Image
WTS Database
The subject of interest is:
waterpipe, water-pipe, nargile, narghile, arguileh, arguile, shisha, sheesha, chichi, hubble bubble, hubbly bubbly, goza, hookah, bong
| Title | Pub Year | Author | SearchLink Sort descending |
|---|---|---|---|
| Early symptoms of nicotine dependence among adolescent waterpipe smokers | 2016 | Department of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, Florida, USA Faculty of Medicine and Health Sciences, Aden University, Yemen.; Department of Family Medicine and Community Health, | Read more... |
|
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
25-Apr
Volume
Issue
Start Page
Other Pages
Notes
LR: 20160429; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/; GR: R01 DA035160/DA/NIDA NIH HHS/United Sta
Place of Publication
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27113610
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
tobaccocontrol-2015-052809 [pii]
Output Language
Unknown(0)
PMID
27113610
Abstract
BACKGROUND: Although waterpipe smoking is increasingly popular among youth and can lead to nicotine dependence (ND), no studies have documented how ND develops in waterpipe smokers. We examined the emerging symptoms of ND among adolescent waterpipe smokers in Lebanon. METHODS: Individual confidential interviews were used to evaluate ND in 160 waterpipe smokers and 24 cigarette smokers from a sample of 498 students enrolled in 8th and 9th grades in Lebanon. RESULTS: Among waterpipe smokers, 71.3% endorsed at least one Hooked on Nicotine Checklist (HONC) symptom and 38.1% developed the full syndrome of ND (>/=3 criteria using the International Classification of Diseases, 10th revision). The early symptoms of ND among waterpipe smokers were craving (25%), feeling addicted (22.5%), and failed quit attempts (14.3%). Among those who reached the respective milestones, median tobacco use when the first HONC symptom emerged was 7.5 waterpipes/month with smoking frequency of 6 days/month; the median tobacco use for the full syndrome of ND was 15 waterpipes/month with smoking frequency of 15 days/month. Among those who had already reached these milestones, the first HONC symptom appeared 10.9 months after the initiation of waterpipe smoking, and the full syndrome of ND was reached at 13.9 months. In addition, cues such as seeing or smelling waterpipe, and the cafe environment triggered craving in most waterpipe smokers with symptoms of ND. CONCLUSIONS: Symptoms of ND develop among adolescent waterpipe smokers at low levels of consumption and frequency of use. Craving for nicotine triggered by waterpipe-specific cues is reported even at this young age. Waterpipe-specific ND prevention and intervention programmes for youth are needed.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Bahelah,R., DiFranza,J.R., Fouad,F.M., Ward,K.D., Eissenberg,T., Maziak,W.
Original/Translated Title
URL
Date of Electronic
20160425
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 | Read more... |
|
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 | Read more... |
|
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
|
|||
| Consensus statement on assessment of waterpipe smoking in epidemiological studies | 2017 | Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA.; Syrian Center for Tobacco Studies, Aleppo, Syria.; Department of Epidemiology, Florida International Uni(TRUNCATED | Read more... |
|
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
May
Volume
26
Issue
3
Start Page
338
Other Pages
343
Notes
LR: 20181113; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.; GR: K24 DA038345/DA/NIDA NIH HHS/United St
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27165995
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.; IM
DOI
10.1136/tobaccocontrol-2016-052958 [doi]
Output Language
Unknown(0)
PMID
27165995
Abstract
Numerous epidemiological accounts suggest that waterpipe smoking (aka hookah, shisha, narghile) has become a global phenomenon, especially among youth. The alarming spread of waterpipe and accumulating evidence of its addictive and harmful effects represent a new threat in the global fight to limit tobacco-related morbidity and mortality. In response to waterpipe's alarming trends, major public health and tobacco control organisations have started or are considering systematic collection of data about waterpipe smoking to monitor its trends and assess its harmful effects in different societies. Such plans require coordination and agreement on epidemiological measurement tools that reflect the uniqueness of this tobacco use method, and at the same time allow comparison of waterpipe trends across time and place, and with other tobacco use methods. We started a decade ago our work to develop standardised measures and definitions for the assessment of waterpipe smoking in epidemiological studies. In this communication, we try to expand and update these assessment tools in light of our increased knowledge and understanding of waterpipe use patterns, its context and marketing, as well as the need for evidence-guided policies and regulations to curb its spread. We have assembled for this purpose a group of leading waterpipe researchers worldwide, and worked through an iterative process to develop the suggested instruments and definitions based on what we know currently about the waterpipe epidemic. While the suggested measures are by no means comprehensive, we hope that they can provide the building blocks for standard and comparable surveillance of waterpipe smoking globally.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Maziak,W., Ben Taleb,Z., Jawad,M., Afifi,R., Nakkash,R., Akl,E.A., Ward,K.D., Salloum,R.G., Barnett,T.E., Primack,B.A., Sherman,S., Cobb,C.O., Sutfin,E.L., Eissenberg,T., Expert Panel on Waterpipe Assessment in Epidemiological Studies
Original/Translated Title
URL
Date of Electronic
20160510
PMCID
PMC5104675
Editors
|
|||
| Consensus statement on assessment of waterpipe smoking in epidemiological studies | 2016 | Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA Syrian Center for Tobacco Studies, Aleppo, Syria.; Department of Epidemiology, Florida International University, Mia | Read more... |
|
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: 20160520; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/; GR: R01 DA035160/DA/NIDA NIH HHS/United Sta
Place of Publication
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27165995
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
tobaccocontrol-2016-052958 [pii]
Output Language
Unknown(0)
PMID
27165995
Abstract
Numerous epidemiological accounts suggest that waterpipe smoking (aka hookah, shisha, narghile) has become a global phenomenon, especially among youth. The alarming spread of waterpipe and accumulating evidence of its addictive and harmful effects represent a new threat in the global fight to limit tobacco-related morbidity and mortality. In response to waterpipe's alarming trends, major public health and tobacco control organisations have started or are considering systematic collection of data about waterpipe smoking to monitor its trends and assess its harmful effects in different societies. Such plans require coordination and agreement on epidemiological measurement tools that reflect the uniqueness of this tobacco use method, and at the same time allow comparison of waterpipe trends across time and place, and with other tobacco use methods. We started a decade ago our work to develop standardised measures and definitions for the assessment of waterpipe smoking in epidemiological studies. In this communication, we try to expand and update these assessment tools in light of our increased knowledge and understanding of waterpipe use patterns, its context and marketing, as well as the need for evidence-guided policies and regulations to curb its spread. We have assembled for this purpose a group of leading waterpipe researchers worldwide, and worked through an iterative process to develop the suggested instruments and definitions based on what we know currently about the waterpipe epidemic. While the suggested measures are by no means comprehensive, we hope that they can provide the building blocks for standard and comparable surveillance of waterpipe smoking globally.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Maziak,W., Ben Taleb,Z., Jawad,M., Afifi,R., Nakkash,R., Akl,E.A., Ward,K.D., Salloum,R.G., Barnett,T.E., Primack,B.A., Sherman,S., Cobb,C.O., Sutfin,E.L., Eissenberg,T., Expert Panel on Waterpipe Assessment in Epidemiological Studies
Original/Translated Title
URL
Date of Electronic
20160510
PMCID
Editors
|
|||
| Interventions for waterpipe tobacco smoking prevention and cessation: a systematic review | 2016 | Department of Primary Care and Public Health, Imperial College London, London, United Kingdom.; Academic Unit of Primary Care and Population Sciences, University of Southampton, Southampton, United Kingdom.; Nuffied Department of Primary Care Health Scien | Read more... |
|
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Scientific reports
Periodical, Abbrev.
Sci.Rep.
Pub Date Free Form
11-May
Volume
6
Issue
Start Page
25872
Other Pages
Notes
LR: 20160524; JID: 101563288; OID: NLM: PMC4863147; 2015/12/07 [received]; 2016/04/22 [accepted]; epublish
Place of Publication
England
ISSN/ISBN
2045-2322; 2045-2322
Accession Number
PMID: 27167891
Language
eng
SubFile
Journal Article; IM
DOI
10.1038/srep25872 [doi]
Output Language
Unknown(0)
PMID
27167891
Abstract
Waterpipe tobacco smoking is growing in popularity despite adverse health effects among users. We systematically reviewed the literature, searching MEDLINE, EMBASE and Web of Science, for interventions targeting prevention and cessation of waterpipe tobacco smoking. We assessed the evidence quality using the Cochrane (randomised studies), GRADE (non-randomised studies) and CASP (qualitative studies) frameworks. Data were synthesised narratively due to heterogeneity. We included four individual-level, five group-level, and six legislative interventions. Of five randomised controlled studies, two showed significantly higher quit rates in intervention groups (bupropion/behavioural support versus placebo in Pakistan; 6 month abstinence relative risk (RR): 2.3, 95% CI 1.4-3.8); group behavioural support versus no intervention in Egypt, 12 month abstinence RR 3.3, 95% CI 1.4-8.9). Non-randomised studies showed mixed results for cessation, behavioural, and knowledge outcomes. One high quality modelling study from Lebanon calculated that a 10% increase in waterpipe tobacco taxation would reduce waterpipe tobacco demand by 14.5% (price elasticity of demand -1.45). In conclusion, there is a lack of evidence of effectiveness for most waterpipe interventions. While few show promising results, higher quality interventions are needed. Meanwhile, tobacco policies should place waterpipe on par with cigarettes.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Jawad,S., Waziry,R.K., Ballout,R.A., Akl,E.A.
Original/Translated Title
URL
Date of Electronic
20160511
PMCID
PMC4863147
Editors
|
|||
| Waterpipe tobacco smoking | 2016 | Clinic of Chest Diseases, Sureyyapasa Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey. hgunen@yahoo.com. | Read more... |
|
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tuberkuloz ve toraks
Periodical, Abbrev.
Tuberk.Toraks
Pub Date Free Form
Mar
Volume
64
Issue
1
Start Page
94
Other Pages
96
Notes
LR: 20160608; JID: 0417364; ppublish
Place of Publication
ISSN/ISBN
0494-1373; 0494-1373
Accession Number
PMID: 27266294
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
Output Language
Unknown(0)
PMID
27266294
Abstract
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Gunen,H., Tarraf,H., Nemati,A., Al Ghobain,M., Al Mutairi,S., Aoun Bacha,Z.
Original/Translated Title
Nargile kullanimi
URL
Date of Electronic
PMCID
Editors
|
|||
| Waterpipe tobacco smoking and its human health impacts | 2016 | Department of Civil and Environmental Engineering, Hanyang University, Seoul 04763, Republic of Korea. Electronic address: kkim61@hanyang.ac.kr.; Department of Farm, Power, and Machinery, Bangladesh Agricultural University, Mymensingh, Bangladesh.; BRAC C | Read more... |
|
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of hazardous materials
Periodical, Abbrev.
J.Hazard.Mater.
Pub Date Free Form
5-Nov
Volume
317
Issue
Start Page
229
Other Pages
236
Notes
CI: Copyright (c) 2016; JID: 9422688; OTO: NOTNLM; 2015/10/16 [received]; 2016/01/23 [revised]; 2016/05/25 [accepted]; 2016/05/25 [aheadofprint]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1873-3336; 0304-3894
Accession Number
PMID: 27285594
Language
eng
SubFile
Journal Article; Review; IM
DOI
10.1016/j.jhazmat.2016.05.075 [doi]
Output Language
Unknown(0)
PMID
27285594
Abstract
Waterpipe tobacco smoking (WTS, also known as hookah, shisha, narghile, and many other names) involves passing tobacco smoke through water prior to inhalation by the consumer. As the number of waterpipe smokers is rising rapidly, there is growing concern over the use of WTS, particularly as there has been a widely held misconception that WTS is free from health hazards. In reality, it is associated with a variety of adverse health outcomes on both a short- and long-term basis. Hence, it is desirable to develop advanced techniques for surveillance, intervention, and regulatory/policy frameworks specific to the production and use of waterpipe tobacco. This review is written to survey the types and extent of pollutants released from its use and their potential health risks. A review of the present regulation guidelines is also included.
Descriptors
Links
Book Title
Database
Publisher
Elsevier B.V
Data Source
Authors
Kim,K.H., Kabir,E., Jahan,S.A.
Original/Translated Title
URL
Date of Electronic
20160525
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 | Read more... |
|
Source Type
Print(0)
Ref Type
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.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Kruger,L., van Walbeek,C., Vellios,N.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
|
|||
| Integrating the impact of cigarette and waterpipe tobacco use among adolescents in the Eastern Mediterranean Region: a cross-sectional, population-level model of toxicant exposure | 2016 | Academic Unit of Primary Care and Population Sciences, University of Southampton, Southampton, Hampshire, UK.; Academic Unit of Primary Care and Population Sciences, University of Southampton, Southampton, Hampshire, UK. | Read more... |
|
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
27-Jun
Volume
Issue
Start Page
Other Pages
Notes
LR: 20160629; 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; 2015/10/20 [rece
Place of Publication
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27354679
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
tobaccocontrol-2015-052777 [pii]
Output Language
Unknown(0)
PMID
27354679
Abstract
BACKGROUND: Waterpipe smoking is more prevalent than cigarette smoking among adolescents in the Eastern Mediterranean Region (EMR); however, simple prevalence masks complex waterpipe smoking patterns and makes uncertain its contribution to risk of tobacco-related harm. This study aimed to integrate the impact of cigarette and waterpipe tobacco use on toxicant exposure among EMR adolescents. METHODS: A cross-sectional model made equivalent individual-level toxicant exposure data for cigarettes and waterpipes, and aggregated it to 23 countries in the EMR using the Global Youth Tobacco Survey. The waterpipe model adjusted for estimated frequency of use, session duration and sharing behaviours. The final model included 60 306 12-17-year olds, and modelled as outcomes nicotine, carbon monoxide (CO) and 14 carcinogens. Sensitivity analyses substantially reduced session duration and proportion of solo use. RESULTS: Our model suggests waterpipe use may contribute a median of 36.4% (IQR 26.7-46.8%, n=16) of the total toxicant exposure from tobacco, and may reach up to 73.5% and 71.9% of total CO and benzene exposure, respectively. Sensitivity analyses reduced all values by 4.3-21.0%, but even the most conservative scenarios suggested over 50% of benzene and CO exposure was from waterpipe use. Between 69.2% and 73.5% of total toxicant exposure derived from dual cigarette and waterpipe users, who smoked cigarettes and waterpipe more frequently and intensely than single users. CONCLUSIONS: More research is warranted to refine our model's parameters. Tobacco control researchers should consider a move towards a single unit of measure for cigarette and waterpipe tobacco exposure in order to better inform health policy.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Roderick,P.
Original/Translated Title
URL
Date of Electronic
20160627
PMCID
Editors
|
|||