WTS database

Title	Pub Year Sort descending	Author	SearchLink
A comparative study of systemic carcinogen exposure in waterpipe smokers, cigarette smokers and non-smokers	2015		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tob Control Periodical, Abbrev. Tob.Control Pub Date Free Form Volume 24 Issue 2 Start Page 125 Other Pages 7 Notes ID: 23988862 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract BACKGROUND: In the past decade, waterpipe smoking-also known as hookah, shisha, narghileh-has increased among youth. The scarcity of rigorous studies linking waterpipe smoking to smoking-related diseases has hindered policy and regulatory efforts to confront the waterpipe epidemic. This study compares systemic carcinogen exposure between independent groups of exclusive waterpipe smokers, cigarette smokers and non-smokers. METHODS: This study was conducted at the Syrian Center for Tobacco Studies (SCTS) in Aleppo, Syria, between 2010 and 2011. First morning urinary samples were collected from three groups of subjects; exclusive daily waterpipe smokers (n=24), exclusive daily cigarette smokers (n=23), and non-smokers (n=28). These samples were analysed for carcinogenic tobacco-specific nitrosamines 4-(methylnitrosamino)-1-(3-pyridyl)-1- butanol (NNAL) using liquid chromatography-tandem mass spectrometry (LC-MS/MS). RESULTS: Our results show that waterpipe smokers are exposed to about 5-10 times greater NNAL than non-smokers. Mean (95% CI) free and total NNAL was 0.7 (0.3 to 1. 4) and 3.9 (1.6 to 9.5)Ã¢Â€Â…pg/mL urine for non-smokers, 8.4 (4.8 to 14.8) and 33.0 (21.6 to 50.6)Ã¢Â€Â…pg/mL urine for waterpipe smokers, and 10.7 (5.0 to 22.6) and 46.8 (27.6 to 79.3)Ã¢Â€Â…pg/mL urine for cigarette smokers (p Descriptors Links Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Al Ali, Radwan, Rastam,Samer, Ibrahim,Iman, Bazzi,Asma, Fayad,Sanaa, Shihadeh,Alan L., Zaatari,Ghazi S., Maziak,Wasim Original/Translated Title URL Date of Electronic PMCID Editors
'Herbal' but potentially hazardous: an analysis of the constituents and smoke emissions of tobacco-free waterpipe products and the air quality in the cafÃ©s where they are served	2015		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tob Control Periodical, Abbrev. Tob.Control Pub Date Free Form Volume 24 Issue 3 Start Page 290 Other Pages 7 Notes ID: 24128428 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract BACKGROUND: There are limited data on the composition and smoke emissions of 'herbal' shisha products and the air quality of establishments where they are smoked. METHODS: Three studies of 'herbal' shisha were conducted: (1) samples of 'herbal' shisha products were chemically analysed; (2) 'herbal' and tobacco shisha were burned in a waterpipe smoking machine and main and sidestream smoke analysed by standard methods and (3) the air quality of six waterpipe cafÃ©s was assessed by measurement of CO, particulate and nicotine vapour content. RESULTS: We found considerable variation in heavy metal content between the three products sampled, one being particularly high in lead, chromium, nickel and arsenic. A similar pattern emerged for polycyclic aromatic hydrocarbons. Smoke emission analyses indicated that toxic byproducts produced by the combustion of 'herbal' shisha were equivalent or greater than those produced by tobacco shisha. The results of our air quality assessment demonstrated that mean PM2.5 levels and CO content were significantly higher in waterpipe establishments compared to a casino where cigarette smoking was permitted. Nicotine vapour was detected in one of the waterpipe cafÃ©s. CONCLUSIONS: 'Herbal' shisha products tested contained toxic trace metals and PAHs levels equivalent to, or in excess of, that found in cigarettes. Their mainstream and sidestream smoke emissions contained carcinogens equivalent to, or in excess of, those of tobacco products. The content of the air in the waterpipe cafÃ©s tested was potentially hazardous. These data, in aggregate, suggest that smoking 'herbal' shisha may well be dangerous to health. Descriptors Links http://dx.doi.org/10.1136/tobaccocontrol-2013-051169 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Hammal,Fadi, Chappell,Alyssa, Wild,T C., Kindzierski,Warren, Shihadeh,Alan, Vanderhoek,Amanda, Huynh,Cong Khanh, Plateel,Gregory, Finegan,Barry A. Original/Translated Title URL Date of Electronic PMCID Editors
Waterpipe tobacco smoking and its human health impacts	2016	Department of Civil and Environmental Engineering, Hanyang University, Seoul 04763, Republic of Korea. Electronic address: kkim61@hanyang.ac.kr.; Department of Farm, Power, and Machinery, Bangladesh Agricultural University, Mymensingh, Bangladesh.; BRAC C	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of hazardous materials Periodical, Abbrev. J.Hazard.Mater. Pub Date Free Form 5-Nov Volume 317 Issue Start Page 229 Other Pages 236 Notes CI: Copyright (c) 2016; JID: 9422688; OTO: NOTNLM; 2015/10/16 [received]; 2016/01/23 [revised]; 2016/05/25 [accepted]; 2016/05/25 [aheadofprint]; ppublish Place of Publication Netherlands ISSN/ISBN 1873-3336; 0304-3894 Accession Number PMID: 27285594 Language eng SubFile Journal Article; Review; IM DOI 10.1016/j.jhazmat.2016.05.075 [doi] Output Language Unknown(0) PMID 27285594 Abstract Waterpipe tobacco smoking (WTS, also known as hookah, shisha, narghile, and many other names) involves passing tobacco smoke through water prior to inhalation by the consumer. As the number of waterpipe smokers is rising rapidly, there is growing concern over the use of WTS, particularly as there has been a widely held misconception that WTS is free from health hazards. In reality, it is associated with a variety of adverse health outcomes on both a short- and long-term basis. Hence, it is desirable to develop advanced techniques for surveillance, intervention, and regulatory/policy frameworks specific to the production and use of waterpipe tobacco. This review is written to survey the types and extent of pollutants released from its use and their potential health risks. A review of the present regulation guidelines is also included. Descriptors Links Book Title Database Publisher Elsevier B.V Data Source Authors Kim,K.H., Kabir,E., Jahan,S.A. Original/Translated Title URL Date of Electronic 20160525 PMCID Editors
Waterpipe tobacco smoking	2016	Clinic of Chest Diseases, Sureyyapasa Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey. hgunen@yahoo.com.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tuberkuloz ve toraks Periodical, Abbrev. Tuberk.Toraks Pub Date Free Form Mar Volume 64 Issue 1 Start Page 94 Other Pages 96 Notes LR: 20160608; JID: 0417364; ppublish Place of Publication ISSN/ISBN 0494-1373; 0494-1373 Accession Number PMID: 27266294 Language ENG SubFile JOURNAL ARTICLE DOI Output Language Unknown(0) PMID 27266294 Abstract Descriptors Links Book Title Database Publisher Data Source Authors Gunen,H., Tarraf,H., Nemati,A., Al Ghobain,M., Al Mutairi,S., Aoun Bacha,Z. Original/Translated Title Nargile kullanimi URL Date of Electronic PMCID Editors
Waterpipe and Cigarette Smoking among University Students in the Western Cape, South Africa	2016	School of Economics, University of Cape Town, Southern Africa Labour and Development Research Unit, School of Economics, University of Cape Town, Cape Town, South Africa.; School of Economics, University of Cape Town, Southern Africa Labour and Developmen	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full American Journal of Health Behavior Periodical, Abbrev. Am.J.Health Behav. Pub Date Free Form Jul Volume 40 Issue 4 Start Page 416 Other Pages 426 Notes JID: 9602338; ppublish Place of Publication United States ISSN/ISBN 1945-7359; 1087-3244 Accession Number PMID: 27338988 Language eng SubFile Journal Article; IM DOI 10.5993/AJHB.40.4.3 [doi] Output Language Unknown(0) PMID 27338988 Abstract OBJECTIVE: Cigarette smoking in South Africa decreased sharply since the early 1990s. Waterpipe smoking increased, especially among students. We estimate the prevalence of waterpipe and cigarette smoking and associated characteristics among university students in the Western Cape. METHODS: An anonymous self-administered online questionnaire was sent to all registered students at 4 public Western Cape universities. The 4578 valid responses were weighted to represent the Western Cape's university student population. We present descriptive statistics and logistic regressions. RESULTS: We found that 63% of Western Cape university students ever smoked waterpipe, 9.9% of students smoked waterpipe in the past 30 days and 17.7% of students smoked cigarettes in the past 30 days. Waterpipe smoking has a strong socialization aspect. Controlling for confounders, current waterpipe smoking is associated with alcohol consumption (positively), age (negatively), population group (mixed-race and Indian students smoke more), religion (Muslims smoke more), faculty (medical students smoke less), and spending money (positively). Current cigarette smoking is associated with similar covariates, but not with age. CONCLUSION: Waterpipe smoking in the Western Cape is widespread, but less than cigarette smoking. Because all tobacco products are harmful, the government has an obligation to impose appropriate regulatory measures to reduce waterpipe consumption. Descriptors Links Book Title Database Publisher Data Source Authors Kruger,L., van Walbeek,C., Vellios,N. Original/Translated Title URL Date of Electronic PMCID Editors
Knowledge About the Waterpipe (Hookah), a Qualitative Assessment Among Community Workers in a Major Urban Center in Canada	2016	Department of Anesthesiology and Pain Medicine, University of Alberta, 2-150 Clinical Sciences Building, Edmonton, AB, T6G2G3, Canada. hammal@ualberta.ca.; School of Public Health, University of Alberta, Edmonton, AB, Canada.; Department of Anesthesiology	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of community health Periodical, Abbrev. J.Community Health Pub Date Free Form Aug Volume 41 Issue 4 Start Page 689 Other Pages 696 Notes JID: 7600747; OTO: NOTNLM; ppublish Place of Publication Netherlands ISSN/ISBN 1573-3610; 0094-5145 Accession Number PMID: 26704909 Language eng SubFile Journal Article; IM DOI 10.1007/s10900-015-0143-9 [doi] Output Language Unknown(0) PMID 26704909 Abstract Waterpipe (WP) use has surged in popularity since the introduction of flavoured shisha. It is now an increasingly popular form of smoking among youth in North America. Health professionals/educators knowledge about the WP may well be inadequate. This study, using qualitative methods, sought to explore the knowledge and attitude of leaders in the community toward the WP. Family physicians, pharmacists, tobacco counsellors, social workers and educators were invited to participate in a one-one interview using open-ended questions. A total of 27 interviews were conducted. Individuals from Eastern Mediterranean backgrounds raised doubt about the overemphasised cultural significance of the WP and perceived this as a marketing strategy by industry. Most felt that WP smokers believed the WP to be less harmful than cigarettes and that the use of flavoured tobacco was motivating people to smoke. Participants believed that education should be directed at the general public and healthcare professionals, suggesting school programs and the use of social media to inform young smokers. Most thought that the current practices regarding packaging and second hand smoke exposure are confusing. They identified the lack of knowledge, poor enforcement procedures, "so called cultural aspects" and the economic impact of banning the WP on small businesses as barriers to change. Despite the awareness of an increase in WP use, our participants recognized that little has been done to curb this problem. Our findings emphasize the need for further education and better legislation to regulate WP use and availability. Descriptors Links Book Title Database Publisher Data Source Authors Hammal,F., Wild,T.C., Finegan,B.A. Original/Translated Title URL Date of Electronic PMCID Editors
Portrayal of waterpipe (shisha, hookah, nargile) smoking on Twitter: a qualitative exploration	2016	South East Wales Trials Unit, Centre for Trials Research, Cardiff University, UK. Electronic address: granta2@cardiff.ac.uk.; Centre for the Study of Knowledge, Expertise and Science, School of Social Science, Cardiff University, UK.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Public health Periodical, Abbrev. Public Health Pub Date Free Form 9-Aug Volume Issue Start Page Other Pages Notes LR: 20160813; CI: Copyright (c) 2016; JID: 0376507; OTO: NOTNLM; 2016/02/08 [received]; 2016/07/06 [revised]; 2016/07/10 [accepted]; aheadofprint Place of Publication ISSN/ISBN 1476-5616; 0033-3506 Accession Number PMID: 27520707 Language ENG SubFile JOURNAL ARTICLE DOI S0033-3506(16)30165-2 [pii] Output Language Unknown(0) PMID 27520707 Abstract OBJECTIVES: To describe and characterize social media content in relation to waterpipe smoking using qualitative methods. STUDY DESIGN: Exploratory qualitative design. METHODS: A representative sample of pre-existing social media content from Twitter relating to waterpipe smoking and written in the English language was collected during a 1 week period in July 2014. A total of 9671 tweets were collected; duplicates and retweets were removed leaving 4439 unique tweets. Data were analyzed semiotically (positive, negative, positive and negative, no sentiment, unclassifiable) and thematically. Photographs attached to tweets written by individual users indexed using #hookah (n = 299) were subjected to content analysis. RESULTS: Over half of all tweets were positive about waterpipe smoking (59%), with 3% negative, 21% lacking sentiment and 17% unclassifiable. However, there were variations by likely author of tweet, with 91% of tweets from individual users classified as positive. Twitter users focused on their emotional experience, location, other products they were consuming alongside waterpipe smoking, and who they were with. Analysis of photographs highlighted a high degree of synergy between text and visual representations of waterpipe smoking, and two thirds of photographs contained at least part of a waterpipe. CONCLUSIONS: Waterpipe smoking may be normalized as an enjoyable activity in this online environment, posing a challenge for public health. Descriptors Links Book Title Database Publisher The Royal Society for Public Health. Published by Elsevier Ltd Data Source Authors Grant,A., O'Mahoney,H. Original/Translated Title URL Date of Electronic 20160809 PMCID Editors
Public health implications of waterpipe tobacco use in the United States warrant initial steps towards assessing dependence	2016	Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, UPMC Montefiore Hospital, Pittsburgh, PA, USA.; Center for Research on Media, Technology and Health, University of Pittsburgh, Pittsburgh, PA, USA.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Addiction (Abingdon, England) Periodical, Abbrev. Addiction Pub Date Free Form May Volume 111 Issue 5 Start Page 937 Other Pages 938 Notes LR: 20160429; GR: R01 CA140150/CA/NCI NIH HHS/United States; GR: R21 CA185767/CA/NCI NIH HHS/United States; JID: 9304118; CON: Addiction. 2016 Feb;111(2):351-9. PMID: 26417942; CON: Addiction. 2016 May;111(5):936. PMID: 26841019; 2016/01/15 [received]; 20 Place of Publication England ISSN/ISBN 1360-0443; 0965-2140 Accession Number PMID: 26987303 Language eng SubFile Comment; Letter; IM DOI 10.1111/add.13316 [doi] Output Language Unknown(0) PMID 26987303 Abstract Descriptors Links Book Title Database Publisher Data Source Authors Sidani,J.E., Shensa,A., Shiffman,S., Switzer,G.E., Primack,B.A. Original/Translated Title URL Date of Electronic 20160314 PMCID Editors
Pulmonary Abnormalities in Young, Light-use Waterpipe (Hookah) Smokers	2016	Weill Cornell Medical College, New York, New York, United States ; geneticmedicine6@med.cornell.edu.; Weill Cornell Medical College, New York, New York, United States ; geneticmedicine2@med.cornell.edu.; Weill Cornell Medical College, New York, New York,	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full American journal of respiratory and critical care medicine Periodical, Abbrev. Am.J.Respir.Crit.Care Med. Pub Date Free Form 23-Mar Volume Issue Start Page Other Pages Notes LR: 20160324; JID: 9421642; OTO: NOTNLM; aheadofprint Place of Publication ISSN/ISBN 1535-4970; 1073-449X Accession Number PMID: 27007171 Language ENG SubFile JOURNAL ARTICLE DOI 10.1164/rccm.201512-2470OC [doi] Output Language Unknown(0) PMID 27007171 Abstract RATIONALE: Waterpipe, also called hookah, is currently used by millions of people worldwide. Despite the increasing use of waterpipe smoking, there is limited data on the health effects of waterpipe smoking and no federal regulations to its use. OBJECTIVES: Assess the effects of waterpipe smoking on the human lung using clinical and bio-logic parameters in young, light-use waterpipe smokers. MEASUREMENTS: Assess young, light-use waterpipe-only smokers in comparison to lifelong non-smokers using clinical parameters including cough and sputum scores, lung function, and chest HRCT, and biologic parameters including lung epithelial lining fluid (ELF) metabolome, small airway epithelial (SAE) cell differential and transcriptome, alveolar macrophage (AM) transcrip-tome, and plasma apoptotic endothelial cell microparticles (EMPs). MAIN RESULTS: Compared to nonsmokers, waterpipe smokers had more cough and sputum, and lower lung diffusing capacity, abnormal ELF metabolome profile, increased proportions of SAE secretory and intermediate cells, reduced proportions of SAE ciliated and basal cells, markedly abnormal SAE and AM transcriptomes, and elevated levels of apoptotic EMPs. CONCLUSIONS: Young, light-use waterpipe-only smokers have a variety of abnormalities in multiple lung-related biologic and clinical parameters, suggesting that even limited waterpipe use has broad consequences on human lung biology and health. We suggest that large epidemiologic studies should be initiated on the harmful effects of waterpipe smoking. Descriptors Links Book Title Database Publisher Data Source Authors Strulovici-Barel,Y., Shaykhiev,R., Salit,J., Deeb,R.S., Krause,A., Kaner,R.J., Vincent,T.L., Agosto-Perez,F., Wang,G., Hollmann,C., Shanmugam,V., Almulla,A.M., Sattar,H., Mahmoud,M., Mezey,J.G., Gross,S.S., Staudt,M.R., Walters,M.S., Crystal,R.G. Original/Translated Title URL Date of Electronic 20160323 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

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