WTS database

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Multiple tobacco use among young adult waterpipe smokers in Egypt	2018	Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.; Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt(TRUNCATED	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Periodical, Abbrev. East.Mediterr.Health J. Pub Date Free Form 5-Apr Volume 24 Issue 1 Start Page 7 Other Pages 17 Notes LR: 20190509; CI: Copyright (c) World Health Organization (WHO) 2018; JID: 9608387; OTO: NOTNLM; 2017/09/15 00:00 [received]; 2017/11/21 00:00 [accepted]; 2018/04/17 06:00 [entrez]; 2018/04/17 06:00 [pubmed]; 2018/04/17 06:00 [medline]; epublish Place of Publication Egypt ISSN/ISBN 1020-3397; 1020-3397 Accession Number PMID: 29658616 Language eng SubFile Journal Article DOI Output Language Unknown(0) PMID 29658616 Abstract Background: The use of multiple tobacco products is an emerging trend. Studies on multiple use among waterpipe smokers are limited. Objectives: We aimed to estimate the proportion of other tobacco products used by current adult waterpipe smokers in Egypt and identify the determinants of multiple tobacco product use. Methods: Population-based surveys were conducted using interview questionnaires during 2015-2017 in urban Cairo and rural Menoufia. Participants aged 18 years and older were selected using purposive quota non-random sampling. The total sample included 2 014 participants. We analysed the data on 1 490 current waterpipe smokers. Variables recorded included: tobacco use, health beliefs, waterpipe smoking behaviour, sociodemographic characteristics, and perceived effectiveness of pictorial health warnings on waterpipe tobacco packs. Current waterpipe smokers were classified as waterpipe-only users and multiple tobacco product users. Results: Almost half (47.9%) of the current waterpipe smokers used multiple tobacco products; 93.4% were dual users and 6.6% poly-users. The other tobacco products used were cigarettes (86.4%), electronic nicotine delivery systems (ENDS) (7.0%) or both (6.6%). Multiple users were more likely to be younger than waterpipe-only users. Young adult female waterpipe smokers used ENDS 12 times more than young adult males (48.8% versus 4.1% respectively). Non-daily waterpipe smoking, usually smoking at cafes, higher education and knowledge of pictorial health warnings were independent predictors of multiple tobacco product use. Conclusion: Multiple tobacco product use was common among current waterpipe smokers in our study. Interventions to tackle non-cigarette and multiple tobacco use, especially in young adults, are urgently needed. Descriptors Links Book Title Database Publisher . Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO license (https://creativecommons.org/licenses/by-nc-sa/3.0/igo) Data Source Authors Mostafa,A., El Houssinie,M., Fotouh,A.A. Original/Translated Title URL Date of Electronic 20180405 PMCID Editors
Motives, beliefs and attitudes towards waterpipe tobacco smoking: a systematic review	2013		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Harm Reduct J Periodical, Abbrev. Pub Date Free Form Volume 10 Issue Start Page 12 Other Pages 12 Notes ID: 23816366 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract BACKGROUND: In spite of the negative health effects of waterpipe tobacco smoking, its use is becoming more common. The objective of this study is to systematically review the medical literature for motives, beliefs and attitudes towards waterpipe tobacco smoking. METHODS: We electronically searched MEDLINE, EMBASE, and the ISI the Web of Science in January 2012. We included both quantitative and qualitative studies. We selected studies and abstracted data using standard systematic review methodology. We synthesized data qualitatively. RESULTS: We included 58 papers reporting on 56 studies. The main motives for waterpipe tobacco smoking were socializing, relaxation, pleasure and entertainment. Peer pressure, fashion, and curiosity were additional motives for university and school students while expression of cultural identity was an additional motive for people in the Middle East and for people of Middle Eastern descent in Western countries. Awareness of the potential health hazards of waterpipe smoking was common across settings. Most but not all studies found that the majority of people perceived waterpipe smoking as less harmful than cigarette smoking. Waterpipe smoking was generally socially acceptable and more acceptable than cigarette smoking in general. In Middle Eastern societies, it was particularly more acceptable for women's use compared to cigarette use. A majority perceived waterpipe smoking as less addictive than cigarette smoking. While users were confident in their ability to quit waterpipe smoking at any time, willingness to quit varied across settings. CONCLUSIONS: Socializing, relaxation, pleasure and entertainment were the main motives for waterpipe use. While waterpipe users were aware of the health hazards of waterpipe smoking, they perceived it as less harmful, less addictive and more socially acceptable than cigarette smoking and were confident about their ability to quit. Descriptors Links Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Akl,Elie A., Jawad,Mohammed, Lam,Wai Yim, Co,Christopher N., Obeid,Rawad, Irani,Jihad Original/Translated Title URL Date of Electronic PMCID Editors
Mixed methods pilot study of sharing behaviors among waterpipe smokers of rural Lao PDR: implications for infectious disease transmission	2013		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Int J Environ Res Public Health Periodical, Abbrev. Pub Date Free Form Volume 10 Issue 6 Start Page 2120 Other Pages 32 Notes ID: 23708049 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract To date, the sharing behaviors associated with the homemade tobacco waterpipe used in rural areas of the Western Pacific Region have not been studied. Evidence from studies of manufactured waterpipes raises the possibility of infectious disease transmission due to waterpipe sharing. The objective of our pilot study in rural Lao People's Democratic Republic (PDR) was to identify and measure the prevalence of waterpipe sharing behaviors. We first conducted ethnographic studies to investigate waterpipe-smoking behaviors. These findings were then used to develop an interviewer-administered household survey that was used in a sampling of waterpipe smokers from three villages of the Luang Namtha province of Lao PDR (n = 43). Sampled waterpipe smokers were predominantly male (90.7%), older (mean age 49, SD 13.79), married (95.4%), farmers (78.6%), and had completed no primary education. Pipes were primarily made from bamboo (92.9%). Almost all (97.6%) smokers were willing to share their pipe with others. At the last time they smoked, smokers shared a pipe with at least one other person (1.2 Â± 0.5 persons). During the past week, they had shared a pipe with five other persons (5.2 Â± 3.8 persons). The high prevalence of sharing behaviors among waterpipe smokers in rural Southeast Asia raises the possibility that this behavior provides important and unmeasured social network pathways for the transmission of infectious agents. Descriptors Links Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Martin,Robyn, Safaee,Sahar D., Somsamouth,Khamphithoune, Mounivong,Boualoy, Sinclair,Ryan, Bansal,Shweta, Singh,Pramil N. Original/Translated Title URL Date of Electronic PMCID Editors
Measurement of 16 polycyclic aromatic hydrocarbons in narghile waterpipe tobacco smoke	2008		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Food Chem Toxicol Periodical, Abbrev. Food Chem.Toxicol. Pub Date Free Form Volume 46 Issue 5 Start Page 1582 Other Pages 90 Notes ID: 18308445 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract An analytical method for the determination of 16 polycyclic aromatic hydrocarbons (PAHs) in the mainstream of narghile smoke is presented. The smoke was generated using a digital waterpipe smoking machine connected to the mouthpiece of a narghile that was loaded with 10 g of a popular flavored tobacco and kept alight with quick-light charcoal briquettes that are commonly used for this purpose. A standard smoking regimen consisting of 171 puffs of 530 ml volume and 2.6s duration spaced 17s apart was used, and the smoke condensates were collected on glass fiber filters. PAHs were extracted with toluene assisted by sonication. For purification, the extract was passed through a silica cartridge and eluted with hexane. The eluent was preconcentrated, reconstituted in acetonitrile, and analyzed using a GC-MS-SICP method. The method showed good selectivity, repeatability, accuracy and sensitivity. The limit of detection ranged from 15 to 96 ng for benzoa]pyrene and indeno1,2,3-cd]pyrene, respectively. It was found that a single narghile smoking session delivers approximately 50 times the quantities of carcinogenic 4- and 5-membered ring PAHs as a single 1R4F cigarette smoked using the FTC protocol. The pattern of PAH concentrations suggested that formation pathways differ from those of the cigarette, possibly reflecting the differing combustion conditions of the two smoking devices. Descriptors Plastics/chemistry, Polycyclic Hydrocarbons, Aromatic/analysis, Smoke/analysis, Tobacco/chemistry, Calibration, Carcinogens/analysis, Chromatography, Gas, Gas Chromatography-Mass Spectrometry, Indicators and Reagents, Reference Standards, Reproducibility of Results Links http://dx.doi.org/10.1016/j.fct.2007.12.028 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Sepetdjian,Elizabeth, Shihadeh,Alan, Saliba,Najat A. Original/Translated Title URL Date of Electronic PMCID 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
Mainstream smoke of the waterpipe: does this environmental matrix reveal as significant source of toxic compounds?	2011	German Federal Institute for Risk Assessment (BfR), Department of Product Safety, Thielallee 88-92, 14195 Berlin, Germany. Jens.Schubert@bfr.bund.de	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Toxicology letters Periodical, Abbrev. Toxicol.Lett. Pub Date Free Form 10-Sep Volume 205 Issue 3 Start Page 279 Other Pages 284 Notes LR: 20151119; CI: Copyright (c) 2011; JID: 7709027; 0 (4-(methylnitrosamino)-1-(3-pyridyl)-1-butan-1-ol); 0 (Carcinogens); 0 (Hygroscopic Agents); 0 (Nitrosamines); 0 (Polycyclic Hydrocarbons, Aromatic); 0 (Pyridines); 0 (Smoke); 059QF0KO0R (Water); 3417W Place of Publication Netherlands ISSN/ISBN 1879-3169; 0378-4274 Accession Number PMID: 21712083 Language eng SubFile Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1016/j.toxlet.2011.06.017 [doi] Output Language Unknown(0) PMID 21712083 Abstract In recent years the number of waterpipe smokers has increased substantially worldwide. Here we report on the concentrations of tobacco-specific nitrosamines (TSNAs) and polycyclic aromatic hydrocarbons (PAHs) in waterpipe smoke and the analysis of selected biomarkers indicative for the body burden in waterpipe users. We further identify high amounts of unburned humectants (glycerol and propylene glycol) in the waterpipe smoke as main part of the so-called "tar" fraction. These results give cause for serious concern. For standardization we applied a machine smoking protocol. Smoke was collected on glass fiber filters and analyzed for nicotine, water, humectants, TSNAs, and PAHs. In addition, we determined carbon monoxide and found high amounts in the smoke being causative for high levels of carboxyhemoglobin (COHb) in the blood of smokers. In comparison to the reference cigarette 3R4F, the nicotine contents were 10-times higher, but TSNA levels were found lower in waterpipe smoke. This finding explained the low levels of 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol detected in the urine of waterpipe smokers. Finally, the levels of benzo[a]pyrene were three times higher in waterpipe smoke compared to the reference cigarette. Altogether, the data presented in this study point to the health hazards associated with the consumption of waterpipes. Descriptors Links Book Title Database Publisher Elsevier Ireland Ltd Data Source Authors Schubert,J., Hahn,J., Dettbarn,G., Seidel,A., Luch,A., Schulz,T.G. Original/Translated Title URL Date of Electronic 20110625 PMCID Editors
Lower prevalence of cigarette and waterpipe smoking, but a higher risk of waterpipe dependence in Lebanese adult women than in men	2012	Faculty of Public Health & Pharmacy, Lebanese University, Beirut, Lebanon. pascalesalameh1@hotmail.com	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Women & health Periodical, Abbrev. Women Health Pub Date Free Form Volume 52 Issue 2 Start Page 135 Other Pages 150 Notes LR: 20151119; JID: 7608076; 059QF0KO0R (Water); 7U1EE4V452 (Carbon Monoxide); ppublish Place of Publication United States ISSN/ISBN 1541-0331; 0363-0242 Accession Number PMID: 22458290 Language eng SubFile Evaluation Studies; Journal Article; IM DOI 10.1080/03630242.2012.656885 [doi] Output Language Unknown(0) PMID 22458290 Abstract The objective of this study was to evaluate whether nicotine dependence was higher in Lebanese women smokers compared with men smokers. Data were taken from a national cross-sectional study. Lebanese residents aged >/= 40 years were enrolled between October 2009 and September 2010. After informed consent, participants answered a standardized questionnaire about smoking behaviors and dependence (measured by the Fagerstrom-Test-Nicotine-Dependence for cigarettes and the Lebanon-Waterpipe-Dependence-Scale 11 for waterpipes): 1,066 males and 1,134 females were interviewed. 58.7% versus 42.9% of them, respectively, ever smoked cigarettes, while 6.9% versus 6.7% ever smoked a waterpipe (p Descriptors Links Book Title Database Publisher Data Source Authors Salameh,P., Khayat,G., Waked,M. Original/Translated Title URL Date of Electronic PMCID Editors
Lifetime cumulative exposure to waterpipe smoking is associated with coronary artery disease	2014	Department of Epidemiology & Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.; Department of Epidemiology & Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon; Center	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Atherosclerosis Periodical, Abbrev. Atherosclerosis Pub Date Free Form Jun Volume 234 Issue 2 Start Page 454 Other Pages 460 Notes CI: Copyright (c) 2014; JID: 0242543; OTO: NOTNLM; 2013/11/22 [received]; 2014/03/20 [revised]; 2014/03/31 [accepted]; 2014/04/15 [aheadofprint]; ppublish Place of Publication Ireland ISSN/ISBN 1879-1484; 0021-9150 Accession Number PMID: 24814409 Language eng SubFile Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't; IM DOI 10.1016/j.atherosclerosis.2014.03.036 [doi] Output Language Unknown(0) PMID 24814409 Abstract OBJECTIVE: Globally, waterpipe (WP) smoking is becoming a more prevalent form of tobacco consumption. Whilst research so far has demonstrated a significant link between WP use and a number of health outcomes, little is known of its association with heart disease. We examine in this study the association of WP smoking with angiographically confirmed coronary artery disease (CAD). METHODS: A total of 1210 patients, aged 40 years and over and free from smoking-associated illnesses or history of cardiovascular procedures, admitted for coronary angiography at four major hospitals in Lebanon, were included. The extent of CAD was summarized in two ways, firstly as diseased (>/= 50% and >/= 70% occlusion in at least one main coronary artery) versus non-diseased (entirely normal coronaries), and secondly, as CAD cumulative score based on Duke CAD Prognostic Index. A score of WP-years, capturing intensity and lifetime duration of exposure, was estimated for each individual. RESULTS: Lifetime exposure exceeding 40 WP-years was associated with a threefold significant increase in the odds of having severe stenosis (>/= 70%) compared to non-smokers (OR = 2.94, 95% CI 1.04-8.33) as well as with the CAD Index (beta = 7.835, p-value = 0.027), net of the effect of socio-demographic characteristics, health behaviors and co-morbidity. A dose-response relationship between WP-years and percent stenosis was also established. WP smoking status (never, past and current) did not associate with CAD. CONCLUSIONS: Cumulative exposure to WP smoking is significantly associated with severe CAD. There is a need to monitor WP use among cardiac patients and include this information in their medical charts in the same manner cigarettes smoking is documented. This is likely to increase awareness of the hazards of WP smoking and prompt physicians to target WP tobacco control by providing advice to their patients on WP smoking cessation. Descriptors Links Book Title Database Publisher Elsevier Ireland Ltd Data Source Authors Sibai,A.M., Tohme,R.A., Almedawar,M.M., Itani,T., Yassine,S.I., Nohra,E.A., Isma'eel,H.A. Original/Translated Title URL Date of Electronic 20140415 PMCID Editors
Lifetime and current waterpipe use among adolescents in Tehran, Islamic Republic of Iran	2013		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Periodical, Abbrev. East.Mediterr.Health J. Pub Date Free Form Dec Volume 19 Issue 12 Start Page 1003 Other Pages 1013 Notes LR: 20151119; JID: 9608387; ppublish Place of Publication Egypt ISSN/ISBN 1020-3397; 1020-3397 Accession Number PMID: 24684098 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI Output Language Unknown(0) PMID 24684098 Abstract Waterpipe use among Iranian adolescents has become a matter for concern. A descriptive, cross-sectional community-based survey was performed in 2010 to determine the prevalence of waterpipe use and associated factors among Iranian adolescents in Tehran, Islamic Republic of Iran. After multi-stage, random cluster sampling 1201 adolescents aged 15-18 years old responded to a questionnaire based on the Youth Risk Behavior Surveillance. The prevalence of current waterpipe smoking (at least once in the previous 30 days) was 28.0%, significantly higher among males (34.8%) than females (21.4%). A total of 45.1% of adolescents reported lifetime use (ever use) of waterpipes and 34.2% had ever shared a waterpipe. In multivariate logistic regression analysis the significant correlates of current waterpipe use for both males and females were having smokers among friends and family members, while for males, older age and educational failure were also risk factors. Descriptors Links Book Title Database Publisher Data Source Authors Baheiraei,A., Hamzehgardeshi,Z., Mohammadi,M.R., Nedjat,S., Mohammadi,E. Original/Translated Title URL Date of Electronic PMCID Editors
Legislation enforcement of the waterpipe tobacco industry: a qualitative analysis of the London experience	2014	Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK mohammed.jawad06@imperial.ac.uk.	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 Jul Volume 16 Issue 7 Start Page 1000 Other Pages 1008 Notes CI: (c) The Author 2014; JID: 9815751; 2014/03/18 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1469-994X; 1462-2203 Accession Number PMID: 24642591 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1093/ntr/ntu022 [doi] Output Language Unknown(0) PMID 24642591 Abstract INTRODUCTION: Waterpipe tobacco smoking (WTS) is prevalent worldwide and is legislatively enforceable under many countries' existing tobacco laws. Globally, however, the waterpipe tobacco industry anecdotally appears poorly controlled. This study aimed to gather intelligence from local government (known as local authority [LA]) staff in London, United Kingdom, about their WTS enforcement experiences. METHODS: In-depth telephone interviews were conducted among 26 LA staff from 14 London boroughs, exploring industry characteristics and tobacco legislation compliance. Recurrent themes were analyzed and derived deductively. RESULTS: Approximately 400 waterpipe premises operate across London, benefiting from high profit margins. LA staff are resource strained, limiting their surveillance of waterpipe premises, some of which are associated with an underground culture. Noise and nuisance are key features of waterpipe premises. Most waterpipe premises were generally noncompliant with most aspects of existing tobacco legislation, mainly due to disproportionately low fines and unclear legislation enforcement guidance. Successful methods for enforcing legislation included a synchronized, multiagency approach; however, this was inconsistently implemented across boroughs. Many LA staff believe licensing waterpipe premises will improve surveillance and control the industry's proliferation. CONCLUSIONS: The waterpipe tobacco industry is unregulated and places a significant burden on many LAs in London, mainly due to lack of resources. These problems may also occur in other large cities worldwide. Existing tobacco legislation should be amended to accommodate WTS, including consideration of licensing the industry. More research is needed to gain a full understanding of the waterpipe tobacco industry and its impact on other global cities. 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 Jawad,M. Original/Translated Title URL Date of Electronic 20140318 PMCID Editors

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