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Predictors of waterpipe smoking among secondary school adolescents in Al Hassa, Saudi Arabia 2012 Community Medicine Department, Faculty of Medicine, Cairo University, El Malek El Saleh, Cairo, Egypt. amin55@myway.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International Journal of Behavioral Medicine
Periodical, Abbrev.
Int.J.Behav.Med.
Pub Date Free Form
Sep
Volume
19
Issue
3
Start Page
324
Other Pages
335
Notes
LR: 20151119; JID: 9421097; ppublish
Place of Publication
England
ISSN/ISBN
1532-7558; 1070-5503
Accession Number
PMID: 21643931
Language
eng
SubFile
Journal Article; IM
DOI
10.1007/s12529-011-9169-2 [doi]
Output Language
Unknown(0)
PMID
21643931
Abstract
BACKGROUND: There has been a global upsurge of waterpipe (WP) smoking over the past several years. This can be attributed at least partly to various factors like lack of knowledge regarding its health effects, social acceptability, and intensive preventive programs focusing selectively on cigarettes smoking. PURPOSE: This study aimed to determine the prevalence and psychosocial determinants of WP smoking among secondary school adolescents in Al Hassa, Saudi Arabia, and also to assess their attitudes toward WPs smoking and knowledge regarding the related health effects. METHODS: Cross-sectional study included 1,652 students of both genders selected by multistage proportionate sampling method. Data collection was carried out using a self-administered anonymous Arabic version of the Global Youth Tobacco Survey, modified with items dedicated to WP smoking. Items to assess participants' knowledge about the health-related hazards and attitude towards WP were added. Patient Health Questionnaire was used to screen for the presence of anxiety and depressive disorders. RESULTS: Of the included adolescents, 358 (21.7%) were current smokers; cigarettes (46.1%), both cigarettes and WP (16.5%), and only WP (37.4%). Current WP users accounted for 193; 96.4% were males and 62.7% were >/=18 years of age. Outing, boredom, meeting friends, and family gatherings were the most frequently stated motives. WP users demonstrated a higher incidence of depressive and generalized anxiety disorders. Common assumptions regarding WP smoking included: WP smoking is less harmful than cigarettes and with no addictive property as stated by 47.8% and 65.9% of adolescents, respectively, harmful substances are purified through water filtration as believed by 59.2%, and it is more socially acceptable than cigarettes as agreed by 54.1%. Hierarchical regression analysis showed that male gender and increasing age of adolescents, WP smoking among close family and friends, and socializing motives were significant predictors for the current WP smoking state. CONCLUSION: Social acceptability, poor knowledge of WP health-related hazards, and socio-demographics are favoring the current increasing trend of WP use among adolescents in Al Hassa, Saudi Arabia.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Amin,T.T., Amr,M.A., Zaza,B.O., Kaliyadan,F.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Ethnicity and waterpipe smoking among US students 2012 Institute of Community Health, College of Pharmacy, University of Houston, Houston, Texas 77030, USA. smabughosh@uh.edu
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
Nov
Volume
16
Issue
11
Start Page
1551
Other Pages
1557
Notes
JID: 9706389; 2012/09/18 [aheadofprint]; ppublish
Place of Publication
France
ISSN/ISBN
1815-7920; 1027-3719
Accession Number
PMID: 23006908
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.5588/ijtld.12.0152 [doi]
Output Language
Unknown(0)
PMID
23006908
Abstract
OBJECTIVES: To examine the effect of ethnicity on waterpipe smoking among college students. DESIGN: A cross-sectional study utilized data from University of Houston students through an online survey (n = 2334) from March to April 2011. The survey included questions on demographic characteristics (sex, age, race/ethnicity), tobacco use experience, risk perception, social acceptability and popularity. Multivariate logistic regression was used to determine predictors of waterpipe use with three outcomes: ever-use vs. no use, past-year use vs. no use and past-month use vs. no use. RESULTS: Half of the sample had previously smoked tobacco using a waterpipe, approximately a third in the past year and 12.5% in the past month. Significant predictors included Middle Eastern ethnicity, Middle Eastern friend, past cigarette or cigar use. Perception of harm was associated with less use in the ever-use model, while perceived addictiveness, social acceptability and popularity of waterpipes were predictors in all models. CONCLUSION: Our findings underscore the importance of developing culturally appropriate interventions to control waterpipe smoking among Middle Eastern Americans and those of Indian/Pakistani descent to curb further spread in US society, and highlight the importance of developing interventions that target the perceived addictiveness, social acceptability and popularity of waterpipe smoking.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Abughosh,S., Wu,I.H., Peters,R.J., Hawari,F., Essien,E.J.
Original/Translated Title
URL
Date of Electronic
20120918
PMCID
Editors
Does switching to a tobacco-free waterpipe product reduce toxicant intake? A crossover study comparing CO, NO, PAH, volatile aldehydes, "tar" and nicotine yields 2012 Mechanical Engineering Department, American University of Beirut, Beirut, Lebanon. as20@aub.edu.lb
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
May
Volume
50
Issue
5
Start Page
1494
Other Pages
1498
Notes
LR: 20151119; CI: Copyright (c) 2012; GR: F31 DA028102/DA/NIDA NIH HHS/United States; GR: F31DA028102/DA/NIDA NIH HHS/United States; GR: R01 CA120142/CA/NCI NIH HHS/United States; GR: R01 DA024876/DA/NIDA NIH HHS/United States; GR: R01CA120142/CA/NCI NIH
Place of Publication
England
ISSN/ISBN
1873-6351; 0278-6915
Accession Number
PMID: 22406330
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1016/j.fct.2012.02.041 [doi]
Output Language
Unknown(0)
PMID
22406330
Abstract
Waterpipe (hookah, narghile, shisha) use has become a global phenomenon, with numerous product variations. One variation is a class of products marketed as "tobacco-free" alternatives for the "health conscious user". In this study toxicant yields from waterpipes smoked using conventional tobacco-based and tobacco-free preparations were compared. A human-mimic waterpipe smoking machine was used to replicate the puffing sequences of 31 human participants who completed two double-blind ad libitum smoking sessions in a controlled clinical setting: once with a tobacco-based product of their choosing and once with a flavor-matched tobacco-free product. Outcome measures included yields of carbon monoxide, nitric oxide, volatile aldehydes, nicotine, tar, and polycyclic aromatic hydrocarbons. Smoke from both waterpipe preparations contained substantial quantities of toxicants. Nicotine yield was the only outcome that differed significantly between preparations. These findings contradict advertising messages that "herbal" waterpipe products are a healthy alternative to tobacco products.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ltd
Data Source
Authors
Shihadeh,A., Salman,R., Jaroudi,E., Saliba,N., Sepetdjian,E., Blank,M.D., Cobb,C.O., Eissenberg,T.
Original/Translated Title
URL
Date of Electronic
20120301
PMCID
PMC3407543
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
A multiyear survey of waterpipe and cigarette smoking on a US university campus 2012 Department of Psychology and Institute for Drug and Alcohol Studies, Virginia Commonwealth University, Richmond, VA 23298, USA.
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
521
Other Pages
527
Notes
LR: 20160309; GR: F31 DA028102/DA/NIDA NIH HHS/United States; GR: F31DA028102/DA/NIDA NIH HHS/United States; GR: R01 CA120142/CA/NCI NIH HHS/United States; GR: R01 DA025659/DA/NIDA NIH HHS/United States; GR: R01CA120142/CA/NCI NIH HHS/United States; GR: R
Place of Publication
United States
ISSN/ISBN
1940-3208; 0744-8481
Accession Number
PMID: 23002800
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1080/07448481.2012.692416 [doi]
Output Language
Unknown(0)
PMID
23002800
Abstract
OBJECTIVES: To examine the prevalence and characteristics of dual users of cigarettes and waterpipes by comparing them with individuals who use either product exclusively. PARTICIPANTS: Cross-sections of undergraduate students at a public university recruited each spring semester from 2006 to 2011 (total N = 2,998). METHODS: Participants completed an Internet survey that assessed demographics, tobacco use, perceptions, and norms concerning various tobacco products. Individuals who reported exclusive cigarette, exclusive waterpipe, and dual (waterpipe + cigarette) use were examined. RESULTS: Across years, 22% reported exclusive cigarette, 6.1% exclusive waterpipe, and 9.3% dual cigarette and waterpipe use. Dual users differed in demographics and social influences from their exclusive counterparts. CONCLUSIONS: Findings suggest that dual waterpipe and cigarette use was more prevalent than exclusive waterpipe use, and dual users may differ from individuals who use either product alone. These results warrant the inclusion of waterpipe-specific content in state and national surveys as well as tobacco prevention and intervention efforts.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Cobb,C.O., Khader,Y., Nasim,A., Eissenberg,T.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC4487802
Editors
Assessment of tobacco dependence in waterpipe smokers in Egypt 2012 Department of Community, Environmental and Occupational Health, Ain Shams University, Cairo, Egypt. rahman_rehab@hotmail.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
Periodical, Abbrev.
Int.J.Tuberc.Lung Dis.
Pub Date Free Form
Jan
Volume
16
Issue
1
Start Page
132
Other Pages
137
Notes
LR: 20151119; GR: R01 TW005944/TW/FIC NIH HHS/United States; GR: R01 TW005944-05/TW/FIC NIH HHS/United States; JID: 9706389; 059QF0KO0R (Water); NIHMS354812; OID: NLM: NIHMS354812; OID: NLM: PMC3622209; ppublish
Place of Publication
France
ISSN/ISBN
1815-7920; 1027-3719
Accession Number
PMID: 22236859
Language
eng
SubFile
Journal Article; IM
DOI
10.5588/ijtld.11.0457 [doi]
Output Language
Unknown(0)
PMID
22236859
Abstract
SETTING: Waterpipe smoking is increasing worldwide. Nevertheless, little is known about nicotine dependence in tobacco smokers who use waterpipes. OBJECTIVE: To assess evidence of dependence among non-cigarette smoking waterpipe smokers in Egypt. METHODS: A total of 154 male exclusive current waterpipe smokers were enrolled for the present study. We adapted the Fagerstrom test for nicotine dependence and the Reasons for Smoking (RFS) scales and related these to smoking behavior. RESULTS: The mean age of the subjects was 47 +/- 14 years, the mean age at smoking initiation was 22 +/- 9 years, and average daily consumption was 4 +/- 8 hagars (tobacco units). The time to the first smoke of the day (P
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Auf,R.A., Radwan,G.N., Loffredo,C.A., El Setouhy,M., Israel,E., Mohamed,M.K.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC3622209
Editors
Waterpipe smoking among college students in the United States: a review of the literature 2012 Department of Psychology, Wayne State University, Detroit, MI 48202, USA. grekine@wayne.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
3
Start Page
244
Other Pages
249
Notes
JID: 8214119; ppublish
Place of Publication
United States
ISSN/ISBN
1940-3208; 0744-8481
Accession Number
PMID: 22420702
Language
eng
SubFile
Journal Article; Review; IM
DOI
10.1080/07448481.2011.589419 [doi]
Output Language
Unknown(0)
PMID
22420702
Abstract
OBJECTIVE: To review the literature on college student waterpipe use with a focus on undergraduates in the United States. PARTICIPANTS: Undergraduate students. METHODS: Studies were accessed using the databases PubMed, MEDLINE, PsycINFO, and Academic Search Premier. Searches included combinations of the following keywords: "waterpipe," "hookah," "shisha," "nargila," "argileh," "hubble bubble," "college," "university," and "student." RESULTS: Results demonstrate that approximately 1 in 5 American college students report past-year waterpipe use. Results also suggest that there are a number of established correlates of waterpipe smoking, including male gender, Arab ethnicity, cigarette smoking, and the belief that waterpipe smoking is less harmful than cigarette smoking. CONCLUSIONS: Despite its harmful health effects, waterpipe smoking is quite common among college students. Future research with better methodologies and theoretical frameworks are needed to advance the field.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Grekin,E.R., Ayna,D.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Differences in health and religious beliefs about tobacco use among waterpipe users in the rural male population of Egypt 2012 Department of Epidemiology, School of Public Health, Loma Linda University, Loma Linda, CA 92354, USA. psingh@llu.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of religion and health
Periodical, Abbrev.
J.Relig.Health.
Pub Date Free Form
Dec
Volume
51
Issue
4
Start Page
1216
Other Pages
1225
Notes
LR: 20151119; GR: R01 TW005944/TW/FIC NIH HHS/United States; GR: R01 TW005964-05/TW/FIC NIH HHS/United States; GR: R01 TW05964-01/TW/FIC NIH HHS/United States; GR: R01TW05944/TW/FIC NIH HHS/United States; GR: R03 TW007345/TW/FIC NIH HHS/United States; GR:
Place of Publication
United States
ISSN/ISBN
1573-6571; 0022-4197
Accession Number
PMID: 21125424
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1007/s10943-010-9431-y [doi]
Output Language
Unknown(0)
PMID
21125424
Abstract
Waterpipe use is a highly prevalent form of tobacco use in the Eastern Mediterranean Region that is rooted in long-held cultural traditions that predate the use of cigarettes and present a particular challenge for tobacco control efforts. We did a stratified sampling of 4,994 Egyptian men from rural households of Egypt in order to conduct an interviewer-administered prevalence survey to identify differences in attitudes and beliefs toward smoking and smoking cessation between waterpipe users, cigarette smokers, mixed users (cigarette + waterpipe), and non-smokers. We found that cigarette smokers, mixed users, and/or non-smokers were (1) two- to ninefold more likely to believe that smoking decreased adult life expectancy and harmed a fetus than waterpipe users, (2) significantly more likely to believe that smoking is a sin ("haram") than were waterpipe users. Among tobacco users, we found that cigarette smokers and/or mixed users were significantly more likely to indicate pre-contemplation, contemplation, or intention to quit tobacco than waterpipe users. Our findings from rural Egyptian men indicate that waterpipe users are distinct from cigarette smokers in their perception that their form of tobacco use is less harmful and/or less subject to religious proscription. These beliefs may explain why waterpipe users seem less inclined to quit their tobacco habit and need to be considered in the design of tobacco cessation and prevention methods in Egypt and the region.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Singh,P.N., Neergaard,J., Job,J.S., El Setouhy,M., Israel,E., Mohammed,M.K., Loffredo,C.A.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC3589589
Editors
Waterpipe smoking: the role of humectants in the release of toxic carbonyls 2012
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Arch Toxicol
Periodical, Abbrev.
Arch.Toxicol.
Pub Date Free Form
Volume
86
Issue
8
Start Page
1309
Other Pages
16
Notes
ID: 22707202
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
In recent years, the number of waterpipe smokers has increased substantially worldwide. Here, we present a study on the identification and quantification of seven carbonylic compounds including formaldehyde, acetaldehyde and acrolein in the mainstream smoke of the waterpipe. Smoking was conducted with a smoking machine, and carbonyls were scavenged from the smoke with two impingers containing an acidic solution of 2,4-dinitrophenylhydrazine. The derivatives were then analyzed by high-performance liquid chromatography-tandem mass spectrometry (LC-MS/MS). For instance, during one waterpipe smoking session, up to 111 ± 12 µg formaldehyde could be detected. This value is about 5 times higher when compared to one 2R4F reference cigarette. We also found a distinct filter effect of the bowl water for all carbonyls investigated. Our data further demonstrate that increasing amounts of humectants in the unburned tobacco lowers the temperature in the waterpipe head during smoking, thereby resulting in decreasing levels of carbonyls in the smoke produced. Altogether, considerable amounts of toxic carbonyls are present in the waterpipe smoke, thus conferring a health risk to waterpipe smokers.
Descriptors
Links
http://dx.doi.org/10.1007/s00204-012-0884-5
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Schubert,Jens, Heinke,Volkmar, Bewersdorff,Jana, Luch,Andreas, Schulz,Thomas G.
Original/Translated Title
URL
Date of Electronic
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