WTS database

Title	Pub Year	Author	SearchLink Sort descending
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	Read more...
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
Nicotine exposure in daily waterpipe smokers and its relation to puff topography	2011	School of Public Health, University of Memphis, Memphis, TN, USA. wmaziak@memphis.edu	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Addictive Behaviors Periodical, Abbrev. Addict.Behav. Pub Date Free Form Apr Volume 36 Issue 4 Start Page 397 Other Pages 399 Notes LR: 20151119; CI: Copyright (c) 2010; GR: CA120142/CA/NCI NIH HHS/United States; GR: DA024876/DA/NIDA NIH HHS/United States; GR: R01 DA024876/DA/NIDA NIH HHS/United States; GR: R01 DA024876-04/DA/NIDA NIH HHS/United States; JID: 7603486; 0 (Tobacco Smoke Place of Publication England ISSN/ISBN 1873-6327; 0306-4603 Accession Number PMID: 21185126 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; IM DOI 10.1016/j.addbeh.2010.11.013 [doi] Output Language Unknown(0) PMID 21185126 Abstract Waterpipe tobacco smoking is increasing in popularity worldwide and available evidence point to its addictive and harmful potential. This study is conducted to assess nicotine exposure in daily waterpipe smokers, and its correlation with puff topography parameters. Sixty-one waterpipe tobacco smokers (56 males; mean age+/-SD, 30.9+/-9.5years; mean number of weekly waterpipe smoking episodes 7.8+/-5.7) abstained from smoking for at least 24h, and then smoked tobacco from a waterpipe ad libitum in a laboratory setting. During the session puff topography parameters were monitored continuously, and pre- and post-smoking expired-air CO was measured. Before and after smoking, venous blood was sampled for the assessment of plasma nicotine using Gas Chromatography-Mass Spectrometry. The average pre- and post-smoking expired-air CO was 4+/-1.7 and 35.5+/-32.7ppm, respectively (i.e., a CO boost of 31.5ppm, p<.001 mean="" plasma="" nicotine="" concentration="" increased="" from="" pre-smoking="" to="" post-smoking="" boost="" was="" correlated="" with="" total="" session="" time="" correlation="" coefficient="" r=".31," p=".04)," cumulative="" puff="" duration="" and="" smoke="" inhaled="" in="" the="" these="" data="" show="" considerable="" exposure="" daily="" waterpipe="" smokers="" that="" is="" a="" function="" of="" smoking="" patterns.=""> Descriptors Links Book Title Database Publisher Elsevier Ltd Data Source Authors Maziak,W., Rastam,S., Shihadeh,A.L., Bazzi,A., Ibrahim,I., Zaatari,G.S., Ward,K.D., Eissenberg,T. Original/Translated Title URL Date of Electronic 20101202 PMCID PMC3040439 Editors
Waterpipe (hookah) tobacco smoking among youth	2011	Department of Community and Family Health, University of South Florida, College of Public Health (MDC 056), Tampa, FL, USA.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Current problems in pediatric and adolescent health care Periodical, Abbrev. Curr.Probl.Pediatr.Adolesc.Health.Care. Pub Date Free Form Feb Volume 41 Issue 2 Start Page 34 Other Pages 57 Notes LR: 20151119; CI: Copyright (c) 2011; JID: 101134613; 0 (Tobacco Smoke Pollution); 6M3C89ZY6R (Nicotine); 7U1EE4V452 (Carbon Monoxide); ppublish Place of Publication United States ISSN/ISBN 1538-3199; 1538-3199 Accession Number PMID: 21232693 Language eng SubFile Journal Article; IM DOI 10.1016/j.cppeds.2010.10.001 [doi] Output Language Unknown(0) PMID 21232693 Abstract Waterpipe tobacco smoking is a centuries old practice, influenced by cultural tradition in Eastern Mediterranean countries, the Middle East, and parts of Asia. It historically has been an activity enjoyed primarily by men. In the past 2 decades, however, this method of tobacco smoking has increased in popularity in other parts of the world, including the USA. Growing interest in this form of smoking can be traced, in part, to the advent of a flavored tobacco, called maassel. The combination of flavoring agents and the paraphernalia itself used in the smoking process, along with its mystic appeal, novelty, affordability, and the social atmosphere in which smoking often occurs, has made waterpipe smoking attractive to women as well as men, cigarette smokers and nonsmokers alike, and particular groups, including persons of college age and younger adolescents. Although waterpipe smoking is perceived by its new generation of users to be less addictive and hazardous to health than cigarette smoking, researchers draw diametrically opposed conclusions. Research demonstrates that numerous toxic agents, including carcinogens, heavy metals, other particulate matter, and high levels of nicotine, are efficiently delivered through waterpipes. Moreover, sidestream smoke exposes others in the vicinity of waterpipe smokers to the risk of respiratory diseases and other conditions. In addition, persons sharing waterpipe mouthpieces may share infectious agents as well. Waterpipe tobacco smoking has been declared a public health problem by the World Health Organization and other authorities. Recognition of the deleterious effects of waterpipe smoking has led to initial attempts to expand regulatory control. Because waterpipe tobacco is not directly burned in the smoking process, many existing control measures do not apply. Public health authorities should monitor waterpipe tobacco use carefully. Finally, pediatricians and other healthcare providers should discourage experimentation and continued use among their adolescent patients. Descriptors Links Book Title Database Publisher Mosby, Inc Data Source Authors Martinasek,M.P., McDermott,R.J., Martini,L. Original/Translated Title URL Date of Electronic PMCID Editors
Acute effects of waterpipe tobacco smoking: a double-blind, placebo-control study	2011	Department of Psychology, Virginia Commonwealth University, Richmond, VA 23298-0205, USA.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Drug and alcohol dependence Periodical, Abbrev. Drug Alcohol Depend. Pub Date Free Form 1-Jul Volume 116 Issue 3-Jan Start Page 102 Other Pages 109 Notes LR: 20151119; CI: Published by Elsevier Ireland Ltd.; GR: F31 DA028102/DA/NIDA NIH HHS/United States; GR: F31 DA028102-02/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 Place of Publication Ireland ISSN/ISBN 1879-0046; 0376-8716 Accession Number PMID: 21277706 Language eng SubFile Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; IM DOI 10.1016/j.drugalcdep.2010.11.026 [doi] Output Language Unknown(0) PMID 21277706 Abstract BACKGROUND: Waterpipe tobacco smoking usually involves heating flavored tobacco with charcoal and inhaling the resulting smoke after it has passed through water. Waterpipe tobacco smoking increases heart rate and produces subjective effects similar to those reported by cigarette smokers. These responses are thought to be nicotine-mediated, though no placebo-control studies exist. Accordingly, this double-blind, placebo-control study compared the acute physiological and subjective effects of waterpipe tobacco smoking to those produced when participants used a waterpipe to smoke a flavor-matched, tobacco-free preparation. METHODS: Occasional waterpipe tobacco smokers (n = 37; 2-5 monthly smoking episodes for >/= 6 months) completed two double-blind, counterbalanced sessions that differed by product: preferred brand/flavor of waterpipe tobacco or flavor-matched, tobacco-free preparation. For each 45-min, ad lib smoking episode blood and expired air CO were sampled, cardiovascular and respiratory response were measured, and subjective response was assessed. RESULTS: Waterpipe tobacco smoking significantly increased mean (+/- SEM) plasma nicotine concentration (3.6 +/- 0.7 ng/ml) and heart rate (8.6 +/- 1.4 bpm) while placebo did not (0.1 +/- 0.0 ng/ml; 1.3 +/- 0.9b pm). For carboxyhemoglobin (COHb) and expired air CO, significant increases were observed for tobacco (3.8 +/- 0.4%; 27.9 +/- 2.6 ppm) and for placebo (3.9 +/- 0.4%; 27.7 +/- 3.3 ppm) with no differences across condition. Independent of condition, symptoms of nicotine/tobacco abstinence (e.g., "urges to smoke", "anxious") were reduced and direct effects (e.g., "dizzy", "satisfy") increased. DISCUSSION: These results from the first placebo-control study of waterpipe tobacco smoking demonstrate that waterpipe-induced heart rate increases are almost certainly mediated by nicotine though the subjective effects observed in these occasional smokers were not. Descriptors Links Book Title Database Publisher Data Source Authors Blank,M.D., Cobb,C.O., Kilgalen,B., Austin,J., Weaver,M.F., Shihadeh,A., Eissenberg,T. Original/Translated Title URL Date of Electronic 20110201 PMCID PMC3098931 Editors
Comparative analysis of waterpipe and cigarette suppression of abstinence and craving symptoms	2011	Syrian Center for Tobacco Studies, Aleppo, Syria.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Addictive Behaviors Periodical, Abbrev. Addict.Behav. Pub Date Free Form May Volume 36 Issue 5 Start Page 555 Other Pages 559 Notes LR: 20151119; CI: Copyright (c) 2011; GR: CA120142/CA/NCI NIH HHS/United States; GR: DA024876/DA/NIDA NIH HHS/United States; GR: R01 DA024876/DA/NIDA NIH HHS/United States; GR: R01 DA024876-04/DA/NIDA NIH HHS/United States; JID: 7603486; 6M3C89ZY6R (Nicot Place of Publication England ISSN/ISBN 1873-6327; 0306-4603 Accession Number PMID: 21316156 Language eng SubFile Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; IM DOI 10.1016/j.addbeh.2011.01.021 [doi] Output Language Unknown(0) PMID 21316156 Abstract This study's objective is to examine the relative effectiveness of cigarettes and waterpipe (WP) in reducing tobacco abstinence symptoms in dual cigarette/WP smokers. Sixty-one dual cigarette/WP smokers participated (mean age+/-SD 22.0+/-2.6 year; mean cigarettes/day 22.4+/-10.1; mean WPs/week 5.2+/-5.6). After 12-hour abstinence participants completed two smoking sessions (WP or cigarette), while they responded to subjective measures of withdrawal, craving, and nicotine effects administered before smoking and 5, 15, 30 and 45 min thereafter. For both tobacco use methods, scores on measures of withdrawal and craving were high at the beginning of session (i.e., before smoking) and were reduced significantly and comparably during smoking. Analysis of smoking and recovery (post-smoking) phases showed similarity in the way both tobacco use methods suppressed withdrawal and craving, but the recovery of some of these symptoms can be faster with cigarette use. This study is the first to show the ability of WP to suppress abstinence effects comparably to cigarettes, and its potential to thwart cigarette cessation. Descriptors Links Book Title Database Publisher Elsevier Ltd Data Source Authors Rastam,S., Eissenberg,T., Ibrahim,I., Ward,K.D., Khalil,R., Maziak,W. Original/Translated Title URL Date of Electronic 20110120 PMCID PMC3061840 Editors
Prevalence and correlates of waterpipe tobacco smoking by college students in North Carolina	2011	Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC 27157, United States. ESutfin@wfubmc.edu	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Drug and alcohol dependence Periodical, Abbrev. Drug Alcohol Depend. Pub Date Free Form 1-May Volume 115 Issue 2-Jan Start Page 131 Other Pages 136 Notes LR: 20150204; CI: Copyright (c) 2011; GR: R01 AA014007/AA/NIAAA NIH HHS/United States; GR: R01 AA014007-09/AA/NIAAA NIH HHS/United States; GR: R01AA014007/AA/NIAAA NIH HHS/United States; JID: 7513587; NIHMS271506; OID: NLM: NIHMS271506; OID: NLM: PMC30896 Place of Publication Ireland ISSN/ISBN 1879-0046; 0376-8716 Accession Number PMID: 21353750 Language eng SubFile Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; IM DOI 10.1016/j.drugalcdep.2011.01.018 [doi] Output Language Unknown(0) PMID 21353750 Abstract BACKGROUND: Known most commonly in the U.S. as "hookah," waterpipe tobacco smoking appears to be growing among college students. Despite beliefs that waterpipe use is safer than cigarette smoking, research to date (albeit limited) has found health risks of waterpipe smoking are similar to those associated with cigarette smoking, including lung cancer, respiratory illness, and periodontal disease. The goals of this study were to estimate the prevalence of use among a large, multi-institution sample of college students and identify correlates of waterpipe use, including other health-risk behaviors (i.e., cigarette smoking, alcohol, marijuana, and other illicit drug use) and availability of commercial waterpipe tobacco smoking venues. METHODS: A cross-sectional sample of 3770 college students from eight universities in North Carolina completed a web-based survey in fall 2008. RESULTS: Forty percent of the sample reported ever having smoked tobacco from a waterpipe, and 17% reported current (past 30-day) waterpipe tobacco smoking. Correlates associated with current waterpipe use included demographic factors (male gender, freshman class); other health-risk behaviors (daily and nondaily cigarette smoking, alcohol use, marijuana use, other illicit drug use); perceiving waterpipe tobacco smoking as less harmful than regular cigarettes; and having a commercial waterpipe venue near campus. CONCLUSIONS: The results highlight the popularity of waterpipe tobacco smoking among college students and underscore the need for more research to assess the public health implications of this growing trend. Descriptors Links Book Title Database Publisher Elsevier Ireland Ltd Data Source Authors Sutfin,E.L., McCoy,T.P., Reboussin,B.A., Wagoner,K.G., Spangler,J., Wolfson,M. Original/Translated Title URL Date of Electronic 20110225 PMCID PMC3089695 Editors
Affecting perceptions of harm and addiction among college waterpipe tobacco smokers	2011	Duke University School of Nursing, 307 Trent Dr., Durham, NC 27710, USA. Isaac.Lipkus@Duke.edu	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 Jul Volume 13 Issue 7 Start Page 599 Other Pages 610 Notes LR: 20160527; GR: P30 DA023026/DA/NIDA NIH HHS/United States; GR: P30 DA023026/DA/NIDA NIH HHS/United States; GR: R01 CA114389/CA/NCI NIH HHS/United States; JID: 9815751; OID: NLM: PMC3129239; 2011/04/06 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1469-994X; 1462-2203 Accession Number PMID: 21471304 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; IM DOI 10.1093/ntr/ntr049 [doi] Output Language Unknown(0) PMID 21471304 Abstract INTRODUCTION: The spread of waterpipe tobacco use among youth may be due in part to perceptions that waterpipe tobacco use is safer than other tobacco products, such as cigarettes. In two pilot studies, we sought to modify college waterpipe smokers' perceived risks and worry about waterpipe tobacco smoking. METHODS: We conducted two web-based studies that varied whether college waterpipe users received information on (a) spread of and use of flavored tobacco in waterpipe and (b) harms of waterpipe smoking. Study 1 (N = 91) tested the "incremental" effects on perceptions of risk and worry of adding information about harms of waterpipe smoking to information on the spread of waterpipe and use of flavorings in the tobacco. Study 2 (N = 112) tested the effects on perceptions of risk and worry of reviewing information about harms of waterpipe smoking compared to a no information control group. In Study 1 only, we assessed as part of a 6-month follow-up (n = 70) the percentage of participants who reported no longer using waterpipe. RESULTS: Pooling data from both studies, participants who received information about the harms of waterpipe smoking reported greater perceived risk and worry about harm and addiction and expressed a stronger desire to quit. In Study 1, 62% of participants in the experimental group versus 33% in the control group reported having stopped waterpipe use. CONCLUSIONS: These are the first studies to show that perceptions of addiction and harm from waterpipe use can be modified using minimally intensive interventions; such interventions show promise at decreasing waterpipe use. Descriptors Links Book Title Database Publisher Data Source Authors Lipkus,I.M., Eissenberg,T., Schwartz-Bloom,R.D., Prokhorov,A.V., Levy,J. Original/Translated Title URL Date of Electronic 20110406 PMCID PMC3129239 Editors
The rise in narghile (shisha, hookah) waterpipe tobacco smoking: a qualitative study of perceptions of smokers and non smokers	2011	Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full BMC public health Periodical, Abbrev. BMC Public Health Pub Date Free Form 14-May Volume 11 Issue Start Page 315 Other Pages 2458-11-315 Notes LR: 20150204; JID: 100968562; 059QF0KO0R (Water); OID: NLM: PMC3112129; 2010/08/18 [received]; 2011/05/14 [accepted]; 2011/05/14 [aheadofprint]; epublish Place of Publication England ISSN/ISBN 1471-2458; 1471-2458 Accession Number PMID: 21569577 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1186/1471-2458-11-315 [doi] Output Language Unknown(0) PMID 21569577 Abstract BACKGROUND: The prevalence of waterpipe tobacco smoking (WTS) in the Middle East region and worldwide is increasing. There is evidence to indicate both short term and long term health effects of WTS, resulting in the issuance of an advisory note by the World Health Organization. METHODS: This research aimed at gaining an in-depth understanding of the factors contributing to the rise in WTS in Lebanon. Qualitative focus groups (25) and in-depth interviews (9) were conducted with adults in Lebanon in 2007. Participants were recruited to represent diversity in smoking status, gender, age groups and urban/rural residence. The interviews and focus groups were thematically analyzed, and recurrent themes noted and summarized. RESULTS: The main themes identified were availability, affordability, innovation, influence of media, lack of a policy framework, and the sensory characteristics evoked from WTS. Men and women, smokers and non-smokers, and younger and older participants differed in their emphases on the above themes. These themes, though specific to waterpipe, are similar to themes manipulated by the cigarette industry, and eventually controlled through tobacco control policies. CONCLUSIONS: Understanding reasons behind the rise in waterpipe tobacco use is important if appropriate prevention, cessation, and policy interventions are to be formulated. Strict adherence to the FCTC is warranted, with careful and vigilant attention that all tobacco products are covered by laws in both high as well as middle to lower income countries. Descriptors Links Book Title Database Publisher Data Source Authors Nakkash,R.T., Khalil,J., Afifi,R.A. Original/Translated Title URL Date of Electronic 20110514 PMCID PMC3112129 Editors
Waterpipe tobacco use among Iranian university students: correlates and perceived reasons for use	2011	Kerman University of Medical Sciences, Kerman, Iran.	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 Jun Volume 15 Issue 6 Start Page 844 Other Pages 847 Notes LR: 20151119; JID: 9706389; 059QF0KO0R (Water); ppublish Place of Publication France ISSN/ISBN 1815-7920; 1027-3719 Accession Number PMID: 21575309 Language eng SubFile Journal Article; Multicenter Study; IM DOI 10.5588/ijtld.10.0744 [doi] Output Language Unknown(0) PMID 21575309 Abstract SETTING: Waterpipe smoking is becoming a global health crisis among youth. OBJECTIVE: To identify the prevalence of waterpipe use among Iranian university students and to explore perceived reasons for use. METHODS: A random sample of 1024 university students at two major universities in South Iran was enrolled in the study. A three-part questionnaire (baseline data, tobacco smoking status and perceived reasons for waterpipe use) was used. Students filled out the self-administered questionnaire in their classrooms. RESULTS: The prevalence of waterpipe smoking in the respondents' lifetime and in the last 30 days was 42.5% and 18.7%, respectively. The mean age at initiation of waterpipe smoking was 16.3 +/- 3.2 years. Ever smoking was positively associated with age and male sex, whereas no association was found regarding marital status. The highest odds of lifetime waterpipe smoking were observed in students with close friends who smoked the waterpipe (5.94, 95%CI 4.26-8.30). The most important perceived reason for waterpipe smoking as stated by students was enjoyment (55.8%). CONCLUSION: Given the alarming prevalence of waterpipe smoking, preventive measures should be adopted among university students taking into account the influence of peers, siblings and parents in the lessening social tolerance of waterpipe smoking. Descriptors Links Book Title Database Publisher Data Source Authors Sabahy,A.R., Divsalar,K., Bahreinifar,S., Marzban,M., Nakhaee,N. Original/Translated Title URL Date of Electronic PMCID Editors
Waterpipe tobacco products: nicotine labelling versus nicotine delivery	2012	Department of Pharmacology and Toxicology, Institute for Drug and Alcohol Studies, Virginia Commonwealth University, Box 980205, Richmond, VA 23298, USA. arvansickel@vcu.edu	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Tobacco control Periodical, Abbrev. Tob.Control Pub Date Free Form May Volume 21 Issue 3 Start Page 377 Other Pages 379 Notes LR: 20151119; GR: R01 CA103827/CA/NCI NIH HHS/United States; GR: R01 CA120142/CA/NCI NIH HHS/United States; GR: R01CA103827/CA/NCI NIH HHS/United States; GR: R01CA120142/CA/NCI NIH HHS/United States; GR: T32DA007027-34/DA/NIDA NIH HHS/United States; JID: Place of Publication England ISSN/ISBN 1468-3318; 0964-4563 Accession Number PMID: 21636612 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; IM DOI 10.1136/tc.2010.042416 [doi] Output Language Unknown(0) PMID 21636612 Abstract BACKGROUND: Waterpipe tobacco package labelling typically indicates "0.0% tar" and "0.05% or 0.5% nicotine". OBJECTIVE: To determine the extent to which nicotine labeling is related to nicotine delivery. METHODS: 110 waterpipe smokers engaged in a 45-minute waterpipe smoking session. Puff topography and plasma nicotine were measured. Three waterpipe tobacco brands were used: Nakhla (0.5% nicotine), Starbuzz (0.05% nicotine), and Al Fakher (0.05% nicotine). Data were analyzed by one-way ANOVA. RESULTS: Topography did not differ across brands. Peak plasma nicotine varied significantly across brands. Al Fakher had the highest nicotine delivery (11.4 ng/ml) followed by Nakhla (9.8 ng/ml) and Starbuzz (5.8 ng/ml). CONCLUSIONS: Nicotine labelling on waterpipe tobacco products does not reflect delivery; smoking a brand with a "0.05% nicotine" label led to greater plasma nicotine levels than smoking a brand with a "0.5% nicotine" label. Waterpipe tobacco products should be labelled in a manner that does not mislead consumers. Descriptors Links Book Title Database Publisher Data Source Authors Vansickel,A.R., Shihadeh,A., Eissenberg,T. Original/Translated Title URL Date of Electronic 20110602 PMCID PMC3739484 Editors

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