WTS database

Title	Pub Year	SearchLink
Waterpipe smoking among health sciences university students in Iran: perceptions, practices and patterns of use	2011	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full BMC Res Notes Periodical, Abbrev. Pub Date Free Form Volume 4 Issue Start Page 496 Other Pages 496 Notes ID: 22087840 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract BACKGROUND: In recent years waterpipe smoking has become a popular practice amongst young adults in eastern Mediterranean countries, including Iran. The aim of this study was to assess waterpipe smoking perceptions and practices among first-year health sciences university students in Iran and to identify factors associated with the initiation and maintenance of waterpipe use in this population. RESULTS: Out of 371 first-year health sciences students surveyed, 358 eight students completed a self-administered questionnaire in the classrooms describing their use and perceptions towards waterpipe smoking. Two hundred and ninety six responders met study inclusion criteria. Waterpipe smoking was common among first-year health sciences university students, with 51% of students indicating they were current waterpipe smokers. Women were smoking waterpipes almost as frequently as men (48% versus 52%, respectively). The majority of waterpipe smokers (75.5%) indicated that the fun and social aspect of waterpipe use was the main motivating factor for them to continue smoking. Of waterpipe smokers, 55.3% were occasional smokers, using waterpipes once a month or less, while 44.7% were frequent smokers, using waterpipes more than once a month. A large number of frequent waterpipe smokers perceived that waterpipe smoking was a healthier way to use tobacco (40.6%) while only 20.6% thought it was addictive. Compared to occasional smokers, significantly more frequent smokers reported waterpipe smoking was relaxing (62.5% vs. 26.2%, p = 0.002), energizing (48.5% vs. 11.4%, p = 0.001), a part of their culture (58.8% vs. 34.1%, p = 0.04), and the healthiest way to use tobacco (40.6% vs. 11.1%, p = 0.005). CONCLUSIONS: Social and recreational use of waterpipes is widespread among first-year health sciences university students in Iran. Women and men were almost equally likely to be current waterpipe users. Public health initiatives to combat the increasing use of waterpipes among university students in Iran must consider the equal gender distribution and its perception by many waterpipe smokers as being a healthier and non-addictive way to use tobacco. Descriptors Links http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279519/?tool=pubmed; http://dx.doi.org/10.1186/1756-0500-4-496 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Ghafouri,Nasim, Hirsch,Jan D., Heydari,Gholamreza, Morello,Candis M., Kuo,Grace M., Singh,Renu F. Original/Translated Title URL Date of Electronic PMCID Editors
Comparison of cigarette and waterpipe smoking among pupils in the urban area of Sousse, Tunisia. Tunis Med. 2010 Jul; 88(7):470-3. (Reply). Con	2011	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tunis Med Periodical, Abbrev. Tunis.Med. Pub Date Free Form Volume 89 Issue 5 Start Page 507 Other Pages 8 Notes ID: 21557195 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract Descriptors Smoking/epidemiology, Students/statistics & numerical data, Urban Population/statistics & numerical data, Humans Links http://pesquisa.bvsalud.org/ghl/resource/en/mdl-21557195 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Harrabi,I., Maaloul,J. M., Gaha,R., Kebaili,R., Maziak,W., Ghannem,H. Original/Translated Title URL Date of Electronic PMCID Editors
Comparison of cigarette and waterpipe smoking among pupils in the urban area of Sousse, Tunisia	2010	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tunis Med Periodical, Abbrev. Tunis.Med. Pub Date Free Form Volume 88 Issue 7 Start Page 470 Other Pages 3 Notes ID: 20582881 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract BACKGROUND: Epidemiological and observational evidence suggests that waterpipe use is growing in popularity worldwide. AIM: The purpose of this study was to examine the prevalence of cigarette and water pipe tobacco use among pupils aged 13-17 years in the urban area of Sousse, Tunisia and to identify the factors which predict current cigarette and/or waterpipe smoking in this population. METHODS: Across-sectional study was carried out on a representative sample of schoolchildren aged between 13 and 17 years in colleges and public secondary schools of the urban area of Sousse. We used a pre tested and self administered questionnaire to measure tobacco consumption. The significance level for all analyses was p<0.05. Statistical analysis was conducted with SPSS 10.0 software. RESULTS: Participants were 1569 youth. Fifty two percent of them were male. The mean age of the sample was 15+/-1.5 years. Total cigarette smoking percentage for ever and current use were 33.1% and 7.6% respectively. Total water pipe smoking percentage for ever and current use were 19.3% and 5.2% respectively. Overall, the total percentages of cigarette and water pipe smoking (ever and current) were higher for male and aged pupils. Multivariate regression analyses showed that the two types of tobacco use were related. CONCLUSION: Despite the growing adoption of water-pipe smoking, there remains limited research in this area. Increased surveillance and additional research are necessary to address this growing threat to public health. Descriptors Smoking/epidemiology, Adolescent, Cross-Sectional Studies, Female, Humans, Male, Prevalence, Tunisia/epidemiology, Urban Health, Water Links http://pesquisa.bvsalud.org/ghl/resource/en/mdl-20582881 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Harrabi,Imed, Maaloul,Jihen Maatoug, Gaha,Rafika, Kebaili,Raoudha, Maziak,Wassim, Ghannem,Hassen Original/Translated Title URL Date of Electronic PMCID Editors
Waterpipe use predicts progression to regular cigarette smoking among Danish youth	2010	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Subst Use Misuse Periodical, Abbrev. Subst.Use Misuse Pub Date Free Form Volume 45 Issue 8-Jul Start Page 1245 Other Pages 61 Notes ID: 20441461 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract Waterpipe smoking among Danish, Swedish, and German youth is increasing dramatically, indicating the emergence of a new health threat. This study assessed the association between waterpipe smoking and progression to regular cigarette smoking among Danish continuation school students during 2004-2005. All participants (N = 762) had smoked cigarettes on a nonregular basis at baseline. Among boys, waterpipe smoking frequency was predictive of being a regular cigarette smoker at follow-up eight months later. Further research should examine waterpipe smoking as a potential predictor of cigarette smoking. The study's limitations are noted. Descriptors Smoking/epidemiology, Adolescent, Denmark/epidemiology, Female, Humans, Male, Program Evaluation, Risk Factors, Smoking Cessation/statistics & numerical data, Questionnaires, Tobacco Use Disorder, Water Links http://dx.doi.org/10.3109/10826081003682909 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Jensen,Poul Dengsoe, Cortes,Rikke, Engholm,Gerda, Kremers,Stef, Gislum,Mette Original/Translated Title URL Date of Electronic PMCID Editors
Patterns of waterpipe use and dependence: implications for intervention development	2005	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Pharmacol Biochem Behav Periodical, Abbrev. Pharmacol.Biochem.Behav. Pub Date Free Form Volume 80 Issue 1 Start Page 173 Other Pages 9 Notes ID: 15652393 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract Despite the dramatic increase of tobacco smoking via waterpipe in Arab societies, and the apparent potential of waterpipe use to produce tobacco-related disease, little is known about the pharmacological effects of this method of tobacco smoking, particularly its ability to support dependence. This review focuses on recent waterpipe research and current theories of dependence in an attempt to identify patterns of waterpipe use and features likely to reveal dependence. Recent work indicates that, relative to cigarette smoking, this form of tobacco use is characterized by more intermittent use, later age of onset, greater spread among women and lower interest in quitting or appreciation of addictive properties. Waterpipe use is associated with classic features of tobacco/nicotine dependence, as well as features unique to this tobacco use method. However, even shared features of dependence, such as craving and addiction-induced socio-cognitive behavioral changes, can be displayed differently in waterpipe users, indicating the need for waterpipe-specific research approaches. Preliminary evidence suggests that an important step toward dependence involves a transition from social to individual patterns of waterpipe use. Surveillance and research into factors affecting use and cessation of this tobacco use method should pave the way for the development of effective prevention and intervention strategies to curb the burgeoning waterpipe use epidemic. Descriptors Smoking Cessation/methods, Smoking/epidemiology, Tobacco Use Disorder/epidemiology, Confidence Intervals, Humans, Odds Ratio, Smoking/prevention & control, Smoking/trends, Tobacco Use Disorder/prevention & control Links http://pesquisa.bvsalud.org/ghl/resource/en/mdl-15652393 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Maziak,W., Eissenberg,T., Ward,K. D. Original/Translated Title URL Date of Electronic PMCID Editors
Tobacco smoking using a waterpipe: a re-emerging strain in a global epidemic	2004	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tob Control Periodical, Abbrev. Tob.Control Pub Date Free Form Volume 13 Issue 4 Start Page 327 Other Pages 33 Notes ID: 15564614 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract CONTEXT: The global tobacco epidemic may kill 10 million people annually in the next 20-30 years, with 70% of these deaths occurring in developing countries. Current research, treatment, and policy efforts focus on cigarettes, while many people in developing regions (Asia, Indian subcontinent, Eastern Mediterranean) smoke tobacco using waterpipes. Waterpipes are increasing in popularity, and more must be learned about them so that we can understand their effects on public health, curtail their spread, and help their users quit. OBJECTIVE: To conduct a comprehensive review regarding global waterpipe use, in order to identify current knowledge, guide scientific research, and promote public policy. DATA SOURCES: A Medline search using as keywords "waterpipe", "narghile", "arghile", "shisha", "hookah", "goza", "hubble bubble" and variant spellings (for example, "hooka"; "hukka") was conducted. Resources compiled recently by members of GLOBALink were used. STUDY SELECTION: Every identified published study related to waterpipe use was included. DATA SYNTHESIS: Research regarding waterpipe epidemiology and health effects is limited; no published studies address treatment efforts. Waterpipe use is increasing globally, particularly in the Eastern Mediterranean Region, where perceptions regarding health effects and traditional values may facilitate use among women and children. Waterpipe smoke contains harmful constituents and there is preliminary evidence linking waterpipe smoking to a variety of life threatening conditions, including pulmonary disease, coronary heart disease, and pregnancy related complications. CONCLUSIONS: More scientific documentation and careful analysis is required before the spread of waterpipe use and its health effects can be understood, and empirically guided treatment and public policy strategies can be implemented. Descriptors Developing Countries/statistics & numerical data, Smoking/epidemiology, Carbon Monoxide/analysis, Carbon Monoxide/toxicity, Child, Female, Health Policy, Health Status, Humans, Male, Nicotine/analysis, Nicotine/toxicity, Pregnancy, Prevalence, Smoking/adverse effects, Smoking/trends, Tobacco/chemistry, Tobacco Smoke Pollution/adverse effects Links http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1747964/?tool=pubmed Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Maziak,W., Ward,K. D., Afifi Soweid,R.A., Eissenberg,T. Original/Translated Title URL Date of Electronic PMCID Editors
CO exposure, puff topography, and subjective effects in waterpipe tobacco smokers	2009	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Nicotine Tob Res Periodical, Abbrev. Nicotine Tob.Res. Pub Date Free Form Volume 11 Issue 7 Start Page 806 Other Pages 11 Notes ID: 19420278 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract INTRODUCTION: Waterpipe tobacco smoking is increasing in popularity though the toxicant exposure and effects associated with this tobacco use method are not well understood. METHODS: Sixty-one waterpipe tobacco smokers (56 males; mean age +/- SD, 30.9 +/- 9.5 years; mean number of weekly waterpipe smoking episodes, 7.8 +/- 5.7; mean duration of waterpipe smoking 8.5 +/- 6.1 years) abstained from smoking for at least 24 hr and then smoked tobacco from a waterpipe ad libitum in a laboratory. Before and after smoking, expired-air carbon monoxide (CO) and subjective effects were assessed; puff topography was measured during smoking. RESULTS: The mean waterpipe use episode duration was 33.1 +/- 13.1 min. Expired-air CO increased significantly from a mean of 4.0 +/- 1.7 before to 35.5 +/- 32.7 after smoking. On average, participants took 169 +/- 100 puffs, with a mean puff volume of 511 +/- 333 ml. Urge to smoke, restlessness, craving, and other tobacco abstinence symptoms were reduced significantly after smoking, while ratings of dizzy, lightheaded, and other direct effects of nicotine increased. DISCUSSION: Expired-air CO and puff topography data indicate that, relative to a single cigarette, a single waterpipe tobacco smoking episode is associated with greater smoke exposure. Abstinent waterpipe tobacco smokers report symptoms similar to those reported by abstinent cigarette smokers, and these symptoms are reduced by subsequent waterpipe tobacco smoking. Taken together, these data are consistent with the notion that waterpipe tobacco smoking is likely associated with the risk of tobacco/nicotine dependence. Descriptors Carbon Monoxide/analysis, Inhalation Exposure/analysis, Smoking, Tobacco Smoke Pollution/analysis, Administration, Inhalation, Adult, Equipment Design, Female, Humans, Male, Middle Aged, Regression Analysis, Syria, Water, Young Adult Links http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2699927/?tool=pubmed; http://dx.doi.org/10.1093/ntr/ntp066 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Maziak,Wasim, Rastam,Samer, Ibrahim,Iman, Ward,Kenneth D., Shihadeh,Alan, Eissenberg,Thomas Original/Translated Title URL Date of Electronic PMCID Editors
Prevalence of waterpipe smoking among rural pregnant women in Southern Iran	2008	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Med Princ Pract Periodical, Abbrev. Pub Date Free Form Volume 17 Issue 6 Start Page 435 Other Pages 9 Notes ID: 18836270 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract OBJECTIVE: To estimate the prevalence of waterpipe smoking among rural pregnant women in Southern Iran and to identify the impact of maternal waterpipe smoking on baby's birth weight. SUBJECTS AND METHODS: A population-based survey was conducted in rural areas of Southern Iran in 2004 using existing health records and interviewing all mothers during the 10 days after delivery. Maternal exclusion criteria included cigarette smoking during pregnancy, a history or occurrence of epilepsy, diabetes and hypertension (gestational and/or essential) during pregnancy, factors that have been proved to have detrimental effects on birth weight. RESULTS: Of the 2,808 mothers interviewed, 224 (8%) were waterpipe smokers of which 90 (3.2%) and 134 (4.8%) were occasional (smoking less than once per day) and daily (at least once per day) smokers, respectively. Six hundred and seventy-four (24%) were passively exposed to waterpipe smoke during pregnancy and 322 (11.5%) were exposed to second-hand cigarette smoke. Mothers who started smoking during the first trimester had lower birth weight babies (3,215 +/- 612 g) compared to those who started smoking during the second or third trimesters (3,447 +/- 550 g, p = 0.04). CONCLUSION: Waterpipe smoking during pregnancy is prevalent in Southern Iran and appears to be a risk factor for low birth weight babies. Descriptors Infant, Low Birth Weight, Pregnancy Outcome, Rural Population, Smoking/adverse effects, Tobacco Smoke Pollution/adverse effects, Birth Weight, Cross-Sectional Studies, Female, Humans, Infant, Newborn, Iran/epidemiology, Pregnancy, Pregnancy Trimesters/drug effects, Prenatal Care/statistics & numerical data, Prevalence, Risk Factors Links http://dx.doi.org/10.1159/000151563 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Mirahmadizadeh,Alireza, Nakhaee,Nouzar Original/Translated Title URL Date of Electronic PMCID Editors
Waterpipe smoking in Kuwait	2010	Read more...
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 16 Issue 11 Start Page 1115 Other Pages 20 Notes ID: 21218733 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract A nonrandom sampIe of 2972 Kuwaitis answered a questionnaire about smoking behaviour and beliefs. More than one-third (35%) were nonsmokers, 45% smoked only the waterpipe, 12% only cigarettes and 8% both waterpipe and cigarettes. Compared with cigarette smokers, waterpipe smokers were more likely to be female and to be unskilled manual workers than professionals or students. Waterpipe smokers started the habit at an older age on average than cigarette smokers. Most waterpipe smokers smoked only 1 bowl per day, and smoked mostly at coffee houses. Factor analysis of beliefs about waterpipe smoking resulted in 4 groups of beliefs which explained 50% of the variance. The results are discussed in terms of public health policy and possible risk reduction strategies. Descriptors Attitude to Health/ethnology, Health Knowledge, Attitudes, Practice, Smoking/ethnology, Water, Adult, Age of Onset, Analysis of Variance, Factor Analysis, Statistical, Female, Health Services Needs and Demand, Health Surveys, Humans, Kuwait/epidemiology, Male, Occupations/statistics & numerical data, Population Surveillance, Sex Distribution, Smoking/adverse effects, Smoking/prevention & control, Students/psychology, Students/statistics & numerical data, Questionnaires Links http://pesquisa.bvsalud.org/ghl/resource/en/mdl-21218733 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Mohammed,H. R., Zhang,Y., Newman,I. M., Shell,D. F. Original/Translated Title URL Date of Electronic PMCID Editors
Ultrafine particle emissions from waterpipes	2007	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tob Control Periodical, Abbrev. Tob.Control Pub Date Free Form Volume 16 Issue 6 Start Page 390 Other Pages 3 Notes ID: 18048615 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract OBJECTIVES: Ultrafine particle emissions from waterpipes and their impact on human health have not been extensively studied. The aim of this study was to characterise the inhalation pattern of waterpipe smokers, and (a) construct apparatus to simulate waterpipe smoking in the laboratory, and (b) characterise mainstream emissions from waterpipes under different smoking conditions. METHODS: Real life waterpipe smoking patterns were first measured with a spirometer. The average smoking pattern was then mechanically simulated in apparatus. Total particle number concentrations were determined with a condensation particle counter (CPC) for particles between 0.02 microm and 1 microm (P-Trak UPC, Model 8525, TSI) and the particle size fraction was determined with a differential mobility analyser (DMA) for particles from 0.01 microm to 0.5 microm. This instrument was coupled with a laser particle spectrometer for particles between 0.35 microm and 10 microm (Wide Range Particle Spectrometer, Model 1000XP, MSC Corp). Carbon monoxide levels were determined with an electrochemical sensor (Q-Trak monitor, Model 8554, TSI). RESULTS: The tidal volume of an average waterpipe breath of 5 seconds was found to be 1 (SD 0.47) litre. The intervals between breaths on average were 25.5 (SD 10.2) seconds. Particle number concentrations of ultrafine particles in mainstream smoke during waterpipe smoking ranged up to 70 x 10(9) particles per litre. The median diameter of the particles in a full smoking set with charcoal, tobacco and water was 0.04 microm. Smoke from the heated tobacco contributed to particles in the size range between 0.01 microm and 0.2 microm. The glowing piece of charcoal only contributed to particles smaller than 0.05 microm. CONCLUSIONS: Waterpipe smoking emits large amounts of ultrafine particles. With regard to particle emissions, smoking waterpipes may carry similar health risks to smoking cigarettes. Descriptors Inhalation Exposure/analysis, Smoking/adverse effects, Adult, Air Pollution, Indoor/analysis, Carbon Monoxide/analysis, Female, Humans, Male, Particle Size, Switzerland, Tidal Volume, Tobacco Smoke Pollution/analysis, Water Links http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2807191/?tool=pubmed Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Monn,Ch, Kindler,Ph, Meile,A., BrÃ¤ndli,O. Original/Translated Title URL Date of Electronic PMCID Editors

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