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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
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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
Prevalence and Determinants of Waterpipe Tobacco Use among Adolescents in Oman 2008 Department of Non-Communicable Diseases, Ministry of Health, Muscat, Oman;
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Sultan Qaboos University medical journal
Periodical, Abbrev.
Sultan Qaboos Univ.Med.J.
Pub Date Free Form
Mar
Volume
8
Issue
1
Start Page
37
Other Pages
43
Notes
LR: 20130529; JID: 101519915; OID: NLM: PMC3087736; OTO: NOTNLM; 2007/07/24 [received]; 2007/12/15 [accepted]; ppublish
Place of Publication
Oman
ISSN/ISBN
2075-051X; 2075-051X
Accession Number
PMID: 21654955
Language
eng
SubFile
Journal Article
DOI
Output Language
Unknown(0)
PMID
21654955
Abstract
OBJECTIVE: To assess the prevalence and determinants of waterpipe use among school-going adolescents in Oman. METHODS: A cross-sectional, school-based study was conducted in 2003 involving 9 regions of Oman, as part of the Global Youth Tobacco Survey. Participants were requested to complete an anonymous questionnaire containing demographic characteristics, current and previous use of waterpipe tobacco, attitudes towards cigarette smoking, parents' and friends' cigarette smoking habits. Proportions were used to calculate prevalence rates and logistic regression analysis to obtain odds ratio (OR) and 95% confidence interval (CI). RESULTS: 1,962 students participated of whom 1,005 (51.2%) were males. Eighty-eight percent were between 13 and 16 years of age. Five hundred and twenty-two (26.6%) reported ever smoking waterpipe tobacco while 189 (9.6%) were current users. Among males, 155 (15.5%) were current users while among females only 24 (2.6%) smoked currently. Study participants were more likely to use waterpipe if they had a parent or friend who smoked cigarettes. Adolescents were, however, less likely to use waterpipe tobacco if they believed that cigarette smoking was harmful to health. Students who were receiving 500 Baisas (US$ 1.3) or more per day pocket money were more likely to use waterpipe tobacco compared to those receiving less (OR 3.3, 95% CI 2.3 to 4.6). In multivariate analysis, the OR for males being a smoker of waterpipe tobacco compared to females was 4.46 (95% CI, 2.38 to 8.35); while the OR for most or all friends smoking cigarettes compared to non-smoking was OR 5.65 (95% CI 2.87 to 11.13). Study participants who perceived smoking as harmful to health were less likely to use waterpipe tobacco compared to those who did not believe smoking was harmful (OR 0.31, 95% CI 0.29 to 0.92) and those receiving 500 Baisas or more (OR 2.2, 95% CI 1.5 to 3.2). CONCLUSION: Waterpipe smoking among Omani adolescents is an emerging public health concern. Efforts to prevent adolescent smoking should be designed with knowledge of associated factors of such behaviour and should include all forms of tobacco.
Descriptors
Adolescents, Oman, Tobacco, Waterpipe
Links
Book Title
Database
Publisher
Data Source
Authors
Al-Lawati,J. A., Muula,A. S., Hilmi,S. A., Rudatsikira,E.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC3087736
Editors
Waterpipe smoking, oral cancer and other oral health effects 2011 Oral Medicine, Department of Clinical & Diagnostic Sciences, King's College London Dental Institute, WHO Collaborating Centre for Oral Cancer, UK.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Evidence-based dentistry
Periodical, Abbrev.
Evid Based.Dent.
Pub Date Free Form
Volume
12
Issue
2
Start Page
44
Other Pages
45
Notes
JID: 100883603; CON: Int J Epidemiol. 2010 Jun;39(3):834-57. PMID: 20207606; ppublish
Place of Publication
England
ISSN/ISBN
1476-5446; 1462-0049
Accession Number
PMID: 21701545
Language
eng
SubFile
Comment; Journal Article
DOI
10.1038/sj.ebd.6400790 [doi]
Output Language
Unknown(0)
PMID
21701545
Abstract
DATA SOURCES: MEDLINE, EMBASE and ISI the Web of Science. STUDY SELECTION: Articles in any language that assessed the association between water pipe smoking and any health outcome. Included studies were cohort, case-control and cross-sectional. Studies were excluded if they looked at physiological outcomes, non-tobacco pipe use, or didn't differentiate between this and other smoking habits. DATA EXTRACTION AND SYNTHESIS: Data were abstracted independently by two reviewers using a standardised screening guide and GRADE used to evaluate study quality. The I(2) statistic was used to measure heterogeneity. Odds ratios for the effect of pipe smoking on lung, bladder, oesophageal and nasopharyngeal cancer, oral dysplasia, pregnancy outcomes, periodontal disease, hepatitis, respiratory illness and infertility were extracted. RESULTS: Twenty-three studies were included. Based on the available evidence, waterpipe tobacco smoking was significantly associated with lung cancer, respiratory illness, low birth-weight and periodontal disease. It was not significantly associated with bladder, nasopharyngeal and oesophageal cancers, neither with oral dysplasia or infertility, but the confidence Intervals (CIs) did not exclude important associations. Smoking a waterpipe in groups was not significantly associated with hepatitis C infection. The overall quality of evidence varied from very low to low. CONCLUSIONS: The evidence from very low to low quality studies is that waterpipe tobacco smoking is possibly associated with a number of deleterious health outcomes including lung cancer, respiratory illness, low birth-weight and periodontal disease.
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Database
Publisher
Data Source
Authors
Warnakulasuriya,S.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Mainstream smoke of the waterpipe: does this environmental matrix reveal as significant source of toxic compounds? 2011 German Federal Institute for Risk Assessment (BfR), Department of Product Safety, Thielallee 88-92, 14195 Berlin, Germany. Jens.Schubert@bfr.bund.de
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Toxicology letters
Periodical, Abbrev.
Toxicol.Lett.
Pub Date Free Form
10-Sep
Volume
205
Issue
3
Start Page
279
Other Pages
284
Notes
LR: 20151119; CI: Copyright (c) 2011; JID: 7709027; 0 (4-(methylnitrosamino)-1-(3-pyridyl)-1-butan-1-ol); 0 (Carcinogens); 0 (Hygroscopic Agents); 0 (Nitrosamines); 0 (Polycyclic Hydrocarbons, Aromatic); 0 (Pyridines); 0 (Smoke); 059QF0KO0R (Water); 3417W
Place of Publication
Netherlands
ISSN/ISBN
1879-3169; 0378-4274
Accession Number
PMID: 21712083
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.toxlet.2011.06.017 [doi]
Output Language
Unknown(0)
PMID
21712083
Abstract
In recent years the number of waterpipe smokers has increased substantially worldwide. Here we report on the concentrations of tobacco-specific nitrosamines (TSNAs) and polycyclic aromatic hydrocarbons (PAHs) in waterpipe smoke and the analysis of selected biomarkers indicative for the body burden in waterpipe users. We further identify high amounts of unburned humectants (glycerol and propylene glycol) in the waterpipe smoke as main part of the so-called "tar" fraction. These results give cause for serious concern. For standardization we applied a machine smoking protocol. Smoke was collected on glass fiber filters and analyzed for nicotine, water, humectants, TSNAs, and PAHs. In addition, we determined carbon monoxide and found high amounts in the smoke being causative for high levels of carboxyhemoglobin (COHb) in the blood of smokers. In comparison to the reference cigarette 3R4F, the nicotine contents were 10-times higher, but TSNA levels were found lower in waterpipe smoke. This finding explained the low levels of 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol detected in the urine of waterpipe smokers. Finally, the levels of benzo[a]pyrene were three times higher in waterpipe smoke compared to the reference cigarette. Altogether, the data presented in this study point to the health hazards associated with the consumption of waterpipes.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ireland Ltd
Data Source
Authors
Schubert,J., Hahn,J., Dettbarn,G., Seidel,A., Luch,A., Schulz,T.G.
Original/Translated Title
URL
Date of Electronic
20110625
PMCID
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
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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
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 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
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Book Title
Database
Publisher
Data Source
Authors
Grekin,E.R., Ayna,D.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Indoor air quality in Virginia waterpipe cafes 2013 Department of Psychology, Virginia Commonwealth University, Richmond, Virginia 23298, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Sep
Volume
22
Issue
5
Start Page
338
Other Pages
343
Notes
LR: 20150225; GR: F31DA028102/DA/NIDA NIH HHS/United States; GR: R01CA120142/CA/NCI NIH HHS/United States; GR: R01DA024876/DA/NIDA NIH HHS/United States; GR: R01DA025659/DA/NIDA NIH HHS/United States; GR: R25 CA090314/CA/NCI NIH HHS/United States; GR: T32
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 22447194
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1136/tobaccocontrol-2011-050350 [doi]
Output Language
Unknown(0)
PMID
22447194
Abstract
INTRODUCTION: A revised indoor air quality law has been implemented in Virginia to protect the public from the harmful effects of secondhand smoke exposure. This legislation contains exemptions that include allowances for smoking in a room that is structurally separated and separately ventilated. The objective of the current study was to examine the impact of this law on air quality in waterpipe cafes, as well as to compare the air quality in these cafes to restaurants that allow cigarette smoking and those where no smoking is permitted. METHODS: Indoor air quality in 28 venues (17 waterpipe cafes, five cigarette smoking-permitted restaurants and six smoke-free restaurants (five with valid data)) in Virginia was assessed during 4 March to 27 May 2011. Real-time measurements of particulate matter (PM) with 2.5 mum aerodynamic diameter or smaller (PM2.5) were obtained and occupant behaviour/venue characteristics were assessed. RESULTS: The highest mean PM2.5 concentration was observed for waterpipe cafe smoking rooms (374 mug/m(3), n=17) followed by waterpipe cafe non-smoking rooms (123 mug/m(3), n=11), cigarette smoking-permitted restaurant smoking rooms (119 mug/m(3), n=5), cigarette smoking-permitted restaurant non-smoking rooms (26 mug/m(3), n=5) and smoke-free restaurants (9 mug/m(3), n=5). Smoking density was positively correlated with PM2.5 across smoking rooms and the smoke-free restaurants. In addition, PM2.5 was positively correlated between smoking and non-smoking rooms of venues. CONCLUSIONS: The PM2.5 concentrations observed among the waterpipe cafes sampled here indicated air quality in the waterpipe cafe smoking rooms was worse than restaurant rooms in which cigarette smoking was permitted, and state-required non-smoking rooms in waterpipe cafes may expose patrons and employees to PM2.5 concentrations above national and international air quality standards. Reducing the health risks of secondhand smoke may require smoke-free establishments in which tobacco smoking sources such as water pipes are, like cigarettes, prohibited.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Cobb,C.O., Vansickel,A.R., Blank,M.D., Jentink,K., Travers,M.J., Eissenberg,T.
Original/Translated Title
URL
Date of Electronic
20120324
PMCID
PMC3889072
Editors
Lower prevalence of cigarette and waterpipe smoking, but a higher risk of waterpipe dependence in Lebanese adult women than in men 2012 Faculty of Public Health & Pharmacy, Lebanese University, Beirut, Lebanon. pascalesalameh1@hotmail.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Women & health
Periodical, Abbrev.
Women Health
Pub Date Free Form
Volume
52
Issue
2
Start Page
135
Other Pages
150
Notes
LR: 20151119; JID: 7608076; 059QF0KO0R (Water); 7U1EE4V452 (Carbon Monoxide); ppublish
Place of Publication
United States
ISSN/ISBN
1541-0331; 0363-0242
Accession Number
PMID: 22458290
Language
eng
SubFile
Evaluation Studies; Journal Article; IM
DOI
10.1080/03630242.2012.656885 [doi]
Output Language
Unknown(0)
PMID
22458290
Abstract
The objective of this study was to evaluate whether nicotine dependence was higher in Lebanese women smokers compared with men smokers. Data were taken from a national cross-sectional study. Lebanese residents aged >/= 40 years were enrolled between October 2009 and September 2010. After informed consent, participants answered a standardized questionnaire about smoking behaviors and dependence (measured by the Fagerstrom-Test-Nicotine-Dependence for cigarettes and the Lebanon-Waterpipe-Dependence-Scale 11 for waterpipes): 1,066 males and 1,134 females were interviewed. 58.7% versus 42.9% of them, respectively, ever smoked cigarettes, while 6.9% versus 6.7% ever smoked a waterpipe (p
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Salameh,P., Khayat,G., Waked,M.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Waterpipe tobacco and cigarette smoking among university students in Jordan 2012 Department of Medical Laboratory Sciences, Jordan University for Science and Technology, Irbid, Jordan.
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
Jul
Volume
16
Issue
7
Start Page
986
Other Pages
992
Notes
LR: 20151119; GR: K07 CA114315/CA/NCI NIH HHS/United States; GR: R01 CA140150/CA/NCI NIH HHS/United States; GR: R01-CA120142/CA/NCI NIH HHS/United States; GR: R01-CA140150/CA/NCI NIH HHS/United States; GR: R03-TW008371/TW/FIC NIH HHS/United States; JID: 9
Place of Publication
France
ISSN/ISBN
1815-7920; 1027-3719
Accession Number
PMID: 22525279
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.5588/ijtld.11.0764 [doi]
Output Language
Unknown(0)
PMID
22525279
Abstract
SETTING: While waterpipe and cigarette smoking have been well studied in Syria and Lebanon, data from Jordan are limited. OBJECTIVES: To characterize the relative prevalence of waterpipe tobacco and cigarette smoking among university students in Jordan, and to compare the demographic and environmental factors associated with each form of tobacco use. DESIGN: We surveyed 1845 students randomly recruited from four universities in Jordan. We used multivariable logistic regression controlling for clustering of individuals within universities to determine associations between demographic and environmental covariates and waterpipe tobacco and cigarette use. RESULTS: Waterpipe tobacco smoking rates were 30% in the past 30 days and 56% ever, while cigarette smoking rates were 29% in the past 30 days and 57% ever. Past 30-day waterpipe tobacco smoking rates were 59% for males and 13% for females. Females had substantially lower odds than males of being current waterpipe (OR 0.12, 95%CI 0.10-0.15) or cigarette (OR 0.08, 95%CI 0.05-0.14) smokers. Current cigarette smoking was more significantly associated with markers of high socio-economic status (SES) than waterpipe tobacco smoking. CONCLUSION: Waterpipe tobacco smoking is as common as cigarette smoking among Jordanian university students. While cigarette smoking is consistently associated with high SES, waterpipe tobacco smoking is more evenly distributed across various populations.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Khabour,O.F., Alzoubi,K.H., Eissenberg,T., Mehrotra,P., Azab,M., Carroll,M.V., Afifi,R.A., Primack,B.A.
Original/Translated Title
URL
Date of Electronic
20120416
PMCID
PMC3570564
Editors