WTS database

Title	Pub Year	Author Sort descending	SearchLink
The effects of waterpipe tobacco smoking on health outcomes: an updated systematic review and meta-analysis	2016	Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon, Kirby Institute, University of New South Wales, Sydney, NSW, Australia.; Department of Primary Care and Public Health, Imperial College London, London, UK, Academic Department of	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full International journal of epidemiology Periodical, Abbrev. Int.J.Epidemiol. Pub Date Free Form 13-Apr Volume Issue Start Page Other Pages Notes LR: 20160415; CI: (c) The Author 2016; JID: 7802871; OTO: NOTNLM; 2016/01/20 [accepted]; aheadofprint Place of Publication ISSN/ISBN 1464-3685; 0300-5771 Accession Number PMID: 27075769 Language ENG SubFile JOURNAL ARTICLE DOI dyw021 [pii] Output Language Unknown(0) PMID 27075769 Abstract BACKGROUND AND AIMS: A systematic review conducted in 2008 found significant associations between waterpipe tobacco smoking and lung cancer, respiratory disease, periodontal disease and low birthweight. Since then, a number of relevant studies have been published. The objective of this study was to update the systematic review on the effects of waterpipe tobacco smoking on health outcomes. METHODS: In May 2015 we electronically searched the following databases with no date restrictions: MEDLINE, EMBASE and the ISI Web of Science using a detailed search strategy with no language restrictions. We also screened the references' lists of the included studies. We included cohort, case-control and cross-sectional studies, and excluded case reports, conference abstracts, editorials and reviews. We excluded studies not conducted in humans, assessing physiological outcomes, not distinguishing waterpipe tobacco smoking from other forms of smoking or not reporting association measures. We assessed risk of bias for each included study and conducted meta-analyses for each of the outcomes of interest. RESULTS: We identified 50 eligible studies. We found that waterpipe tobacco smoking was significantly associated with: respiratory diseases [COPD; odds ratio (OR) = 3.18, 95% confidence interval CI = 1.25, 8.08; bronchitis OR = 2.37, 95% CI = 1.49, 3.77; passive waterpipe smoking and wheeze OR) = 1.97, 95% CI = 1.28, 3.04]; oral cancer OR = 4.17, 95% CI = 2.53, 6.89; lung cancer OR = 2.12, 95% CI = 1.32, 3.42; low birthweight (OR = 2.39, 95% CI = 1.32, 4.32); metabolic syndrome (OR 1.63-1.95, 95% CI = 1.25, 2.45); cardiovascular disease (OR = 1.67, 95% CI = 1.25, 2.24); and mental health (OR 1.30-2.4, 95% CI = 1.20, 2.80). Waterpipe tobacco smoking was not significantly associated with: oesophageal cancer (OR = 4.14, 95% CI = 0.93, 18.46); worse quality of life scores [standardized mean difference (SMD) = -0.16, 95% CI = -0.66, 0.34]; gastric carcinoma (OR = 2.16, 95% CI = 0.72, 6.47); bladder cancer (OR = 1.25, 95% CI = 0.99, 1.57); prostate cancer (OR = 7.00, 95% CI = 0.90, 56.90); hepatitis C infection (OR = 0.98, 95%0.80, 1.21); periodontal disease (OR = 3.00, 5.00); gastro-oesophageal reflux disease (OR = 1.25, 95% CI = 1.01, 1.56); nasopharyngeal carcinoma (OR = 0.49, 95% CI = 0.20, 1.23); bladder cancer (OR = 1.25, 95% CI = 0.99, 1.57); infertility (OR = 2.50, 95% CI = 1.00, 6.30); and mortality (OR = 1.15, 95% CI = 0.93, 1.43). CONCLUSIONS: There is accumulating evidence about the association of waterpipe tobacco smoking with a growing number of health outcomes. Descriptors Links Book Title Database Publisher ; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association Data Source Authors Waziry,R., Jawad,M., Ballout,R.A., Al Akel,M., Akl,E.A. Original/Translated Title URL Date of Electronic 20160413 PMCID Editors
The association of waterpipe tobacco smoking with later initiation of cigarette smoking: a systematic review and meta-analysis exploring the gateway theory	2019	Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.; Public Health Policy Evaluation Unit, Imperial College London, London, UK.; Department of Internal Medicine, American University of Beirut, Beirut, Lebanon ea32@aub.edu(TRUNCATED	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tobacco control Periodical, Abbrev. Tob.Control Pub Date Free Form 30-Jul Volume Issue Start Page Other Pages Notes LR: 20190731; CI: (c) Author(s) (or their employer(s)) 2019; JID: 9209612; OTO: NOTNLM; 2018/12/02 00:00 [received]; 2019/06/04 00:00 [revised]; 2019/06/25 00:00 [accepted]; 2019/08/01 06:00 [entrez]; 2019/08/01 06:00 [pubmed]; 2019/08/01 06:00 [medline]; Place of Publication England ISSN/ISBN 1468-3318; 0964-4563 Accession Number PMID: 31363060 Language eng SubFile Journal Article; Review; IM DOI tobaccocontrol-2018-054870 [pii] Output Language Unknown(0) PMID 31363060 Abstract INTRODUCTION: There is a concern that waterpipe tobacco smoking (WTS) can lead to the later initiation of cigarette smoking, a concept referred to as the 'gateway theory'. The objective of the study was to systematically review the literature for the association of WTS with later initiation of cigarette smoking. METHODS: We searched Medline, Embase and ISI Web of Science in April 2018 without using any language or date restrictions. We selected eligible studies, abstracted data and assessed the risk of bias using a duplicate and independent approach. We meta-analysed the ORs across eligible studies using the inverse variance method and the random-effects model. We assessed the certainty of evidence using the Grading of Recommendations Assessment, Development and Evaluation methodology. RESULTS: We included eight papers reporting on six eligible prospective cohort studies with a total of 21 224 participants, belonging to the adolescent and young adult age categories. The pooled adjusted OR for the association between ever waterpipe user (compared with never waterpipe user) at baseline, with 'cigarette smoking initiation' (ever cigarette use) was 2.54 (95% CI 1.60 to 4.02) at 6 months to 3 years follow-up (moderate certainty evidence). The pooled adjusted OR for the association between ever waterpipe user (compared with never waterpipe user) at baseline, with 'current cigarette smoking' (past 30-day cigarette use) was 2.04 (95% CI 1.32 to 3.15) at 1-2 years follow-up (moderate certainty evidence). The pooled adjusted OR for the association between past 30-day waterpipe user (compared with never waterpipe user) at baseline, with current cigarette smoking (past 30-day cigarette use) 2.46 (95% CI 1.73 to 3.49) at 6 months to 1 year follow-up (high certainty evidence). CONCLUSION: Our findings indicate that WTS is associated with more than doubling of the odds of later initiation of cigarette smoking, supporting the gateway theory. Strengthening WTS policies is a priority and further research is needed on the development and evaluation of appropriate clinical and public health interventions. Descriptors Links Book Title Database Publisher . No commercial re-use. See rights and permissions. Published by BMJ Data Source Authors Al Oweini,D., Jawad,M., Akl,E.A. Original/Translated Title URL Date of Electronic 20190730 PMCID Editors
Challenges to obtaining parental permission for child participation in a school-based waterpipe tobacco smoking prevention intervention in Qatar	2014	Faculty of Health Sciences, American University of Beirut, PO Box 11-0237 Riad El Solh, Beirut 1107 2020, Lebanon. ra15@aub.edu.lb.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full BMC medical ethics Periodical, Abbrev. BMC Med.Ethics Pub Date Free Form 30-Sep Volume 15 Issue Start Page 70 Other Pages 6939-15-70 Notes LR: 20141204; JID: 101088680; OID: NLM: PMC4254406; 2014/04/16 [received]; 2014/09/24 [accepted]; 2014/09/30 [aheadofprint]; epublish Place of Publication England ISSN/ISBN 1472-6939; 1472-6939 Accession Number PMID: 25267351 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; E; IM DOI 10.1186/1472-6939-15-70 [doi] Output Language Unknown(0) PMID 25267351 Abstract BACKGROUND: Involving children in research studies requires obtaining parental permission. A school-based intervention to delay/prevent waterpipe use for 7th and 8th graders in Qatar was developed, and parental permission requested. Fifty three percent (2308/4314) of the parents returned permission forms; of those 19.5% of the total (840/4314) granted permission. This paper describes the challenges to obtaining parental permission. No research to date has described such challenges in the Arab world. METHODS: A random sample of 40 schools in Doha, Qatar was selected for inclusion in the original intervention. Permission forms were distributed to parents for approval of their child's participation. The permission forms requested that parents indicate their reasons for non-permission if they declined. These were categorized into themes. In order to understand reasons for non-permission, interviews with parents were conducted. Phone numbers of parents were requested from the school administration; 12 of the 40 schools (30%) agreed to provide the contact information. A random sample of 28 parents from 12 schools was interviewed to reach data saturation. Thematic analysis was used to analyze their responses. RESULTS: Reasons for non-permission documented in both the forms and interviews included: poor timing; lack of interest; the child not wanting to participate; and the child living in a smoke-free environment. Interviews provided information on important topics to include in the consent forms, parents' decision-making processes regarding their child's participation, and considerations for communicating with parents. Many parents also indicated that this was the first time they had been asked to give an informed consent for their child's participation in a study. CONCLUSIONS: Results indicate that more attention needs to be given to the informed parental consent process. Researchers should consider enhancing both the methods of communicating information as well the specific information provided. Before embarking on recruitment of children for studies, formative research on the parental consent process is suggested. Descriptors Links Book Title Database Publisher Data Source Authors Nakkash,R.T., Al Mulla,A., Torossian,L., Karhily,R., Shuayb,L., Mahfoud,Z.R., Janahi,I., Al Ansari,A.A., Afifi,R.A. Original/Translated Title URL Date of Electronic 20140930 PMCID PMC4254406 Editors
Waterpipe smoking: prevalence and attitudes among medical students in London	2013	Faculty of Medicine, Imperial College, London, UK. mohammed.jawad06@imperial.ac.uk	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 Jan Volume 17 Issue 1 Start Page 137 Other Pages 140 Notes LR: 20130926; JID: 9706389; EIN: Int J Tuberc Lung Dis. 2013 Sep;17(9):1246; ppublish Place of Publication France ISSN/ISBN 1815-7920; 1027-3719 Accession Number PMID: 23232013 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.5588/ijtld.12.0175 [doi] Output Language Unknown(0) PMID 23232013 Abstract Although waterpipe smoking is growing in popularity worldwide, its epidemiology remains poorly understood. The purpose of this study was to determine the prevalence and attitudes of waterpipe smoking among 489 medical students (54.6% female; mean age 20.4 +/- 2.0 years) in the United Kingdom by conducting a cross-sectional survey. Waterpipe smoking was more common than cigarette smoking (current 11.0% vs. 6.3%, ever 51.7% vs. 16.8%). Mean age at waterpipe smoking initiation was 16.1 +/- 2.6 years. Sex, ethnicity and sociodemographic factors did not predict current/ever waterpipe smoking. Tobacco control efforts need to consider waterpipe smoking in the light of this high prevalence. Descriptors Links Book Title Database Publisher Data Source Authors Jawad,M., Abass,J., Hariri,A., Rajasooriar,K.G., Salmasi,H., Millett,C., Hamilton,F.L. Original/Translated Title URL Date of Electronic PMCID Editors
Prevalence, patterns and correlates of cigarette smoking in male adolescents in northern Jordan, and the influence of waterpipe use and asthma diagnosis: a descriptive cross-sectional study	2014	Faculty of Nursing, Jordan University of Science and Technology, Irbid 22110, P.O. Box 3030, Jordan. nasheyab@just.edu.jo.; Division of Physical Therapy, Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, 22110 Jord	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full International journal of environmental research and public health Periodical, Abbrev. Int.J.Environ.Res.Public.Health. Pub Date Free Form 1-Sep Volume 11 Issue 9 Start Page 9008 Other Pages 9023 Notes LR: 20151029; JID: 101238455; OID: NLM: PMC4199003; 2014/07/14 [received]; 2014/08/15 [revised]; 2014/08/26 [accepted]; epublish Place of Publication Switzerland ISSN/ISBN 1660-4601; 1660-4601 Accession Number PMID: 25257355 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.3390/ijerph110909008 [doi] Output Language Unknown(0) PMID 25257355 Abstract Our study investigates the prevalence, patterns and predictors of tobacco smoking among early adolescent males in Northern Jordan and whether asthma diagnosis affects smoking patterns. A descriptive cross sectional design was used. Males in grades 7 and 8 from four randomly selected high schools in the city of Irbid were enrolled. Data on waterpipe (WP) use and cigarette smoking patterns were obtained (n = 815) using a survey in Arabic language. The overall prevalence of ever having smoked a cigarette was 35.6%, with 86.2% of this group smoking currently. Almost half of the sample reported WP use. The most common age in which adolescents started to experiment with cigarettes was 11-12 years old (49.1%), although 10 years was also common (25.3%). Significant predictors of male cigarette smoking were WP use (OR = 4.15, 95% CI = 2.99-5.76), asthma diagnosis (OR = 2.35, 95% CI = 1.46-3.78), grade 8 (OR = 1.52, 95% CI = 1.10-2.11), and having a sibling who smokes (OR = 2.23, 95% CI = 1.53-3.24). However, this cross-sectional study cannot establish causality, thus longitudinal studies are needed. Public health programs and school-based anti-tobacco smoking interventions that target children in early years at high schools are warranted to prevent the uptake of tobacco use among this vulnerable age group. High school students with asthma should be specifically targeted. Descriptors Links Book Title Database Publisher Data Source Authors Al-Sheyab,N., Alomari,M.A., Shah,S., Gallagher,P., Gallagher,R. Original/Translated Title URL Date of Electronic 20140901 PMCID PMC4199003 Editors
Carbon monoxide and respiratory symptoms in young adult passive smokers: a pilot study comparing waterpipe to cigarette	2014	Faculty of Pharmacy, Laboratory of Clinical and Epidemiological Research, Lebanese University, Hadath, Lebanon.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full International journal of occupational medicine and environmental health Periodical, Abbrev. Int.J.Occup.Med.Environ.Health Pub Date Free Form Aug Volume 27 Issue 4 Start Page 571 Other Pages 582 Notes JID: 9437093; 0 (Tobacco Smoke Pollution); 7U1EE4V452 (Carbon Monoxide); 2013/12/05 [received]; 2014/01/15 [accepted]; 2014/07/07 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1896-494X; 1232-1087 Accession Number PMID: 25012596 Language eng SubFile Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.2478/s13382-014-0246-z [doi] Output Language Unknown(0) PMID 25012596 Abstract OBJECTIVES: Studies have correlated second hand smoke (SHS) with many diseases, especially respiratory effects. The goal of this study was to measure the impact of SHS on the respiratory symptoms and exhaled carbon monoxide. MATERIAL AND METHODS: The study population consisted of 50 young workers in restaurants serving waterpipes, 48 university students who sit frequently in the university cafeteria where cigarette smoking is allowed and 49 university students spending time in places where smoking is not allowed. Subjects completed questionnaires on socio-demographic characteristics, respiratory symptoms and exposure to SHS. Exhaled carbon monoxide levels were measured. ANOVA and Chi-square tests were used when applicable as well as linear and logistic regression analysis. RESULTS: Exposure to cigarette smoke in university (adjusted odds ratio (ORa) = 6.06) and occupational exposure to waterpipe smoke (ORa = 7.08) were predictors of chronic cough. Being married (ORa = 6.40), living near a heavy traffic road (ORa = 9.49) or near a local power generator (ORa = 7.54) appeared responsible for chronic sputum production. Moreover, predictors of chronic allergies were: being male (ORa = 7.81), living near a local power generator (ORa = 5.52) and having a family history of chronic respiratory diseases (ORa = 17.01). Carbon monoxide levels were augmented by the number of weekly hours of occupational exposure to waterpipe smoke (beta = 1.46) and the number of daily hours of exposure to cigarette smoke (beta = 1.14). CONCLUSIONS: In summary, young non-smoker subjects demonstrated more chronic cough and elevated carbon monoxide levels when exposed to SHS while the effect of waterpipe was even more evident. Descriptors Links Book Title Database Publisher Data Source Authors Zeidan,R.K., Rachidi,S., Awada,S., El Hajje,A., El Bawab,W., Salame,J., Bejjany,R., Salameh,P. Original/Translated Title URL Date of Electronic 20140707 PMCID Editors
Lower prevalence of cigarette and waterpipe smoking, but a higher risk of waterpipe dependence in Lebanese adult women than in men	2012	Faculty of Public Health & Pharmacy, Lebanese University, Beirut, Lebanon. pascalesalameh1@hotmail.com	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Women & health Periodical, Abbrev. Women Health Pub Date Free Form Volume 52 Issue 2 Start Page 135 Other Pages 150 Notes LR: 20151119; JID: 7608076; 059QF0KO0R (Water); 7U1EE4V452 (Carbon Monoxide); ppublish Place of Publication United States ISSN/ISBN 1541-0331; 0363-0242 Accession Number PMID: 22458290 Language eng SubFile Evaluation Studies; Journal Article; IM DOI 10.1080/03630242.2012.656885 [doi] Output Language Unknown(0) PMID 22458290 Abstract The objective of this study was to evaluate whether nicotine dependence was higher in Lebanese women smokers compared with men smokers. Data were taken from a national cross-sectional study. Lebanese residents aged >/= 40 years were enrolled between October 2009 and September 2010. After informed consent, participants answered a standardized questionnaire about smoking behaviors and dependence (measured by the Fagerstrom-Test-Nicotine-Dependence for cigarettes and the Lebanon-Waterpipe-Dependence-Scale 11 for waterpipes): 1,066 males and 1,134 females were interviewed. 58.7% versus 42.9% of them, respectively, ever smoked cigarettes, while 6.9% versus 6.7% ever smoked a waterpipe (p Descriptors Links Book Title Database Publisher Data Source Authors Salameh,P., Khayat,G., Waked,M. Original/Translated Title URL Date of Electronic PMCID 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
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
Health warning labelling practices on narghile (shisha, hookah) waterpipe tobacco products and related accessories	2010	Health Behavior and Education Department, Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, PO, Riad El Solh, Beirut 1107 2020, Lebanon. rima.nakkash@aub.edu.lb	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tobacco control Periodical, Abbrev. Tob.Control Pub Date Free Form Jun Volume 19 Issue 3 Start Page 235 Other Pages 239 Notes LR: 20141203; JID: 9209612; OID: NLM: PMC2989164; ppublish Place of Publication England ISSN/ISBN 1468-3318; 0964-4563 Accession Number PMID: 20501497 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1136/tc.2009.031773 [doi] Output Language Unknown(0) PMID 20501497 Abstract BACKGROUND: Waterpipe tobacco smoking prevalence is increasing around the globe despite current evidence that smoke emissions are toxic and contain carcinogenic compounds. OBJECTIVE: To evaluate current health warning labelling practices on waterpipe tobacco products and related accessories. METHODS: All waterpipe tobacco products, as well as waterpipe accessories, were purchased from Lebanon and a convenience sample was obtained from Dubai (United Arab Emirates), Palestine, Syria, Jordan, Bahrain, Canada, Germany and South Africa. FINDINGS: Of the total number of waterpipe tobacco products collected from Lebanon, the majority had textual health warning labels covering on average only 3.5% of total surface area of the package. Misleading descriptors were commonplace on waterpipe tobacco packages and related accessories. CONCLUSIONS: There are no WHO FCTC compliant waterpipe-specific health warning labels on waterpipe tobacco products and related accessories. Introducing health warnings on waterpipe tobacco products and accessories will probably have worldwide public health benefits. Descriptors Global Health, Health Promotion/methods, Humans, Inhalation Exposure/adverse effects/prevention & control, Product Labeling, Smoking/adverse effects/prevention & control Links Book Title Database Publisher Data Source Authors Nakkash,R., Khalil,J. Original/Translated Title URL Date of Electronic PMCID PMC2989164 Editors

E-mail