WTS database

Title	Pub Year	Author	SearchLink Sort descending
Integrating the impact of cigarette and waterpipe tobacco use among adolescents in the Eastern Mediterranean Region: a cross-sectional, population-level model of toxicant exposure	2017	Academic Unit of Primary Care and Population Sciences, University of Southampton, Southampton, Hampshire, UK.; Academic Unit of Primary Care and Population Sciences, University of Southampton, Southampton, Hampshire, UK.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tobacco control Periodical, Abbrev. Tob.Control Pub Date Free Form May Volume 26 Issue 3 Start Page 323 Other Pages 329 Notes LR: 20181113; 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; 0 (Carcinogens); 6M3C89ZY6R Place of Publication England ISSN/ISBN 1468-3318; 0964-4563 Accession Number PMID: 27354679 Language eng SubFile Journal Article; IM DOI 10.1136/tobaccocontrol-2015-052777 [doi] Output Language Unknown(0) PMID 27354679 Abstract BACKGROUND: Waterpipe smoking is more prevalent than cigarette smoking among adolescents in the Eastern Mediterranean Region (EMR); however, simple prevalence masks complex waterpipe smoking patterns and makes uncertain its contribution to risk of tobacco-related harm. This study aimed to integrate the impact of cigarette and waterpipe tobacco use on toxicant exposure among EMR adolescents. METHODS: A cross-sectional model made equivalent individual-level toxicant exposure data for cigarettes and waterpipes, and aggregated it to 23 countries in the EMR using the Global Youth Tobacco Survey. The waterpipe model adjusted for estimated frequency of use, session duration and sharing behaviours. The final model included 60 306 12-17-year olds, and modelled as outcomes nicotine, carbon monoxide (CO) and 14 carcinogens. Sensitivity analyses substantially reduced session duration and proportion of solo use. RESULTS: Our model suggests waterpipe use may contribute a median of 36.4% (IQR 26.7-46.8%, n=16) of the total toxicant exposure from tobacco, and may reach up to 73.5% and 71.9% of total CO and benzene exposure, respectively. Sensitivity analyses reduced all values by 4.3-21.0%, but even the most conservative scenarios suggested over 50% of benzene and CO exposure was from waterpipe use. Between 69.2% and 73.5% of total toxicant exposure derived from dual cigarette and waterpipe users, who smoked cigarettes and waterpipe more frequently and intensely than single users. CONCLUSIONS: More research is warranted to refine our model's parameters. Tobacco control researchers should consider a move towards a single unit of measure for cigarette and waterpipe tobacco exposure in order to better inform health policy. Descriptors Links Book Title Database Publisher Data Source Authors Jawad,M., Roderick,P. Original/Translated Title URL Date of Electronic 20160627 PMCID PMC5520247 Editors
A Systematic Review of Effects of Waterpipe Smoking on Cardiovascular and Respiratory Health Outcomes	2016	Associate Dean for Academic Affairs, College of Nursing, University of Florida, Gainesville, FL, USA.; Assistant Professor, College of Nursing, University of Florida, Gainesville, FL, USA.; Professor and Schmidt Family Foundation Distinguished Professor,	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tobacco use insights Periodical, Abbrev. Tob Use Insights Pub Date Free Form 5-Jul Volume 9 Issue Start Page 13 Other Pages 28 Notes LR: 20160713; JID: 101608659; OID: NLM: PMC4934173; OTO: NOTNLM; 2016 [ecollection]; 2016/04/05 [received]; 2016/06/01 [revised]; 2016/06/03 [accepted]; 2016/07/05 [epublish]; epublish Place of Publication New Zealand ISSN/ISBN 1179-173X; 1179-173X Accession Number PMID: 27398028 Language eng SubFile Journal Article; Review DOI 10.4137/TUI.S39873 [doi] Output Language Unknown(0) PMID 27398028 Abstract BACKGROUND: Waterpipe smoking (WPS) is a social custom common in many Middle Eastern, North African, and Asian countries and has become increasingly popular in the US, especially among youth; however, WPS smoking may be increasing in the US adult population as well. There is a common belief among waterpipe (WP) smokers that WPS is less harmful than smoking cigarettes. Thus, this review aims to systematically explore the literature on the effects of WP tobacco smoking with a particular focus on cardiovascular and respiratory health outcomes as well as on oxidative stress, immunity, and cell cycle interference health outcomes. METHODOLOGY: We conducted a systematic review, guided by the criteria of The Preferred Reporting Items for Systematic Reviews and Meta-Analyses, using the following online databases MEDLINE, CINAHL, ScienceDirect, PMC, and Cochrane Library. Results were summarized qualitatively. RESULTS: Forty studies met the inclusion criteria established for this review. Based on the existing evidence, several cardiovascular and respiratory physiologic health indicators and conditions have been shown to be negatively affected by WPS. In addition to the effects of nicotine and chemical toxicant exposures, WPS was significantly associated with an increase in heart rate, blood pressure, and lower pulmonary function test results, as well as a number of health conditions such as lung cancer, alterations in oxidative stress, immunity, and cell cycle interference. CONCLUSION: The current literature provides evidence that WPS is associated with a number of negative health indicators and outcomes. There is need for more research related to WPS and its effects on health so that appropriate campaigns and prevention interventions can be implemented to control the epidemic increase of WPS in the US. Descriptors Links Book Title Database Publisher Data Source Authors Haddad,L., Kelly,D.L., Weglicki,L.S., Barnett,T.E., Ferrell,A.V., Ghadban,R. Original/Translated Title URL Date of Electronic 20160705 PMCID PMC4934173 Editors
Cancer risk in waterpipe smokers: a meta-analysis	2016	Department of Global and Public Health, Weill Cornell Medicine-Qatar, Doha, Qatar. ram2026@qatar-med.cornell.edu.; Department of Global and Public Health, Weill Cornell Medicine-Qatar, Doha, Qatar.; Dean's Office, Weill Cornell Medicine-Qatar, Doha, Qatar	Read more...
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 15-Jul Volume Issue Start Page Other Pages Notes LR: 20160716; JID: 101304551; OTO: NOTNLM; 2015/12/22 [received]; 2016/07/08 [accepted]; 2016/05/16 [revised]; 2016/07/15 [aheadofprint]; aheadofprint Place of Publication ISSN/ISBN 1661-8564; 1661-8556 Accession Number PMID: 27421466 Language ENG SubFile JOURNAL ARTICLE DOI 10.1007/s00038-016-0856-2 [doi] Output Language Unknown(0) PMID 27421466 Abstract OBJECTIVES: To quantify by meta-analysis the relationship between waterpipe smoking and cancer, including cancer of the head and neck, esophagus, stomach, lung and bladder. METHODS: We performed a systematic literature search to identify relevant studies, scored their quality, used fixed and random-effect models to estimate summary relative risks (SRR), evaluated heterogeneity and publication bias. RESULTS: We retrieved information from 28 published reports. Considering only highquality studies, waterpipe smoking was associated with increased risk of head and neck cancer (SRR 2.97; 95 % CI 2.26-3.90), esophageal cancer (1.84; 1.42-2.38) and lung cancer (2.22; 1.24-3.97), with no evidence of heterogeneity or publication bias. Increased risk was also observed for stomach and bladder cancer but based mainly on poor-quality studies. For colorectum, liver and for all sites combined risk estimates were elevated, but there were insufficient reports to perform a meta-analysis. CONCLUSIONS: Contrary to the perception of the relative safety of waterpipe smoking, this meta-analysis provides quantitative estimates of its association with cancers of the head and neck, esophagus and lung. The scarcity and limited quality of available reports point out the need for larger carefully designed studies in well-defined populations. Descriptors Links Book Title Database Publisher Data Source Authors Mamtani,R., Cheema,S., Sheikh,J., Al Mulla,A., Lowenfels,A., Maisonneuve,P. Original/Translated Title URL Date of Electronic 20160715 PMCID Editors
Exposure to waterpipe smoke induces renal functional and oxidative biomarkers variations in mice	2016	a Department of Clinical Pharmacy , Faculty of Pharmacy .; b Department of Forensic Medicine and Toxicology , Faculty of Medicine .; a Department of Clinical Pharmacy , Faculty of Pharmacy .; c Department of Medical Laboratory Sciences , Faculty of Applie	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Inhalation toxicology Periodical, Abbrev. Inhal.Toxicol. Pub Date Free Form 1-Aug Volume Issue Start Page 1 Other Pages 6 Notes LR: 20160801; JID: 8910739; OTO: NOTNLM; aheadofprint; SO: Inhal Toxicol. 2016 Aug 1:1-6. Place of Publication ISSN/ISBN 1091-7691; 0895-8378 Accession Number PMID: 27477853 Language ENG SubFile JOURNAL ARTICLE DOI 10.1080/08958378.2016.1210703 [doi] Output Language Unknown(0) PMID 27477853 Abstract CONTEXT: Waterpipe smoking (WPS) has been known for over 400 years. It has been spread widely especially between youth because of the addition of pleasant flavor and because it was misconsidered to be less harmful than cigarette. OBJECTIVE: In this study, we investigated the effect of waterpipe smoking on renal oxidative and functional parameters and compared that at acute and chronic exposure time in mice. MATERIALS AND METHODS: Mice were divided into three groups, namely acute, chronic and fresh air control. Acute group was exposed to waterpipe smoke for one hour daily for six days using whole-body exposure system, while chronic group was exposed to waterpipe smoke for one hour daily for 30 days using whole-body exposure system. RESULT: Exposure to waterpipe smoke has shown significant changes on the mice kidney functional parameters such as creatinine and blood urea nitrogen. Both exposures (acute and chronic) has shown a significant reduction in superoxide dismutase (SOD) activity (p Descriptors Links Book Title Database Publisher Data Source Authors Rababa'h,A.M., Sultan,B.B., Alzoubi,K.H., Khabour,O.F., Ababneh,M.A. Original/Translated Title URL Date of Electronic 20160801 PMCID Editors
Portrayal of waterpipe (shisha, hookah, nargile) smoking on Twitter: a qualitative exploration	2016	South East Wales Trials Unit, Centre for Trials Research, Cardiff University, UK. Electronic address: granta2@cardiff.ac.uk.; Centre for the Study of Knowledge, Expertise and Science, School of Social Science, Cardiff University, UK.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Public health Periodical, Abbrev. Public Health Pub Date Free Form 9-Aug Volume Issue Start Page Other Pages Notes LR: 20160813; CI: Copyright (c) 2016; JID: 0376507; OTO: NOTNLM; 2016/02/08 [received]; 2016/07/06 [revised]; 2016/07/10 [accepted]; aheadofprint Place of Publication ISSN/ISBN 1476-5616; 0033-3506 Accession Number PMID: 27520707 Language ENG SubFile JOURNAL ARTICLE DOI S0033-3506(16)30165-2 [pii] Output Language Unknown(0) PMID 27520707 Abstract OBJECTIVES: To describe and characterize social media content in relation to waterpipe smoking using qualitative methods. STUDY DESIGN: Exploratory qualitative design. METHODS: A representative sample of pre-existing social media content from Twitter relating to waterpipe smoking and written in the English language was collected during a 1 week period in July 2014. A total of 9671 tweets were collected; duplicates and retweets were removed leaving 4439 unique tweets. Data were analyzed semiotically (positive, negative, positive and negative, no sentiment, unclassifiable) and thematically. Photographs attached to tweets written by individual users indexed using #hookah (n = 299) were subjected to content analysis. RESULTS: Over half of all tweets were positive about waterpipe smoking (59%), with 3% negative, 21% lacking sentiment and 17% unclassifiable. However, there were variations by likely author of tweet, with 91% of tweets from individual users classified as positive. Twitter users focused on their emotional experience, location, other products they were consuming alongside waterpipe smoking, and who they were with. Analysis of photographs highlighted a high degree of synergy between text and visual representations of waterpipe smoking, and two thirds of photographs contained at least part of a waterpipe. CONCLUSIONS: Waterpipe smoking may be normalized as an enjoyable activity in this online environment, posing a challenge for public health. Descriptors Links Book Title Database Publisher The Royal Society for Public Health. Published by Elsevier Ltd Data Source Authors Grant,A., O'Mahoney,H. Original/Translated Title URL Date of Electronic 20160809 PMCID Editors
Health care providers' adherence to tobacco treatment for waterpipe, cigarette and dual users in Vietnam	2016	Department of Population Health, New York University School of Medicine, New York, NY, USA. Electronic address: donna.shelley@nyumc.org.; Department of Population Health, New York University School of Medicine, New York, NY, USA.; Institute of Social and	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Addictive Behaviors Periodical, Abbrev. Addict.Behav. Pub Date Free Form 10-Aug Volume 64 Issue Start Page 49 Other Pages 53 Notes LR: 20160820; CI: Copyright (c) 2016; JID: 7603486; OTO: NOTNLM; 2016/03/18 [received]; 2016/08/07 [revised]; 2016/08/09 [accepted]; aheadofprint Place of Publication ISSN/ISBN 1873-6327; 0306-4603 Accession Number PMID: 27543834 Language ENG SubFile JOURNAL ARTICLE DOI S0306-4603(16)30281-7 [pii] Output Language Unknown(0) PMID 27543834 Abstract BACKGROUND: Almost half of adult men in Vietnam are current cigarette smokers. Recent surveys also suggest a high prevalence of water pipe use, particularly in rural areas. Yet services to treat tobacco dependence are not readily available. The purpose of this study was to characterize current tobacco use treatment patterns among Vietnamese health care providers and factors influencing adherence to recommended guidelines for tobacco use screening and cessation interventions for water pipe, cigarette and dual users. METHODS: We conducted cross sectional surveys of 929 male current tobacco users immediately after they completed a primary care visit at one of 18 community health centers. RESULTS: Thirty-four percent of smokers used cigarettes only, 24% water pipe only, and 42% were dual users. Overall 12% of patients reported that a provider asked them if they used tobacco products during the visit. Providers were significantly more likely to screen cigarette smokers compared with water pipe or dual users (16%, 9% and 11% respectively). Similarly, 9% of current cigarette smokers received advice to quit compared to 6% of water pipe and 5% of dual users. No patients reported that their health care provider offered them assistance to quit (e.g., self-help materials, referral). CONCLUSION: Despite ratifying the Framework Convention on Tobacco Control, Vietnam has not made progress in implementing policies and systems to ensure smokers are receiving evidence-based treatment. High rates of water pipe and dual use indicate a need for health care provider training and policy changes to facilitate treatment for both cigarette and water pipe use. Descriptors Links Book Title Database Publisher The Authors. Published by Elsevier Ltd. Data Source Authors Shelley,D., Kumar,P., Lee,L., Nguyen,L., Nguyen,T.T., VanDevanter,N., Cleland,C.M., Nguyen,N.T. Original/Translated Title URL Date of Electronic 20160810 PMCID Editors
Toward a Regulatory Framework for the Waterpipe	2016	Ramzi G. Salloum is with the Department of Health Outcomes and Policy and the Institute for Child Health Policy, University of Florida College of Medicine, Gainesville. Taghrid Asfar is with the Department of Public Health Sciences, University of Miami Mi	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full American Journal of Public Health Periodical, Abbrev. Am.J.Public Health Pub Date Free Form 23-Aug Volume Issue Start Page e1 Other Pages e5 Notes LR: 20160823; JID: 1254074; aheadofprint; SO: Am J Public Health. 2016 Aug 23:e1-e5. Place of Publication ISSN/ISBN 1541-0048; 0090-0036 Accession Number PMID: 27552262 Language ENG SubFile JOURNAL ARTICLE DOI 10.2105/AJPH.2016.303322 [doi] Output Language Unknown(0) PMID 27552262 Abstract Waterpipe smoking has been dramatically increasing among youth worldwide and in the United States. Despite its general association with misperceptions of reduced harm, evidence suggests this is a harmful and dependence-inducing tobacco use method that represents a threat to public health. Waterpipe products continue to be generally unregulated, which likely has contributed to their spread. The Family Smoking Prevention and Tobacco Control Act of 2009 granted the US Food and Drug Administration (FDA) the authority to regulate waterpipe products, and the FDA finalized a rule extending its authority over waterpipe products in May 2016. This critical step in addressing the alarming increase in waterpipe smoking in the United States has created urgency for research to provide the evidence needed for effective regulatory initiatives for waterpipe products. We aim to stimulate such research by providing a framework that addresses the scope of waterpipe products and their unique context and use patterns. The proposed framework identifies regulatory targets for waterpipe product components (i.e., tobacco, charcoal, and device), the waterpipe cafe setting, and its marketing environment dominated by Internet promotion. (Am J Public Health. Published online ahead of print August 23, 2016: e1-e5. doi:10.2105/AJPH.2016.303322). Descriptors Links Book Title Database Publisher Data Source Authors Salloum,R.G., Asfar,T., Maziak,W. Original/Translated Title URL Date of Electronic 20160823 PMCID Editors
Hazards of cigarettes, smokeless tobacco and waterpipe in a Middle Eastern Population: a Cohort Study of 50 000 individuals from Iran	2017	Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Bethesda, Maryland, USA.; Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, I(TRUNCATED	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tobacco control Periodical, Abbrev. Tob.Control Pub Date Free Form Nov Volume 26 Issue 6 Start Page 674 Other Pages 682 Notes LR: 20181113; 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/.; GR: ZIA CP000185-12/NULL/International; GR Place of Publication England ISSN/ISBN 1468-3318; 0964-4563 Accession Number PMID: 27872345 Language eng SubFile Journal Article; Research Support, N.I.H., Intramural; Research Support, Non-U.S. Gov't; IM DOI 10.1136/tobaccocontrol-2016-053245 [doi] Output Language Unknown(0) PMID 27872345 Abstract BACKGROUND: There is limited information about the hazards of cigarettes, smokeless tobacco and waterpipe in the Middle East. The aim of this study was to determine the association between different types of tobacco use and earlier death in the Golestan Cohort Study. METHODS: The Study includes 50 045 adults (aged 40-75 years) from north eastern Iran. The baseline questionnaire (2004-2008) assessed information about use of cigarettes, chewing tobacco (nass) and waterpipe. To assess the use of each type of tobacco compared with never tobacco users, we used Cox regression models adjusted for age, socioeconomic status, area of residence, education and other tobacco used, and stratified by sex, ethnicity and opium use. RESULTS: 17% of participants reported a history of cigarette smoking, 7.5% chewing tobacco (nass) and 1.1% smoking waterpipe, and these figures declined in the later birth cohorts. During a median follow-up of 8 years, 4524 deaths occurred (mean age 64.8+9.9 years). Current (HR=1.44; 95% CI 1.28 to 1.61) and former (HR=1.35; 95% CI 1.16 to 1.56) cigarette smokers had higher overall mortality relative to never tobacco users. The highest cigarette-associated risk was for cancer death among current heavy smokers (HR=2.32; 95% CI 1.66 to 3.24). Current nass chewing was associated with overall mortality (HR=1.16; 95% CI 1.01 to 1.34), and there was a 61% higher risk of cancer death in people chewing nass more than five times a day. We observed an association between the cumulative lifetime waterpipe use (waterpipe-years>/=28) and both overall (HR=1.66; 95% CI 1.11 to 2.47), and cancer mortality (HR=2.82; 95% CI 1.30 to 6.11). CONCLUSIONS: Regular use of cigarettes, smokeless tobacco and waterpipe were associated with the risk of earlier death (particularly from cancer) in our cohort. Descriptors Links Book Title Database Publisher Data Source Authors Etemadi,A., Khademi,H., Kamangar,F., Freedman,N.D., Abnet,C.C., Brennan,P., Malekzadeh,R., Golestan Cohort Study Team Original/Translated Title URL Date of Electronic 20161121 PMCID PMC5767941 Editors
Initiation, Progression, and Sustained Waterpipe Use: A Nationally Representative Longitudinal Study of U.S. Young Adults	2017	Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, UPMC Montefiore Hospital, Pittsburgh, Pennsylvania. sidanije@upmc.edu.; Center for Research on Media, Technology, and Health, University (TRUNCATED	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology Periodical, Abbrev. Cancer Epidemiol.Biomarkers Prev. Pub Date Free Form May Volume 26 Issue 5 Start Page 748 Other Pages 755 Notes LR: 20181113; CI: (c)2017; GR: R01 CA140150/CA/NCI NIH HHS/United States; JID: 9200608; NIHMS842715; 2016/08/29 00:00 [received]; 2016/11/28 00:00 [revised]; 2016/12/13 00:00 [accepted]; 2017/01/14 06:00 [pubmed]; 2018/03/06 06:00 [medline]; 2017/01/14 06 Place of Publication United States ISSN/ISBN 1538-7755; 1055-9965 Accession Number PMID: 28082346 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; IM DOI 10.1158/1055-9965.EPI-16-0687-T [doi] Output Language Unknown(0) PMID 28082346 Abstract Background: Waterpipe tobacco smoking (WTS) is increasing in popularity despite evidence of harm and potential for dependence. Intervention development has been hampered by a lack of longitudinal, nationally representative data on usage patterns and factors independently associated with WTS initiation. Therefore, we aimed to characterize key transitions between WTS states in a nationally representative group of young adults, with particular attention to factors independently associated with initiation.Methods: Participants were randomly selected from a national probability-based panel representing 97% of the United States. A total of 1,785 adults ages 18 to 30 at baseline completed two Web-based surveys 18 months apart in 2013 and 2014. Assessments included knowledge of waterpipe tobacco smoke composition, positive and negative attitudes toward WTS, normative beliefs, intention to use waterpipe, and WTS behavior. We used multivariable logistic regression to assess the association between predictive factors and subsequent WTS initiation.Results: In fully adjusted models, overall knowledge about toxicants associated with WTS was not associated with subsequent WTS initiation. Similarly, negative attitudes and normative beliefs were not associated with WTS uptake. However, baseline positive attitudes were strongly and significantly associated with WTS initiation [adjusted OR (AOR) = 1.7; 95% confidence interval (CI), 1.2-2.3]. Similarly, baseline intention to use WTS was strongly associated with subsequent initiation (AOR = 7.0; 95% CI, 3.5-13.7).Conclusions: Prevention efforts may be most successful if they target individuals with clear intentions to use WTS and challenge positive attitudes surrounding WTS.Impact: Surveillance of WTS trajectories will help inform health care and policy surrounding this emerging risk behavior among U.S. young adults. Cancer Epidemiol Biomarkers Prev; 26(5); 748-55. (c)2017 AACR. Descriptors Links Book Title Database Publisher American Association for Cancer Research Data Source Authors Sidani,J.E., Shensa,A., Naidu,M.R., Yabes,J.G., Primack,B.A. Original/Translated Title URL Date of Electronic 20170112 PMCID PMC5413431 Editors
Assessing the Effect of Waterpipe Smoking on Cancer Outcome - a Systematic Review of Current Evidence	2017	College of Dental Medicine, Roseman University of Health Sciences, South Jordan, Utah 84095, United States. Email:kamranhabibawan@gmail.com	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Asian Pacific journal of cancer prevention : APJCP Periodical, Abbrev. Asian Pac.J.Cancer.Prev. Pub Date Free Form 1-Feb Volume 18 Issue 2 Start Page 495 Other Pages 502 Notes LR: 20181113; CI: Creative Commons Attribution License; JID: 101130625; OTO: NOTNLM; 2017/03/28 06:00 [pubmed]; 2017/03/28 06:00 [medline]; 2017/03/28 06:00 [entrez]; epublish Place of Publication Thailand ISSN/ISBN 2476-762X; 1513-7368 Accession Number PMID: 28345836 Language eng SubFile Journal Article DOI 10.22034/APJCP.2017.18.2.495 [doi] Output Language Unknown(0) PMID 28345836 Abstract Background: Waterpipe smoking (WPS) is widely believed to be a safe and hazard-free tobacco habit. However, a number of studies have indicated that exposure to several toxicants and carcinogens through WPS is strongly related to serious health hazards. The current paper presents a narrative review on the effects of WPS on cancer outcome. Methods: The addressed focused question was "Is there an association between waterpipe smoking and cancer outcome?" PubMed, Medline, EMBASE, ISI Web of Science and the Cochrane databases were searched until June 2015 using the key words "Waterpipe", "Hookah", "Narghileh", "Shisha", "Hubbly Bubbly" "cancer" in various combinations. Letters to the Editor, review articles, case-reports and unpublished articles were excluded. Results: A total of 16 studies were included: six on lung cancer, three on oesophageal cancer, two on gastric cancer, two on bladder cancer, and one each on nasopharyngeal, pancreatic and prostate cancers. Our search did not yield any study that evaluated the risk of oral cancer in WPS users. The available evidence showed a significant association of WPS with lung cancer (UOR 6.0, 95% CI 1.78-20.26); however, no association was observed with bladder, nasopharyngeal, pancreatic and prostate cancers. Gastric (OR 3.4, 95% CI 1.7-7.1) and oesophageal cancers (OR 1.85, 95% CI 1.41-2.44) were observed to have weak associations with WPS. Conclusion: Regardless of the limitations, there is sufficient evidence to suggest associations of WPS with cancer, particularly in the lung. Future well-designed studies are required to identify and quantify with confidence all the health effects of this form of smoking. Descriptors Links Book Title Database Publisher Data Source Authors Awan,K.H., Siddiqi,K., Patil,Sh, Hussain,Q.A. Original/Translated Title URL Date of Electronic 20170201 PMCID PMC5454749 Editors

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