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Waterpipe smoking among health sciences university students in Iran: perceptions, practices and patterns of use 2011
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Journal Article
Periodical, Full
BMC Res Notes
Periodical, Abbrev.
Pub Date Free Form
Volume
4
Issue
Start Page
496
Other Pages
496
Notes
ID: 22087840
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
BACKGROUND: In recent years waterpipe smoking has become a popular practice amongst young adults in eastern Mediterranean countries, including Iran. The aim of this study was to assess waterpipe smoking perceptions and practices among first-year health sciences university students in Iran and to identify factors associated with the initiation and maintenance of waterpipe use in this population. RESULTS: Out of 371 first-year health sciences students surveyed, 358 eight students completed a self-administered questionnaire in the classrooms describing their use and perceptions towards waterpipe smoking. Two hundred and ninety six responders met study inclusion criteria. Waterpipe smoking was common among first-year health sciences university students, with 51% of students indicating they were current waterpipe smokers. Women were smoking waterpipes almost as frequently as men (48% versus 52%, respectively). The majority of waterpipe smokers (75.5%) indicated that the fun and social aspect of waterpipe use was the main motivating factor for them to continue smoking. Of waterpipe smokers, 55.3% were occasional smokers, using waterpipes once a month or less, while 44.7% were frequent smokers, using waterpipes more than once a month. A large number of frequent waterpipe smokers perceived that waterpipe smoking was a healthier way to use tobacco (40.6%) while only 20.6% thought it was addictive. Compared to occasional smokers, significantly more frequent smokers reported waterpipe smoking was relaxing (62.5% vs. 26.2%, p = 0.002), energizing (48.5% vs. 11.4%, p = 0.001), a part of their culture (58.8% vs. 34.1%, p = 0.04), and the healthiest way to use tobacco (40.6% vs. 11.1%, p = 0.005). CONCLUSIONS: Social and recreational use of waterpipes is widespread among first-year health sciences university students in Iran. Women and men were almost equally likely to be current waterpipe users. Public health initiatives to combat the increasing use of waterpipes among university students in Iran must consider the equal gender distribution and its perception by many waterpipe smokers as being a healthier and non-addictive way to use tobacco.
Descriptors
Links
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279519/?tool=pubmed; http://dx.doi.org/10.1186/1756-0500-4-496
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Ghafouri,Nasim, Hirsch,Jan D., Heydari,Gholamreza, Morello,Candis M., Kuo,Grace M., Singh,Renu F.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe smoking among middle and high school Jordanian students: patterns and predictors 2013 Department of Community and Mental Health, Faculty of Nursing, Hashemite University, Zarqa, P.O. Box 150459, 13115, Jordan. sukaina-alzyoud@hu.edu.jo.
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
12-Dec
Volume
10
Issue
12
Start Page
7068
Other Pages
7082
Notes
LR: 20151119; JID: 101238455; OID: NLM: PMC3881154; 2013/10/21 [received]; 2013/11/27 [revised]; 2013/11/28 [accepted]; epublish
Place of Publication
Switzerland
ISSN/ISBN
1660-4601; 1660-4601
Accession Number
PMID: 24351734
Language
eng
SubFile
Journal Article; IM
DOI
10.3390/ijerph10127068 [doi]
Output Language
Unknown(0)
PMID
24351734
Abstract
Despite the increase in attention to waterpipe tobacco smoking, the patterns and predictors of this method of tobacco use among Jordanian youth are not well known. The current study was conducted to assess the patterns and the predictors of waterpipe tobacco smoking among school aged students in one of Jordan's Central Governorates. A cross-sectional survey was conducted to investigate the patterns and predictors of waterpipe tobacco smoking among youth (grades 6, 8, 10 and 12). Using a multistage random sampling more than 1,000 students was selected. Data were collected using the Arabic Youth Tobacco Use Composite Measure (YTUCM). Waterpipe smoking was assessed for "past 12 months", "past month" and "past week". Students' ages ranged from 11 to 18 years, (mean age +/- 14.7; SD +/- 1.9 years). The percentage of girls who smoked waterpipe was greater for all frequencies of use than it was for boys. Age, gender, and belief that smoking makes more friends were predictors of smoking among study participants. This is the first known study to examine waterpipe smoking among youth aged 11 and 12. Our findings illustrate the need for public health campaigns to reach and educate youth, their families, teachers and school systems regarding the growing recognized health risks of waterpipe smoking.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Alzyoud,S., Weglicki,L.S., Kheirallah,K.A., Haddad,L., Alhawamdeh,K.A.
Original/Translated Title
URL
Date of Electronic
20131212
PMCID
PMC3881154
Editors
Waterpipe smoking among secondary school students in Hong Kong 2016 School of Public Health, The University of Hong Kong, 5/F William MW Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong.; School of Public Health, The University of Hong Kong, 5/F William MW Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong. syho@hku.hk.; Sc
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
May
Volume
61
Issue
4
Start Page
427
Other Pages
434
Notes
JID: 101304551; OTO: NOTNLM; 2015/10/16 [received]; 2016/01/27 [accepted]; 2015/12/28 [revised]; 2016/02/12 [aheadofprint]; ppublish
Place of Publication
Switzerland
ISSN/ISBN
1661-8564; 1661-8556
Accession Number
PMID: 26873908
Language
eng
SubFile
Journal Article; IM
DOI
10.1007/s00038-016-0796-x [doi]
Output Language
Unknown(0)
PMID
26873908
Abstract
OBJECTIVES: To examine the prevalence of waterpipe smoking and its associated factors among adolescents in Hong Kong. METHODS: We analyzed data of the School-based Survey on Smoking among Students 2012/2013 from a representative sample of 45,857 secondary school students in Hong Kong (mean age 14.8, SD 1.9). We conducted Chi-square tests and t test to compare current (past 30 days) waterpipe users and nonusers by sociodemographic variables and other covariates. Univariate and multivariable logistic regression models were used to examine the factors associated with current waterpipe smoking. RESULTS: Overall, 1.2 % of students reported current waterpipe smoking, of whom 43 % reported concurrent use of cigarettes. Waterpipe was the most popular alternative tobacco product (non-cigarette) used by students. Current waterpipe smoking was associated with older age, male sex, higher self-perceived family financial status, poor knowledge about the harm of cigarette smoking, positive attitudes toward smoking, current cigarette smoking, other tobacco use, and alcohol consumption. CONCLUSIONS: Waterpipe smoking was the most popular alternative tobacco product among Hong Kong adolescents. Despite the low prevalence, it should be routinely monitored. Education programs and cessation interventions need to address waterpipe smoking in addition to cigarette smoking.
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Links
Book Title
Database
Publisher
Data Source
Authors
Jiang,N., Ho,S.Y., Wang,M.P., Leung,L.T., Lam,T.H.
Original/Translated Title
URL
Date of Electronic
20160212
PMCID
Editors
Waterpipe smoking among students in one US university: predictors of an intention to quit 2012 Institute of Community Health, College of Pharmacy, University of Houston, Houston, TX 77030, USA. smabughosh@uh.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of American college health : J of ACH
Periodical, Abbrev.
J.Am.Coll.Health
Pub Date Free Form
Volume
60
Issue
7
Start Page
528
Other Pages
535
Notes
JID: 8214119; ppublish
Place of Publication
United States
ISSN/ISBN
1940-3208; 0744-8481
Accession Number
PMID: 23002801
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1080/07448481.2012.718018 [doi]
Output Language
Unknown(0)
PMID
23002801
Abstract
OBJECTIVE: To examine the intention to quit waterpipe smoking among college students. PARTICIPANTS: A total of 276 University of Houston students identified through an online survey administered in February 2011. Participants indicated they had smoked a waterpipe in the month prior to the survey. METHODS: Cross-sectional study. Questions included demographics, tobacco use, perceived risk of waterpipe smoking, and social acceptability. Multivariate logistic regression was used to determine predictors of an intention to quit. RESULTS: Most of the sample participants (n = 227; 83%) reported that they had no intention to quit. Students believing that waterpipe smoking was harmful were more likely to have an intention to quit (odd ratio [OR] = 2.38, 95% confidence interval [CI; 1.05, 5.36]). Those who smoked for more than 60 minutes were less likely to have a desire to quit (OR = 0.29, 95% CI [0.12, 0.73]). CONCLUSIONS: The low level of a desire to quit demonstrated underscores the urgent need to develop interventions that educate users about expected harms of continued use.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Abughosh,S., Wu,I.H., Rajan,S., Peters,R.J., Essien,E.J.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe smoking among U.S. university students 2013
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine Tob Res
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Volume
15
Issue
1
Start Page
29
Other Pages
35
Notes
ID: 22641433
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
INTRODUCTION: While cigarette use is declining, smoking tobacco with a waterpipe is an emerging trend. We aimed to determine the prevalence of waterpipe use in a large diverse sample of U.S. university students and to assess the association of waterpipe use with individual and institution-related characteristics. METHODS: We assessed students from 152 U.S. universities participating in the National College Health Assessment during 2008-2009. We used multivariable regression models to determine independent associations between individual and institutional characteristics and waterpipe tobacco use in the past 30 days and ever. RESULTS: Of 105,012 respondents included in the analysis, most were female (65.7%), White (71.2%), and attending public (59.7%) nonreligious (83.1%) institutions. Mean age was 22.1 years. A total of 32,013 (30.5%) reported ever using a waterpipe to smoke tobacco. Rates for current tobacco use were 8.4% for waterpipes, 16.8% for cigarettes, 7.4% for cigars (including cigarillos), and 3.5% for smokeless tobacco. Of current waterpipe users, 51.4% were not current cigarette smokers. Although current waterpipe use was reported across all individual and institutional characteristics, fully adjusted multivariable models showed that it was most strongly associated with younger age, male gender, White race, fraternity/sorority membership, and nonreligious institutions in large cities in the western United States. CONCLUSIONS: After cigarettes, waterpipe use was the most common form of tobacco use among university students. Because waterpipe use affects groups with a wide variety of individual and institutional characteristics, it should be included with other forms of tobacco in efforts related to tobacco surveillance and intervention.
Descriptors
Links
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Primack,Brian A., Shensa,Ariel, Kim,Kevin H., Carroll,Mary V., Hoban,Mary T., Leino,E V., Eissenberg,Thomas, Dachille,Kathleen H., Fine,Michael J.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe smoking and cancer: systematic review and meta-analysis 2017 School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.; School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.; School of Epidemiology,(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Jan
Volume
26
Issue
1
Start Page
92
Other Pages
97
Notes
LR: 20181202; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.; JID: 9209612; OTO: NOTNLM; 2015/10/16 00:0
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27165994
Language
eng
SubFile
Journal Article; Meta-Analysis; Review; Systematic Review; IM
DOI
10.1136/tobaccocontrol-2015-052758 [doi]
Output Language
Unknown(0)
PMID
27165994
Abstract
OBJECTIVE: Although accumulating evidence suggests harmful effects of waterpipe smoking, there is limited information about its direct association with chronic diseases, notably cancer. We provide an up-to-date systematic review and meta-analysis of the association between waterpipe smoking and cancer. DATA SOURCES: Systematic search of articles indexed in main biomedical databases: Pubmed, EmBase, Google Scholar and Web of Science, published between 1962 and September 2014. Search keywords included a combination of waterpipe or hookah, sheesha, nargile, hubble-bubble, goza or gaylan, and cancer. STUDY SELECTION: Focus on observational studies (cohort, case-control, cross-sectional) that evaluated the association between waterpipe smoking and cancer. Studies with mixed exposures excluded. DATA EXTRACTION: Two investigators independently extracted data and reached consensus on all items. DATA SYNTHESIS: 13 case-control studies met the inclusion criteria and were considered for meta-analysis. The methodological quality of included studies was assessed using the Newcastle-Ottawa Scale (NOS). Meta-analysis revealed a positive association between waterpipe smoking and lung cancer (OR=4.58 (2.61 to 8.03); I(2)=44.67%), and oesophageal cancer (OR=3.63 (1.39 to 9.44); I(2) =94.49%). The majority of studies had a NOS score of 5-6 or 7, indicating 'fair' or 'good' quality, respectively. CONCLUSIONS: Our findings support a positive association between waterpipe smoking and cancer risk. However, high-quality studies with standardised exposure measurements are needed to clarify the contribution of waterpipe smoking to chronic diseases. More investments in initiatives for surveillance, intervention and regulatory policy for waterpipe smoking are urgently warranted.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Montazeri,Z., Nyiraneza,C., El-Katerji,H., Little,J.
Original/Translated Title
URL
Date of Electronic
20160510
PMCID
Editors
Waterpipe smoking and cancer: systematic review and meta-analysis 2016 School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.; School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.; School of Epidemiology, Public He
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
10-May
Volume
Issue
Start Page
Other Pages
Notes
LR: 20160512; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/; JID: 9209612; OTO: NOTNLM; 2015/10/16 [rece
Place of Publication
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27165994
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
tobaccocontrol-2015-052758 [pii]
Output Language
Unknown(0)
PMID
27165994
Abstract
OBJECTIVE: Although accumulating evidence suggests harmful effects of waterpipe smoking, there is limited information about its direct association with chronic diseases, notably cancer. We provide an up-to-date systematic review and meta-analysis of the association between waterpipe smoking and cancer. DATA SOURCES: Systematic search of articles indexed in main biomedical databases: Pubmed, EmBase, Google Scholar and Web of Science, published between 1962 and September 2014. Search keywords included a combination of waterpipe or hookah, sheesha, nargile, hubble-bubble, goza or gaylan, and cancer. STUDY SELECTION: Focus on observational studies (cohort, case-control, cross-sectional) that evaluated the association between waterpipe smoking and cancer. Studies with mixed exposures excluded. DATA EXTRACTION: Two investigators independently extracted data and reached consensus on all items. DATA SYNTHESIS: 13 case-control studies met the inclusion criteria and were considered for meta-analysis. The methodological quality of included studies was assessed using the Newcastle-Ottawa Scale (NOS). Meta-analysis revealed a positive association between waterpipe smoking and lung cancer (OR=4.58 (2.61 to 8.03); I2=44.67%), and oesophageal cancer (OR=3.63 (1.39 to 9.44); I2 =94.49%). The majority of studies had a NOS score of 5-6 or 7, indicating 'fair' or 'good' quality, respectively. CONCLUSIONS: Our findings support a positive association between waterpipe smoking and cancer risk. However, high-quality studies with standardised exposure measurements are needed to clarify the contribution of waterpipe smoking to chronic diseases. More investments in initiatives for surveillance, intervention and regulatory policy for waterpipe smoking are urgently warranted.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Montazeri,Z., Nyiraneza,C., El-Katerji,H., Little,J.
Original/Translated Title
URL
Date of Electronic
20160510
PMCID
Editors
Waterpipe smoking and dependence are associated with chronic bronchitis: a case-control study in Lebanon 2012
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
East Mediterr Health J
Periodical, Abbrev.
East.Mediterr.Health J.
Pub Date Free Form
Volume
18
Issue
10
Start Page
996
Other Pages
1004
Notes
ID: 23301353
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Waterpipe smoking and its association with chronic bronchitis has not been assessed in Lebanon. This case-control study in Beirut in 2009/2010 evaluated this relationship: 274 cases of chronic bronchitis and 559 controls without the condition aged > or = 40 years were enrolled. Data were collected by questionnaire on: sociodemographic characteristics, respiratory symptoms, smoking (waterpipe and cigarette) and nicotine dependence. ANOVA, Student, Kruskal-Wallis, chi-squared and Fisher exact tests were used when applicable and logistic regression analysis was carried out. Previous waterpipe smoking (OR = 6.4), previous mixed smoking (OR = 38.03) and current mixed smoking (OR = 7.68) were significantly associated with chronic bronchitis (P 20 WP-years (P
Descriptors
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-23301353
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Salameh,P., Waked,M., Khoury,F., Akiki,Z., Nasser,Z., Abou Abbass, L, Dramaix,M.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe smoking and nicotine exposure: a review of the current evidence 2007
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine Tob Res
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Volume
9
Issue
10
Start Page
987
Other Pages
94
Notes
ID: 17943617
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
The waterpipe, also known as shisha, hookah, narghile, goza, and hubble bubble, has long been used for tobacco consumption in the Middle East, India, and parts of Asia, and more recently has been introduced into the smokeless tobacco market in western nations. We reviewed the published literature on waterpipe use to estimate daily nicotine exposure among adult waterpipe smokers. We identified six recent studies that measured the nicotine or cotinine levels associated with waterpipe smoking in four countries (Lebanon, Jordan, Kuwait, and India). Four of these studies directly measured nicotine or cotinine levels in human subjects. The remaining two studies used smoking machines to measure the nicotine yield in smoking condensate produced by the waterpipe. Meta-analysis of the human data indicated that daily use of the waterpipe produced a 24-hr urinary cotinine level of 0.785 microg/ml (95% CI = 0.578-0.991 microg/ml), a nicotine absorption rate equivalent to smoking 10 cigarettes/day (95% CI = 7-13 cigarettes/day). Even among subjects who were not daily waterpipe smokers, a single session of waterpipe use produced a urinary cotinine level that was equivalent to smoking two cigarettes in one day. Estimates of the nicotine produced by waterpipe use can vary because of burn temperature, type of tobacco, waterpipe design, individual smoking pattern, and duration of the waterpipe smoking habit. Our quantitative synthesis of the limited human data from four nations indicates that daily use of waterpipes produces nicotine absorption of a magnitude similar to that produced by daily cigarette use.
Descriptors
Cotinine/urine, Nicotine/urine, Tobacco Use Disorder/urine, Tobacco, Smokeless/analysis, Chromatography, Gas, Humans, India/epidemiology, Inhalation Exposure/analysis, Jordan/epidemiology, Kuwait/epidemiology, Lebanon/epidemiology, Regression Analysis, Risk Factors
Links
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3276363/?tool=pubmed
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Neergaard,James, Singh,Pramil, Job,Jayakaran, Montgomery,Susanne
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe Smoking and Regulation in the United States: A Comprehensive Review of the Literature 2015 College of Nursing, University of Florida, Gainesville, FL 32610, USA. lhaddad@ufl.edu.; Social and Behavioral Health Department, Virginia Commonwealth University, 830 East Main Street, Richmond, VA 23298, USA. elshahwyo@vcu.edu.; School of Nursing, Virgi
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
29-May
Volume
12
Issue
6
Start Page
6115
Other Pages
6135
Notes
LR: 20150701; JID: 101238455; 059QF0KO0R (Water); OID: NLM: PMC4483691; OTO: NOTNLM; 2015/04/02 [received]; 2015/05/20 [revised]; 2015/05/25 [accepted]; epublish
Place of Publication
Switzerland
ISSN/ISBN
1660-4601; 1660-4601
Accession Number
PMID: 26110330
Language
eng
SubFile
Journal Article; Review; IM
DOI
10.3390/ijerph120606115 [doi]
Output Language
Unknown(0)
PMID
26110330
Abstract
BACKGROUND: Researchers in tobacco control are concerned about the increasing prevalence of waterpipe smoking in the United States, which may pose similar risks as cigarette smoking. This review explores the prevalence of waterpipe smoking in the United States as well as the shortcomings of current U.S. policy for waterpipe control and regulation. METHODS: Researchers conducted a literature review for waterpipe articles dated between 2004 and 2015 using five online databases: MEDLINE, CINHAHL, ScienceDirect, PMC, and Cochrane Library. RESULTS: To date, few studies have explored the marketing and regulation of waterpipe smoking in the U.S., which has increased in the last ten years, especially among women, adolescents, and young adults. Data indicate that the majority of waterpipe smokers are unaware of the potential risks of use. In addition, current tobacco control policies do not address waterpipe smoking, enabling tobacco companies to readily market and sell waterpipe products to young adults, who are at risk for becoming lifelong smokers. CONCLUSION: Policy makers in the area of public health need to update existing tobacco regulations to include waterpipe smoking. Similarly, public health researchers should develop public health campaigns and interventions to address the increasing rates of waterpipe smoking in the United States.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Haddad,L., El-Shahawy,O., Ghadban,R., Barnett,T.E., Johnson,E.
Original/Translated Title
URL
Date of Electronic
20150529
PMCID
PMC4483691
Editors