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Eliciting preferences for waterpipe tobacco smoking using a discrete choice experiment: implications for product regulation 2015 Department of Health Outcomes and Policy, Institute for Child Health Policy, University of Florida College of Medicine, Gainesville, Florida, USA.; Department of Epidemiology, Stempel College of Public Health and Social Work, Florida International Univers
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMJ open
Periodical, Abbrev.
BMJ Open
Pub Date Free Form
9-Sep
Volume
5
Issue
9
Start Page
e009497
Other Pages
2015-009497
Notes
LR: 20160413; 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: R01 DA035160/DA/NIDA NIH HHS/United States; GR: R
Place of Publication
England
ISSN/ISBN
2044-6055; 2044-6055
Accession Number
PMID: 26353876
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1136/bmjopen-2015-009497 [doi]
Output Language
Unknown(0)
PMID
26353876
Abstract
OBJECTIVES: Waterpipe smoking is highly prevalent among university students, and has been increasing in popularity despite mounting evidence showing it is harmful to health. The aim of this study was to measure preferences for waterpipe smoking and determine which product characteristics are most important to smokers. SETTING: A large university in the Southeastern USA. PARTICIPANTS: Adult waterpipe smokers attending the university (N=367). DESIGN: Participants completed an Internet-based discrete choice experiment to reveal their preferences for, and trade-offs between, the attributes of hypothetical waterpipe smoking sessions. Participants were presented with waterpipe lounge menus, each with three fruit-flavoured options and one tobacco flavoured option, in addition to an opt out option. Nicotine content and price were provided for each choice. Participants were randomised to either receive menus with a text-only health-warning message or no message. OUTCOME MEASURES: Multinomial and nested logit models were used to estimate the impact on consumer choice of attributes and between-subject assignment of health warnings respectively. RESULTS: On average, participants preferred fruit-flavoured varieties to tobacco flavour. They were averse to options labelled with higher nicotine content. Females and non-smokers of cigarettes were more likely than their counterparts to prefer flavoured and nicotine-free varieties. Participants exposed to a health warning were more likely to opt out. CONCLUSIONS: Fruit-flavoured tobacco and lower nicotine content labels, two strategies widely used by the industry, increase the demand for waterpipe smoking among young adults. Waterpipe-specific regulation should limit the availability of flavoured waterpipe tobacco and require accurate labelling of constituents. Waterpipe-specific tobacco control regulation, along with research to inform policy, is required to curb this emerging public health threat.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Salloum,R.G., Maziak,W., Hammond,D., Nakkash,R., Islam,F., Cheng,X., Thrasher,J.F.
Original/Translated Title
URL
Date of Electronic
20150909
PMCID
PMC4567671
Editors
Burden of waterpipe smoking and chewing tobacco use among women of reproductive age group using data from the 2012-13 Pakistan Demographic and Health Survey 2015 School of Public Health, Dow University of Health Sciences, OJHA Campus, SUPARCO road, Gulzar e Hijri, Karachi, Pakistan. tahir.khan@duhs.edu.pk.; School of Public Health, Dow University of Health Sciences, OJHA Campus, SUPARCO road, Gulzar e Hijri, Karac
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
12-Nov
Volume
15
Issue
Start Page
1113
Other Pages
015-2433-7
Notes
LR: 20151116; JID: 100968562; OID: NLM: PMC4643522; 2015/06/22 [received]; 2015/10/20 [accepted]; 2015/11/12 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 26563874
Language
eng
SubFile
Journal Article; IM
DOI
10.1186/s12889-015-2433-7 [doi]
Output Language
Unknown(0)
PMID
26563874
Abstract
BACKGROUND: Despite the general decline in cigarette smoking, use of alternative forms of tobacco has increased particularly in developing countries. Waterpipe (WP) and Chewing Tobacco (CT) are two such alternative forms, finding their way into many populations. However, the burden of these alternative forms of tobacco and their socio demographic determinants are still unclear. We assessed the prevalence of WP and CT use among women of reproductive age group in Pakistan. METHODS: Data from the most recent Pakistan Demographic and Health Survey 2012-13 (n = 13,558) was used for this analysis. Information obtained from ever married women, aged between 15 and 49 years were analyzed using two separate data subgroups; exclusive WP smokers (total n = 12,995) and exclusive CT users (total n = 12,771). Univariate and Multivariate logistic regression analyses were conducted and results were reported as crude and adjusted Odds Ratio with 95% confidence intervals. RESULTS: Prevalence of WP smoking and CT were 4% and 2%, respectively. After multivariate adjustments, ever married women who were: older than 35 years (OR; 4.68 95% CI, 2.62-8.37), were poorest (OR = 4.03, 95% CI 2.08-7.81), and had no education (OR = 9.19, 95% CI 5.10-16.54), were more likely to be WP smokers. Similarly, ever married women who were: older than 35 years (OR = 3.19, 95% CI 1.69-6.00), had no education (OR = 4.94, 95% CI 2.62-9.33), were poor (OR = 1.64, 95% CI 1.07-2.48) and had visited health facility in last 12 months (OR = 1.81, 95% CI 1.22-2.70) were more likely to be CT users as well. CONCLUSION: Older women with lower socio-economic profile were more likely to use WP and CT. Focused policies aiming towards reducing the burden of alternate forms of tobacco use among women is urgently needed to control the tobacco epidemic in the country.
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Data Source
Authors
Khan,M.T., Hashmi,S., Zaheer,S., Aslam,S.K., Khan,N.A., Aziz,H., Rashid,N., Shafique,K.
Original/Translated Title
URL
Date of Electronic
20151112
PMCID
PMC4643522
Editors
Changes in the expression and protein level of matrix metalloproteinases after exposure to waterpipe tobacco smoke 2015 a Department of Medical Laboratory Sciences .; b Department of Clinical Pharmacy , Jordan University of Science and Technology , Irbid , Jordan .; a Department of Medical Laboratory Sciences .; b Department of Clinical Pharmacy , Jordan University of Scie
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Inhalation toxicology
Periodical, Abbrev.
Inhal.Toxicol.
Pub Date Free Form
Volume
27
Issue
13
Start Page
689
Other Pages
693
Notes
LR: 20160603; GR: P50 DA036105/DA/NIDA NIH HHS/United States; GR: P50DA036105/DA/NIDA NIH HHS/United States; JID: 8910739; NIHMS787818; OID: NLM: NIHMS787818 [Available on 10/20/16]; OID: NLM: PMC4890709 [Available on 10/20/16]; OTO: NOTNLM; PMCR: 2016/10
Place of Publication
England
ISSN/ISBN
1091-7691; 0895-8378
Accession Number
PMID: 26484568
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; IM
DOI
10.3109/08958378.2015.1085471 [doi]
Output Language
Unknown(0)
PMID
26484568
Abstract
Waterpipe smoking has become a worldwide epidemic with health consequences that only now are beginning to be understood fully. Because waterpipe use involves inhaling a large volume of toxicant-laden smoke that can cause inflammation, some health consequences may include inflammation-mediated lung injury. Excess matrix metalloproteinase expression is a key step in the etiology of toxicant exposure-driven inflammation and injury. In this study, changes in the level and mRNA of major matrix metalloproteinases (MMP-1, -9, and -12) in the lungs of mice following exposure to waterpipe smoke were investigated. Balb/c mice were exposed to waterpipe smoke for one hour daily, over a period of 2 or 8 weeks. Control mice were exposed to fresh air only. ELISA and real-time PCR techniques were used to determine the protein and mRNA levels of MMP-1, -9, and -12 in the lungs. Our findings showed that MMP-1, -9, and -12 levels in the lung significantly increased after both 2 (p
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Khabour,O.F., Alzoubi,K.H., Abu Thiab,T.M., Al-Husein,B.A., Eissenberg,T., Shihadeh,A.L.
Original/Translated Title
URL
Date of Electronic
20151020
PMCID
PMC4890709
Editors
Social Media Use for Public Health Campaigning in a Low Resource Setting: The Case of Waterpipe Tobacco Smoking 2015 Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK.; Poole, UK.; Faculty of Medicine, Imperial College London, London W6 8RP, UK.; Department of Internal Medicine, American University of Beirut, Beirut 1107 2020, Leba
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BioMed research international
Periodical, Abbrev.
Biomed.Res.Int.
Pub Date Free Form
Volume
2015
Issue
Start Page
562586
Other Pages
Notes
LR: 20150816; JID: 101600173; OID: NLM: PMC4529915; 2014/11/21 [received]; 2015/01/12 [revised]; 2015/01/19 [accepted]; 2015/07/26 [epublish]; ppublish
Place of Publication
United States
ISSN/ISBN
2314-6141
Accession Number
PMID: 26273631
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1155/2015/562586 [doi]
Output Language
Unknown(0)
PMID
26273631
Abstract
INTRODUCTION: Waterpipe tobacco smoking prevalence is increasing worldwide despite its documented health effects. A general belief that it is less harmful than cigarettes may be fuelled by the lack of media campaigns highlighting its health effects. We aimed to create and assess the impact of a social media campaign about dangers of waterpipe smoking. METHODS: The "ShishAware" campaign included three social media (Facebook, Twitter, and YouTube) and a website. Nine months after launch we collected data to assess use of, and reaction to, our media accounts. RESULTS: Requiring limited maintenance resources, Facebook attracted campaign supporters but YouTube attracted opposers. Twitter enabled the most organisation-based contact but Facebook was the most interactive medium. Facebook users were more likely to "like" weekday than weekend statuses and more likely to comment on "shisha fact" than "current affairs" statuses. Follower subscription increased as our posting rate increased. Our YouTube video gained 19,428 views (from all world continents) and 218 comments (86% from pro-waterpipe smokers). CONCLUSIONS: Social media campaigns can be created and maintained relatively easily. They are innovative and have the potential for wide and rapid diffusion, especially towards target audiences. There is a need for more rigorous evaluation of their effects, particularly among the youth.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Abass,J., Hariri,A., Akl,E.A.
Original/Translated Title
URL
Date of Electronic
20150726
PMCID
PMC4529915
Editors
The global epidemiology of waterpipe smoking 2015 Department of Epidemiology, Florida International University, Miami, Florida, USA Syrian Center for Tobacco Studies, Aleppo, Syria.; Department of Epidemiology, Florida International University, Miami, Florida, USA.; Department of Epidemiology, Florida In
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
i3
Other Pages
i12
Notes
LR: 20150423; 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: R01 DA035160/DA/NIDA NIH HHS/United States; GR: R
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 25298368
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Review; IM
DOI
10.1136/tobaccocontrol-2014-051903 [doi]
Output Language
Unknown(0)
PMID
25298368
Abstract
OBJECTIVES: In the past decade, waterpipe smoking (a.k.a. hookah, shisha, narghile) has become a global phenomenon. In this review, we provide an updated picture of the main epidemiological trends in waterpipe smoking globally. DATA SOURCES: Peer-reviewed publications indexed in major biomedical databases between 2004 and 2014. Search keywords included a combination of: waterpipe, hookah, shisha along with epidemiology, patterns, prevalence and predictors. We also used different spellings of waterpipe terms commonly used. STUDY SELECTION: The focus was on studies with large representative samples, national data or high-quality reports that illuminated aspects of the epidemiology and trends in waterpipe smoking. DATA EXTRACTION: Multiple researchers extracted the data independently and collectively decided on the most important and pertinent studies to include in the review. DATA SYNTHESIS: Waterpipe smoking has become a global phenomenon among youth. The global waterpipe epidemic is likely driven by (1) the introduction of manufactured flavoured tobacco (Maassel); (2) the intersection between waterpipe's social dimension and thriving cafe culture; (3) the evolution of mass communication media; (4) the lack of regulatory/policy framework specific to the waterpipe. Waterpipe smoking is becoming the most popular tobacco use method among youth in the Middle East, and is quickly gaining popularity elsewhere. Important patterns of waterpipe smoking include the predominance among younger, male, high socioeconomic, and urban groups. Intermittent and social use are also noted patterns. CONCLUSIONS: Waterpipe smoking has become a global public health problem. Developing surveillance, intervention and regulatory/policy frameworks specific to the waterpipe has become a public health priority.
Descriptors
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Database
Publisher
Data Source
Authors
Maziak,W., Taleb,Z.B., Bahelah,R., Islam,F., Jaber,R., Auf,R., Salloum,R.G.
Original/Translated Title
URL
Date of Electronic
20141008
PMCID
PMC4345835
Editors
Secondhand smoke in waterpipe tobacco venues in Istanbul, Moscow, and Cairo 2015 Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: kmoon9@jhu.edu.; Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.; Johns Hopkins University Bloomberg School of Public Healt
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Environmental research
Periodical, Abbrev.
Environ.Res.
Pub Date Free Form
Oct
Volume
142
Issue
Start Page
568
Other Pages
574
Notes
LR: 20151018; CI: Copyright (c) 2015; GR: 5T32HL007024/HL/NHLBI NIH HHS/United States; GR: T32 HL007024/HL/NHLBI NIH HHS/United States; JID: 0147621; 0 (Tobacco Smoke Pollution); NIHMS720140; OID: NLM: NIHMS720140 [Available on 10/01/16]; OID: NLM: PMC460
Place of Publication
United States
ISSN/ISBN
1096-0953; 0013-9351
Accession Number
PMID: 26298558
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.envres.2015.08.012 [doi]
Output Language
Unknown(0)
PMID
26298558
Abstract
OBJECTIVE: The prevalence of waterpipe tobacco smoking has risen in recent decades. Controlled studies suggest that waterpipe secondhand smoke (SHS) contains similar or greater quantities of toxicants than cigarette SHS, which causes significant morbidity and mortality. Few studies have examined SHS from waterpipe tobacco in real-world settings. The purpose of this study was to quantify SHS exposure levels and describe the characteristics of waterpipe tobacco venues. METHODS: In 2012-2014, we conducted cross-sectional surveys of 46 waterpipe tobacco venues (9 in Istanbul, 17 in Moscow, and 20 in Cairo). We administered venue questionnaires, conducted venue observations, and sampled indoor air particulate matter (PM2.5) (N=35), carbon monoxide (CO) (N=23), particle-bound polycyclic aromatic hydrocarbons (p-PAHs) (N=31), 4-methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) (N=43), and air nicotine (N=46). RESULTS: Venue characteristics and SHS concentrations were highly variable within and between cities. Overall, we observed a mean (standard deviation (SD)) of 5 (5) waterpipe smokers and 5 (3) cigarette smokers per venue. The overall median (25th percentile, 75th percentile) of venue mean air concentrations was 136 (82, 213) microg/m(3) for PM2.5, 3.9 (1.7, 22) ppm for CO, 68 (33, 121) ng/m(3) for p-PAHs, 1.0 (0.5, 1.9) ng/m(3) for NNK, and 5.3 (0.7, 14) microg/m(3) for nicotine. PM2.5, CO, and p-PAHs concentrations were generally higher in venues with more waterpipe smokers and cigarette smokers, although associations were not statistically significant. CONCLUSION: High concentrations of SHS constituents known to cause health effects indicate that indoor air quality in waterpipe tobacco venues may adversely affect the health of employees and customers.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Inc
Data Source
Authors
Moon,K.A., Magid,H., Torrey,C., Rule,A.M., Ferguson,J., Susan,J., Sun,Z., Abubaker,S., Levshin,V., Carkoglu,A., Radwan,G.N., El-Rabbat,M., Cohen,J., Strickland,P., Navas-Acien,A., Breysse,P.N.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC4609287
Editors
The allure of the waterpipe: a narrative review of factors affecting the epidemic rise in waterpipe smoking among young persons globally 2015 Department of Internal Medicine, American University of Beirut, Beirut, Lebanon.; School of Public Health, University of Memphis, Memphis, Tennessee, USA.; Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.; Faculty of Health Scie
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
i13
Other Pages
i21
Notes
LR: 20150319; 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.; JID: 9209612; 059QF0KO0R (Water); OID: NLM: PMC434597
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 25618895
Language
eng
SubFile
Journal Article; Review; IM
DOI
10.1136/tobaccocontrol-2014-051906 [doi]
Output Language
Unknown(0)
PMID
25618895
Abstract
OBJECTIVE: The objective of this narrative review is to highlight the determinants of the epidemic rise in waterpipe tobacco smoking (WTS) among youth globally. The Ecological Model of Health Promotion (EMHP) was the guiding framework for the review. DATA SOURCES: The following electronic databases were searched: Cochrane library, MEDLINE, EMBASE, PsycINFO, Web of Science and CINAHL Plus with Full Text. Search terms included waterpipe and its many variant terms. STUDY SELECTION: Articles were included if they were published between 1990 and 2014, were in English, were available in full text and included the age group 10-29 years. DATA EXTRACTION: Articles which analysed determinants of WTS at any of the levels of the EMHP were retained regardless of methodological rigour: 131 articles are included. Articles were coded in a standard template that abstracted methods as well as results. DATA SYNTHESIS: The review found that methodologies used to assess determinants of WTS among youth were often conventional and lacked rigor: 3/4 of the studies were cross-sectional surveys and most enrolled non-representative samples. Within the framework, the review identified determinants of WTS at the intrapersonal, interpersonal, organisational, community and policy levels. CONCLUSIONS: The review suggests potential interventions to control WTS among youth, with emphasis on creative utilisation of social media, and tobacco control policies that include the specificities of WTS. The review further suggests the need for rigorous qualitative work to better contextualise determinants, and prospective observational and experimental studies that track and manipulate them to assess their viability as intervention targets.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Akl,E.A., Ward,K.D., Bteddini,D., Khaliel,R., Alexander,A.C., Lotfi,T., Alaouie,H., Afifi,R.A.
Original/Translated Title
URL
Date of Electronic
20150124
PMCID
PMC4345979
Editors
The waterpipe: an emerging global epidemic in need of action 2015
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
i1
Other Pages
i2
Notes
LR: 20150319; JID: 9209612; 059QF0KO0R (Water); OID: NLM: PMC4345809; OTO: NOTNLM; 2015/01/24 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 25618894
Language
eng
SubFile
Editorial; Introductory Journal Article; IM
DOI
10.1136/tobaccocontrol-2014-052203 [doi]
Output Language
Unknown(0)
PMID
25618894
Abstract
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Ward,K.D.
Original/Translated Title
URL
Date of Electronic
20150124
PMCID
PMC4345809
Editors
Impact of Waterpipe Tobacco Pack Health Warnings on Waterpipe Smoking Attitudes: A Qualitative Analysis among Regular Users in London 2015 Department of Primary Care and Public Health, Imperial College London, Hammersmith W6 8RP, UK ; Academic Unit of Primary Care and Population Sciences, University of Southampton, Southampton, Hampshire SO16 6YD, UK.; School of Medicine and Dentistry, Barts
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BioMed research international
Periodical, Abbrev.
Biomed.Res.Int.
Pub Date Free Form
Volume
2015
Issue
Start Page
745865
Other Pages
Notes
LR: 20150816; JID: 101600173; OID: NLM: PMC4529913; 2014/12/08 [received]; 2015/02/18 [revised]; 2015/02/25 [accepted]; 2015/07/26 [epublish]; ppublish
Place of Publication
United States
ISSN/ISBN
2314-6141
Accession Number
PMID: 26273642
Language
eng
SubFile
Journal Article; IM
DOI
10.1155/2015/745865 [doi]
Output Language
Unknown(0)
PMID
26273642
Abstract
BACKGROUND: Despite the rise in prevalence of waterpipe tobacco smoking, it has received little legislative enforcement from governing bodies, especially in the area of health warning labels. METHODS: Twenty regular waterpipe tobacco smokers from London took part in five focus groups discussing the impact of waterpipe tobacco pack health warnings on their attitudes towards waterpipe smoking. We presented them with existing and mock waterpipe tobacco products, designed to be compliant with current and future UK/EU legislation. Data were analysed using thematic analysis. RESULTS: Participants felt packs were less attractive and health warnings were more impactful as health warnings increased in size and packaging became less branded. However, participants highlighted their lack of exposure to waterpipe tobacco pack health warnings due to the inherent nature of waterpipe smoking, that is, smoking in a cafe with the apparatus already prepacked by staff. Health warnings at the point of consumption had more reported impact than health warnings at the point of sale. CONCLUSIONS: Waterpipe tobacco pack health warnings are likely to be effective if compliant with existing laws and exposed to end-users. Legislations should be reviewed to extend health warning labels to waterpipe accessories, particularly the apparatus, and to waterpipe-serving premises.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Bakir,A., Ali,M., Grant,A.
Original/Translated Title
URL
Date of Electronic
20150726
PMCID
PMC4529913
Editors
'Enter at your own risk': a multimethod study of air quality and biological measures in Canadian waterpipe cafes 2015 Ontario Tobacco Research Unit, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.; Ontario Tobacco Research Unit, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.; Ontario Tobacco Research Unit, Dalla La
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Mar
Volume
24
Issue
2
Start Page
175
Other Pages
181
Notes
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.; JID: 9209612; 0 (Air Pollutants); 0 (Particulate Matter); 0 (Tobacc
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 24161999
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1136/tobaccocontrol-2013-051180 [doi]
Output Language
Unknown(0)
PMID
24161999
Abstract
BACKGROUND: Tobacco and non-tobacco-based waterpipe smoking has increased exponentially in many countries in recent decades, particularly among youth and young adults. Although tobacco smoking is banned in many indoor public places, waterpipe smoking, ostensibly non-tobacco, continues in Ontario and other jurisdictions where only tobacco smoking is prohibited. This study assessed air quality and exposure in waterpipe cafes using multiple methods and markers. METHODS: Indoor (n=12) and outdoor (n=5) air quality was assessed in Toronto, Canada waterpipe cafes from 30 August to 11 October 2012. Real-time measurements of air nicotine, fine particulate matter less than 2.5 microns in diameter (PM2.5) and ambient carbon monoxide (CO) were collected in 2 h sessions. Levels of CO in breath were collected in non-smoking field staff before entering and upon leaving venues. Observations of occupant behaviour, environmental changes and venue characteristics were also recorded. RESULTS: In indoor venues, mean values were 1419 microg/m(3) for PM2.5, 17.7 ppm for ambient CO, and 3.3 microg/m(3) for air nicotine. Levels increased with increasing number of active waterpipes. On outdoor patios, mean values were 80.5 microg/m(3) for PM2.5, 0.5 ppm for ambient CO, and 0.6 microg/m(3) for air nicotine. Air quality levels in indoor waterpipe cafes are hazardous for human health. Outdoor waterpipe cafes showed less harmful particulate levels than indoors, but mean PM2.5 levels (80.5 microg/m(3)) were still 'poor'. CONCLUSIONS: Staff and patrons of waterpipe cafes are exposed to air quality levels considered hazardous to human health. Results support eliminating waterpipe smoking in hospitality venues indoors and out.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Zhang,B., Haji,F., Kaufman,P., Muir,S., Ferrence,R.
Original/Translated Title
URL
Date of Electronic
20131025
PMCID
Editors