WTS database

Title	Pub Year	Author	SearchLink Sort descending
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
Gender and smoking status-based analysis of views regarding waterpipe and cigarette smoking in Aleppo, Syria	2004	Maziak, W., Syrian Center for Tobacco Studies, Aleppo, Syrian Arab Republic	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Preventive medicine Periodical, Abbrev. Prev.Med. Pub Date Free Form / Volume 38 Issue 4 Start Page 479 Other Pages 484 Notes Place of Publication ISSN/ISBN 0091-7435 Accession Number Language SubFile DOI Output Language Unknown(0) PMID Abstract Background. Narghile (waterpipe) smoking is increasing across the Eastern Mediterranean region (EMR), though little is known about the social attitudes and perceptions related to this method of tobacco use, and how those attitudes and perceptions are influenced by gender. Methods. Data from two cross-sectional surveys conducted in 2003 in Aleppo, Syria, were used to examine these issues. Overall, 855 participants were included (439 men, 416 women; mean age, 24.4Â±7.1 years; response rate, 97%). The current analysis focuses on responses to four similar nine-item questions tapping perceptions related to narghile smoking by women or men, and cigarette smoking by women or men. Scores on the nine items were summed to yield a total score to gauge participants' perceptions about narghile and cigarette. Results. Generally, participants were less positive about women smoking relative to men smoking, and cigarette smoking relative to narghile smoking. Cigarette smoking by women was the behavior least associated with positive perceptions. Individuals who resided in the city, were economically better-off, and were Christian, had higher perception scores (i.e., more positive attitudes) toward all forms of smoking, whereas older and married participants had higher perception scores for narghile only. Smoking status of participants, especially narghile smoking, was also associated with more positive perceptions toward smoking in general. Conclusions. We conclude that preliminary analysis shows that views on different forms of smoking in Syria differ by gender and smoking status. Â© 2003 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved. Descriptors adult, article, smoking, controlled study, female, gender, health behavior, health survey, human, interview, male, narghile smoking, normal human, perception, priority journal, questionnaire, sex difference, smoking habit, social behavior, Syrian Arab Republic Links Book Title Database Embase; MEDLINE Publisher Data Source Embase Authors Maziak,W., Rastam,S., Eissenberg,T., Asfar,T., Hammal,F., Bachir,M. E., Fouad,M. F., 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
Standardizing questionnaire items for the assessment of waterpipe tobacco use in epidemiological studies	2005	Maziak, W., Syrian Center for Tobacco Studies, Aleppo, Syrian Arab Republic	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Public health Periodical, Abbrev. Public Health Pub Date Free Form / Volume 119 Issue 5 Start Page 400 Other Pages 404 Notes Place of Publication ISSN/ISBN 0033-3506 Accession Number Language SubFile DOI Output Language Unknown(0) PMID Abstract Lessons from surveillance of the smoking epidemic show that the lack of adequate attention to standardizing measures and instruments for epidemiological studies has negatively influenced our ability to assess spatial and secular trends in smoking worldwide. Waterpipe smoking, another hazardous form of tobacco use, is gaining popularity worldwide, with societies in the Eastern Mediterranean region (EMR) being most affected. Several research groups are currently investigating the epidemiology of waterpipe smoking among various populations in the EMR. Initial evidence shows that in contrast to usage patterns observed in adult cigarette smoking, waterpipe smoking is characterized mainly by intermittent and social use. As such, many measures that have been traditionally used for the study of usage patterns and dependence among adult cigarette smokers are uninformative for waterpipe smoking. Thus, the need to develop standardized measures and terminology for assessment of the epidemiology of waterpipe smoking in different populations is of paramount importance. As the monitoring of waterpipe smoking is in its infancy, the development of consensus measures should facilitate the initiation of effective surveillance that can guide public health response to this emerging epidemic. Â© 2004 The Royal Institute of Health. Published by Elsevier Ltd. All rights reserved. Descriptors article, smoking, consensus, epidemic, health hazard, health survey, human, medical research, monitoring, nomenclature, population research, public health service, questionnaire, social aspect, society, Southern Europe, standardization Links Book Title Database Embase; MEDLINE Publisher Data Source Embase Authors Maziak,W., Ward,K. D., Afifi Soweid,R. A., Eissenberg,T. Original/Translated Title URL Date of Electronic PMCID Editors
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	Read more...
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 Â± 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. Â© 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
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

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