WTS database

Title	Pub Year Sort ascending	Author	SearchLink
Affecting perceptions of harm and addiction among college waterpipe tobacco smokers	2011	Duke University School of Nursing, 307 Trent Dr., Durham, NC 27710, USA. Isaac.Lipkus@Duke.edu	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco Periodical, Abbrev. Nicotine Tob.Res. Pub Date Free Form Jul Volume 13 Issue 7 Start Page 599 Other Pages 610 Notes LR: 20160527; GR: P30 DA023026/DA/NIDA NIH HHS/United States; GR: P30 DA023026/DA/NIDA NIH HHS/United States; GR: R01 CA114389/CA/NCI NIH HHS/United States; JID: 9815751; OID: NLM: PMC3129239; 2011/04/06 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1469-994X; 1462-2203 Accession Number PMID: 21471304 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; IM DOI 10.1093/ntr/ntr049 [doi] Output Language Unknown(0) PMID 21471304 Abstract INTRODUCTION: The spread of waterpipe tobacco use among youth may be due in part to perceptions that waterpipe tobacco use is safer than other tobacco products, such as cigarettes. In two pilot studies, we sought to modify college waterpipe smokers' perceived risks and worry about waterpipe tobacco smoking. METHODS: We conducted two web-based studies that varied whether college waterpipe users received information on (a) spread of and use of flavored tobacco in waterpipe and (b) harms of waterpipe smoking. Study 1 (N = 91) tested the "incremental" effects on perceptions of risk and worry of adding information about harms of waterpipe smoking to information on the spread of waterpipe and use of flavorings in the tobacco. Study 2 (N = 112) tested the effects on perceptions of risk and worry of reviewing information about harms of waterpipe smoking compared to a no information control group. In Study 1 only, we assessed as part of a 6-month follow-up (n = 70) the percentage of participants who reported no longer using waterpipe. RESULTS: Pooling data from both studies, participants who received information about the harms of waterpipe smoking reported greater perceived risk and worry about harm and addiction and expressed a stronger desire to quit. In Study 1, 62% of participants in the experimental group versus 33% in the control group reported having stopped waterpipe use. CONCLUSIONS: These are the first studies to show that perceptions of addiction and harm from waterpipe use can be modified using minimally intensive interventions; such interventions show promise at decreasing waterpipe use. Descriptors Links Book Title Database Publisher Data Source Authors Lipkus,I.M., Eissenberg,T., Schwartz-Bloom,R.D., Prokhorov,A.V., Levy,J. Original/Translated Title URL Date of Electronic 20110406 PMCID PMC3129239 Editors
The rise in narghile (shisha, hookah) waterpipe tobacco smoking: a qualitative study of perceptions of smokers and non smokers	2011	Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full BMC public health Periodical, Abbrev. BMC Public Health Pub Date Free Form 14-May Volume 11 Issue Start Page 315 Other Pages 2458-11-315 Notes LR: 20150204; JID: 100968562; 059QF0KO0R (Water); OID: NLM: PMC3112129; 2010/08/18 [received]; 2011/05/14 [accepted]; 2011/05/14 [aheadofprint]; epublish Place of Publication England ISSN/ISBN 1471-2458; 1471-2458 Accession Number PMID: 21569577 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1186/1471-2458-11-315 [doi] Output Language Unknown(0) PMID 21569577 Abstract BACKGROUND: The prevalence of waterpipe tobacco smoking (WTS) in the Middle East region and worldwide is increasing. There is evidence to indicate both short term and long term health effects of WTS, resulting in the issuance of an advisory note by the World Health Organization. METHODS: This research aimed at gaining an in-depth understanding of the factors contributing to the rise in WTS in Lebanon. Qualitative focus groups (25) and in-depth interviews (9) were conducted with adults in Lebanon in 2007. Participants were recruited to represent diversity in smoking status, gender, age groups and urban/rural residence. The interviews and focus groups were thematically analyzed, and recurrent themes noted and summarized. RESULTS: The main themes identified were availability, affordability, innovation, influence of media, lack of a policy framework, and the sensory characteristics evoked from WTS. Men and women, smokers and non-smokers, and younger and older participants differed in their emphases on the above themes. These themes, though specific to waterpipe, are similar to themes manipulated by the cigarette industry, and eventually controlled through tobacco control policies. CONCLUSIONS: Understanding reasons behind the rise in waterpipe tobacco use is important if appropriate prevention, cessation, and policy interventions are to be formulated. Strict adherence to the FCTC is warranted, with careful and vigilant attention that all tobacco products are covered by laws in both high as well as middle to lower income countries. Descriptors Links Book Title Database Publisher Data Source Authors Nakkash,R.T., Khalil,J., Afifi,R.A. Original/Translated Title URL Date of Electronic 20110514 PMCID PMC3112129 Editors
Waterpipe tobacco use among Iranian university students: correlates and perceived reasons for use	2011	Kerman University of Medical Sciences, Kerman, Iran.	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 Jun Volume 15 Issue 6 Start Page 844 Other Pages 847 Notes LR: 20151119; JID: 9706389; 059QF0KO0R (Water); ppublish Place of Publication France ISSN/ISBN 1815-7920; 1027-3719 Accession Number PMID: 21575309 Language eng SubFile Journal Article; Multicenter Study; IM DOI 10.5588/ijtld.10.0744 [doi] Output Language Unknown(0) PMID 21575309 Abstract SETTING: Waterpipe smoking is becoming a global health crisis among youth. OBJECTIVE: To identify the prevalence of waterpipe use among Iranian university students and to explore perceived reasons for use. METHODS: A random sample of 1024 university students at two major universities in South Iran was enrolled in the study. A three-part questionnaire (baseline data, tobacco smoking status and perceived reasons for waterpipe use) was used. Students filled out the self-administered questionnaire in their classrooms. RESULTS: The prevalence of waterpipe smoking in the respondents' lifetime and in the last 30 days was 42.5% and 18.7%, respectively. The mean age at initiation of waterpipe smoking was 16.3 +/- 3.2 years. Ever smoking was positively associated with age and male sex, whereas no association was found regarding marital status. The highest odds of lifetime waterpipe smoking were observed in students with close friends who smoked the waterpipe (5.94, 95%CI 4.26-8.30). The most important perceived reason for waterpipe smoking as stated by students was enjoyment (55.8%). CONCLUSION: Given the alarming prevalence of waterpipe smoking, preventive measures should be adopted among university students taking into account the influence of peers, siblings and parents in the lessening social tolerance of waterpipe smoking. Descriptors Links Book Title Database Publisher Data Source Authors Sabahy,A.R., Divsalar,K., Bahreinifar,S., Marzban,M., Nakhaee,N. Original/Translated Title URL Date of Electronic PMCID Editors
The global epidemic of waterpipe smoking	2011	School of Public Health, University of Memphis, Syrian Center for Tobacco Studies, Browning Hall 112, 3820 DeSoto Avenue, Memphis, TN 38152-3340, United States. wmaziak@memphis.edu	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Addictive Behaviors Periodical, Abbrev. Addict.Behav. Pub Date Free Form Jan-Feb Volume 36 Issue 2-Jan Start Page 1 Other Pages 5 Notes LR: 20141202; CI: Copyright (c) 2010; GR: R01 DA024876/DA/NIDA NIH HHS/United States; GR: R01 DA024876/DA/NIDA NIH HHS/United States; JID: 7603486; 7U1EE4V452 (Carbon Monoxide); NIHMS234502; OID: NLM: NIHMS234502; OID: NLM: PMC4135081; 2010/07/15 [receive Place of Publication England ISSN/ISBN 1873-6327; 0306-4603 Accession Number PMID: 20888700 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; Review; IM DOI 10.1016/j.addbeh.2010.08.030 [doi] Output Language Unknown(0) PMID 20888700 Abstract In the past decade waterpipe (WP) smoking (a.k.a. hookah, shisha, and narghile) has been steadily spreading among the youth around the world. The allure of this tobacco use method for the youth can stem from its pleasant smooth smoke, social ambience and the perception of reduced harm. The material in this review is based on detailed Medline search for articles appearing especially in the past two years that are of relevance to WP epidemiology, health and addictive effects, and WP-related tobacco control policies. It shows that WP smoking is continuing to spread among the youth worldwide, and perhaps represents the second global tobacco epidemic since the cigarette. Available evidence suggests that the prevalence of current (past month) WP smoking range from 6 to 34% among Middle Eastern adolescents, 5%-17% among American adolescents, and that WP use is increasing globally. Studies on the health effects of WP smoking are limited by methodological quality, as well as by the novelty of WP epidemic relative to the long latency of important smoking-related health outcomes. Still, research indicates substantial WP harmful effects similar to those of cigarettes, as well as to the potential of providing a bridge to cigarette smoking or relapse. Developing effective interventions to curb WP use among the youth requires a detailed understanding of how dependence develops in WP users, and how it is shaped by WP's unique features such as the following; the predominantly intermittent use with prolonged sessions, preparation time, accessibility, potent sensory cues, and convivial experience of group use. It also requires assessing effective policy options such as factual and visible health warnings on all its parts, as well as youth access and indoor smoking restrictions. WP smoking is currently showing all signs of a burgeoning global epidemic with serious implications for public health and tobacco control worldwide. Investment in research and policy initiatives to understand and curb WP use needs to become a public health priority. Descriptors Links Book Title Database Publisher Elsevier Ltd Data Source Authors Maziak,W. Original/Translated Title URL Date of Electronic 20101008 PMCID PMC4135081 Editors
Assessment of genotoxicity of waterpipe and cigarette smoking in lymphocytes using the sister-chromatid exchange assay: a comparative study	2011	Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan. khabour@just.edu.jo	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Environmental and molecular mutagenesis Periodical, Abbrev. Environ.Mol.Mutagen. Pub Date Free Form Apr Volume 52 Issue 3 Start Page 224 Other Pages 228 Notes CI: Copyright (c) 2010; JID: 8800109; 0 (Mutagens); 0 (Tobacco Smoke Pollution); 2010/04/12 [received]; 2010/04/21 [accepted]; 2010/08/25 [aheadofprint]; ppublish Place of Publication United States ISSN/ISBN 1098-2280; 0893-6692 Accession Number PMID: 20740646 Language eng SubFile Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1002/em.20601 [doi] Output Language Unknown(0) PMID 20740646 Abstract Tobacco smoking is a major world health problem. Recently, waterpipe smoking has become more popular in many countries. Although the genotoxicity associated with cigarette smoking has been extensively investigated, studies evaluating such toxicity in waterpipe users are still lacking. In this study, we examined the genotoxicity of waterpipe smoking in lymphocytes compared with the genotoxicity of cigarette smoking. Genotoxicity was evaluated using the sister chromatid exchanges (SCEs) assay. Fifty waterpipe smokers and 18 healthy nonsmokers participated in this study. Additionally, 18 heavy cigarette smokers (CS) were recruited for comparison. The results show that waterpipe smoking and cigarette smoking significantly increase the frequencies of SCEs (P Descriptors Links Book Title Database Publisher Wiley-Liss, Inc Data Source Authors Khabour,O.F., Alsatari,E.S., Azab,M., Alzoubi,K.H., Sadiq,M.F. Original/Translated Title URL Date of Electronic 20100825 PMCID Editors
Waterpipe smoking, oral cancer and other oral health effects	2011	Oral Medicine, Department of Clinical & Diagnostic Sciences, King's College London Dental Institute, WHO Collaborating Centre for Oral Cancer, UK.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Evidence-based dentistry Periodical, Abbrev. Evid Based.Dent. Pub Date Free Form Volume 12 Issue 2 Start Page 44 Other Pages 45 Notes JID: 100883603; CON: Int J Epidemiol. 2010 Jun;39(3):834-57. PMID: 20207606; ppublish Place of Publication England ISSN/ISBN 1476-5446; 1462-0049 Accession Number PMID: 21701545 Language eng SubFile Comment; Journal Article DOI 10.1038/sj.ebd.6400790 [doi] Output Language Unknown(0) PMID 21701545 Abstract DATA SOURCES: MEDLINE, EMBASE and ISI the Web of Science. STUDY SELECTION: Articles in any language that assessed the association between water pipe smoking and any health outcome. Included studies were cohort, case-control and cross-sectional. Studies were excluded if they looked at physiological outcomes, non-tobacco pipe use, or didn't differentiate between this and other smoking habits. DATA EXTRACTION AND SYNTHESIS: Data were abstracted independently by two reviewers using a standardised screening guide and GRADE used to evaluate study quality. The I(2) statistic was used to measure heterogeneity. Odds ratios for the effect of pipe smoking on lung, bladder, oesophageal and nasopharyngeal cancer, oral dysplasia, pregnancy outcomes, periodontal disease, hepatitis, respiratory illness and infertility were extracted. RESULTS: Twenty-three studies were included. Based on the available evidence, waterpipe tobacco smoking was significantly associated with lung cancer, respiratory illness, low birth-weight and periodontal disease. It was not significantly associated with bladder, nasopharyngeal and oesophageal cancers, neither with oral dysplasia or infertility, but the confidence Intervals (CIs) did not exclude important associations. Smoking a waterpipe in groups was not significantly associated with hepatitis C infection. The overall quality of evidence varied from very low to low. CONCLUSIONS: The evidence from very low to low quality studies is that waterpipe tobacco smoking is possibly associated with a number of deleterious health outcomes including lung cancer, respiratory illness, low birth-weight and periodontal disease. Descriptors Links Book Title Database Publisher Data Source Authors Warnakulasuriya,S. Original/Translated Title URL Date of Electronic PMCID Editors
Mainstream smoke of the waterpipe: does this environmental matrix reveal as significant source of toxic compounds?	2011	German Federal Institute for Risk Assessment (BfR), Department of Product Safety, Thielallee 88-92, 14195 Berlin, Germany. Jens.Schubert@bfr.bund.de	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Toxicology letters Periodical, Abbrev. Toxicol.Lett. Pub Date Free Form 10-Sep Volume 205 Issue 3 Start Page 279 Other Pages 284 Notes LR: 20151119; CI: Copyright (c) 2011; JID: 7709027; 0 (4-(methylnitrosamino)-1-(3-pyridyl)-1-butan-1-ol); 0 (Carcinogens); 0 (Hygroscopic Agents); 0 (Nitrosamines); 0 (Polycyclic Hydrocarbons, Aromatic); 0 (Pyridines); 0 (Smoke); 059QF0KO0R (Water); 3417W Place of Publication Netherlands ISSN/ISBN 1879-3169; 0378-4274 Accession Number PMID: 21712083 Language eng SubFile Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1016/j.toxlet.2011.06.017 [doi] Output Language Unknown(0) PMID 21712083 Abstract In recent years the number of waterpipe smokers has increased substantially worldwide. Here we report on the concentrations of tobacco-specific nitrosamines (TSNAs) and polycyclic aromatic hydrocarbons (PAHs) in waterpipe smoke and the analysis of selected biomarkers indicative for the body burden in waterpipe users. We further identify high amounts of unburned humectants (glycerol and propylene glycol) in the waterpipe smoke as main part of the so-called "tar" fraction. These results give cause for serious concern. For standardization we applied a machine smoking protocol. Smoke was collected on glass fiber filters and analyzed for nicotine, water, humectants, TSNAs, and PAHs. In addition, we determined carbon monoxide and found high amounts in the smoke being causative for high levels of carboxyhemoglobin (COHb) in the blood of smokers. In comparison to the reference cigarette 3R4F, the nicotine contents were 10-times higher, but TSNA levels were found lower in waterpipe smoke. This finding explained the low levels of 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol detected in the urine of waterpipe smokers. Finally, the levels of benzo[a]pyrene were three times higher in waterpipe smoke compared to the reference cigarette. Altogether, the data presented in this study point to the health hazards associated with the consumption of waterpipes. Descriptors Links Book Title Database Publisher Elsevier Ireland Ltd Data Source Authors Schubert,J., Hahn,J., Dettbarn,G., Seidel,A., Luch,A., Schulz,T.G. Original/Translated Title URL Date of Electronic 20110625 PMCID Editors
Waterpipe (hookah) tobacco smoking among youth	2011	Department of Community and Family Health, University of South Florida, College of Public Health (MDC 056), Tampa, FL, USA.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Current problems in pediatric and adolescent health care Periodical, Abbrev. Curr.Probl.Pediatr.Adolesc.Health.Care. Pub Date Free Form Feb Volume 41 Issue 2 Start Page 34 Other Pages 57 Notes LR: 20151119; CI: Copyright (c) 2011; JID: 101134613; 0 (Tobacco Smoke Pollution); 6M3C89ZY6R (Nicotine); 7U1EE4V452 (Carbon Monoxide); ppublish Place of Publication United States ISSN/ISBN 1538-3199; 1538-3199 Accession Number PMID: 21232693 Language eng SubFile Journal Article; IM DOI 10.1016/j.cppeds.2010.10.001 [doi] Output Language Unknown(0) PMID 21232693 Abstract Waterpipe tobacco smoking is a centuries old practice, influenced by cultural tradition in Eastern Mediterranean countries, the Middle East, and parts of Asia. It historically has been an activity enjoyed primarily by men. In the past 2 decades, however, this method of tobacco smoking has increased in popularity in other parts of the world, including the USA. Growing interest in this form of smoking can be traced, in part, to the advent of a flavored tobacco, called maassel. The combination of flavoring agents and the paraphernalia itself used in the smoking process, along with its mystic appeal, novelty, affordability, and the social atmosphere in which smoking often occurs, has made waterpipe smoking attractive to women as well as men, cigarette smokers and nonsmokers alike, and particular groups, including persons of college age and younger adolescents. Although waterpipe smoking is perceived by its new generation of users to be less addictive and hazardous to health than cigarette smoking, researchers draw diametrically opposed conclusions. Research demonstrates that numerous toxic agents, including carcinogens, heavy metals, other particulate matter, and high levels of nicotine, are efficiently delivered through waterpipes. Moreover, sidestream smoke exposes others in the vicinity of waterpipe smokers to the risk of respiratory diseases and other conditions. In addition, persons sharing waterpipe mouthpieces may share infectious agents as well. Waterpipe tobacco smoking has been declared a public health problem by the World Health Organization and other authorities. Recognition of the deleterious effects of waterpipe smoking has led to initial attempts to expand regulatory control. Because waterpipe tobacco is not directly burned in the smoking process, many existing control measures do not apply. Public health authorities should monitor waterpipe tobacco use carefully. Finally, pediatricians and other healthcare providers should discourage experimentation and continued use among their adolescent patients. Descriptors Links Book Title Database Publisher Mosby, Inc Data Source Authors Martinasek,M.P., McDermott,R.J., Martini,L. Original/Translated Title URL Date of Electronic PMCID Editors
Comparative analysis of waterpipe and cigarette suppression of abstinence and craving symptoms	2011	Syrian Center for Tobacco Studies, Aleppo, Syria.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Addictive Behaviors Periodical, Abbrev. Addict.Behav. Pub Date Free Form May Volume 36 Issue 5 Start Page 555 Other Pages 559 Notes LR: 20151119; CI: Copyright (c) 2011; GR: CA120142/CA/NCI NIH HHS/United States; GR: DA024876/DA/NIDA NIH HHS/United States; GR: R01 DA024876/DA/NIDA NIH HHS/United States; GR: R01 DA024876-04/DA/NIDA NIH HHS/United States; JID: 7603486; 6M3C89ZY6R (Nicot Place of Publication England ISSN/ISBN 1873-6327; 0306-4603 Accession Number PMID: 21316156 Language eng SubFile Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; IM DOI 10.1016/j.addbeh.2011.01.021 [doi] Output Language Unknown(0) PMID 21316156 Abstract This study's objective is to examine the relative effectiveness of cigarettes and waterpipe (WP) in reducing tobacco abstinence symptoms in dual cigarette/WP smokers. Sixty-one dual cigarette/WP smokers participated (mean age+/-SD 22.0+/-2.6 year; mean cigarettes/day 22.4+/-10.1; mean WPs/week 5.2+/-5.6). After 12-hour abstinence participants completed two smoking sessions (WP or cigarette), while they responded to subjective measures of withdrawal, craving, and nicotine effects administered before smoking and 5, 15, 30 and 45 min thereafter. For both tobacco use methods, scores on measures of withdrawal and craving were high at the beginning of session (i.e., before smoking) and were reduced significantly and comparably during smoking. Analysis of smoking and recovery (post-smoking) phases showed similarity in the way both tobacco use methods suppressed withdrawal and craving, but the recovery of some of these symptoms can be faster with cigarette use. This study is the first to show the ability of WP to suppress abstinence effects comparably to cigarettes, and its potential to thwart cigarette cessation. Descriptors Links Book Title Database Publisher Elsevier Ltd Data Source Authors Rastam,S., Eissenberg,T., Ibrahim,I., Ward,K.D., Khalil,R., Maziak,W. Original/Translated Title URL Date of Electronic 20110120 PMCID PMC3061840 Editors
The prevalence of waterpipe tobacco smoking among the general and specific populations: a systematic review	2011		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full BMC Public Health Periodical, Abbrev. BMC Public Health Pub Date Free Form Volume 11 Issue Start Page 244 Other Pages 244 Notes ID: 21504559 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract BACKGROUND: The objective of this study was to systematically review the medical literature for the prevalence of waterpipe tobacco use among the general and specific populations. METHODS: We electronically searched MEDLINE, EMBASE, and the ISI the Web of Science. We selected studies using a two-stage duplicate and independent screening process. We included cohort studies and cross sectional studies assessing the prevalence of use of waterpipe in either the general population or a specific population of interest. Two reviewers used a standardized and pilot tested form to collect data from each eligible study using a duplicate and independent screening process. We stratified the data analysis by country and by age group. The study was not restricted to a specific context. RESULTS: Of a total of 38 studies, only 4 were national surveys; the rest assessed specific populations. The highest prevalence of current waterpipe smoking was among school students across countries: the United States, especially among Arab Americans (12%-15%) the Arabic Gulf region (9%-16%), Estonia (21%), and Lebanon (25%). Similarly, the prevalence of current waterpipe smoking among university students was high in the Arabic Gulf region (6%), the United Kingdom (8%), the United States (10%), Syria (15%), Lebanon (28%), and Pakistan (33%). The prevalence of current waterpipe smoking among adults was the following: Pakistan (6%), Arabic Gulf region (4%-12%), Australia (11% in Arab speaking adults), Syria (9%-12%), and Lebanon (15%). Group waterpipe smoking was high in Lebanon (5%), and Egypt (11%-15%). In Lebanon, 5%-6% pregnant women reported smoking waterpipe during pregnancy. The studies were all cross-sectional and varied by how they reported waterpipe smoking. CONCLUSION: While very few national surveys have been conducted, the prevalence of waterpipe smoking appears to be alarmingly high among school students and university students in Middle Eastern countries and among groups of Middle Eastern descent in Western countries. Descriptors Smoking/epidemiology, Water, Adolescent, Adult, Asia/epidemiology, Australia/epidemiology, Female, Humans, Male, Middle Aged, Middle East/epidemiology, Prevalence, United States/epidemiology, Young Adult Links http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3100253/?tool=pubmed; http://dx.doi.org/10.1186/1471-2458-11-244 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Akl,Elie A., Gunukula,Sameer K., Aleem,Sohaib, Obeid,Rawad, Jaoude,Philippe Abou, Honeine,Roland, Irani,Jihad Original/Translated Title URL Date of Electronic PMCID Editors

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