WTS database

Title	Pub Year Sort ascending	Author	SearchLink
Cigarettes and waterpipe smoking among medical students in Syria: a cross-sectional study	2008	Department of Family & Community Medicine, Damascus University, Damascus, Syria. qutaybah83@hotmail.com	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 Sep Volume 12 Issue 9 Start Page 1085 Other Pages 1091 Notes LR: 20151119; GR: R01 DA024876/DA/NIDA NIH HHS/United States; GR: R01 DA024876-01/DA/NIDA NIH HHS/United States; GR: R01 DA024876-01/DA/NIDA NIH HHS/United States; JID: 9706389; NIHMS69735; OID: NLM: NIHMS69735; OID: NLM: PMC2553239; ppublish Place of Publication France ISSN/ISBN 1027-3719; 1027-3719 Accession Number PMID: 18713509 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; IM DOI Output Language Unknown(0) PMID 18713509 Abstract OBJECTIVES: To investigate tobacco use, beliefs and attitudes among medical students in Syria. METHODS: A cross-sectional study of a random sample of 570 medical students (first and fifth year) registered at the Damascus University Faculty of Medicine in 2006-2007. We used a self-administered questionnaire for demo-graphic information, smoking behaviour (cigarette, waterpipe), family and peer smoking, attitudes and beliefs about smoking and future role in advising patients to quit smoking. RESULTS: The overall prevalence of tobacco use was 10.9% for cigarettes (15.8% men, 3.3% women), 23.5% for waterpipe (30.3% men, 13.4% women) and 7.3% for both (10.1% men, 3.1% women). Both smoking methods were more popular among the fifth year students (15.4% and 27%) compared to their younger counterparts (6.6% and 19.7%). Regular smoking patterns predominated for cigarettes (62%), while occasional use patterns predominated for waterpipes (83%). More than two thirds of students (69%) thought they might not address or would have difficulty addressing smoking in their future patients. CONCLUSION: The level of tobacco use among Syrian medical students is alarming and highlights the rapidly changing patterns of waterpipe use, especially among female students. Medical schools should work harder to tackle this phenomenon and address it more efficiently in their curricula. Descriptors Adult, Confidence Intervals, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Logistic Models, Male, Odds Ratio, Prevalence, Sex Factors, Smoking/epidemiology/psychology, Students, Medical/statistics & numerical data, Surveys and Questionnaires, Syria/epidemiology, Universities Links Book Title Database Publisher Data Source Authors Almerie,M. Q., Matar,H. E., Salam,M., Morad,A., Abdulaal,M., Koudsi,A., Maziak,W. Original/Translated Title URL Date of Electronic PMCID PMC2553239 Editors
Is concern about waterpipe tobacco smoking warranted?	2008		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Aust N Z J Public Health Periodical, Abbrev. Aust.N.Z.J.Public Health Pub Date Free Form Volume 32 Issue 2 Start Page 181 Other Pages 2 Notes ID: 18412692 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract Descriptors Health Promotion, Smoking, Social Marketing, Tobacco Smoke Pollution, Adolescent, Adult, Female, Health Surveys, Humans, Male, Middle Aged, New South Wales Links http://dx.doi.org/10.1111/j.1753-6405.2008.00198.x Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Carroll,Therese, Poder,Natasha, Perusco,Andrew Original/Translated Title URL Date of Electronic PMCID Editors
Waterpipe tobacco smoking on a U.S. College campus: prevalence and correlates	2008	Department of Psychology and Institute for Drug and Alcohol Studies, Virginia Commonwealth University, Richmond, Virginia 23298-0205, USA. teissenb@vcu.edu	Read more...
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 May Volume 42 Issue 5 Start Page 526 Other Pages 529 Notes LR: 20140921; GR: R01 CA103827/CA/NCI NIH HHS/United States; GR: R01 CA103827-04/CA/NCI NIH HHS/United States; GR: R01 DA011082/DA/NIDA NIH HHS/United States; GR: R01 DA011082-10/DA/NIDA NIH HHS/United States; GR: R01 TW005962/TW/FIC NIH HHS/United States Place of Publication United States ISSN/ISBN 1879-1972; 1054-139X Accession Number PMID: 18407049 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; IM DOI 10.1016/j.jadohealth.2007.10.004 [doi] Output Language Unknown(0) PMID 18407049 Abstract PURPOSE: Waterpipe tobacco smoking is reported to be growing in popularity, particularly among college students. This study examined the prevalence of waterpipe tobacco smoking prevalence and perceptions in a university-based population. METHOD: This was a cross-sectional Internet-based survey of first-year university students, which examined waterpipe tobacco smoking and other tobacco use, risk perceptions, influences, and perceived social acceptability. RESULTS: Waterpipe tobacco smoking within the past 30 days was reported by 20% (151/744). Relative to never users, users were more likely to perceive waterpipe tobacco smoking as less harmful than cigarette use. CONCLUSIONS: Because waterpipe tobacco smoking is increasing in prevalence and because it can involve toxicant inhalation at even greater levels than with cigarette smoking, it represents a growing public health issue. Descriptors Adolescent, Adult, Attitude to Health, Cross-Sectional Studies, Female, Humans, Male, Peer Group, Prevalence, Smoking, Social Environment, Students, United States, Universities Links Book Title Database Publisher Data Source Authors Eissenberg,T., Ward,K. D., Smith-Simone,S., Maziak,W. Original/Translated Title URL Date of Electronic 20071221 PMCID PMC2362063 Editors
Exhaled carbon monoxide with waterpipe use in US students	2008		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full JAMA Periodical, Abbrev. JAMA Pub Date Free Form Volume 299 Issue 1 Start Page 36 Other Pages 8 Notes ID: 18167404 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract Descriptors Air Pollution, Indoor/analysis, Carbon Monoxide/analysis, Exhalation, Smoking/trends, Tobacco Smoke Pollution/analysis, Adolescent, Adult, Charcoal, Female, Humans, Inhalation, Male, Smoking/adverse effects, Students, United States Links http://dx.doi.org/10.1001/jama.2007.6 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors El-Nachef,Wael, Hammond,S. K. Original/Translated Title URL Date of Electronic PMCID Editors
Cigarette and waterpipe smoking among Lebanese adolescents, a cross-sectional study, 2003-2004	2008	Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon. ze02@aub.edu.lb	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 Feb Volume 10 Issue 2 Start Page 309 Other Pages 314 Notes LR: 20151119; JID: 9815751; ppublish Place of Publication England ISSN/ISBN 1462-2203; 1462-2203 Accession Number PMID: 18236295 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1080/14622200701825775 [doi] Output Language Unknown(0) PMID 18236295 Abstract Waterpipe or "argileh" is a form of smoking other than cigarettes that is currently spreading among people of all ages. The objective of the present study was to assess tobacco smoking practices (waterpipe and/or cigarette) among public and private adolescent school students in Beirut, Lebanon. A sample of 2,443 students selected from 10 private and 3 public schools with intermediate/secondary classes filled out a self-administered anonymous questionnaire that inquired about sociodemographic characteristics, and behavior about tobacco smoking. Binary analysis was performed as well as three regression models for the relationship between exclusive cigarettes smoking, exclusive waterpipe smoking and both cigarettes and waterpipe as the dependent variables and gender, type of school, and class as the independent variables. The current prevalence of cigarettes smoking was 11.4%, and that of waterpipe smoking was 29.6%. Gender was significantly associated with cigarettes (OR=3.2, 95% CI 1.8-5.6) but not waterpipe smoking. Public school students were, respectively, 3.2 (95% CI 1.8-5.6) and 1.7 (95% CI 1.4-2.1) times more likely to be exclusive cigarettes smokers, and exclusive waterpipe smokers. Class was not significantly associated with exclusive cigarette smoking; however, students attending secondary classes were 1.3 (95% CI 1.1-1.6) times more likely to be exclusive waterpipe smokers. The reasons behind the high prevalence of both types of smoking are presented and discussed. The present study calls for school-based prevention programs and other types of interventions such as tax increases, and age-restrictions on tobacco sales. More aggressive interventions to disseminate education and awareness among parents and students altogether are warranted. Descriptors Adolescent, Confidence Intervals, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Lebanon/epidemiology, Life Style, Male, Odds Ratio, Peer Group, Risk Factors, Risk-Taking, School Health Services/organization & administration, Smoking/epidemiology/psychology, Social Environment, Students/psychology/statistics & numerical data, Surveys and Questionnaires, Tobacco Use Disorder/epidemiology/prevention & control Links Book Title Database Publisher Data Source Authors El-Roueiheb,Z., Tamim,H., Kanj,M., Jabbour,S., Alayan,I., Musharrafieh,U. Original/Translated Title URL Date of Electronic PMCID Editors
Genotoxic effects of waterpipe smoking on the buccal mucosa cells	2008		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Mutat Res Periodical, Abbrev. Mutat.Res. Pub Date Free Form Volume 655 Issue 2-Jan Start Page 36 Other Pages 40 Notes ID: 18662802 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract Waterpipe smoking is popular in many parts of the world. Micronuclei (MN) evaluation in the exfoliated oral cells of smokers is a non-invasive technique for evaluation of possible tobacco harm. We aimed to assess whether MN levels are higher in waterpipe smokers than in never smokers. We examined oral smears of 128 adult male waterpipe smokers and 78 males who never smoked tobacco in rural Egypt. The total number of MN per 1000 cells per subject, and the number of MN-containing cells per individual were compared. We observed a higher level of total MN in waterpipe smokers (10 +/- 4) than in never smokers (4 +/- 2, p < 0.001). A similar difference was found for the mean number of affected cells per individual (8 +/- 3 vs. 4 +/- 1.62, p < 0.001). MN levels were not significantly dose related. This study is among the first to assess the association between waterpipe smoking and a cytogenetic measure of tobacco harm. The twofold increase in MN level is consistent with previous reports of MN in cigarette smokers. More research is needed to determine if such MN levels are predictive of future health consequences. Descriptors Mouth Mucosa/drug effects, Mutagens/toxicity, Smoking/adverse effects, Water, Adult, Age Factors, Demography, Humans, Male, Micronuclei, Chromosome-Defective/chemically induced, Middle Aged Links http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3568951/?tool=pubmed; http://dx.doi.org/10.1016/j.mrgentox.2008.06.014 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors El-Setouhy,Maged, Loffredo,Christopher A., Radwan,Ghada, Abdel Rahman,Rehab, Mahfouz,Eman, Israel,Ebenezer, Mohamed,Mostafa K., Ayyad,Sohair B. A. Original/Translated Title URL Date of Electronic PMCID Editors
A pleasure among friends: how narghile (waterpipe) smoking differs from cigarette smoking in Syria	2008	Syrian Center for Tobacco Studies, PO Box 16542, Aleppo, Syria. fadi@scts-sy.org	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tobacco control Periodical, Abbrev. Tob.Control Pub Date Free Form Apr Volume 17 Issue 2 Start Page e3 Other Pages Notes GR: R01-TW05962/TW/FIC NIH HHS/United States; GR: R01DA024876-01/DA/NIDA NIH HHS/United States; GR: R03-TW07233/TW/FIC NIH HHS/United States; JID: 9209612; ppublish Place of Publication England ISSN/ISBN 1468-3318; 0964-4563 Accession Number PMID: 18375726 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM DOI 10.1136/tc.2007.020529 [doi] Output Language Unknown(0) PMID 18375726 Abstract BACKGROUND: Throughout the Eastern Mediterranean region (EMR), tobacco is used primarily in two forms: cigarette smoking and waterpipe (called narghile (nar-GIL-eh) in Syria) smoking. OBJECTIVE: To explore whether narghile smokers are different from cigarette smokers in how their smoking habits are embedded in their everyday lives. METHODS: One-to-one interviews with 16 adult narghile smokers and 16 adult cigarette smokers about their feelings, experiences and beliefs regarding their initiation, use patterns, and attempts to quit. FINDINGS: Narghile smokers found that narghile was a pleasurable social experience embedded in cultural rituals. By contrast, cigarette smokers saw their cigarette smoking as a mundane, oppressive, personal addiction. Narghile smokers generally started in their 20s and found that smoking narghile fostered a sense of togetherness and cultural identity, while cigarette smokers started in their early teens, males having started to becoming a "real man". Unlike cigarette smokers who felt stigmatised, narghile smokers generally felt that smoking narghile was socially accepted. Cigarette smokers believed that cigarettes were harmful to their health and harmful to those around them, but narghile smokers believed smoking narghile was relatively harmless to themselves or to others. Unlike cigarette smokers who used cigarettes to manage stress, narghile smokers used narghile for entertainment, leisure, and escape. However, frequent narghile smokers confessed that they felt addicted in much the same way as cigarette smokers. Cigarette smokers and narghile smokers viewed quitting as a matter of will and conviction. Most cigarette smokers had tried to quit. Very few narghile smokers had ever tried to quit, and most were not interested in quitting. Disturbingly, some cigarette smokers had tried to quit cigarettes by switching to smoking narghile, but later relapsed to smoking cigarettes. CONCLUSIONS: This exploratory study suggests that Syrian narghile smokers are different from Syrian cigarette smokers in their perceptions and beliefs about their smoking, and in their smoking patterns and lived experiences with tobacco. Our findings indicate that further in-depth research is need in the EMR to understand both modes of smoking to develop effective mode-specific prevention and cessation approaches. This study also raises concerns about a possible pattern where cigarette smokers are using narghile as a method for quitting cigarettes, and then relapsing. Descriptors Adult, Aged, Culture, Female, Friends, Humans, Male, Middle Aged, Motivation, Smoking/psychology, Smoking Cessation, Syria Links Book Title Database Publisher Data Source Authors Hammal,F., Mock,J., Ward,K. D., Eissenberg,T., Maziak,W. Original/Translated Title URL Date of Electronic PMCID Editors
Waterpipe smoking in students: prevalence, risk factors, symptoms of addiction, and smoke intake. Evidence from one British university	2008	Department of Primary Care & General Practice, University of Birmingham, Birmingham, B15 2TT, UK. DHJ242@adf.bham.ac.uk	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full BMC public health Periodical, Abbrev. BMC Public Health Pub Date Free Form 22-May Volume 8 Issue Start Page 174 Other Pages 2458-8-174 Notes LR: 20151119; JID: 100968562; 059QF0KO0R (Water); 7U1EE4V452 (Carbon Monoxide); OID: NLM: PMC2413225; 2007/11/22 [received]; 2008/05/22 [accepted]; 2008/05/22 [aheadofprint]; epublish Place of Publication England ISSN/ISBN 1471-2458; 1471-2458 Accession Number PMID: 18498653 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1186/1471-2458-8-174 [doi] Output Language Unknown(0) PMID 18498653 Abstract BACKGROUND: Anecdotal reports suggest waterpipe smoking is becoming common in students in western countries. The aim was to examine prevalence, risk factors, symptoms of addiction, and smoke intake. METHODS: This was a cross-sectional survey of students with subsidiary survey of regular waterpipe user and survey of exhaled carbon monoxide (CO) before and after waterpipe smoking in customers of a waterpipe cafe. 937 students of Birmingham University completed the initial survey with a follow up of 21 regular waterpipe smokers. 63 customers of a waterpipe cafe near the University completed the study of CO intake. RESULTS: 355 (37.9%, 95% confidence intervals (CI) 34.8 to 41.1%) students had tried waterpipes, the prevalence of trying rising with duration at University. 75 (8.0%, 95%CI 6.4 to 10.0%) were regular smokers, similar to the prevalence of cigarette smoking (9.4%). Although cigarette smoking was the major risk factor for being a regular waterpipe smoker, odds ratio (95%CI) 2.77 (1.52 to 5.06), 65% of waterpipe smokers did not smoke cigarettes. Seven of 21 (33.3%) regular waterpipe smokers experienced cravings. Nearly all regular waterpipe users thought it less harmful than smoking cigarettes. The mean (standard deviation) rise in CO was 37.4 (25.8)ppm, nearly twice as high as a typical cigarette smoker seeking cessation treatment. CONCLUSION: Waterpipe smoking is a common part of student culture in one British university, as in the Middle East and in the United States. It poses a potential threat to public health, with evidence of dependence and high smoke intake. Descriptors Adolescent, Adult, Carbon Monoxide/analysis, Confidence Intervals, Cross-Sectional Studies, Female, Follow-Up Studies, Great Britain/epidemiology, Health Behavior, Humans, Male, Prevalence, Restaurants, Risk Factors, Smoking/epidemiology/psychology, Students/psychology/statistics & numerical data, Surveys and Questionnaires, Tobacco Use Disorder/epidemiology, Universities, Water Links Book Title Database Publisher Data Source Authors Jackson,D., Aveyard,P. Original/Translated Title URL Date of Electronic 20080522 PMCID PMC2413225 Editors
Knowledge, attitudes and practice of university students regarding waterpipe smoking in Pakistan	2008	Section of Pulmonary and Critical Care Medicine, Aga Khan University, Karachi, Pakistan. alijawaid84@gmail.com	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 Sep Volume 12 Issue 9 Start Page 1077 Other Pages 1084 Notes LR: 20151119; JID: 9706389; 059QF0KO0R (Water); ppublish Place of Publication France ISSN/ISBN 1027-3719; 1027-3719 Accession Number PMID: 18713508 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI Output Language Unknown(0) PMID 18713508 Abstract OBJECTIVES: To study the awareness, perceptions and practice of university students in Karachi, Pakistan, with regard to shisha (waterpipe) smoking. DESIGN: Cross-sectional survey conducted among students at four different universities of Karachi, selected through random cluster sampling. RESULTS: A total of 450 participants, 59.6% males (n=268) and 40.4% females (n=182), were included in the study. About half of the participants reported having ever smoked shisha (n=241, 53.6%). On examining factors associated with starting shisha smoking, curiosity was found to be the most common reason (n=148, 61.4%), followed by pleasure-seeking (n=113, 46.9%), peer pressure (n=55, 22.8%), boredom (n=43, 17.8%) and stress (n=26, 10.8%). Of 241 participants who had ever smoked waterpipes, the majority (n=149, 61.8%) were current smokers. A vast majority of participants (n=269, 60%) considered waterpipe smoking to be less unhealthy than cigarette smoking. Boredom in youth, use of waterpipe in leisure activities and peer pressure were identified as the most common reasons for the escalating popularity of waterpipe smoking in Pakistan. CONCLUSIONS: Waterpipe smoking is very popular among Pakistani university students, and knowledge among university students about the dangers of waterpipe smoking is alarmingly low. Descriptors Adult, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Logistic Models, Male, Pakistan/epidemiology, Prevalence, Risk Factors, Smoking/epidemiology, Students/statistics & numerical data, Surveys and Questionnaires, Universities, Water Links Book Title Database Publisher Data Source Authors Jawaid,A., Zafar,A. M., Rehman,T. U., Nazir,M. R., Ghafoor,Z. A., Afzal,O., Khan,J. A. Original/Translated Title URL Date of Electronic PMCID Editors
The waterpipe: time for action	2008	University of Memphis, Syrian Center for Tobacco Studies, Memphis, TN 38152, USA. wmaziak@memphis.edu	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Addiction (Abingdon, England) Periodical, Abbrev. Addiction Pub Date Free Form Nov Volume 103 Issue 11 Start Page 1763 Other Pages 1767 Notes LR: 20140913; GR: R01 DA024876/DA/NIDA NIH HHS/United States; GR: R01 DA024876-01/DA/NIDA NIH HHS/United States; GR: R01 DA024876-01/DA/NIDA NIH HHS/United States; JID: 9304118; 059QF0KO0R (Water); 7U1EE4V452 (Carbon Monoxide); NIHMS68007; OID: NLM: NIHMS Place of Publication England ISSN/ISBN 1360-0443; 0965-2140 Accession Number PMID: 18778388 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; IM DOI 10.1111/j.1360-0443.2008.02327.x [doi] Output Language Unknown(0) PMID 18778388 Abstract The waterpipe, known in many cultures under different shapes and names (e.g. hookah, shisha, narghile), is a centuries-old tobacco use method that is witnessing a world-wide surge in popularity. This popularity is most noticeable among youths, and is surpassing cigarette smoking among this group in some societies. Many factors may have contributed to the recent waterpipe spread, including the introduction of sweetened/flavored waterpipe tobacco (known as Maassel), its reduced-harm perception, the thriving cafe culture, mass media and the internet. The passage of smoke through water on its way to the smoker underlies much of the common misperception that waterpipe use is less harmful than cigarettes. The health/addictive profile of waterpipe compared to cigarettes is largely unresearched and is likely to be influenced by the properties of smoke, duration and frequency of use, type of tobacco used, volume of smoke inhaled and the contribution of charcoal. However, the accumulation of evidence about the harmful and addictive potential of waterpipe use is outpacing the public health response to this health risk. A timely public health and policy action is needed in order to curb the emerging waterpipe smoking epidemic. Descriptors Adolescent, Attitude to Health, Carbon Monoxide, Health Behavior, Health Knowledge, Attitudes, Practice, Humans, Middle East/epidemiology/ethnology, Public Health, Risk-Taking, Smoking/prevention & control/psychology/trends, Tobacco Use Disorder/epidemiology/prevention & control/psychology, Water Links Book Title Database Publisher Data Source Authors Maziak,W. Original/Translated Title URL Date of Electronic 20080904 PMCID PMC2588474 Editors

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