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Waterpipe and cigarette smoking among college athletes in the United States 2010 Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA. bprimack@pitt.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
Periodical, Abbrev.
J.Adolesc.Health
Pub Date Free Form
Jan
Volume
46
Issue
1
Start Page
45
Other Pages
51
Notes
LR: 20141204; CI: Copyright 2010; GR: K07 CA114315/CA/NCI NIH HHS/United States; GR: K07 CA114315-04/CA/NCI NIH HHS/United States; GR: K07 CA114315-04S1/CA/NCI NIH HHS/United States; GR: K07-CA114315/CA/NCI NIH HHS/United States; GR: R01 CA140150/CA/NCI N
Place of Publication
United States
ISSN/ISBN
1879-1972; 1054-139X
Accession Number
PMID: 20123257
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.jadohealth.2009.05.004 [doi]
Output Language
Unknown(0)
PMID
20123257
Abstract
PURPOSE: Tobacco use using a waterpipe is an emerging trend among college students. Although cigarette smoking is low among college athletes, waterpipe tobacco smoking may appeal to this population. The purpose of this study was to compare cigarette and waterpipe tobacco smoking in terms of their associations with organized sport participation. METHODS: In the spring of 2008, we conducted an online survey of 8,745 college students at eight institutions as part of the revised National College Health Assessment. We used multivariable regression models to assess the associations between tobacco use (cigarette and waterpipe) and organized sports participation. RESULTS: Participants reported participation in varsity (5.2%), club (11.9%), and intramural (24.9%) athletics. Varsity athletes and individuals who were not varsity athletes had similar rates of waterpipe tobacco smoking (27.6% vs. 29.5%, p=.41). However, other types of athletes were more likely than their counterparts to have smoked waterpipe tobacco (35.1% vs. 28.7%, p < .001 for club sports and 34.8% vs. 27.7%, p < .001 for intramural sports). In fully-adjusted multivariable models, sports participants of any type had lower odds of having smoked cigarettes, whereas participants who played intramural sports (odds ratio=1.15, 95% confidence interval=1.03, 1.29) or club sports (odds ratio=1.15, 95% confidence interval=1.001, 1.33) had significantly higher odds of having smoked waterpipe tobacco. CONCLUSIONS: College athletes are susceptible to waterpipe tobacco use. In fact, compared with their nonathletic counterparts, club sports participants and intramural sports participants generally had higher odds of waterpipe tobacco smoking. Allure for waterpipe tobacco smoking may exist even for individuals who are traditionally considered at low risk for tobacco use.
Descriptors
Adolescent, Data Collection, Female, Humans, Male, Multivariate Analysis, Odds Ratio, Smoking/epidemiology, Sports, Students, United States/epidemiology, Universities, Young Adult
Links
Book Title
Database
Publisher
Society for Adolescent Medicine. Published by Elsevier Inc. All rights reserved
Data Source
Authors
Primack,B. A., Fertman,C. I., Rice,K. R., Adachi-Mejia,A. M., Fine,M. J.
Original/Translated Title
URL
Date of Electronic
20090708
PMCID
PMC3001225
Editors
Waterpipe Smoking And The DRD2/ANKK1 Genotype 2010
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
J Egypt Public Health Assoc
Periodical, Abbrev.
J.Egypt.Public Health Assoc.
Pub Date Free Form
Volume
85
Issue
4-Mar
Start Page
131
Other Pages
48
Notes
ID: 21244814
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
BACKGROUND: Waterpipe smoking is increasingly a worldwide phenomenon. Few studies have been conducted on the epidemiology of waterpipe smoking behavior and its genetic determinants. A polymorphism (TaqI) in the 3' untranslated region of the dopamine receptor gene (DRD2), later localized to the neighboring ANKK1 gene, has been previously linked to cigarette smoking. Since all tobacco products share the ability of stimulating the dopaminergic reward system, variation in the DRD2 genotype might be associated with waterpipe smoking addiction. AIM: This study aims to explore genetic variations in DRD2 gene and waterpipe smoking, motives and addiction in Egyptian rural males. MATERIAL AND METHODS: The subjects (N=154) were selected from participants in a household smoking prevalence survey if they were adults, males, currently smoking waterpipe and not smoking cigarettes. Participants were interviewed about their smoking behaviors. Blood samples were genotyped by polymerase chain reaction (PCR). Subjects were subsequently classified as either the A1 (presence of at least one A1 allele) or A2 group (A2 homozygotes). RESULTS: The prevalence of A1 genotype was 34.4 % in current waterpipe users, and was associated with the maximum duration before smokers experienced craving to smoke: after adjusting for age of smoking initiation, smoking for addictive motives, and average daily tobacco consumption, the A1 carriers were more likely to experience craving within a shorter duration after abstinence (the first 24 hours) compared to subjects with A2/A2 genotype (Odds ratio OR] 2.70, 95% confidence interval CI]: 1.18 - 6.23). In addition, the frequent visitors of shisha cafes were more likely to be younger, heavy smokers and carriers of A1 allele (OR, 2.52, 95% CI: 1.06-6.02). CONCLUSION AND RECOMMENDATIONS: This study revealed that the maximum duration before experiencing craving to smoke waterpipe and frequency of visiting cafés to smoke may be influenced by an inherited variations in the DRD2 genotype.
Descriptors
Links
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3622212/?tool=pubmed
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Radwan,Ghada N., Loffredo,Christopher A., El Setouhy,Maged,A., Abdel Hamid,Mohamed, Israel,Ebenezer J., Mohamed,Mostafa K.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Association of waterpipe smoking and road traffic crashes 2010
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC Public Health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
Volume
10
Issue
Start Page
639
Other Pages
639
Notes
ID: 20969795
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
BACKGROUND: The purpose of this research was to examine whether waterpipe smokers experience increased risk of motor vehicle crashes. METHODS: In a telephone survey, a random sample of Iranian drivers were asked to report their age, gender, vehicle age, whether their vehicles were equipped with anti-lock braking system (ABS), average daily drive time (DDT), whether they smoked cigarette or waterpipe, whether they had diabetes mellitus (DM), number of traffic crashes during the last calendar year and whether the crash involved a pedestrian or another vehicle. RESULTS: A total of 2070 motor vehicle owners with the mean age of 41.6 ± 11.45 were interviewed. The annual incidence of Road Traffic Crashes (RTC) was 14.9%; 14.0% involved a collision/s with other vehicles and 0.9% with pedestrians. There was an association between the RTC and male gender, DDT, being a cigarette smoker, being a waterpipe smoker and DM in univariable analysis. The association between RTC and being a waterpipe smoker and also cigarette smoker was significant in multivariable analysis after adjustment for DDT. CONCLUSIONS: Being waterpipe and/or cigarette smoker and DDT were the independent predictors of the number of traffic crashes in Poisson regression model. If the increased risk of RTC among waterpipe or cigarette smokers is seen in other studies, it would be beneficial to promote tobacco cessation and control strategies through injury prevention initiatives.
Descriptors
Accidents, Traffic, Smoking, Accidents, Traffic/statistics & numerical data, Adult, Automobile Driving, Cross-Sectional Studies, Female, Humans, Incidence, Interviews as Topic, Iran/epidemiology, Male, Middle Aged, Risk Assessment
Links
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2978152/?tool=pubmed; http://dx.doi.org/10.1186/1471-2458-10-639
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Saadat,Soheil, Karbakhsh,Mojgan
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Carcinogenic PAH in waterpipe charcoal products 2010
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Food Chem Toxicol
Periodical, Abbrev.
Food Chem.Toxicol.
Pub Date Free Form
Volume
48
Issue
11
Start Page
3242
Other Pages
5
Notes
ID: 20807559
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Because narghile waterpipe (shisha, hooka) smoking normally involves the use of burning charcoal, smoke inhaled by the user contains constituents originating from the charcoal in addition to those from the tobacco. We have previously found that charcoal accounts for most of the polyaromatic hydrocarbons (PAH) and carbon monoxide in the smoke of the waterpipe, both of which are present in alarming quantities. Because charcoal manufacturing conditions favor formation of PAH, it is reasonable to assume that charcoal sold off the shelf may be contaminated by PAH residues. These residues may constitute a significant fraction of the PAH inhaled by the waterpipe user and those in her/his vicinity. We measured PAH residues on three kinds of raw waterpipe charcoal sampled from Beirut stores and cafés. We found that PAH residues in raw charcoal can account for more than half of the total PAH emitted in the mainstream and sidestream smoke, and about one sixth of the carcinogenic 5- and 6-ring PAH compounds. Total PAH content of the three charcoal types varied systematically by a factor of six from the charcoal with the least to the greatest PAH residue. These findings indicate the possibility of regulating charcoal carcinogen content.
Descriptors
Carcinogens/analysis, Charcoal/chemistry, Polycyclic Hydrocarbons, Aromatic/analysis, Smoke/analysis, Smoking/metabolism, Tobacco/chemistry, Environmental Monitoring, Hot Temperature, Humans
Links
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3008425/?tool=pubmed; http://dx.doi.org/10.1016/j.fct.2010.08.033
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Sepetdjian,Elizabeth, Saliba,Najat, Shihadeh,Alan
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe tobacco and cigarette smoking: direct comparison of toxicant exposure 2009
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Am J Prev Med
Periodical, Abbrev.
Am.J.Prev.Med.
Pub Date Free Form
Volume
37
Issue
6
Start Page
518
Other Pages
23
Notes
ID: 19944918
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
BACKGROUND: Waterpipe (hookah, shisha) tobacco smoking has spread worldwide. Many waterpipe smokers believe that, relative to cigarettes, waterpipes are associated with lower smoke toxicant levels and fewer health risks. For physicians to address these beliefs credibly, waterpipe use and cigarette smoking must be compared directly. PURPOSE: The purpose of this study is to provide the first controlled, direct laboratory comparison of the toxicant exposure associated with waterpipe tobacco and cigarette smoking. METHODS: Participants (N=31; M=21.4 years, SD=2.3) reporting monthly waterpipe use (M=5.2 uses/month, SD=4.0) and weekly cigarette smoking (M=9.9 cigarettes/day, SD=6.4) completed a crossover study in which they each smoked a waterpipe for a maximum of 45 minutes, or a single cigarette. Outcome measures included expired-air carbon monoxide (CO) 5 minutes after session's end, and blood carboxyhemoglobin (COHb), plasma nicotine, heart rate, and puff topography. Data were collected in 2008-2009 and analyzed in 2009. RESULTS: On average, CO increased by 23.9 ppm for waterpipe use (SD=19.8) and 2.7 ppm for cigarette smoking (SD=1.8), while peak waterpipe COHb levels (M=3.9%, SD=2.5) were three times those observed for cigarette smoking (M=1.3%, SD=0.5; p's<0.001). Peak nicotine levels did not differ (waterpipe M=10.2 ng/mL, SD=7.0; cigarette M=10.6 ng/mL, SD=7.7). Significant heart rate increases relative to pre-smoking were observed at 5, 10, 15, 20, 25, and 35 minutes during the cigarette session and at 5-minute intervals during the waterpipe session (p's<0.001). Mean total puff volume was 48.6 L for waterpipe use as compared to 1.0 L for cigarette smoking (p<0.001). CONCLUSIONS: Relative to cigarette smoking, waterpipe use is associated with greater CO, similar nicotine, and dramatically more smoke exposure. Physicians should consider advising their patients that waterpipe tobacco smoking exposes them to some of the same toxicants as cigarette smoking and therefore the two tobacco-smoking methods likely share some of the same health risks.
Descriptors
Carbon Monoxide/analysis, Inhalation Exposure/analysis, Smoking, Tobacco Smoke Pollution/analysis, Adolescent, Adult, Cross-Over Studies, Equipment Design, Humans, Middle Aged, Virginia, Water, Young Adult
Links
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2805076/?tool=pubmed; http://dx.doi.org/10.1016/j.amepre.2009.07.014
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Eissenberg,Thomas, Shihadeh,Alan
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Indoor air contamination during a waterpipe (narghile) smoking session 2009 Department of Environmental Health, Bavarian Health and Food Safety Authority, Veterinarstrasse 2, D-85764 Oberschleissheim, Germany. hermann.fromme@lgl.bayern.de
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association
Periodical, Abbrev.
Food Chem.Toxicol.
Pub Date Free Form
Jul
Volume
47
Issue
7
Start Page
1636
Other Pages
1641
Notes
LR: 20131121; JID: 8207483; 0 (Gases); 0 (Metals); 0 (Nitrogen Oxides); 0 (Particulate Matter); 0 (Polycyclic Hydrocarbons, Aromatic); 0 (Smoke); 0 (Tobacco Smoke Pollution); 7U1EE4V452 (Carbon Monoxide); CIN: Food Chem Toxicol. 2010 Mar;48(3):992-5; auth
Place of Publication
England
ISSN/ISBN
1873-6351; 0278-6915
Accession Number
PMID: 19394392
Language
eng
SubFile
Journal Article; IM
DOI
10.1016/j.fct.2009.04.017 [doi]
Output Language
Unknown(0)
PMID
19394392
Abstract
The smoke of waterpipe contains numerous substances of health concern, but people mistakenly believe that this smoking method is less harmful and addictive than cigarettes. An experiment was performed in a 57 m3 room on two dates with no smoking on the first date and waterpipe smoking for 4h on the second date. We measured volatile organic compounds (VOC), polycyclic aromatic hydrocarbons (PAH), metals, carbon monoxide (CO), nitrogen oxides (e.g. NO), as well as particle mass (PM), particle number concentration (PNC) and particle surface area in indoor air. High concentrations were observed for the target analytes during the 4-h smoking event. The median (90th percentile) values of PM(2.5), PNC, CO and NO were 393 (737 microg/m(3)), 289,000 (550,000 particles/cm(3)), 51 (65 ppm) and 0.11 (0.13 ppm), respectively. The particle size distribution has a maximum of particles relating to a diameter of 17 nm. The seven carcinogenic PAH were found to be a factor 2.6 higher during the smoking session compared to the control day. In conclusion, the observed indoor air contamination of different harmful substances during a WP session is high, and exposure may pose a health risk for smokers but in particular for non-smokers who are exposed to ETS.
Descriptors
Carbon Monoxide/analysis, Gases/analysis, Metals/analysis, Nitrogen Oxides/analysis, Particle Size, Particulate Matter/analysis, Pilot Projects, Polycyclic Hydrocarbons, Aromatic/analysis, Smoke/analysis, Smoking/adverse effects, Tobacco, Tobacco Smoke Pollution/analysis
Links
Book Title
Database
Publisher
Data Source
Authors
Fromme,H., Dietrich,S., Heitmann,D., Dressel,H., Diemer,J., Schulz,T., Jorres,R. A., Berlin,K., Volkel,W.
Original/Translated Title
URL
Date of Electronic
20090424
PMCID
Editors
CO exposure, puff topography, and subjective effects in waterpipe tobacco smokers 2009
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine Tob Res
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Volume
11
Issue
7
Start Page
806
Other Pages
11
Notes
ID: 19420278
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
INTRODUCTION: Waterpipe tobacco smoking is increasing in popularity though the toxicant exposure and effects associated with this tobacco use method are not well understood. METHODS: Sixty-one waterpipe tobacco smokers (56 males; mean age +/- SD, 30.9 +/- 9.5 years; mean number of weekly waterpipe smoking episodes, 7.8 +/- 5.7; mean duration of waterpipe smoking 8.5 +/- 6.1 years) abstained from smoking for at least 24 hr and then smoked tobacco from a waterpipe ad libitum in a laboratory. Before and after smoking, expired-air carbon monoxide (CO) and subjective effects were assessed; puff topography was measured during smoking. RESULTS: The mean waterpipe use episode duration was 33.1 +/- 13.1 min. Expired-air CO increased significantly from a mean of 4.0 +/- 1.7 before to 35.5 +/- 32.7 after smoking. On average, participants took 169 +/- 100 puffs, with a mean puff volume of 511 +/- 333 ml. Urge to smoke, restlessness, craving, and other tobacco abstinence symptoms were reduced significantly after smoking, while ratings of dizzy, lightheaded, and other direct effects of nicotine increased. DISCUSSION: Expired-air CO and puff topography data indicate that, relative to a single cigarette, a single waterpipe tobacco smoking episode is associated with greater smoke exposure. Abstinent waterpipe tobacco smokers report symptoms similar to those reported by abstinent cigarette smokers, and these symptoms are reduced by subsequent waterpipe tobacco smoking. Taken together, these data are consistent with the notion that waterpipe tobacco smoking is likely associated with the risk of tobacco/nicotine dependence.
Descriptors
Carbon Monoxide/analysis, Inhalation Exposure/analysis, Smoking, Tobacco Smoke Pollution/analysis, Administration, Inhalation, Adult, Equipment Design, Female, Humans, Male, Middle Aged, Regression Analysis, Syria, Water, Young Adult
Links
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2699927/?tool=pubmed; http://dx.doi.org/10.1093/ntr/ntp066
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Maziak,Wasim, Rastam,Samer, Ibrahim,Iman, Ward,Kenneth D., Shihadeh,Alan, Eissenberg,Thomas
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
New tobacco trends: waterpipe (hookah) smoking and implications for healthcare providers 2009
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
J Am Acad Nurse Pract
Periodical, Abbrev.
J.Am.Acad.Nurse Pract.
Pub Date Free Form
Volume
21
Issue
5
Start Page
258
Other Pages
60
Notes
ID: 19432909
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
PURPOSE: To inform healthcare providers about waterpipe smoking, a new trend in tobacco use that is gaining popularity among adolescents and young adults. DATA SOURCES: American Lung Association Tobacco Policy Alert on Waterpipe Smoking, World Health Organization Tobacco Regulation Advisory Note on Waterpipe Smoking, and pertinent publications available in the literature. CONCLUSIONS: Waterpipe smoking is a new trend in tobacco use that is associated with multiple health problems, including addiction. Healthcare providers should be aware of new tobacco trends that may affect patients, such as waterpipe smoking, that are potential gateways to nicotine addiction. IMPLICATIONS FOR PRACTICE: Tobacco comes in many forms, all of which are addicting. Healthcare providers must be knowledgeable about new forms of tobacco to address all types of tobacco use with patients. Healthcare providers also have a responsibility to educate patients about the health risks inherent in these products to help prevent the long-lasting problem of nicotine addiction.
Descriptors
Smoking, Tobacco Use Disorder, Adolescent, Attitude to Health, Health Education, Humans, Professional Role, Smoking/adverse effects, Smoking/prevention & control, Smoking/trends, Tobacco Use Disorder/complications, Tobacco Use Disorder/epidemiology, Tobacco Use Disorder/prevention & control, United States/epidemiology, Water, Young Adult
Links
http://dx.doi.org/10.1111/j.1745-7599.2009.00402.x
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Noonan,Devon, Kulbok,Pamela A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Canadian and English students&#39; beliefs about waterpipe smoking: a qualitative study 2009 UK Centre for Tobacco Control Studies, Primary Care Clinical Sciences, University of Birmingham, Birmingham, UK.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
10-Jan
Volume
9
Issue
Start Page
10
Other Pages
9/10/2458
Notes
LR: 20151119; JID: 100968562; 059QF0KO0R (Water); 6M3C89ZY6R (Nicotine); OID: NLM: PMC2628878; 2008/06/23 [received]; 2009/01/10 [accepted]; 2009/01/10 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 19134220
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1186/1471-2458-9-10 [doi]
Output Language
Unknown(0)
PMID
19134220
Abstract
BACKGROUND: Waterpipe smoking is becoming popular among western students. The aim was to understand the appeal to students of this form of smoking when other forms of smoking are becoming less common. METHODS: Waterpipe smokers were identified by snowball sampling and interviewed following a semi-structured schedule in waterpipe cafes and in their homes. Constant comparative analysis was used to derive themes for the analysis. RESULTS: Waterpipe smokers saw smoking as an alternative to more expensive nights out in bars. The appeal was related to the communal activity and the novelty of the experience. Respondents had not thought deeply about the health risks and reasoned that if no warnings about waterpipe smoking were apparent (unlike cigarette smoking) then it was probably safe. These observations were reinforced by observations about the mildness of the smoke, the fruit flavours, and beliefs about the filtering of the water. Waterpipe smokers felt no pressure to stop smoking and therefore had not tried to do so, but felt it might be something they did not continue after university. Waterpipe smoking was not linked in students' minds to other forms of smoking except in one individual who was using waterpipe smoking to help quit cigarettes. CONCLUSION: In the absence of public health information, students have fallen back on superficial experiences to form views that waterpipe smoking is less harmful than other forms of smoking and it is currently much more acceptable in student society than other forms of smoking.
Descriptors
Administration, Inhalation, Adolescent, Age Distribution, Cross-Sectional Studies, Cultural Characteristics, Female, Great Britain/epidemiology, Group Processes, Health Behavior, Humans, Interpersonal Relations, Male, Nicotine/administration & dosage, Ontario/epidemiology, Prevalence, Qualitative Research, Sex Distribution, Smoking/epidemiology/psychology, Students/psychology, Surveys and Questionnaires, Tobacco, Water, Young Adult
Links
Book Title
Database
Publisher
Data Source
Authors
Roskin,J., Aveyard,P.
Original/Translated Title
URL
Date of Electronic
20090110
PMCID
PMC2628878
Editors
Prevalence and Determinants of Waterpipe Tobacco Use among Adolescents in Oman 2008 Department of Non-Communicable Diseases, Ministry of Health, Muscat, Oman;
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Sultan Qaboos University medical journal
Periodical, Abbrev.
Sultan Qaboos Univ.Med.J.
Pub Date Free Form
Mar
Volume
8
Issue
1
Start Page
37
Other Pages
43
Notes
LR: 20130529; JID: 101519915; OID: NLM: PMC3087736; OTO: NOTNLM; 2007/07/24 [received]; 2007/12/15 [accepted]; ppublish
Place of Publication
Oman
ISSN/ISBN
2075-051X; 2075-051X
Accession Number
PMID: 21654955
Language
eng
SubFile
Journal Article
DOI
Output Language
Unknown(0)
PMID
21654955
Abstract
OBJECTIVE: To assess the prevalence and determinants of waterpipe use among school-going adolescents in Oman. METHODS: A cross-sectional, school-based study was conducted in 2003 involving 9 regions of Oman, as part of the Global Youth Tobacco Survey. Participants were requested to complete an anonymous questionnaire containing demographic characteristics, current and previous use of waterpipe tobacco, attitudes towards cigarette smoking, parents' and friends' cigarette smoking habits. Proportions were used to calculate prevalence rates and logistic regression analysis to obtain odds ratio (OR) and 95% confidence interval (CI). RESULTS: 1,962 students participated of whom 1,005 (51.2%) were males. Eighty-eight percent were between 13 and 16 years of age. Five hundred and twenty-two (26.6%) reported ever smoking waterpipe tobacco while 189 (9.6%) were current users. Among males, 155 (15.5%) were current users while among females only 24 (2.6%) smoked currently. Study participants were more likely to use waterpipe if they had a parent or friend who smoked cigarettes. Adolescents were, however, less likely to use waterpipe tobacco if they believed that cigarette smoking was harmful to health. Students who were receiving 500 Baisas (US$ 1.3) or more per day pocket money were more likely to use waterpipe tobacco compared to those receiving less (OR 3.3, 95% CI 2.3 to 4.6). In multivariate analysis, the OR for males being a smoker of waterpipe tobacco compared to females was 4.46 (95% CI, 2.38 to 8.35); while the OR for most or all friends smoking cigarettes compared to non-smoking was OR 5.65 (95% CI 2.87 to 11.13). Study participants who perceived smoking as harmful to health were less likely to use waterpipe tobacco compared to those who did not believe smoking was harmful (OR 0.31, 95% CI 0.29 to 0.92) and those receiving 500 Baisas or more (OR 2.2, 95% CI 1.5 to 3.2). CONCLUSION: Waterpipe smoking among Omani adolescents is an emerging public health concern. Efforts to prevent adolescent smoking should be designed with knowledge of associated factors of such behaviour and should include all forms of tobacco.
Descriptors
Adolescents, Oman, Tobacco, Waterpipe
Links
Book Title
Database
Publisher
Data Source
Authors
Al-Lawati,J. A., Muula,A. S., Hilmi,S. A., Rudatsikira,E.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC3087736
Editors