WTS database

Title	Pub Year	Author Sort descending	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	2017	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...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tobacco control Periodical, Abbrev. Tob.Control Pub Date Free Form May Volume 26 Issue 3 Start Page 323 Other Pages 329 Notes LR: 20181113; 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; 0 (Carcinogens); 6M3C89ZY6R Place of Publication England ISSN/ISBN 1468-3318; 0964-4563 Accession Number PMID: 27354679 Language eng SubFile Journal Article; IM DOI 10.1136/tobaccocontrol-2015-052777 [doi] 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 PMC5520247 Editors
Comparison of carcinogen, carbon monoxide, and ultrafine particle emissions from narghile waterpipe and cigarette smoking: Sidestream smoke measurements and assessment of second-hand smoke emission factors	2010	Aerosol Research Lab, Mechanical Engineering Department, American University of Beirut, Beirut 1107 2020, Lebanon.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Atmospheric environment (Oxford, England : 1994) Periodical, Abbrev. Atmos.Environ.(1994) Pub Date Free Form 1-Jan Volume 44 Issue 1 Start Page 8 Other Pages 14 Notes GR: R01 CA120142/CA/NCI NIH HHS/United States; GR: R01 CA120142-02/CA/NCI NIH HHS/United States; JID: 9888534; NIHMS155344; ppublish Place of Publication ISSN/ISBN 1352-2310; 1352-2310 Accession Number PMID: 20161525 Language ENG SubFile JOURNAL ARTICLE DOI 10.1016/j.atmosenv.2009.10.004 [doi] Output Language Unknown(0) PMID 20161525 Abstract The lack of scientific evidence on the constituents, properties, and health effects of second-hand waterpipe smoke has fueled controversy over whether public smoking bans should include the waterpipe. The purpose of this study was to investigate and compare emissions of ultrafine particles (UFP, <100 nm), carcinogenic polyaromatic hydrocarbons (PAH), volatile aldehydes, and carbon monoxide (CO) for cigarettes and narghile (shisha, hookah) waterpipes. These smoke constituents are associated with a variety of cancers, and heart and pulmonary diseases, and span the volatility range found in tobacco smoke.Sidestream cigarette and waterpipe smoke was captured and aged in a 1 m(3) Teflon-coated chamber operating at 1.5 air changes per hour (ACH). The chamber was characterized for particle mass and number surface deposition rates. UFP and CO concentrations were measured online using a fast particle spectrometer (TSI 3090 Engine Exhaust Particle Sizer), and an indoor air quality monitor. Particulate PAH and gaseous volatile aldehydes were captured on glass fiber filters and DNPH-coated SPE cartridges, respectively, and analyzed off-line using GC-MS and HPLC-MS. PAH compounds quantified were the 5- and 6-ring compounds of the EPA priority list. Measured aldehydes consisted of formaldehyde, acetaldehyde, acrolein, methacrolein, and propionaldehyde.We found that a single waterpipe use session emits in the sidestream smoke approximately four times the carcinogenic PAH, four times the volatile aldehydes, and 30 times the CO of a single cigarette. Accounting for exhaled mainstream smoke, and given a habitual smoker smoking rate of 2 cigarettes per hour, during a typical one-hour waterpipe use session a waterpipe smoker likely generates ambient carcinogens and toxicants equivalent to 2-10 cigarette smokers, depending on the compound in question. There is therefore good reason to include waterpipe tobacco smoking in public smoking bans. Descriptors Links Book Title Database Publisher Data Source Authors Daher,N., Saleh,R., Jaroudi,E., Sheheitli,H., Badr,T., Sepetdjian,E., Al Rashidi,M., Saliba,N., Shihadeh,A. Original/Translated Title URL Date of Electronic PMCID PMC2801144 Editors
Waterpipe Tobacco Smoking Prevalence and Associated Factors in the Southeast of Iran	2017	Assistant Professor, HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.; Senior Researcher, Modeling in Health Re(TRUNCATED	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Addiction & health Periodical, Abbrev. Addict.Health. Pub Date Free Form Apr Volume 9 Issue 2 Start Page 72 Other Pages 80 Notes LR: 20181113; JID: 101582275; OTO: NOTNLM; 2018/01/05 06:00 [entrez]; 2018/01/05 06:00 [pubmed]; 2018/01/05 06:01 [medline]; ppublish Place of Publication Iran ISSN/ISBN 2008-4633; 2008-4633 Accession Number PMID: 29299209 Language eng SubFile Journal Article DOI Output Language Unknown(0) PMID 29299209 Abstract Background: Waterpipe smoking is a growing public health threat worldwide. The aim of this study was to assess waterpipe smoking prevalence and its associated factors among Iranian adults. Methods: This cross-sectional study was conducted in Kerman, Iran, recruiting 1090 adult participants using multistage sampling in 2016. A self-reported researcher-designed questionnaire was used. The socio-demographic characteristics and waterpipe smoking behaviors such as pattern, duration, and the most common place of waterpipe use, the type of tobacco, and the concurrent use of alcohol and substances were assessed. Data analyses were performed using chi-square, independent t-test, and multiple logistic regression. Findings: The prevalence of ever, current and daily waterpipe smoking were 43.8%, 28.8%, and 7.2%, respectively. Men initiated to use waterpipe in more early ages than women (P Descriptors Links Book Title Database Publisher Data Source Authors Danaei,M., Jabbarinejad-Kermani,A., Mohebbi,E., Momeni,M. Original/Translated Title URL Date of Electronic PMCID PMC5742413 Editors
A Systematic Review of Effects of Waterpipe Smoking on Cardiovascular and Respiratory Health Outcomes	2016	Associate Dean for Academic Affairs, College of Nursing, University of Florida, Gainesville, FL, USA.; Assistant Professor, College of Nursing, University of Florida, Gainesville, FL, USA.; Professor and Schmidt Family Foundation Distinguished Professor,	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tobacco use insights Periodical, Abbrev. Tob Use Insights Pub Date Free Form 5-Jul Volume 9 Issue Start Page 13 Other Pages 28 Notes LR: 20160713; JID: 101608659; OID: NLM: PMC4934173; OTO: NOTNLM; 2016 [ecollection]; 2016/04/05 [received]; 2016/06/01 [revised]; 2016/06/03 [accepted]; 2016/07/05 [epublish]; epublish Place of Publication New Zealand ISSN/ISBN 1179-173X; 1179-173X Accession Number PMID: 27398028 Language eng SubFile Journal Article; Review DOI 10.4137/TUI.S39873 [doi] Output Language Unknown(0) PMID 27398028 Abstract BACKGROUND: Waterpipe smoking (WPS) is a social custom common in many Middle Eastern, North African, and Asian countries and has become increasingly popular in the US, especially among youth; however, WPS smoking may be increasing in the US adult population as well. There is a common belief among waterpipe (WP) smokers that WPS is less harmful than smoking cigarettes. Thus, this review aims to systematically explore the literature on the effects of WP tobacco smoking with a particular focus on cardiovascular and respiratory health outcomes as well as on oxidative stress, immunity, and cell cycle interference health outcomes. METHODOLOGY: We conducted a systematic review, guided by the criteria of The Preferred Reporting Items for Systematic Reviews and Meta-Analyses, using the following online databases MEDLINE, CINAHL, ScienceDirect, PMC, and Cochrane Library. Results were summarized qualitatively. RESULTS: Forty studies met the inclusion criteria established for this review. Based on the existing evidence, several cardiovascular and respiratory physiologic health indicators and conditions have been shown to be negatively affected by WPS. In addition to the effects of nicotine and chemical toxicant exposures, WPS was significantly associated with an increase in heart rate, blood pressure, and lower pulmonary function test results, as well as a number of health conditions such as lung cancer, alterations in oxidative stress, immunity, and cell cycle interference. CONCLUSION: The current literature provides evidence that WPS is associated with a number of negative health indicators and outcomes. There is need for more research related to WPS and its effects on health so that appropriate campaigns and prevention interventions can be implemented to control the epidemic increase of WPS in the US. Descriptors Links Book Title Database Publisher Data Source Authors Haddad,L., Kelly,D.L., Weglicki,L.S., Barnett,T.E., Ferrell,A.V., Ghadban,R. Original/Translated Title URL Date of Electronic 20160705 PMCID PMC4934173 Editors
Maternal waterpipe smoke exposure and the risk of asthma and allergic diseases in childhood: A post hoc analysis	2015	Balamand University, Beirut, Lebanon (Pulmonology Department).; Lebanese University, Hadath, Lebanon (Faculty of Pharmacy). pascalesalameh1@hotmail.com.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full International journal of occupational medicine and environmental health Periodical, Abbrev. Int.J.Occup.Med.Environ.Health Pub Date Free Form Volume 28 Issue 1 Start Page 147 Other Pages 156 Notes CI: This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.; JID: 9437093; OTO: NOTNLM; ppublish Place of Publication Poland ISSN/ISBN 1896-494X; 1232-1087 Accession Number PMID: 26159955 Language eng SubFile Journal Article; IM DOI 10.13075/ijomeh.1896.00316 [doi] Output Language Unknown(0) PMID 26159955 Abstract INTRODUCTION: This analysis was conducted with the objective of evaluating association between waterpipe passive smoking exposure and asthma, and allergies among Lebanese children. MATERIAL AND METHODS: Data were taken from a crosssectional study on children from public and private schools. A sample of 22 schools participated in the study, where standardized written core questionnaires were distributed. From 5 to 12-year-old students filled in the questionnaires at home, while 13-14-year-old students filled it in in the class. In total, 5522 children were evaluated for the prevalence of asthma, allergic rhinitis and atopic eczema, and their associated factors, including waterpipe exposure due to parents' smoking. RESULTS: The descriptive results of parental smoking were, as follows: among mothers: 1609 (29%) mothers smoked cigarettes, 385 (7%) smoked waterpipe and 98 (1.8%) smoked both; among fathers: 2449 (44.2%) smoked cigarettes, 573 (10.3%) smoked waterpipe and 197 (3.5%) smoked both. Maternal waterpipe smoking was significantly and moderately associated with allergic diseases (p Descriptors Links Book Title Database Publisher Data Source Authors Waked,M., Salameh,P. Original/Translated Title URL Date of Electronic PMCID Editors
Genotoxicity of waterpipe smoke in buccal cells and peripheral blood leukocytes as determined by comet assay	2014	Biological Sciences Department, Faculty of Science, King Abdulaziz University , Jeddah , Saudi Arabia and.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Inhalation toxicology Periodical, Abbrev. Inhal.Toxicol. Pub Date Free Form Dec Volume 26 Issue 14 Start Page 891 Other Pages 896 Notes LR: 20151119; JID: 8910739; 0 (5-hydroxymethyl-2-furancarboxaldehyde); 0 (Benzaldehydes); 0 (Furans); 0 (Pyrones); 0 (Smoke); 6M3C89ZY6R (Nicotine); YC9ST449YJ (ethyl vanillin); OTO: NOTNLM; 2014/10/30 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1091-7691; 0895-8378 Accession Number PMID: 25357232 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.3109/08958378.2014.970787 [doi] Output Language Unknown(0) PMID 25357232 Abstract CONTEXT: Waterpipe smoke causes DNA damage in peripheral blood leukocytes and in buccal cells of smokers. OBJECTIVE: To determine the exposure effect of waterpipe smoke on buccal cells and peripheral blood leukocytes in regard to DNA damage using comet assay. MATERIALS AND METHODS: The waterpipe smoke condensates were analyzed by gas chromatography-mass spectrometry (GC-MS). The study was performed on 20 waterpipe smokers. To perform comet assay on bucaal cells of smokers, 10 microl of cell suspension was mixed with 85 microl of pre-warmed 1% low melting agarose, applied to comet slide and electrophoresed. To analyze the effect of smoke condensate in vitro, 1 ml of peripheral blood was mixed with 10 microl of smoke condensate and subjected for comet assay. RESULTS: The GC-MS analysis revealed the presence of 2,3-dihydro-3,5-dihydroxy-6-methyl-4H-pyran-4on, nicotine, hydroxymethyl furancarboxaldehyde and 3-ethoxy-4-hydroxybenzaldehyde in the smoke condensates. Waterpipe smoking caused DNA damage in vivo in buccal cells of smokers. The tail moment and tail length in buccal cells of smokers were 186 +/- 26 and 456 +/- 71, respectively, which are higher than control. The jurak and moassel smoke condensates were found to cause DNA damage in peripheral blood leukocytes. The moassel smoke condensate was more damaging. DISCUSSION: There is wide misconception that waterpipe smoking is not as harmful as cigarette smoking. This study demonstrated that waterpipe smoke induced DNA damage in exposed cells. CONCLUSION: Waterpipe smokes cause DNA damage in buccal cells. The smoke condensate of both jurak and moassel caused comet formation suggesting DNA damage in peripheral blood leukocytes. Descriptors Links Book Title Database Publisher Data Source Authors Al-Amrah,H.J., Aboznada,O.A., Alam,M.Z., ElAssouli,M.Z., Mujallid,M.I., ElAssouli,S.M. Original/Translated Title URL Date of Electronic 20141030 PMCID Editors
Waterpipe tobacco smoking: what is the evidence that it supports nicotine/tobacco dependence?	2015	Center for Clinical and Translational Research and Center for the Study of Tobacco Products, Virginia Commonwealth University, Richmond, Virginia, USA.; Department of Psychology, Center for the Study of Tobacco Products, Virginia Commonwealth University,	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tobacco control Periodical, Abbrev. Tob.Control Pub Date Free Form Mar Volume 24 Suppl 1 Issue Start Page i44 Other Pages i53 Notes LR: 20150618; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.; GR: P50 DA036105/DA/NIDA NIH HHS/United States; GR: P Place of Publication England ISSN/ISBN 1468-3318; 0964-4563 Accession Number PMID: 25492935 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review; IM DOI 10.1136/tobaccocontrol-2014-051910 [doi] Output Language Unknown(0) PMID 25492935 Abstract OBJECTIVE: Waterpipe tobacco smoking (WTS) involves passing tobacco smoke through water prior to inhalation, and has spread worldwide. This spread becomes a public health concern if it is associated with tobacco-caused disease and if WTS supports tobacco/nicotine dependence. A growing literature demonstrates that WTS is associated with disability, disease and death. This narrative review examines if WTS supports nicotine/tobacco dependence, and is intended to help guide tobacco control efforts worldwide. DATA SOURCES: PUBMED search using: (("waterpipe" or "narghile" or "arghile" or "shisha" or "goza" or "narkeela" or "hookah" or "hubble bubble")) AND ("dependence" or "addiction"). STUDY SELECTION: Excluded were articles not in English, without original data, and that were not topic-related. Thirty-two articles were included with others identified by inspecting reference lists and other sources. DATA SYNTHESIS: WTS and the delivery of the dependence-producing drug nicotine were examined, and then the extent to which the articles addressed WTS-induced nicotine/dependence explicitly, as well as implicitly with reference to criteria for dependence outlined by the WHO. CONCLUSIONS: WTS supports nicotine/tobacco dependence because it is associated with nicotine delivery, and because some smokers experience withdrawal when they abstain from waterpipe, alter their behaviour in order to access a waterpipe and have difficulty quitting, even when motivated to do so. There is a strong need to support research investigating measurement of WTS-induced tobacco dependence, to inform the public of the risks of WTS, which include dependence, disability, disease and death, and to include WTS in the same public health policies that address tobacco cigarettes. Descriptors Links Book Title Database Publisher Data Source Authors Aboaziza,E., Eissenberg,T. Original/Translated Title URL Date of Electronic 20141209 PMCID PMC4345797 Editors
Waterpipe tobacco smoking: knowledge, attitudes, beliefs, and behavior in two U.S. samples	2008	Center for Health and Wellbeing, Princeton University and Robert Wood Johnson Foundation, USA.	Read more...
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 Feb Volume 10 Issue 2 Start Page 393 Other Pages 398 Notes LR: 20151119; GR: R01 CA103827/CA/NCI NIH HHS/United States; GR: R01 CA103827-05/CA/NCI NIH HHS/United States; GR: R01CA103827/CA/NCI NIH HHS/United States; GR: R01DA011082/DA/NIDA NIH HHS/United States; GR: R01TW005962/TW/FIC NIH HHS/United States; GR: R Place of Publication England ISSN/ISBN 1462-2203; 1462-2203 Accession Number PMID: 18236304 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; IM DOI 10.1080/14622200701825023 [doi] Output Language Unknown(0) PMID 18236304 Abstract Despite evidence of increasing waterpipe tobacco smoking prevalence among U.S. young adults, little is known about the knowledge, attitudes, beliefs, and smoking patterns of waterpipe users in this population. To address this lack of knowledge, two convenience samples of U.S. waterpipe users were surveyed--one from a Richmond, Virginia, waterpipe cafe (n=101), the other from an Internet forum called HookahForum.com (n=100). Sixty percent reported first-time waterpipe use at or before age 18. Daily waterpipe use was reported by 19%, weekly use by 41%, and monthly use by 29%. Waterpipe use was more common during the weekend (75%) than during weekdays (43%). Forty-four percent reported spending >or=60 min smoking tobacco during a waterpipe session. The majority of waterpipe users owned a waterpipe (57%) and purchased it on the Internet (71%). Many waterpipe users smoked the sweetened and flavored tobacco (i.e., maassel), and fruit flavors were the most popular (54%). Past month use of cigarettes, tobacco products other than cigarettes or waterpipe, and alcohol was 54%, 33%, and 80% respectively, and 36% reported past-month marijuana use. Most waterpipe users were confident about their ability to quit (96%), but only a minority (32%) intended to quit. Most waterpipe users believed waterpipe tobacco smoking was less harmful and addictive than cigarettes. These results are from small convenience samples; more detailed study of a larger group of randomly sampled U.S. waterpipe tobacco smokers will be valuable in understanding this behavior and developing effective strategies to prevent it. Descriptors Administration, Inhalation, Adolescent, Adult, Analysis of Variance, Chi-Square Distribution, Female, Health Behavior, Health Knowledge, Attitudes, Practice, Humans, Male, Nebulizers and Vaporizers, Risk-Taking, Smoking/epidemiology/psychology, Social Perception, Surveys and Questionnaires, Tobacco Use Disorder/epidemiology/psychology, United States Links Book Title Database Publisher Data Source Authors Smith-Simone,S., Maziak,W., Ward,K. D., Eissenberg,T. Original/Translated Title URL Date of Electronic PMCID PMC3215239 Editors
Waterpipes and electronic cigarettes: increasing prevalence and expanding science	2014	Center for Regulatory Research on Tobacco Communication, Lineberger Comprehensive Cancer Center, University of North Carolina , 319D Rosenau Hall, CB #7400, Chapel Hill, North Carolina 27599, United States.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Chemical research in toxicology Periodical, Abbrev. Chem.Res.Toxicol. Pub Date Free Form 18-Aug Volume 27 Issue 8 Start Page 1336 Other Pages 1343 Notes LR: 20160701; GR: P50 CA180907/CA/NCI NIH HHS/United States; GR: P50 DA036105/DA/NIDA NIH HHS/United States; GR: P50CA180907/CA/NCI NIH HHS/United States; GR: P50DA036105/DA/NIDA NIH HHS/United States; JID: 8807448; 0 (Nitrosamines); OID: NLM: PMC4137989; Place of Publication United States ISSN/ISBN 1520-5010; 0893-228X Accession Number PMID: 25338174 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.; IM DOI 10.1021/tx500200j [doi] Output Language Unknown(0) PMID 25338174 Abstract The prevalence of non-cigarette tobacco product use is on the rise across the globe, especially for waterpipes (also known as hookah, narghile, and shisha) and electronic cigarettes (e-cigarettes). The scientific literature reveals that waterpipe tobacco smoking is associated with exposure to a variety of toxicants that can cause short- and long-term adverse health events. In contrast, there is far less evidence of health harms related to e-cigarette use, although the variety of products in this category makes it difficult to generalize. We searched the PubMed database for all publications on waterpipes and e-cigarettes from January 2000 to March 2014. The number of publications on waterpipes rose in a slow, linear pattern during this time, while the number of publications on e-cigarettes showed exponential growth. The different trends suggest there may be more interest in studying a novel nicotine product (the e-cigarette) over a traditional tobacco product (the waterpipe). We posit that, although the specific research needs for these products are different, public health would be served best by a more equitable research approach. Scientists should continue to devote attention to understanding the unknown long-term health effects of e-cigarettes and their potential to serve as harm reduction or smoking cessation tools while simultaneously investigating how to reduce waterpipe smoking given that it exposes users to toxicants known to cause harm to health. Recent regulatory action in the United States, which proposes to include waterpipes and e-cigarettes under some of the same regulations as tobacco cigarettes, makes such research particularly timely. Descriptors Links Book Title Database Publisher Data Source Authors Pepper,J.K., Eissenberg,T. Original/Translated Title URL Date of Electronic 20140804 PMCID PMC4137989 Editors
Comparison of toxicant load from waterpipe and cigarette tobacco smoking among young adults in the USA	2018	Center for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.; Division of (TRUNCATED	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tobacco control Periodical, Abbrev. Tob.Control Pub Date Free Form 16-May Volume Issue Start Page Other Pages Notes LR: 20180518; CI: (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018; JID: 9209612; OTO: NOTNLM; 2017/12/23 00:00 [received]; 2018/03/08 00:00 [revised]; 2018/03/21 00:00 [accepted]; 2018/05/19 06:00 [entr Place of Publication England ISSN/ISBN 1468-3318; 0964-4563 Accession Number PMID: 29773707 Language eng SubFile Journal Article DOI tobaccocontrol-2017-054226 [pii] Output Language Unknown(0) PMID 29773707 Abstract OBJECTIVES: To form population-level comparisons of total smoke volume, tar, carbon monoxide and nicotine consumed from waterpipe tobacco smoking (WTS) and cigarette smoking using data from a nationally representative sample of smokers and non-smokers aged 18-30 years. METHODS: In March and April 2013, we surveyed a nationally representative sample of 3254 US young adults to assess the frequency and volume of WTS and cigarette smoking. We used Monte Carlo analyses with 5000 repetitions to estimate the proportions of toxicants originating from WTS and cigarette smoking. Analyses incorporated survey weights and used recent meta-analytic data to estimate toxicant exposures associated with WTS and cigarette smoking. RESULTS: Compared with the additive estimates of WTS and cigarette smoking combined, 54.9% (95% CI 37.5% to 72.2%) of smoke volume was attributed to WTS. The proportions of tar attributable to WTS was 20.8% (95% CI 6.5% to 35.2%), carbon monoxide 10.3% (95% CI 3.3% to 17.3%) and nicotine 2.4% (95% CI 0.9% to 3.8%). CONCLUSIONS: WTS accounted for over half of the tobacco smoke volume consumed among young US adult waterpipe and cigarette smokers. Toxicant exposures to tar, carbon monoxide and nicotine were lower, but still substantial, for WTS alone compared with WTS and cigarette smoking. Public health and policy interventions to reduce harm from tobacco smoking in young US adults should explicitly address WTS toxicant exposures. Descriptors Links Book Title Database Publisher Data Source Authors Primack,B.A., Shensa,A., Sidani,J.E., Tulikangas,M.C., Roberts,M.S., Colditz,J.B., Mor,M.K., James,A.E., Fine,M.J. Original/Translated Title URL Date of Electronic 20180516 PMCID Editors

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