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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
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Print(0)
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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
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Database
Publisher
Data Source
Authors
Salloum,R.G., Asfar,T., Maziak,W.
Original/Translated Title
URL
Date of Electronic
20160823
PMCID
Editors
Waterpipe Tobacco Smoking in Turkey: Policy Implications and Trends from the Global Adult Tobacco Survey (GATS) 2015 Rector of Health Science University, Istanbul 34688, Turkey. cevdeterdol@gmail.com.; Former Head of the Commission on Health, Family, Labour and Social Affairs of the Grand National Assembly of Turkey, Ankara 06543, Turkey. cevdeterdol@gmail.com.; World H
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Print(0)
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Journal Article
Periodical, Full
International journal of environmental research and public health
Periodical, Abbrev.
Int.J.Environ.Res.Public.Health.
Pub Date Free Form
8-Dec
Volume
12
Issue
12
Start Page
15559
Other Pages
15566
Notes
LR: 20160107; JID: 101238455; OID: NLM: PMC4690940; OTO: NOTNLM; 2015/10/09 [received]; 2015/11/21 [revised]; 2015/11/30 [accepted]; epublish
Place of Publication
Switzerland
ISSN/ISBN
1660-4601; 1660-4601
Accession Number
PMID: 26670238
Language
eng
SubFile
Journal Article; IM
DOI
10.3390/ijerph121215004 [doi]
Output Language
Unknown(0)
PMID
26670238
Abstract
Waterpipe tobacco smoking (WTS) is an emerging tobacco product globally, especially among adolescents and young adults who may perceive WTS as a safe alternative to smoking cigarettes. Monitoring the use of WTS in Turkey in relation to the tobacco control policy context is important to ensure that WTS does not become a major public health issue in Turkey. The Global Adult Tobacco Survey (GATS) was conducted in Turkey in 2008 and was repeated in 2012. GATS provided prevalence estimates on current WTS and change over time. Other indicators of WTS were also obtained, such as age of initiation and location of use. Among persons aged 15 and older in Turkey, the current prevalence of WTS decreased from 2.3% in 2008 to 0.8% in 2012, representing a 65% relative decline. Among males, WTS decreased from 4.0% to 1.1% (72% relative decline). While the overall smoking prevalence decreased among females, there was no change in the rate of WTS (0.7% in 2008 vs. 0.5% in 2012), though the WTS prevalence rate was already low in 2008. Comprehensive tobacco control efforts have been successful in reducing the overall smoking prevalence in Turkey, which includes the reduction of cigarette smoking and WTS. However, it is important to continue monitoring the use of waterpipes in Turkey and targeting tobacco control efforts to certain groups that may be vulnerable to future WTS marketing (e.g., youth, women).
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Data Source
Authors
Erdol,C., Erguder,T., Morton,J., Palipudi,K., Gupta,P., Asma,S.
Original/Translated Title
URL
Date of Electronic
20151208
PMCID
PMC4690940
Editors
Bacterial contamination of different components of the waterpipe 2014 Research Center for Social Determinants of Health, Institute for Futures Studies in Health, Kerman, Iran.; Research Center for Tropical and Infectious Diseases, Kerman, Iran.; Medical Student Research Committee, Kerman, Iran.; Neuroscience Research Center
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Print(0)
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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
Aug
Volume
18
Issue
8
Start Page
988
Other Pages
991
Notes
JID: 9706389; ppublish
Place of Publication
France
ISSN/ISBN
1815-7920; 1027-3719
Accession Number
PMID: 25199017
Language
eng
SubFile
Journal Article; IM
DOI
10.5588/ijtld.14.0026 [doi]
Output Language
Unknown(0)
PMID
25199017
Abstract
SETTING: Waterpipe smoking is an emerging topic in tobacco research that may have unrecognised health hazards. OBJECTIVE: To determine whether waterpipes are a source of bacterial contamination. METHODS: A total of 15 restaurants and waterpipe cafes were randomly selected from the list of locations serving waterpipe tobacco in Kerman city, Iran. Different parts of the waterpipe devices were sampled, including the disposable mouthpiece, the mouthpiece of the hose and the water in the bowl of the waterpipe. The samples were smeared onto bacterial culture media, including eosin methylene blue, blood agar and MacConkey agar growth media, and incubated at 37 degrees C. After 24-48 h, they were examined for colony growth. RESULTS: Of 285 samples from different parts of the waterpipes, 236 (82.8%) showed positive cultures; the rate of contamination ranged from 69% in the fixed mouthpiece to 96% in bowl water. Coagulase-negative staphylococci (32.9%), Streptococcus spp (26.9%), Neisseria spp (13.7%) and Escherichia coli (9.4%) were the most frequent contaminants. CONCLUSION: Waterpipes are frequently contaminated with microorganisms. This study revealed potential microbial hazards in waterpipes that may contribute to respiratory tract colonisation.
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Authors
Safizadeh,H., Moradi,M., Rad,M.R., Nakhaee,N.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe and Cigarette Smoking among University Students in the Western Cape, South Africa 2016 School of Economics, University of Cape Town, Southern Africa Labour and Development Research Unit, School of Economics, University of Cape Town, Cape Town, South Africa.; School of Economics, University of Cape Town, Southern Africa Labour and Developmen
Source Type
Print(0)
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Journal Article
Periodical, Full
American Journal of Health Behavior
Periodical, Abbrev.
Am.J.Health Behav.
Pub Date Free Form
Jul
Volume
40
Issue
4
Start Page
416
Other Pages
426
Notes
JID: 9602338; ppublish
Place of Publication
United States
ISSN/ISBN
1945-7359; 1087-3244
Accession Number
PMID: 27338988
Language
eng
SubFile
Journal Article; IM
DOI
10.5993/AJHB.40.4.3 [doi]
Output Language
Unknown(0)
PMID
27338988
Abstract
OBJECTIVE: Cigarette smoking in South Africa decreased sharply since the early 1990s. Waterpipe smoking increased, especially among students. We estimate the prevalence of waterpipe and cigarette smoking and associated characteristics among university students in the Western Cape. METHODS: An anonymous self-administered online questionnaire was sent to all registered students at 4 public Western Cape universities. The 4578 valid responses were weighted to represent the Western Cape's university student population. We present descriptive statistics and logistic regressions. RESULTS: We found that 63% of Western Cape university students ever smoked waterpipe, 9.9% of students smoked waterpipe in the past 30 days and 17.7% of students smoked cigarettes in the past 30 days. Waterpipe smoking has a strong socialization aspect. Controlling for confounders, current waterpipe smoking is associated with alcohol consumption (positively), age (negatively), population group (mixed-race and Indian students smoke more), religion (Muslims smoke more), faculty (medical students smoke less), and spending money (positively). Current cigarette smoking is associated with similar covariates, but not with age. CONCLUSION: Waterpipe smoking in the Western Cape is widespread, but less than cigarette smoking. Because all tobacco products are harmful, the government has an obligation to impose appropriate regulatory measures to reduce waterpipe consumption.
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Authors
Kruger,L., van Walbeek,C., Vellios,N.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe smoking and cancer: systematic review and meta-analysis 2016 School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.; School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.; School of Epidemiology, Public He
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
10-May
Volume
Issue
Start Page
Other Pages
Notes
LR: 20160512; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/; JID: 9209612; OTO: NOTNLM; 2015/10/16 [rece
Place of Publication
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27165994
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
tobaccocontrol-2015-052758 [pii]
Output Language
Unknown(0)
PMID
27165994
Abstract
OBJECTIVE: Although accumulating evidence suggests harmful effects of waterpipe smoking, there is limited information about its direct association with chronic diseases, notably cancer. We provide an up-to-date systematic review and meta-analysis of the association between waterpipe smoking and cancer. DATA SOURCES: Systematic search of articles indexed in main biomedical databases: Pubmed, EmBase, Google Scholar and Web of Science, published between 1962 and September 2014. Search keywords included a combination of waterpipe or hookah, sheesha, nargile, hubble-bubble, goza or gaylan, and cancer. STUDY SELECTION: Focus on observational studies (cohort, case-control, cross-sectional) that evaluated the association between waterpipe smoking and cancer. Studies with mixed exposures excluded. DATA EXTRACTION: Two investigators independently extracted data and reached consensus on all items. DATA SYNTHESIS: 13 case-control studies met the inclusion criteria and were considered for meta-analysis. The methodological quality of included studies was assessed using the Newcastle-Ottawa Scale (NOS). Meta-analysis revealed a positive association between waterpipe smoking and lung cancer (OR=4.58 (2.61 to 8.03); I2=44.67%), and oesophageal cancer (OR=3.63 (1.39 to 9.44); I2 =94.49%). The majority of studies had a NOS score of 5-6 or 7, indicating 'fair' or 'good' quality, respectively. CONCLUSIONS: Our findings support a positive association between waterpipe smoking and cancer risk. However, high-quality studies with standardised exposure measurements are needed to clarify the contribution of waterpipe smoking to chronic diseases. More investments in initiatives for surveillance, intervention and regulatory policy for waterpipe smoking are urgently warranted.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Montazeri,Z., Nyiraneza,C., El-Katerji,H., Little,J.
Original/Translated Title
URL
Date of Electronic
20160510
PMCID
Editors
Waterpipe smoking and cancer: systematic review and meta-analysis 2017 School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.; School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.; School of Epidemiology,(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Jan
Volume
26
Issue
1
Start Page
92
Other Pages
97
Notes
LR: 20181202; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.; JID: 9209612; OTO: NOTNLM; 2015/10/16 00:0
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27165994
Language
eng
SubFile
Journal Article; Meta-Analysis; Review; Systematic Review; IM
DOI
10.1136/tobaccocontrol-2015-052758 [doi]
Output Language
Unknown(0)
PMID
27165994
Abstract
OBJECTIVE: Although accumulating evidence suggests harmful effects of waterpipe smoking, there is limited information about its direct association with chronic diseases, notably cancer. We provide an up-to-date systematic review and meta-analysis of the association between waterpipe smoking and cancer. DATA SOURCES: Systematic search of articles indexed in main biomedical databases: Pubmed, EmBase, Google Scholar and Web of Science, published between 1962 and September 2014. Search keywords included a combination of waterpipe or hookah, sheesha, nargile, hubble-bubble, goza or gaylan, and cancer. STUDY SELECTION: Focus on observational studies (cohort, case-control, cross-sectional) that evaluated the association between waterpipe smoking and cancer. Studies with mixed exposures excluded. DATA EXTRACTION: Two investigators independently extracted data and reached consensus on all items. DATA SYNTHESIS: 13 case-control studies met the inclusion criteria and were considered for meta-analysis. The methodological quality of included studies was assessed using the Newcastle-Ottawa Scale (NOS). Meta-analysis revealed a positive association between waterpipe smoking and lung cancer (OR=4.58 (2.61 to 8.03); I(2)=44.67%), and oesophageal cancer (OR=3.63 (1.39 to 9.44); I(2) =94.49%). The majority of studies had a NOS score of 5-6 or 7, indicating 'fair' or 'good' quality, respectively. CONCLUSIONS: Our findings support a positive association between waterpipe smoking and cancer risk. However, high-quality studies with standardised exposure measurements are needed to clarify the contribution of waterpipe smoking to chronic diseases. More investments in initiatives for surveillance, intervention and regulatory policy for waterpipe smoking are urgently warranted.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Montazeri,Z., Nyiraneza,C., El-Katerji,H., Little,J.
Original/Translated Title
URL
Date of Electronic
20160510
PMCID
Editors
Evaluating health warning messages specific to waterpipe smoking among university students in Jordan 2019 School of Nursing, University of Jordan, Amman, Jordan.; Department of Health Outcomes and Policy, College of Medicine, University of Florida, Gainesville, Florida.; School of Nursing, University of Jordan, Amman, Jordan.; School of Nursing, Uni(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of the American Association of Nurse Practitioners
Periodical, Abbrev.
J.Am.Assoc.Nurse.Pract.
Pub Date Free Form
Feb
Volume
31
Issue
2
Start Page
133
Other Pages
138
Notes
LR: 20190520; JID: 101600770; 2018/12/07 06:00 [pubmed]; 2019/05/21 06:00 [medline]; 2018/12/04 06:00 [entrez]; ppublish
Place of Publication
United States
ISSN/ISBN
2327-6924; 2327-6886
Accession Number
PMID: 30507761
Language
eng
SubFile
Journal Article; N
DOI
10.1097/JXX.0000000000000107 [doi]
Output Language
Unknown(0)
PMID
30507761
Abstract
BACKGROUND AND PURPOSE: Health warning messages specific to waterpipe smoking (WPS) have not been tested enough in literature. This study evaluated university students' response to such messages. Specifically, this study (1) assessed the extent to which certain warning messages and pictorial signs motivate participants to quit WPS smoking; (2) identified the best location to place the warning signs of waterpipe as perceived by participants; and (3) assessed participants' intention to quit WPS. METHODS: A descriptive, cross-sectional design was used to collect data from 397 university students in Jordan using an Internet-based survey. The following data were collected: intentions regarding WPS, response to nine warning messages, and responses to four pictorial signs. RESULTS: The message that had the highest motivation to quit smoking was " WPS during pregnancy can harm your baby" (79.3%), whereas the highest pictorial sign was regarding "Protect your children" (64.2%). Most (69.5%) participants believed that WPS products and accessories should contain warnings, and the best suggested location was the pipe handle (52.4%). Participants who reported quitting WPS and those who had an intention to quit had significantly higher responses to both types of health warning labels (HWLs). CONCLUSION: Both text-only and pictorial HWLs were found to encourage quitting WPS among university students. Knowing that participants are having an intention to quit mandates extra efforts to make WPS experience less appealing through reminding them regarding its harms. IMPLICATIONS FOR PRACTICE: Support is needed by health care providers to put those effective health warning messages in action. Furthermore, providers can use such health warnings in motivating their patients to quit WPS.
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Database
Publisher
Data Source
Authors
Darawad,M.W., Salloum,R., Alhussami,M., Maharmeh,M.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Burden of waterpipe smoking and chewing tobacco use among women of reproductive age group using data from the 2012-13 Pakistan Demographic and Health Survey 2015 School of Public Health, Dow University of Health Sciences, OJHA Campus, SUPARCO road, Gulzar e Hijri, Karachi, Pakistan. tahir.khan@duhs.edu.pk.; School of Public Health, Dow University of Health Sciences, OJHA Campus, SUPARCO road, Gulzar e Hijri, Karac
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
12-Nov
Volume
15
Issue
Start Page
1113
Other Pages
015-2433-7
Notes
LR: 20151116; JID: 100968562; OID: NLM: PMC4643522; 2015/06/22 [received]; 2015/10/20 [accepted]; 2015/11/12 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 26563874
Language
eng
SubFile
Journal Article; IM
DOI
10.1186/s12889-015-2433-7 [doi]
Output Language
Unknown(0)
PMID
26563874
Abstract
BACKGROUND: Despite the general decline in cigarette smoking, use of alternative forms of tobacco has increased particularly in developing countries. Waterpipe (WP) and Chewing Tobacco (CT) are two such alternative forms, finding their way into many populations. However, the burden of these alternative forms of tobacco and their socio demographic determinants are still unclear. We assessed the prevalence of WP and CT use among women of reproductive age group in Pakistan. METHODS: Data from the most recent Pakistan Demographic and Health Survey 2012-13 (n = 13,558) was used for this analysis. Information obtained from ever married women, aged between 15 and 49 years were analyzed using two separate data subgroups; exclusive WP smokers (total n = 12,995) and exclusive CT users (total n = 12,771). Univariate and Multivariate logistic regression analyses were conducted and results were reported as crude and adjusted Odds Ratio with 95% confidence intervals. RESULTS: Prevalence of WP smoking and CT were 4% and 2%, respectively. After multivariate adjustments, ever married women who were: older than 35 years (OR; 4.68 95% CI, 2.62-8.37), were poorest (OR = 4.03, 95% CI 2.08-7.81), and had no education (OR = 9.19, 95% CI 5.10-16.54), were more likely to be WP smokers. Similarly, ever married women who were: older than 35 years (OR = 3.19, 95% CI 1.69-6.00), had no education (OR = 4.94, 95% CI 2.62-9.33), were poor (OR = 1.64, 95% CI 1.07-2.48) and had visited health facility in last 12 months (OR = 1.81, 95% CI 1.22-2.70) were more likely to be CT users as well. CONCLUSION: Older women with lower socio-economic profile were more likely to use WP and CT. Focused policies aiming towards reducing the burden of alternate forms of tobacco use among women is urgently needed to control the tobacco epidemic in the country.
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Book Title
Database
Publisher
Data Source
Authors
Khan,M.T., Hashmi,S., Zaheer,S., Aslam,S.K., Khan,N.A., Aziz,H., Rashid,N., Shafique,K.
Original/Translated Title
URL
Date of Electronic
20151112
PMCID
PMC4643522
Editors
Waterpipe smoking among secondary school students in Hong Kong 2016 School of Public Health, The University of Hong Kong, 5/F William MW Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong.; School of Public Health, The University of Hong Kong, 5/F William MW Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong. syho@hku.hk.; Sc
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International journal of public health
Periodical, Abbrev.
Int.J.Public.Health.
Pub Date Free Form
May
Volume
61
Issue
4
Start Page
427
Other Pages
434
Notes
JID: 101304551; OTO: NOTNLM; 2015/10/16 [received]; 2016/01/27 [accepted]; 2015/12/28 [revised]; 2016/02/12 [aheadofprint]; ppublish
Place of Publication
Switzerland
ISSN/ISBN
1661-8564; 1661-8556
Accession Number
PMID: 26873908
Language
eng
SubFile
Journal Article; IM
DOI
10.1007/s00038-016-0796-x [doi]
Output Language
Unknown(0)
PMID
26873908
Abstract
OBJECTIVES: To examine the prevalence of waterpipe smoking and its associated factors among adolescents in Hong Kong. METHODS: We analyzed data of the School-based Survey on Smoking among Students 2012/2013 from a representative sample of 45,857 secondary school students in Hong Kong (mean age 14.8, SD 1.9). We conducted Chi-square tests and t test to compare current (past 30 days) waterpipe users and nonusers by sociodemographic variables and other covariates. Univariate and multivariable logistic regression models were used to examine the factors associated with current waterpipe smoking. RESULTS: Overall, 1.2 % of students reported current waterpipe smoking, of whom 43 % reported concurrent use of cigarettes. Waterpipe was the most popular alternative tobacco product (non-cigarette) used by students. Current waterpipe smoking was associated with older age, male sex, higher self-perceived family financial status, poor knowledge about the harm of cigarette smoking, positive attitudes toward smoking, current cigarette smoking, other tobacco use, and alcohol consumption. CONCLUSIONS: Waterpipe smoking was the most popular alternative tobacco product among Hong Kong adolescents. Despite the low prevalence, it should be routinely monitored. Education programs and cessation interventions need to address waterpipe smoking in addition to cigarette smoking.
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Database
Publisher
Data Source
Authors
Jiang,N., Ho,S.Y., Wang,M.P., Leung,L.T., Lam,T.H.
Original/Translated Title
URL
Date of Electronic
20160212
PMCID
Editors
Waterpipe tobacco smoking: The critical need for cessation treatment 2015 School of Public Health, University of Memphis, 201 Robison Hall, Memphis, TN 38152-3450, United States; Syrian Center for Tobacco Studies, Tishreen Street, Sheehan, PO Box: 16542, Aleppo, Syria. Electronic address: kdward@memphis.edu.; Department of Heal
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Drug and alcohol dependence
Periodical, Abbrev.
Drug Alcohol Depend.
Pub Date Free Form
1-Aug
Volume
153
Issue
Start Page
14
Other Pages
21
Notes
CI: Copyright (c) 2015; JID: 7513587; OTO: NOTNLM; 2014/12/17 [received]; 2015/04/27 [revised]; 2015/05/18 [accepted]; 2015/05/27 [aheadofprint]; ppublish
Place of Publication
Ireland
ISSN/ISBN
1879-0046; 0376-8716
Accession Number
PMID: 26054945
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; Review; IM
DOI
10.1016/j.drugalcdep.2015.05.029 [doi]
Output Language
Unknown(0)
PMID
26054945
Abstract
BACKGROUND: Waterpipe use has spread globally, and has substantial negative health effects and nicotine dependence potential. A growing literature addresses cessation-related experiences of waterpipe users, but this literature has not been summarized nor is guidance available on developing and testing cessation interventions. METHOD: Authors gathered key empirical papers on waterpipe cessation-related topics, including observational studies about users' perceived ability to quit, interest in quitting, quit rates, and cessation trials. Based on this review, recommendations are made to guide the development and rigorous evaluation of waterpipe cessation interventions. RESULTS: Many users want to quit and make quit attempts, but are unsuccessful at doing so on their own; therefore, developing and testing waterpipe cessation interventions should be a priority for global tobacco control efforts. Early efforts have tested waterpipe cessation interventions designed for, or adapted from, cigarette smoking programs. CONCLUSIONS: Waterpipe-specific cessation programs that address unique features of waterpipe smoking (e.g., its cultural significance, social uses, and intermittent use pattern) and characteristics and motivations of users who want to quit are needed. Recommendations are provided to move waterpipe cessation intervention development forward.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ireland Ltd
Data Source
Authors
Ward,K.D., Siddiqi,K., Ahluwalia,J.S., Alexander,A.C., Asfar,T.
Original/Translated Title
URL
Date of Electronic
20150527
PMCID
Editors