Skip to main content
Title Pub Year Author SearchLink Sort descending
Waterpipe (hookah) tobacco use in pregnancy: use, preferences and perceptions of flavours 2019 Psychiatry and Human Behavior, Brown University Warren Alpert Medical School, Providence, Rhode Island, USA Laura_Stroud@brown.edu Lori_Scott-Sheldon@brown.edu.; Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rh(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
18-Jul
Volume
Issue
Start Page
Other Pages
Notes
LR: 20190726; CI: (c) Author(s) (or their employer(s)) 2019; GR: R01 DA042484/DA/NIDA NIH HHS/United States; JID: 9209612; OTO: NOTNLM; 2019/01/30 00:00 [received]; 2019/05/10 00:00 [revised]; 2019/05/13 00:00 [accepted]; 2019/07/20 06:00 [entrez]; 2019/0
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 31320397
Language
eng
SubFile
Journal Article
DOI
tobaccocontrol-2019-054984 [pii]
Output Language
Unknown(0)
PMID
31320397
Abstract
OBJECTIVE: Waterpipe tobacco (WPT; hookah) use is common in pregnant and reproductive-age women. Sweet flavours contribute to the appeal of WPT and are a potential regulatory target. This study investigated use, preferences and perceptions of WPT flavours in pregnant WPT users, and the impact of flavour preferences on preconception/prenatal WPT use and exposure biomarkers. METHODS: 58 pregnant WPT users (mean age=27 years) completed a detailed interview regarding their WPT flavours use, preferences and perceptions. Biomarkers of nicotine and carcinogen exposure (eg, cotinine, benzene, butadiene) were also collected. RESULTS: 55% of participants were dual/poly WPT users (ie, reported use of one or more other tobacco products in addition to WPT). Pregnant WPT users reported nearly exclusive use of flavoured WPT, with greater use of menthol/mint (68%) followed by fruit flavours (48%) (p
Descriptors
Links
Book Title
Database
Publisher
. No commercial re-use. See rights and permissions. Published by BMJ
Data Source
Authors
Stroud,L., Werner,E., Matteson,K., Carey,M., Helen,G.S., Eissenberg,T., Scott-Sheldon,L.A.J.
Original/Translated Title
URL
Date of Electronic
20190718
PMCID
Editors
The association of waterpipe tobacco smoking with later initiation of cigarette smoking: a systematic review and meta-analysis exploring the gateway theory 2019 Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.; Public Health Policy Evaluation Unit, Imperial College London, London, UK.; Department of Internal Medicine, American University of Beirut, Beirut, Lebanon ea32@aub.edu(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
30-Jul
Volume
Issue
Start Page
Other Pages
Notes
LR: 20190731; CI: (c) Author(s) (or their employer(s)) 2019; JID: 9209612; OTO: NOTNLM; 2018/12/02 00:00 [received]; 2019/06/04 00:00 [revised]; 2019/06/25 00:00 [accepted]; 2019/08/01 06:00 [entrez]; 2019/08/01 06:00 [pubmed]; 2019/08/01 06:00 [medline];
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 31363060
Language
eng
SubFile
Journal Article; Review; IM
DOI
tobaccocontrol-2018-054870 [pii]
Output Language
Unknown(0)
PMID
31363060
Abstract
INTRODUCTION: There is a concern that waterpipe tobacco smoking (WTS) can lead to the later initiation of cigarette smoking, a concept referred to as the 'gateway theory'. The objective of the study was to systematically review the literature for the association of WTS with later initiation of cigarette smoking. METHODS: We searched Medline, Embase and ISI Web of Science in April 2018 without using any language or date restrictions. We selected eligible studies, abstracted data and assessed the risk of bias using a duplicate and independent approach. We meta-analysed the ORs across eligible studies using the inverse variance method and the random-effects model. We assessed the certainty of evidence using the Grading of Recommendations Assessment, Development and Evaluation methodology. RESULTS: We included eight papers reporting on six eligible prospective cohort studies with a total of 21 224 participants, belonging to the adolescent and young adult age categories. The pooled adjusted OR for the association between ever waterpipe user (compared with never waterpipe user) at baseline, with 'cigarette smoking initiation' (ever cigarette use) was 2.54 (95% CI 1.60 to 4.02) at 6 months to 3 years follow-up (moderate certainty evidence). The pooled adjusted OR for the association between ever waterpipe user (compared with never waterpipe user) at baseline, with 'current cigarette smoking' (past 30-day cigarette use) was 2.04 (95% CI 1.32 to 3.15) at 1-2 years follow-up (moderate certainty evidence). The pooled adjusted OR for the association between past 30-day waterpipe user (compared with never waterpipe user) at baseline, with current cigarette smoking (past 30-day cigarette use) 2.46 (95% CI 1.73 to 3.49) at 6 months to 1 year follow-up (high certainty evidence). CONCLUSION: Our findings indicate that WTS is associated with more than doubling of the odds of later initiation of cigarette smoking, supporting the gateway theory. Strengthening WTS policies is a priority and further research is needed on the development and evaluation of appropriate clinical and public health interventions.
Descriptors
Links
Book Title
Database
Publisher
. No commercial re-use. See rights and permissions. Published by BMJ
Data Source
Authors
Al Oweini,D., Jawad,M., Akl,E.A.
Original/Translated Title
URL
Date of Electronic
20190730
PMCID
Editors