Image
WTS Database
The subject of interest is:
waterpipe, water-pipe, nargile, narghile, arguileh, arguile, shisha, sheesha, chichi, hubble bubble, hubbly bubbly, goza, hookah, bong
| Title | Pub Year Sort ascending | Author | SearchLink |
|---|---|---|---|
| Integrating the impact of cigarette and waterpipe tobacco use among adolescents in the Eastern Mediterranean Region: a cross-sectional, population-level model of toxicant exposure | 2016 | Academic Unit of Primary Care and Population Sciences, University of Southampton, Southampton, Hampshire, UK.; Academic Unit of Primary Care and Population Sciences, University of Southampton, Southampton, Hampshire, UK. | Read more... |
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Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
27-Jun
Volume
Issue
Start Page
Other Pages
Notes
LR: 20160629; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/; JID: 9209612; OTO: NOTNLM; 2015/10/20 [rece
Place of Publication
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27354679
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
tobaccocontrol-2015-052777 [pii]
Output Language
Unknown(0)
PMID
27354679
Abstract
BACKGROUND: Waterpipe smoking is more prevalent than cigarette smoking among adolescents in the Eastern Mediterranean Region (EMR); however, simple prevalence masks complex waterpipe smoking patterns and makes uncertain its contribution to risk of tobacco-related harm. This study aimed to integrate the impact of cigarette and waterpipe tobacco use on toxicant exposure among EMR adolescents. METHODS: A cross-sectional model made equivalent individual-level toxicant exposure data for cigarettes and waterpipes, and aggregated it to 23 countries in the EMR using the Global Youth Tobacco Survey. The waterpipe model adjusted for estimated frequency of use, session duration and sharing behaviours. The final model included 60 306 12-17-year olds, and modelled as outcomes nicotine, carbon monoxide (CO) and 14 carcinogens. Sensitivity analyses substantially reduced session duration and proportion of solo use. RESULTS: Our model suggests waterpipe use may contribute a median of 36.4% (IQR 26.7-46.8%, n=16) of the total toxicant exposure from tobacco, and may reach up to 73.5% and 71.9% of total CO and benzene exposure, respectively. Sensitivity analyses reduced all values by 4.3-21.0%, but even the most conservative scenarios suggested over 50% of benzene and CO exposure was from waterpipe use. Between 69.2% and 73.5% of total toxicant exposure derived from dual cigarette and waterpipe users, who smoked cigarettes and waterpipe more frequently and intensely than single users. CONCLUSIONS: More research is warranted to refine our model's parameters. Tobacco control researchers should consider a move towards a single unit of measure for cigarette and waterpipe tobacco exposure in order to better inform health policy.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Roderick,P.
Original/Translated Title
URL
Date of Electronic
20160627
PMCID
Editors
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| Early symptoms of nicotine dependence among adolescent waterpipe smokers | 2016 | Department of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, Florida, USA Faculty of Medicine and Health Sciences, Aden University, Yemen.; Department of Family Medicine and Community Health, | Read more... |
|
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
25-Apr
Volume
Issue
Start Page
Other Pages
Notes
LR: 20160429; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/; GR: R01 DA035160/DA/NIDA NIH HHS/United Sta
Place of Publication
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27113610
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
tobaccocontrol-2015-052809 [pii]
Output Language
Unknown(0)
PMID
27113610
Abstract
BACKGROUND: Although waterpipe smoking is increasingly popular among youth and can lead to nicotine dependence (ND), no studies have documented how ND develops in waterpipe smokers. We examined the emerging symptoms of ND among adolescent waterpipe smokers in Lebanon. METHODS: Individual confidential interviews were used to evaluate ND in 160 waterpipe smokers and 24 cigarette smokers from a sample of 498 students enrolled in 8th and 9th grades in Lebanon. RESULTS: Among waterpipe smokers, 71.3% endorsed at least one Hooked on Nicotine Checklist (HONC) symptom and 38.1% developed the full syndrome of ND (>/=3 criteria using the International Classification of Diseases, 10th revision). The early symptoms of ND among waterpipe smokers were craving (25%), feeling addicted (22.5%), and failed quit attempts (14.3%). Among those who reached the respective milestones, median tobacco use when the first HONC symptom emerged was 7.5 waterpipes/month with smoking frequency of 6 days/month; the median tobacco use for the full syndrome of ND was 15 waterpipes/month with smoking frequency of 15 days/month. Among those who had already reached these milestones, the first HONC symptom appeared 10.9 months after the initiation of waterpipe smoking, and the full syndrome of ND was reached at 13.9 months. In addition, cues such as seeing or smelling waterpipe, and the cafe environment triggered craving in most waterpipe smokers with symptoms of ND. CONCLUSIONS: Symptoms of ND develop among adolescent waterpipe smokers at low levels of consumption and frequency of use. Craving for nicotine triggered by waterpipe-specific cues is reported even at this young age. Waterpipe-specific ND prevention and intervention programmes for youth are needed.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Bahelah,R., DiFranza,J.R., Fouad,F.M., Ward,K.D., Eissenberg,T., Maziak,W.
Original/Translated Title
URL
Date of Electronic
20160425
PMCID
Editors
|
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| Knowledge, attitudes and beliefs towards waterpipe tobacco smoking and electronic shisha (e-shisha) among young adults in London: a qualitative analysis | 2016 | 1Department of Primary Care and Population Health,University College London,London,UK.; 2Department of Primary Care and Public Health,Imperial College London,Hammersmith,London,UK.; 1Department of Primary Care and Population Health,University College Lond | Read more... |
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Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Primary health care research & development
Periodical, Abbrev.
Prim.Health.Care.Res.Dev.
Pub Date Free Form
Mar
Volume
17
Issue
2
Start Page
166
Other Pages
174
Notes
JID: 100897390; OTO: NOTNLM; 2015/04/13 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1477-1128; 1463-4236
Accession Number
PMID: 25864374
Language
eng
SubFile
Journal Article; IM
DOI
10.1017/S1463423615000237 [doi]
Output Language
Unknown(0)
PMID
25864374
Abstract
Introduction Waterpipe tobacco smoking (WTS), known in the United Kingdom as shisha, is popular among adolescents worldwide. Some electronic cigarettes are marketed in the United Kingdom as 'electronic shisha' (e-shisha). This study aimed to understand how WTS users view e-shisha and whether it could be used as a harm-reduction or cessation aid. METHOD: In-depth face-to-face interviews were conducted with 16 young adults recruited by snowball sampling in London, UK. Recurrent themes were derived iteratively through thematic analysis. RESULTS: WTS is a socially acceptable activity, carried out at home or in a cafe. Peer influence and flavour play a key role in its use. Participants were aware of some health risks of WTS, although many accepted this risk and reported a need for more health-related WTS information. Although participants were familiar with e-shisha, there was no evidence of its use as a harm-reduction or cessation product. E-shisha tasted different to flavoured waterpipe tobacco and removed the positive social attributes typically ascribed to WTS. Waterpipe users felt e-shisha may encourage non-users to initiate cigarettes or WTS. CONCLUSION: Opinions of reduced risk in using WTS may be due to the lack of available information, misconceptions and its easy accessibility. E-shisha does not appear to play a role in WTS harm reduction or cessation. On-going research efforts should test educational interventions addressing the adverse health impacts of WTS in this population group.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Kotecha,S., Jawad,M., Iliffe,S.
Original/Translated Title
URL
Date of Electronic
20150413
PMCID
Editors
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| Cancer risk in waterpipe smokers: a meta-analysis | 2016 | Department of Global and Public Health, Weill Cornell Medicine-Qatar, Doha, Qatar. ram2026@qatar-med.cornell.edu.; Department of Global and Public Health, Weill Cornell Medicine-Qatar, Doha, Qatar.; Dean's Office, Weill Cornell Medicine-Qatar, Doha, Qatar | Read more... |
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Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International journal of public health
Periodical, Abbrev.
Int.J.Public.Health.
Pub Date Free Form
15-Jul
Volume
Issue
Start Page
Other Pages
Notes
LR: 20160716; JID: 101304551; OTO: NOTNLM; 2015/12/22 [received]; 2016/07/08 [accepted]; 2016/05/16 [revised]; 2016/07/15 [aheadofprint]; aheadofprint
Place of Publication
ISSN/ISBN
1661-8564; 1661-8556
Accession Number
PMID: 27421466
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
10.1007/s00038-016-0856-2 [doi]
Output Language
Unknown(0)
PMID
27421466
Abstract
OBJECTIVES: To quantify by meta-analysis the relationship between waterpipe smoking and cancer, including cancer of the head and neck, esophagus, stomach, lung and bladder. METHODS: We performed a systematic literature search to identify relevant studies, scored their quality, used fixed and random-effect models to estimate summary relative risks (SRR), evaluated heterogeneity and publication bias. RESULTS: We retrieved information from 28 published reports. Considering only highquality studies, waterpipe smoking was associated with increased risk of head and neck cancer (SRR 2.97; 95 % CI 2.26-3.90), esophageal cancer (1.84; 1.42-2.38) and lung cancer (2.22; 1.24-3.97), with no evidence of heterogeneity or publication bias. Increased risk was also observed for stomach and bladder cancer but based mainly on poor-quality studies. For colorectum, liver and for all sites combined risk estimates were elevated, but there were insufficient reports to perform a meta-analysis. CONCLUSIONS: Contrary to the perception of the relative safety of waterpipe smoking, this meta-analysis provides quantitative estimates of its association with cancers of the head and neck, esophagus and lung. The scarcity and limited quality of available reports point out the need for larger carefully designed studies in well-defined populations.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Mamtani,R., Cheema,S., Sheikh,J., Al Mulla,A., Lowenfels,A., Maisonneuve,P.
Original/Translated Title
URL
Date of Electronic
20160715
PMCID
Editors
|
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| Acute effects of waterpipe smoking on blood pressure and heart rate: a real-life trial | 2016 | a Division of Cardiology , Hotel Dieu de France Hospital and the St. Joseph University School of Medicine , Beirut , Lebanon.; a Division of Cardiology , Hotel Dieu de France Hospital and the St. Joseph University School of Medicine , Beirut , Lebanon.; a | Read more... |
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Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Inhalation toxicology
Periodical, Abbrev.
Inhal.Toxicol.
Pub Date Free Form
Jul
Volume
28
Issue
8
Start Page
339
Other Pages
342
Notes
JID: 8910739; OTO: NOTNLM; 2016/04/25 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1091-7691; 0895-8378
Accession Number
PMID: 27109645
Language
eng
SubFile
Journal Article; IM
DOI
10.3109/08958378.2016.1171934 [doi]
Output Language
Unknown(0)
PMID
27109645
Abstract
BACKGROUND: Waterpipe smoking is becoming a popular way of tobacco use in the world. Its acute effects on the cardiovascular system are not well investigated. MATERIALS AND METHODS: This is a trial designed to evaluate the acute effects of waterpipe smoking on blood pressure (BP) and heart rate (HR) in healthy adults. Individuals who ordered waterpipe in 6 Lebanese restaurants were enrolled (cases) and were compared to controls who consisted of subjects who were sitting at the same table of smokers but who did not smoke (passive smokers) and of subjects who were sitting in nonsmoking sections (nonsmokers). BP and HR were measured immediately before and 15 min after smoking or at baseline and 15 min later in controls. RESULTS: A total of 194 subjects were enrolled: 101 waterpipe smokers, 51 passive smokers, and 42 nonsmokers. Systolic and diastolic BP and HR significantly increased after 15 min of smoking in cases (mean 3.1 mm Hg (95% CI 0.8-5.5; p = 0.009) for systolic BP, 2.1 mm Hg (95% CI 0-4.2; p = 0.053) for diastolic BP, and 6.3 beats/minute (95% CI 4.3-8.3; p
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Azar,R.R., Frangieh,A.H., Mroue,J., Bassila,L., Kasty,M., Hage,G., Kadri,Z.
Original/Translated Title
URL
Date of Electronic
20160425
PMCID
Editors
|
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| The determinants of intention to smoke waterpipe among adolescents in Lebanon: a national household survey | 2016 | Ludwig Maximilian Universitat, Munchen, Germany.; Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon.; Department of Epidemiology and Populat | Read more... |
|
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of public health (Oxford, England)
Periodical, Abbrev.
J.Public.Health.(Oxf)
Pub Date Free Form
Mar
Volume
38
Issue
1
Start Page
84
Other Pages
91
Notes
CI: (c) The Author 2015; JID: 101188638; OTO: NOTNLM; 2015/02/09 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1741-3850; 1741-3842
Accession Number
PMID: 25665877
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/pubmed/fdv004 [doi]
Output Language
Unknown(0)
PMID
25665877
Abstract
BACKGROUND: The phenomenon of waterpipe smoking (WPS) among adolescents has become eminent, and it is especially prevalent in Lebanon. Unlike cigarette smoking, WPS is parentally and socially acceptable. This study aims at examining the association between intention to smoke waterpipe in the next 6 months, and knowledge, attitudes and parental and social influences. METHODS: This is a secondary data analysis from a national survey in 2007 on 1028 households. This study addresses 258 non-smoking adolescents and their parents. Consent was sought and the study was approved by the Institutional Review Board at the American University of Beirut. Face-to-face interviews were conducted. Descriptive analysis, crude and adjusted odds ratios (ORs) were generated. RESULTS: At the bivariate level, late adolescence, mothers without university education, prior adolescents' WPS experiences, best friends' and parents' WPS habits and adolescents' and parents' lower attitude scores were associated with smoking intention. In the adjusted model, adolescents' beliefs about positive effects, best friends' similar habits and prior smoking remained significant (respective ORs [95% confidence interval ]: 1.81 [1.33-2.45], 2.51 [1.24-5.10], 4.91 [2.35-10.36]). Parents' perceived attitude against smoking was protective (OR: 0.57 [0.39-0.83]). CONCLUSIONS: Adolescents' intention to smoke is highly influenced by parents' permissive attitudes and peer pressure. Interventions targeting these two groups and limiting access to smoking by adolescents should be instigated.
Descriptors
Links
Book Title
Database
Publisher
. Published by Oxford University Press on behalf of Faculty of Public Health
Data Source
Authors
Schroder,C., Chaaya,M., Saab,D., Mahfoud,Z.
Original/Translated Title
URL
Date of Electronic
20150209
PMCID
Editors
|
|||
| Waterpipe smoking and cancer: systematic review and meta-analysis | 2016 | School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.; School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.; School of Epidemiology, Public He | Read more... |
|
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
10-May
Volume
Issue
Start Page
Other Pages
Notes
LR: 20160512; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/; JID: 9209612; OTO: NOTNLM; 2015/10/16 [rece
Place of Publication
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27165994
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
tobaccocontrol-2015-052758 [pii]
Output Language
Unknown(0)
PMID
27165994
Abstract
OBJECTIVE: Although accumulating evidence suggests harmful effects of waterpipe smoking, there is limited information about its direct association with chronic diseases, notably cancer. We provide an up-to-date systematic review and meta-analysis of the association between waterpipe smoking and cancer. DATA SOURCES: Systematic search of articles indexed in main biomedical databases: Pubmed, EmBase, Google Scholar and Web of Science, published between 1962 and September 2014. Search keywords included a combination of waterpipe or hookah, sheesha, nargile, hubble-bubble, goza or gaylan, and cancer. STUDY SELECTION: Focus on observational studies (cohort, case-control, cross-sectional) that evaluated the association between waterpipe smoking and cancer. Studies with mixed exposures excluded. DATA EXTRACTION: Two investigators independently extracted data and reached consensus on all items. DATA SYNTHESIS: 13 case-control studies met the inclusion criteria and were considered for meta-analysis. The methodological quality of included studies was assessed using the Newcastle-Ottawa Scale (NOS). Meta-analysis revealed a positive association between waterpipe smoking and lung cancer (OR=4.58 (2.61 to 8.03); I2=44.67%), and oesophageal cancer (OR=3.63 (1.39 to 9.44); I2 =94.49%). The majority of studies had a NOS score of 5-6 or 7, indicating 'fair' or 'good' quality, respectively. CONCLUSIONS: Our findings support a positive association between waterpipe smoking and cancer risk. However, high-quality studies with standardised exposure measurements are needed to clarify the contribution of waterpipe smoking to chronic diseases. More investments in initiatives for surveillance, intervention and regulatory policy for waterpipe smoking are urgently warranted.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Montazeri,Z., Nyiraneza,C., El-Katerji,H., Little,J.
Original/Translated Title
URL
Date of Electronic
20160510
PMCID
Editors
|
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| Consensus statement on assessment of waterpipe smoking in epidemiological studies | 2016 | Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA Syrian Center for Tobacco Studies, Aleppo, Syria.; Department of Epidemiology, Florida International University, Mia | Read more... |
|
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
10-May
Volume
Issue
Start Page
Other Pages
Notes
LR: 20160520; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/; GR: R01 DA035160/DA/NIDA NIH HHS/United Sta
Place of Publication
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27165995
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
tobaccocontrol-2016-052958 [pii]
Output Language
Unknown(0)
PMID
27165995
Abstract
Numerous epidemiological accounts suggest that waterpipe smoking (aka hookah, shisha, narghile) has become a global phenomenon, especially among youth. The alarming spread of waterpipe and accumulating evidence of its addictive and harmful effects represent a new threat in the global fight to limit tobacco-related morbidity and mortality. In response to waterpipe's alarming trends, major public health and tobacco control organisations have started or are considering systematic collection of data about waterpipe smoking to monitor its trends and assess its harmful effects in different societies. Such plans require coordination and agreement on epidemiological measurement tools that reflect the uniqueness of this tobacco use method, and at the same time allow comparison of waterpipe trends across time and place, and with other tobacco use methods. We started a decade ago our work to develop standardised measures and definitions for the assessment of waterpipe smoking in epidemiological studies. In this communication, we try to expand and update these assessment tools in light of our increased knowledge and understanding of waterpipe use patterns, its context and marketing, as well as the need for evidence-guided policies and regulations to curb its spread. We have assembled for this purpose a group of leading waterpipe researchers worldwide, and worked through an iterative process to develop the suggested instruments and definitions based on what we know currently about the waterpipe epidemic. While the suggested measures are by no means comprehensive, we hope that they can provide the building blocks for standard and comparable surveillance of waterpipe smoking globally.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Maziak,W., Ben Taleb,Z., Jawad,M., Afifi,R., Nakkash,R., Akl,E.A., Ward,K.D., Salloum,R.G., Barnett,T.E., Primack,B.A., Sherman,S., Cobb,C.O., Sutfin,E.L., Eissenberg,T., Expert Panel on Waterpipe Assessment in Epidemiological Studies
Original/Translated Title
URL
Date of Electronic
20160510
PMCID
Editors
|
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| Interventions for waterpipe tobacco smoking prevention and cessation: a systematic review | 2016 | Department of Primary Care and Public Health, Imperial College London, London, United Kingdom.; Academic Unit of Primary Care and Population Sciences, University of Southampton, Southampton, United Kingdom.; Nuffied Department of Primary Care Health Scien | Read more... |
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Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Scientific reports
Periodical, Abbrev.
Sci.Rep.
Pub Date Free Form
11-May
Volume
6
Issue
Start Page
25872
Other Pages
Notes
LR: 20160524; JID: 101563288; OID: NLM: PMC4863147; 2015/12/07 [received]; 2016/04/22 [accepted]; epublish
Place of Publication
England
ISSN/ISBN
2045-2322; 2045-2322
Accession Number
PMID: 27167891
Language
eng
SubFile
Journal Article; IM
DOI
10.1038/srep25872 [doi]
Output Language
Unknown(0)
PMID
27167891
Abstract
Waterpipe tobacco smoking is growing in popularity despite adverse health effects among users. We systematically reviewed the literature, searching MEDLINE, EMBASE and Web of Science, for interventions targeting prevention and cessation of waterpipe tobacco smoking. We assessed the evidence quality using the Cochrane (randomised studies), GRADE (non-randomised studies) and CASP (qualitative studies) frameworks. Data were synthesised narratively due to heterogeneity. We included four individual-level, five group-level, and six legislative interventions. Of five randomised controlled studies, two showed significantly higher quit rates in intervention groups (bupropion/behavioural support versus placebo in Pakistan; 6 month abstinence relative risk (RR): 2.3, 95% CI 1.4-3.8); group behavioural support versus no intervention in Egypt, 12 month abstinence RR 3.3, 95% CI 1.4-8.9). Non-randomised studies showed mixed results for cessation, behavioural, and knowledge outcomes. One high quality modelling study from Lebanon calculated that a 10% increase in waterpipe tobacco taxation would reduce waterpipe tobacco demand by 14.5% (price elasticity of demand -1.45). In conclusion, there is a lack of evidence of effectiveness for most waterpipe interventions. While few show promising results, higher quality interventions are needed. Meanwhile, tobacco policies should place waterpipe on par with cigarettes.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Jawad,S., Waziry,R.K., Ballout,R.A., Akl,E.A.
Original/Translated Title
URL
Date of Electronic
20160511
PMCID
PMC4863147
Editors
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| Group Waterpipe Tobacco Smoking Increases Smoke Toxicant Concentration | 2016 | Center for the Study of Tobacco Products, Department of Psychology, Virginia Commonwealth University, Richmond, VA;; Center for the Study of Tobacco Products, Department of Psychology, Virginia Commonwealth University, Richmond, VA; Department of Mechanic | Read more... |
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Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
May
Volume
18
Issue
5
Start Page
770
Other Pages
776
Notes
LR: 20160701; CI: (c) The Author 2015; GR: P50 DA036105/DA/NIDA NIH HHS/United States; GR: P50DA036105/DA/NIDA NIH HHS/United States; GR: R01 CA120142/CA/NCI NIH HHS/United States; GR: R01CA120142/CA/NCI NIH HHS/United States; JID: 9815751; 2015/07/24 [re
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 26659913
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.; IM
DOI
10.1093/ntr/ntv271 [doi]
Output Language
Unknown(0)
PMID
26659913
Abstract
INTRODUCTION: Waterpipe tobacco smoking is a global health concern. Laboratory research has focused on individual waterpipe users while group use is common. This study examined user toxicant exposure and smoke toxicant yield associated with individual and group waterpipe smoking. METHODS: Twenty-two pairs of waterpipe smokers used a waterpipe individually and as a dyad. Before and after smoking, blood was sampled and expired carbon monoxide (CO) measured; puff topography was recorded throughout. One participant from each pair was selected randomly and their plasma nicotine and expired air CO concentrations were compared when smoking alone to when smoking as part of a dyad. Recorded puff topography was used to machine-produce smoke that was analyzed for toxicant content. RESULTS: There was no difference in mean plasma nicotine concentration when an individual smoked as part of a dyad (mean = 14.9 ng/ml; standard error of the mean [SEM] = 3.0) compared to when smoking alone (mean = 10.0 ng/ml; SEM = 1.5). An individual smoking as part of as a dyad had, on average, lower CO (mean = 15.8 ppm; SEM = 2.0) compared to when smoking alone (mean= 21.3 ppm; SEM = 2.7). When two participants smoked as a dyad they took, on average, more puffs (mean = 109.8; SEM = 7.6) than a singleton smoker (mean = 77.7; SEM = 8.1) and a shorter interpuff interval (IPI; dyad mean = 23.8 seconds; SEM = 1.9; singleton mean = 40.8 seconds; SEM = 4.8). Higher concentrations of several toxicants were observed in dyad-produced smoke. DISCUSSION: Dyad smoking may increase smoke toxicant content, likely due to the dyad's shorter IPIs and greater puff number. More work is needed to understand if group waterpipe smoking alters the health risks of waterpipe tobacco smoking. IMPLICATIONS: This study is the first to measure toxicants in smoke generated from a waterpipe when used by a dyad. Relative to smoke generated by a singleton, dyad smoke had higher concentration of some toxicants. These differences may be attributed to differences in puffing behavior, specifically the shorter IPI and greater puff number observed in the dyad condition. Relative to singleton smokers, dyad smokers were exposed to less CO, but nicotine exposure did not differ. More work is needed to assess the health effects of inhalation of more toxicant-laden smoke during group waterpipe use.
Descriptors
Links
Book Title
Database
Publisher
. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco
Data Source
Authors
Ramoa,C.P., Shihadeh,A., Salman,R., Eissenberg,T.
Original/Translated Title
URL
Date of Electronic
20151211
PMCID
Editors
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