizona youth, water pipe is the third most common source of tobacco after cigarettes and cigars. Increased national surveillance and additional research will be important for addressing this threat to public health.
Descriptors
Adolescent, Arizona/epidemiology, Female, Humans, Male, Prevalence, Smoking/epidemiology, Water
Links
Book Title
Database
Publisher
Data Source
Authors
Primack,B. A., Walsh,M., Bryce,C., Eissenberg,T.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC3013632
Editors
Comparison of cigarette and water-pipe smoking by Arab and non-Arab-American youth 2008 College of Nursing, Center for Health Research, Department of Family Medicine, Wayne State University, Detroit, Michigan 48202, USA. ac3844@wayne.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Preventive Medicine
Periodical, Abbrev.
Am.J.Prev.Med.
Pub Date Free Form
Oct
Volume
35
Issue
4
Start Page
334
Other Pages
339
Notes
LR: 20151119; GR: HD37498-R01/HD/NICHD NIH HHS/United States; GR: R01 HD037498-01A1/HD/NICHD NIH HHS/United States; JID: 8704773; NIHMS69686; OID: NLM: NIHMS69686; OID: NLM: PMC2575814; 2007/01/16 [received]; 2008/04/09 [revised]; 2008/06/16 [accepted]; 2
Place of Publication
Netherlands
ISSN/ISBN
0749-3797; 0749-3797
Accession Number
PMID: 18675529
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1016/j.amepre.2008.06.037 [doi]
Output Language
Unknown(0)
PMID
18675529
Abstract
BACKGROUND: Water-pipe smoking is a rapidly growing form of tobacco use worldwide. Building on an earlier report of experimentation with cigarette and water-pipe smoking in a U.S. community sample of Arab-American youth aged 14-18 years, this article examines water-pipe smoking in more detail (e.g., smoking history, belief in harmfulness compared to cigarettes, family members in home who smoke water pipes) and compares the water-pipe-smoking behaviors of Arab-American youth with non-Arab-American youth in the same community. METHODS: A convenience sample of 1872 Arab-American and non-Arab-American high school students from the Midwest completed a 24-item tobacco survey. Data were collected in 2004-2005 and analyzed in 2007-2008. RESULTS: Arab-American youth reported lower percentages of ever cigarette smoking (20% vs 39%); current cigarette smoking (7% vs 22%); and regular cigarette smoking (3% vs 15%) than non-Arab-American youth. In contrast, Arab-American youth reported significantly higher percentages of ever water-pipe smoking (38% vs 21%) and current water-pipe smoking (17% vs 11%) than non-Arab-American youth. Seventy-seven percent perceived water-pipe smoking to be as harmful as or more harmful than cigarette smoking. Logistic regression showed that youth were 11.0 times more likely to be currently smoking cigarettes if they currently smoked water pipes. Youth were also 11.0 times more likely to be current water-pipe smokers if they currently smoked cigarettes. If one or more family members smoked water pipes in the home, youth were 6.3 times more likely to be current water-pipe smokers. The effects of ethnicity were reduced as a result of the explanatory value of family smoking. CONCLUSIONS: Further research is needed to determine the percentages, patterns, and health risks of water-pipe smoking and its relationship to cigarette smoking among all youth. Additionally, youth tobacco prevention/cessation programs need to focus attention on water-pipe smoking in order to further dispel the myth that water-pipe smoking is a safe alternative to cigarette smoking.
Descriptors
Adolescent, Arabs, Chi-Square Distribution, Cross-Sectional Studies, Female, Humans, Logistic Models, Male, Middle East/ethnology, Midwestern United States/epidemiology, Smoking/epidemiology/ethnology, Surveys and Questionnaires
Links
Book Title
Database
Publisher
Data Source
Authors
Weglicki,L. S., Templin,T. N., Rice,V. H., Jamil,H., Hammad,A.
Original/Translated Title
URL
Date of Electronic
20080803
PMCID
PMC2575814
Editors
Predictors of narghile (water-pipe) smoking in a sample of American Arab Yemeni adolescents 2008
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
J Transcult Nurs
Periodical, Abbrev.
J.Transcult.Nurs.
Pub Date Free Form
Volume
19
Issue
1
Start Page
24
Other Pages
32
Notes
ID: 18165423
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
To explore the predictors of water-pipe smoking among American Arab Yemeni adolescents, a descriptive correlational design was used, and regression models representing the proposed relationships in the study were tested from a convenience sample of 297 adolescents who attended a teen health clinic and two high schools. The participants completed five measures. Fourteen hypotheses were tested. Experimentation with tobacco was found to be significant in predicting narghile smoking. Tobacco use prevention and cessation interventions for this population can be focused on targeting the family and peer units, from which their identity is likely derived.
Descriptors
Adolescent Behavior/ethnology, Arabs/ethnology, Attitude to Health/ethnology, Smoking/ethnology, Adolescent, Arabs/education, Educational Status, Female, Health Services Needs and Demand, Humans, Income/statistics & numerical data, Male, Michigan/epidemiology, Nursing Methodology Research, Parents/psychology, Peer Group, Psychology, Adolescent, Regression Analysis, Risk Factors, Risk-Taking, Self Concept, Smoking/prevention & control, Questionnaires, Water, Yemen/ethnology
Links
http://dx.doi.org/10.1177/1043659607309141
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Baker,Omar G., Rice,Virginia
Original/Translated Title
URL
Date of Electronic
PMCID
Editors