WTS database

Title	Pub Year	Author Sort descending	SearchLink
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
Would placing pictorial health warnings on waterpipe devices reduce waterpipe tobacco smoking? A qualitative exploration of Egyptian waterpipe smokers' and non-smokers' responses	2019	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 Tobacco control Periodical, Abbrev. Tob.Control Pub Date Free Form Jul Volume 28 Issue 4 Start Page 475 Other Pages 478 Notes LR: 20190712; CI: (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2019; JID: 9209612; OTO: NOTNLM; 2018/05/09 00:00 [received]; 2018/05/31 00:00 [revised]; 2018/06/11 00:00 [accepted]; 2018/07/08 06:00 [pubm Place of Publication England ISSN/ISBN 1468-3318; 0964-4563 Accession Number PMID: 29980654 Language eng SubFile Journal Article DOI 10.1136/tobaccocontrol-2018-054494 [doi] Output Language Unknown(0) PMID 29980654 Abstract BACKGROUND: Although Egypt places four generic pictorial health warnings (PHWs) on the front and back half of waterpipe tobacco packs (WTPs), waterpipe tobacco smoking (WTS) rates have continued to rise. It has been suggested that PHWs would be more salient if placed on the waterpipe device itself. This qualitative study explored how participants perceived the effects placing PHWs on waterpipe devices would have on warning salience and uptake or quitting of WTS. METHODS: We conducted 10 focus groups and 10 in-depth interviews with 90 adult waterpipe smokers and non-smokers, men and women, who lived in rural, semi-urban and urban regions of Egypt. We presented participants with four novel PHWs of different sizes positioned randomly at four locations on a waterpipe device (the glass body, metal holder, mouthpiece or hose), one at a time. At each session, participants viewed a PHW on all four locations. Novel warnings were shown on plain labels with a dark uniform background and featured pictures, text and the quitline number. Transcripts were analysed using thematic analysis. RESULTS: Participants thought placing PHWs on waterpipe devices might increase salience, prevent WTS initiation or trigger quit attempts; they favoured placing PHWs on the glass body, mouthpiece or waterpipe hose. Both waterpipe smoker and non-smoker participants thought these potential effects would affect non-smokers or non-established smokers more than established waterpipe users. CONCLUSIONS: Our exploratory study suggests that PHWs featured prominently on waterpipe devices could potentially deter experimentation with waterpipe tobacco products and promote cessation, especially among non-established users. Descriptors Links Book Title Database Publisher Data Source Authors Mostafa,A., Mohammed,H.T., Hussein,W.M., Elhabiby,M., Safwat,W., Labib,S., Aboul Fotouh,A., Hoek,J. Original/Translated Title URL Date of Electronic 20180706 PMCID PMC6589487 Editors
BTEX in indoor air of waterpipe cafes: Levels and factors influencing their concentrations	2015	Department of Environmental Health Engineering, School of Public Health, Ardabil University of Medical Sciences, Ardabil, Iran.; Department of Environmental Health Engineering, School of Public Health, Semnan University of Medical Sciences, Semnan, Iran.;	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full The Science of the total environment Periodical, Abbrev. Sci.Total Environ. Pub Date Free Form 15-Aug Volume 524-525 Issue Start Page 347 Other Pages 353 Notes CI: Copyright (c) 2015; JID: 0330500; 0 (Air Pollutants); 0 (Benzene Derivatives); 0 (Tobacco Smoke Pollution); 0 (Xylenes); 3FPU23BG52 (Toluene); J64922108F (Benzene); L5I45M5G0O (ethylbenzene); OTO: NOTNLM; 2014/10/19 [received]; 2015/04/04 [revised]; 2 Place of Publication Netherlands ISSN/ISBN 1879-1026; 0048-9697 Accession Number PMID: 25912530 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1016/j.scitotenv.2015.04.031 [doi] Output Language Unknown(0) PMID 25912530 Abstract BTEX (benzene, toluene, ethylbenzene and xylene) concentrations, factors affecting their levels, and the exposure risks related to these compounds were studied in waterpipe (Ghalyun/Hookah) cafes of Ardabil city in Islamic Republic of Iran. 81 waterpipe cafes from different districts of Ardabil city were selected and their ambient air was monitored for BTEX compounds. Air samples were taken from standing breathing zone of employees, ~150 cm above the ground level, and were analyzed using GC-FID. In each case, the types of smoked tobacco (regular, fruit flavored), types of ventilation systems (natural/artificial), and the floor level at which the cafe was located were investigated. A high mean concentration of 4.96+/-2.63 mg/m(3) corresponding to long term exposure to benzene-related cancer risk of 4314x10(-6) was estimated. The levels of the remaining compounds were lower than the national guideline limits, but their hazard quotients (HQ) for long term exposure to ethylbenzene (1.15) and xylene (17.32) exceeded the HQ unit value. Total hazard indices (HI) of 63.23 were obtained for non-cancer risks. Type of the smoked tobacco was the most important factor influencing BTEX concentrations in the cafes. BTEX concentrations in indoor ambient air of Ardabil waterpipe cafes were noticeably high, and therefore may pose important risks for human health on both short and long term exposures. Descriptors Links Book Title Database Publisher Elsevier B.V Data Source Authors Hazrati,S., Rostami,R., Fazlzadeh,M. Original/Translated Title URL Date of Electronic 20150422 PMCID Editors
Waterpipe cafes in Baltimore, Maryland: Carbon monoxide, particulate matter, and nicotine exposure	2015	Department of Environmental Health Sciences, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.; Department of Environmental Health Sciences, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Marylan	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of exposure science & environmental epidemiology Periodical, Abbrev. J.Expo.Sci.Environ.Epidemiol. Pub Date Free Form Jul-Aug Volume 25 Issue 4 Start Page 405 Other Pages 410 Notes LR: 20160219; GR: P30 CA006973/CA/NCI NIH HHS/United States; GR: T32 HL007024/HL/NHLBI NIH HHS/United States; JID: 101262796; 0 (Air Pollutants); 0 (Particulate Matter); 0 (Tobacco Smoke Pollution); 6M3C89ZY6R (Nicotine); 7U1EE4V452 (Carbon Monoxide); NIH Place of Publication United States ISSN/ISBN 1559-064X; 1559-0631 Accession Number PMID: 24736103 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1038/jes.2014.19 [doi] Output Language Unknown(0) PMID 24736103 Abstract Waterpipe smoking has been growing in popularity in the United States and worldwide. Most tobacco control regulations remain limited to cigarettes. Few studies have investigated waterpipe tobacco smoke exposures in a real world setting. We measured carbon monoxide (CO), particulate matter (PM)2.5, and airborne nicotine concentrations in seven waterpipe cafes in the greater Baltimore area. Area air samples were collected between two and five hours, with an average sampling duration of three hours. Waterpipe smoking behaviors were observed at each venue. Indoor air samplers for CO, PM2.5, and airborne nicotine were placed in the main seating area 1-2 m above the floor. Indoor airborne concentrations of PM2.5 and CO were markedly elevated in waterpipe cafes and exceeded concentrations that were observed in cigarette smoking bars. Air nicotine concentrations, although not as high as in venues that allow cigarette smoking, were markedly higher than in smoke-free bars and restaurants. Concentrations of PM approached occupational exposure limits and CO exceeded occupational exposure guidelines suggesting that worker protection measures need to be considered. This study adds to the literature indicating that both employees and patrons of waterpipe venues are at increased risk from complex exposures to secondhand waterpipe smoke. Descriptors Links Book Title Database Publisher Data Source Authors Torrey,C.M., Moon,K.A., Williams,D.A., Green,T., Cohen,J.E., Navas-Acien,A., Breysse,P.N. Original/Translated Title URL Date of Electronic 20140416 PMCID PMC4333110 Editors
Indoor air contamination during a waterpipe (narghile) smoking session	2009	Department of Environmental Health, Bavarian Health and Food Safety Authority, Veterinarstrasse 2, D-85764 Oberschleissheim, Germany. hermann.fromme@lgl.bayern.de	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association Periodical, Abbrev. Food Chem.Toxicol. Pub Date Free Form Jul Volume 47 Issue 7 Start Page 1636 Other Pages 1641 Notes LR: 20131121; JID: 8207483; 0 (Gases); 0 (Metals); 0 (Nitrogen Oxides); 0 (Particulate Matter); 0 (Polycyclic Hydrocarbons, Aromatic); 0 (Smoke); 0 (Tobacco Smoke Pollution); 7U1EE4V452 (Carbon Monoxide); CIN: Food Chem Toxicol. 2010 Mar;48(3):992-5; auth Place of Publication England ISSN/ISBN 1873-6351; 0278-6915 Accession Number PMID: 19394392 Language eng SubFile Journal Article; IM DOI 10.1016/j.fct.2009.04.017 [doi] Output Language Unknown(0) PMID 19394392 Abstract The smoke of waterpipe contains numerous substances of health concern, but people mistakenly believe that this smoking method is less harmful and addictive than cigarettes. An experiment was performed in a 57 m3 room on two dates with no smoking on the first date and waterpipe smoking for 4h on the second date. We measured volatile organic compounds (VOC), polycyclic aromatic hydrocarbons (PAH), metals, carbon monoxide (CO), nitrogen oxides (e.g. NO), as well as particle mass (PM), particle number concentration (PNC) and particle surface area in indoor air. High concentrations were observed for the target analytes during the 4-h smoking event. The median (90th percentile) values of PM(2.5), PNC, CO and NO were 393 (737 microg/m(3)), 289,000 (550,000 particles/cm(3)), 51 (65 ppm) and 0.11 (0.13 ppm), respectively. The particle size distribution has a maximum of particles relating to a diameter of 17 nm. The seven carcinogenic PAH were found to be a factor 2.6 higher during the smoking session compared to the control day. In conclusion, the observed indoor air contamination of different harmful substances during a WP session is high, and exposure may pose a health risk for smokers but in particular for non-smokers who are exposed to ETS. Descriptors Carbon Monoxide/analysis, Gases/analysis, Metals/analysis, Nitrogen Oxides/analysis, Particle Size, Particulate Matter/analysis, Pilot Projects, Polycyclic Hydrocarbons, Aromatic/analysis, Smoke/analysis, Smoking/adverse effects, Tobacco, Tobacco Smoke Pollution/analysis Links Book Title Database Publisher Data Source Authors Fromme,H., Dietrich,S., Heitmann,D., Dressel,H., Diemer,J., Schulz,T., Jorres,R. A., Berlin,K., Volkel,W. Original/Translated Title URL Date of Electronic 20090424 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
Effectiveness of health warnings for waterpipe tobacco smoking among college students	2016	Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.; Department of Health Outcomes and Policy, and Institute for Child Health Policy, University of Florida College of Medicine, PO	Read more...
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 Jul Volume 61 Issue 6 Start Page 709 Other Pages 715 Notes LR: 20160821; GR: R01 DA035160/DA/NIDA NIH HHS/United States; JID: 101304551; NIHMS768712; OID: NLM: NIHMS768712 [Available on 07/01/17]; OID: NLM: PMC4992403 [Available on 07/01/17]; OTO: NOTNLM; PMCR: 2017/07/01 00:00; 2015/06/29 [received]; 2016/02/25 Place of Publication Switzerland ISSN/ISBN 1661-8564; 1661-8556 Accession Number PMID: 26971508 Language eng SubFile Journal Article; IM DOI 10.1007/s00038-016-0805-0 [doi] Output Language Unknown(0) PMID 26971508 Abstract OBJECTIVES: Youth have the misperception that waterpipe smoking is less harmful than cigarettes despite the evidence that it is associated with nicotine dependence and many of the diseases caused by cigarettes. There is a pressing need to identify effective health warnings that increase awareness about the harmful effects of waterpipe smoking. Our objective was to test the effectiveness of various health warning messages and their location on waterpipe devices. METHODS: Adult waterpipe smokers from a large US university (N = 367) completed an internet-based survey that tested the effect of text-only and pictorial health warning labels and their location on different parts of waterpipe smoking devices. RESULTS: Text-only messages and pictorial labels warning about harm to children were the most effective in motivating waterpipe smokers to think about quitting. In terms of warning label location, the base, mouthpiece and stem are all equally noticeable locations. CONCLUSIONS: This is the first study to test waterpipe-specific warning labels and location on the waterpipe device. Placing waterpipe-specific labels on waterpipe devices may be an effective policy tool to curb waterpipe smoking. Descriptors Links Book Title Database Publisher Data Source Authors Islam,F., Salloum,R.G., Nakkash,R., Maziak,W., Thrasher,J.F. Original/Translated Title URL Date of Electronic 20160314 PMCID PMC4992403 Editors
Cigarette and waterpipe smoking among Lebanese adolescents, a cross-sectional study, 2003-2004	2008	Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon. ze02@aub.edu.lb	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 309 Other Pages 314 Notes LR: 20151119; JID: 9815751; ppublish Place of Publication England ISSN/ISBN 1462-2203; 1462-2203 Accession Number PMID: 18236295 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1080/14622200701825775 [doi] Output Language Unknown(0) PMID 18236295 Abstract Waterpipe or "argileh" is a form of smoking other than cigarettes that is currently spreading among people of all ages. The objective of the present study was to assess tobacco smoking practices (waterpipe and/or cigarette) among public and private adolescent school students in Beirut, Lebanon. A sample of 2,443 students selected from 10 private and 3 public schools with intermediate/secondary classes filled out a self-administered anonymous questionnaire that inquired about sociodemographic characteristics, and behavior about tobacco smoking. Binary analysis was performed as well as three regression models for the relationship between exclusive cigarettes smoking, exclusive waterpipe smoking and both cigarettes and waterpipe as the dependent variables and gender, type of school, and class as the independent variables. The current prevalence of cigarettes smoking was 11.4%, and that of waterpipe smoking was 29.6%. Gender was significantly associated with cigarettes (OR=3.2, 95% CI 1.8-5.6) but not waterpipe smoking. Public school students were, respectively, 3.2 (95% CI 1.8-5.6) and 1.7 (95% CI 1.4-2.1) times more likely to be exclusive cigarettes smokers, and exclusive waterpipe smokers. Class was not significantly associated with exclusive cigarette smoking; however, students attending secondary classes were 1.3 (95% CI 1.1-1.6) times more likely to be exclusive waterpipe smokers. The reasons behind the high prevalence of both types of smoking are presented and discussed. The present study calls for school-based prevention programs and other types of interventions such as tax increases, and age-restrictions on tobacco sales. More aggressive interventions to disseminate education and awareness among parents and students altogether are warranted. Descriptors Adolescent, Confidence Intervals, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Lebanon/epidemiology, Life Style, Male, Odds Ratio, Peer Group, Risk Factors, Risk-Taking, School Health Services/organization & administration, Smoking/epidemiology/psychology, Social Environment, Students/psychology/statistics & numerical data, Surveys and Questionnaires, Tobacco Use Disorder/epidemiology/prevention & control Links Book Title Database Publisher Data Source Authors El-Roueiheb,Z., Tamim,H., Kanj,M., Jabbour,S., Alayan,I., Musharrafieh,U. Original/Translated Title URL Date of Electronic PMCID Editors
Double trouble: Exploring the association between waterpipe tobacco smoking and the nonmedical use of psychoactive prescription drugs among adolescents	2014	Department of Epidemiology, Columbia University Mailman School of Public Health, 722 West 168th Street, New York, NY, USA. Electronic address: leonazahlan@gmail.com.; Department of Epidemiology and Population Health, Faculty of Health Sciences, American U	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Drug and alcohol dependence Periodical, Abbrev. Drug Alcohol Depend. Pub Date Free Form 1-Dec Volume 145 Issue Start Page 217 Other Pages 223 Notes LR: 20160208; CI: Copyright (c) 2014; GR: 1R01HD060072/HD/NICHD NIH HHS/United States; GR: UR008509/PHS HHS/United States; JID: 7513587; 0 (Prescription Drugs); 0 (Psychotropic Drugs); OTO: NOTNLM; 2014/05/20 [received]; 2014/10/19 [revised]; 2014/10/20 [ Place of Publication Ireland ISSN/ISBN 1879-0046; 0376-8716 Accession Number PMID: 25456333 Language eng SubFile Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM DOI 10.1016/j.drugalcdep.2014.10.020 [doi] Output Language Unknown(0) PMID 25456333 Abstract BACKGROUND: In youth, both waterpipe tobacco smoking (WTS) and nonmedical use of prescription drugs (NMUPD) are globally growing concerns. This study assesses for the first time the lifetime and past-year associations between WTS and four classes of psychoactive prescription drugs. METHODS: Cross-sectional data (2011) on 986 high school students attending public and private high schools in Beirut (Lebanon) was analyzed. Schools were selected using proportionate random cluster sampling from a comprehensive list of schools provided by the Ministry of Education. RESULTS: Almost half (46%) had tried WTS compared to 25% who had ever tried cigarettes. Lifetime prevalence estimates of NMUPD were: pain relievers (8.2%), sedatives/tranquilizers (5.6%), stimulants (3.5%), antidepressants (2.5%), and sleeping pills (2.3%). WTS was associated with increased odds of sedatives/tranquilizer use (OR = 3.22, 95% CI: 1.25, 8.25), pain reliever use (OR = 4.31, 95% CI: 2.02, 9.17), and sleeping medication use (OR = 8.31, 95% CI: 2.37, 29.20), controlling for sex, age, school type, and other substance use. For cigarettes, the associations were consistently either weaker or non-existent, except with stimulant use (OR = 5.29, 95% CI: 1.55, 18.05). CONCLUSIONS: While public health professionals have watched with caution the global prevalence of youth cigarette use-worldwide, an insidious alternative form of tobacco use has grown. Further research is needed to understand the unique risk factors and motives associated with WTS and how these relate to NMUPD in order to inform the development of effective intervention programs and policies that support youth positive health decisions. Descriptors Links Book Title Database Publisher Elsevier Ireland Ltd Data Source Authors Zahlan,L., Ghandour,L., Yassin,N., Afifi,R., Martins,S.S. Original/Translated Title URL Date of Electronic 20141028 PMCID Editors
Rise of waterpipe smoking	2015	Department of Epidemiology, Florida International University, 11200 SW 8th Street Miami, FL 33139, USA Syrian Center for Tobacco Studies wmaziak@fiu.edu.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full BMJ (Clinical research ed.) Periodical, Abbrev. BMJ Pub Date Free Form 17-Apr Volume 350 Issue Start Page h1991 Other Pages Notes LR: 20150805; JID: 8900488; 0 (Tars); 0 (tobacco tar); CIN: BMJ. 2015;350:h3086. PMID: 26055421; epublish Place of Publication England ISSN/ISBN 1756-1833; 0959-535X Accession Number PMID: 25888390 Language eng SubFile Editorial; AIM; IM DOI 10.1136/bmj.h1991 [doi] Output Language Unknown(0) PMID 25888390 Abstract Descriptors Links Book Title Database Publisher Data Source Authors Maziak,W. Original/Translated Title URL Date of Electronic 20150417 PMCID Editors

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