WTS database | WHO FCTC

Title	Pub Year	Author	SearchLink Sort descending
Opportunistic insights into occupational health hazards associated with waterpipe tobacco smoking premises in the United Kingdom	2015	Queen Mary, University of London, Barts and The London School of Medicine and Dentistry, Institute of Dentistry, London, UK E-mail : s.kassim@qmul.ac.uk.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Asian Pacific journal of cancer prevention : APJCP Periodical, Abbrev. Asian Pac.J.Cancer.Prev. Pub Date Free Form Volume 16 Issue 2 Start Page 621 Other Pages 626 Notes JID: 101130625; 0 (Tobacco Smoke Pollution); 7U1EE4V452 (Carbon Monoxide); ppublish Place of Publication Thailand ISSN/ISBN 1513-7368; 1513-7368 Accession Number PMID: 25684497 Language eng SubFile Journal Article; IM DOI Output Language Unknown(0) PMID 25684497 Abstract BACKGROUND: Smokefree laws aim to protect employees and the public from the dangers of secondhand smoke. Waterpipe premises have significantly increased in number in the last decade, with anecdotal reports of poor compliance with the smokefree law. The literature is bereft of information pertaining to waterpipe premise employees. This study aimed to opportunistically gather knowledge about the occupational health hazards associated with working in waterpipe premises in London, England. MATERIALS AND METHODS: Employees from seven convenience-sampled, smokefree-compliant waterpipe premises in London were observed for occupational activities. Opportunistic carbon monoxide (CO) measurements were made among those with whom a rapport had developed. Observations were thematically coded and analysed. RESULTS: Occupational hazards mainly included environmental smoke exposure. Waterpipe-serving employees were required to draw several puffs soon after igniting the coals, thereby providing quality assurance of the product. Median CO levels were 27.5 ppm (range 21-55 ppm) among these employees. Self-reported employee health was poor, with some suggestion that working patterns and smoke exposure was a contributory factor. CONCLUSIONS: The smokefree law in England does not appear to protect waterpipe premise employees from high levels of CO. Continued concerns surrounding chronic smoke exposure may contribute to poor self-reported physical and mental wellbeing. Descriptors Links Book Title Database Publisher Data Source Authors Al-Bakri,A., Jawad,M., Salameh,P., al'Absi,M., Kassim,S. Original/Translated Title URL Date of Electronic PMCID Editors
Parental smoking and exposure to environmental tobacco smoke are associated with waterpipe smoking among youth: results from a national survey in Lebanon	2015	Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Riad El Solh, Beirut, Lebanon; Department of Primary Care and Public Health, Imperial College London, London, United Kingdom.; Department of He	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Public health Periodical, Abbrev. Public Health Pub Date Free Form Apr Volume 129 Issue 4 Start Page 370 Other Pages 376 Notes CI: Copyright (c) 2015; JID: 0376507; 0 (Tobacco Smoke Pollution); OTO: NOTNLM; 2014/03/15 [received]; 2015/01/13 [revised]; 2015/01/16 [accepted]; 2015/03/03 [aheadofprint]; ppublish Place of Publication Netherlands ISSN/ISBN 1476-5616; 0033-3506 Accession Number PMID: 25749674 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1016/j.puhe.2015.01.011 [doi] Output Language Unknown(0) PMID 25749674 Abstract OBJECTIVES: Waterpipe tobacco smoking (WTS) is a growing public health concern worldwide yet little is known about the epidemiology of use among young people. The objectives of this study were to examine the prevalence, patterns and correlates of WTS among students across Lebanon. STUDY DESIGN: The study design was a cross sectional survey. METHODS: 126-item tobacco questionnaire was conducted among 1128 sixth and seventh grade students across Lebanon. Current patterns of use were descriptively analysed, and logistic regression models examined correlates of WTS. RESULTS: Ever WTS prevalence was 44.3%, current WTS prevalence was triple that of cigarettes (22.1% vs 7.4%), and 40.0% of current users were at least weekly or daily smokers. Initiation and patterns of use, as well as addiction and cessation attitudes have been reported. Significant correlates of current WTS included older age, reduced religiosity, peer and parent tobacco use, recent waterpipe advertisement exposure, increased pluralistic ignorance and current cigarette use. Significant correlates of ever WTS were similar to current WTS, but included second hand waterpipe tobacco smoke exposure at home and did not include recent waterpipe advertisement exposure. Neither gender nor socio-economic status were significant correlates of current or ever WTS. CONCLUSIONS: Waterpipe is the most common form of tobacco smoking, and is used regularly, among sixth and seventh grade Lebanese students. It should be considered a public health priority with increased tobacco surveillance and legislation. Widespread educational and policy interventions might help denormalize the social acceptability of WTS. Meanwhile, more research is needed to understand the changing paradigm of WTS epidemiology and the health outcomes among young smokers. Descriptors Links Book Title Database Publisher The Royal Society for Public Health. Published by Elsevier Ltd Data Source Authors Jawad,M., Nakkash,R.T., Mahfoud,Z., Bteddini,D., Haddad,P., Afifi,R.A. Original/Translated Title URL Date of Electronic 20150303 PMCID Editors
Predictors of intention to quit waterpipe smoking: a survey of arab americans in houston, Texas	2015	Department of Pharmaceutical Health Outcomes and Policy, Texas Medical Center, University of Houston, 1441 Moursund Street, Houston, TX 77030, USA.; Department of Pharmaceutical Health Outcomes and Policy, Texas Medical Center, University of Houston, 1441	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of addiction Periodical, Abbrev. J.Addict. Pub Date Free Form Volume 2015 Issue Start Page 575479 Other Pages Notes LR: 20150401; JID: 101602563; OID: NLM: PMC4364118; 2014/08/28 [received]; 2015/01/24 [revised]; 2015/02/19 [accepted]; 2015/03/04 [epublish]; ppublish Place of Publication Egypt ISSN/ISBN 2090-7834; 2090-7850 Accession Number PMID: 25821629 Language eng SubFile Journal Article DOI 10.1155/2015/575479 [doi] Output Language Unknown(0) PMID 25821629 Abstract Waterpipe smoking has been described as "the second global tobacco epidemic since the cigarette." Both Middle Eastern ethnicity and having a friend of Middle Eastern ethnicity have been reported as significant predictors of waterpipe smoking. Addressing waterpipe smoking in this ethnic minority is essential to controlling this growing epidemic in the US. We investigated the predictors of an intention to quit waterpipe smoking by surveying 340 Arab American adults in the Houston area. Primary analyses were conducted using stepwise logistic regression. Only 27% of participants reported having an intention to quit waterpipe smoking. Intention to quit waterpipe smoking was significantly higher with history of cigar use, a prior attempt to quit, and not smoking when seriously ill and significantly lower with increasing age, medium cultural acceptability of using waterpipe among family, high cultural acceptability of using waterpipe among friends, longer duration of smoking sessions, and perceiving waterpipe smoking as less harmful than cigarettes. Educational programs that target Arab Americans in general, and specifically older adults, those who smoke waterpipe for more than 60 minutes, those whose family and friends approve waterpipe smoking, and those with no former attempts to quit, may be necessary to increase the intention to quit waterpipe smoking. Descriptors Links Book Title Database Publisher Data Source Authors Athamneh,L., Sansgiry,S.S., Essien,E.J., Abughosh,S. Original/Translated Title URL Date of Electronic 20150304 PMCID PMC4364118 Editors
Waterpipe a gateway to cigarette smoking initiation among adolescents in Irbid, Jordan: a longitudinal study	2015	Florida International University, Miami, Florida, USA.; Florida International University, Miami, Florida, USA.; Florida International University, Miami, Florida, USA; Emory University, Atlanta, Georgia, USA; Baptist Health South Florida, Miami, Florida, U	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease Periodical, Abbrev. Int.J.Tuberc.Lung Dis. Pub Date Free Form Apr Volume 19 Issue 4 Start Page 481 Other Pages 487 Notes LR: 20151001; GR: R01 DA024876/DA/NIDA NIH HHS/United States; GR: R01 DA035160/DA/NIDA NIH HHS/United States; GR: R01 DA035160/DA/NIDA NIH HHS/United States; GR: R01DA024876/DA/NIDA NIH HHS/United States; JID: 9706389; NIHMS683991; OID: NLM: NIHMS683991; Place of Publication France ISSN/ISBN 1815-7920; 1027-3719 Accession Number PMID: 25860006 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; IM DOI 10.5588/ijtld.14.0869 [doi] Output Language Unknown(0) PMID 25860006 Abstract SETTING: According to anecdotal evidence, waterpipe smoking may lead to the initiation of cigarette smoking among young people. This hypothesis is yet to be examined using an appropriate study design and a theoretical model for behavioral change. OBJECTIVE: To compare the risk of cigarette smoking initiation among waterpipe-only smokers and never smokers in a school-based sample of adolescents from Irbid, Jordan. METHODS: A total of 1454 cigarette-naive participants were drawn from a longitudinal study on smoking behavior conducted in Irbid among 1781 seventh graders who were enrolled at baseline (2008) and completed the study questionnaire on smoking behavior annually until 2011. Grouped time-survival analysis was used to compare the risk of subsequent initiation of cigarette smoking between waterpipe smokers (n = 298) and never smokers (n = 1156) using adjusted hazard ratios (aHRs) and 95% confidence intervals (95%CI). RESULTS: Risk of initiation of cigarette smoking among waterpipe smokers was significantly higher than among never smokers after adjusting for potential confounders (aHR 1.67, 95%CI 1.46-1.92). The association between waterpipe and cigarette smoking initiation was dose-dependent. The risk of initiating cigarette smoking increased with increase in the frequency of waterpipe smoking (P for linear trend Descriptors Links Book Title Database Publisher Data Source Authors Jaber,R., Madhivanan,P., Veledar,E., Khader,Y., Mzayek,F., Maziak,W. Original/Translated Title URL Date of Electronic PMCID PMC4423386 Editors
Knowledge, attitudes and beliefs towards waterpipe tobacco smoking and electronic shisha (e-shisha) among young adults in London: a qualitative analysis	2016	1Department of Primary Care and Population Health,University College London,London,UK.; 2Department of Primary Care and Public Health,Imperial College London,Hammersmith,London,UK.; 1Department of Primary Care and Population Health,University College Lond	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Primary health care research & development Periodical, Abbrev. Prim.Health.Care.Res.Dev. Pub Date Free Form Mar Volume 17 Issue 2 Start Page 166 Other Pages 174 Notes JID: 100897390; OTO: NOTNLM; 2015/04/13 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1477-1128; 1463-4236 Accession Number PMID: 25864374 Language eng SubFile Journal Article; IM DOI 10.1017/S1463423615000237 [doi] Output Language Unknown(0) PMID 25864374 Abstract Introduction Waterpipe tobacco smoking (WTS), known in the United Kingdom as shisha, is popular among adolescents worldwide. Some electronic cigarettes are marketed in the United Kingdom as 'electronic shisha' (e-shisha). This study aimed to understand how WTS users view e-shisha and whether it could be used as a harm-reduction or cessation aid. METHOD: In-depth face-to-face interviews were conducted with 16 young adults recruited by snowball sampling in London, UK. Recurrent themes were derived iteratively through thematic analysis. RESULTS: WTS is a socially acceptable activity, carried out at home or in a cafe. Peer influence and flavour play a key role in its use. Participants were aware of some health risks of WTS, although many accepted this risk and reported a need for more health-related WTS information. Although participants were familiar with e-shisha, there was no evidence of its use as a harm-reduction or cessation product. E-shisha tasted different to flavoured waterpipe tobacco and removed the positive social attributes typically ascribed to WTS. Waterpipe users felt e-shisha may encourage non-users to initiate cigarettes or WTS. CONCLUSION: Opinions of reduced risk in using WTS may be due to the lack of available information, misconceptions and its easy accessibility. E-shisha does not appear to play a role in WTS harm reduction or cessation. On-going research efforts should test educational interventions addressing the adverse health impacts of WTS in this population group. Descriptors Links Book Title Database Publisher Data Source Authors Kotecha,S., Jawad,M., Iliffe,S. Original/Translated Title URL Date of Electronic 20150413 PMCID Editors
Compartmental analysis of metals in waterpipe smoking technique	2015	Department of Biomedical Engineering, School of Applied Medical Sciences, German Jordanian University, P.O. Box 35247, Amman, 11180, Jordan. akeel.alkazwini@gju.edu.jo.; Scientific Research Centre, Applied Science Sector, Royal Scientific Society, Amman,	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full BMC public health Periodical, Abbrev. BMC Public Health Pub Date Free Form 18-Feb Volume 15 Issue Start Page 153 Other Pages 015-1373-6 Notes LR: 20151111; JID: 100968562; 0 (Metals); 059QF0KO0R (Water); OID: NLM: PMC4335555; 2014/05/22 [received]; 2015/01/07 [accepted]; 2015/02/18 [aheadofprint]; epublish Place of Publication England ISSN/ISBN 1471-2458; 1471-2458 Accession Number PMID: 25884883 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1186/s12889-015-1373-6 [doi] Output Language Unknown(0) PMID 25884883 Abstract BACKGROUND: The number of waterpipe tobacco smokers has been increasing worldwide. Smokers can be exposed to a number of toxicants, some of which are metals. The aim of this study is to quantitatively determine if the water filtration stage of the waterpipe smoking process successfully decreases exposure to Bi, Cr, Cu, Fe, Mg, Mn, Mo, Ni, Pb, V, and U. METHODS: Four samples of commercially available tobacco (Moassel) were compared in terms of the total amount of metal contained within the fresh tobacco sample and the amount of metal distributed into each compartment of the waterpipe after a smoking session. RESULTS: For all metals analysed, the concentration of metal 'filtered' out during the water bubbling stage is around 3% (+/-1%) of the total metal. CONCLUSIONS: It can be concluded that this small fraction would not protect the user against exposure to the majority of the potentially toxic metals. Descriptors Links Book Title Database Publisher Data Source Authors Al-Kazwini,A.T., Said,A.J., Sdepanian,S. Original/Translated Title URL Date of Electronic 20150218 PMCID PMC4335555 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
Acute vascular effects of waterpipe smoking: Importance of physical activity and fitness status	2015	Division of Physical Therapy, Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan. Electronic address: Alomari@just.edu.jo.; Department of Medical Laboratory Sciences, Jordan University of Science and Technolo	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Atherosclerosis Periodical, Abbrev. Atherosclerosis Pub Date Free Form Jun Volume 240 Issue 2 Start Page 472 Other Pages 476 Notes CI: Copyright (c) 2015; JID: 0242543; 059QF0KO0R (Water); OTO: NOTNLM; 2014/12/11 [received]; 2015/02/21 [revised]; 2015/02/23 [accepted]; 2015/02/28 [aheadofprint]; ppublish Place of Publication Ireland ISSN/ISBN 1879-1484; 0021-9150 Accession Number PMID: 25909821 Language eng SubFile Journal Article; IM DOI 10.1016/j.atherosclerosis.2015.02.047 [doi] Output Language Unknown(0) PMID 25909821 Abstract OBJECTIVE: While new forms of tobacco, including waterpipe (WP) smoking, continue to gain popularity, limited literature has examined the vascular health consequences. The purpose of the current study was to examine: (i) the acute WP-induced changes in vascular function; (ii) whether acute changes in vascular function are modified by lifestyle behaviors (habitual physical activity, physical fitness). METHODS: Fifty three (22.7 y, 36% F, 23.4 kg/m(2)) otherwise healthy WP smokers were recruited. Strain-gauge plethysmography was used to measure forearm blood flow, vascular resistance, venous capacitance, and venous outflow at rest and following occlusion. Habitual physical activity was determined using the Arabic version of short-form international physical activity questionnaire, while physical fitness was assessed using the 6 min walk test and handgrip strength. Partial correlations were used to examine the relationships between post-smoking vascular function and lifestyle behaviors, controlling for pre-smoking vascular measures. RESULTS: (i) WP had a small effect on forearm post-occlusion blood flow (d = -0.19), a moderate effect on venous outflow (d = 0.30), and a moderate effect on post-occlusion vascular resistance (d = 0.32). (ii) Total habitual physical activity strongly correlated with resting blood flow (r = 0.50) and moderately with vascular resistance (r = -0.40). Handgrip strength moderately correlated with venous capacitance (r = 0.30) and post-occlusion blood flow (r = 0.30), while 6 min walked distance moderately correlated with resting venous capacitance (r = 0.30). CONCLUSION: Waterpipe smoking is associated with immediate changes in vascular function, which are exacerbated in individuals with low habitual physical activity and physical fitness levels in young otherwise healthy individuals. Descriptors Links Book Title Database Publisher Elsevier Ireland Ltd Data Source Authors Alomari,M.A., Khabour,O.F., Alzoubi,K.H., Shqair,D.M., Stoner,L. Original/Translated Title URL Date of Electronic 20150228 PMCID Editors
Validation of a simple tool to assess risk of waterpipe tobacco smoking among sixth and seventh graders in Lebanon	2016	Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, PO Box 11-2036, Riad El Solh, Beirut 1107 2020, Lebanon Department of Primary Care and Public Health, Imperial College London, London W6 8RH, U	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of public health (Oxford, England) Periodical, Abbrev. J.Public.Health.(Oxf) Pub Date Free Form Jun Volume 38 Issue 2 Start Page 403 Other Pages 410 Notes CI: (c) The Author 2015; JID: 101188638; OTO: NOTNLM; 2015/04/23 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1741-3850; 1741-3842 Accession Number PMID: 25911620 Language eng SubFile Journal Article; IM DOI 10.1093/pubmed/fdv048 [doi] Output Language Unknown(0) PMID 25911620 Abstract BACKGROUND: Waterpipe tobacco smoking (WTS) is highly prevalent in the Eastern Mediterranean region. While studies have identified socio-demographic factors differentiating smokers from non-smokers, validated tools predicting WTS are lacking. METHODS: Over 1000 (n = 1164) sixth and seventh grade students in Lebanon were randomly assigned to a prediction model group and validation model group. In the prediction model group, backward stepwise logistic regression enabled the identification of socio-demographic and psychosocial factors associated with ever and current WTS. This formed risk scores which were tested on the validation model group. RESULTS: The risk score for current WTS was out of four and included reduced religiosity, cigarette use and the perception that WTS was associated with a good time. The risk score for ever WTS was out of seven and included an additional two variables: increased age and the belief that WTS did not cause oral cancer. In the validation model group, the model displayed moderate discrimination [area under the curve: 0.77 (current), 0.68 (ever)], excellent goodness-of-fit (P > 0.05 for both) and optimal sensitivity and specificity of 80.1 and 58.4% (current), and 39.5 and 94.4%, (ever), respectively. CONCLUSIONS: WTS use can be predicted using simple validated tools. These can direct health promotion and legislative interventions. Descriptors Links Book Title Database Publisher . Published by Oxford University Press on behalf of Faculty of Public Health Data Source Authors Jawad,M., Afifi,R.A., Mahfoud,Z., Bteddini,D., Haddad,P., Nakkash,R. Original/Translated Title URL Date of Electronic 20150423 PMCID 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

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