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The Prevalence, Attitudes, and Correlates of Waterpipe Smoking Among High School Students in Iran: a Cross-Sectional Study 2016 Department of Health Sciences, Unit for Public Health Science, Mid Sweden University, Sundsvall, Sweden. Reza.Ziaei@miun.se.; Department of Neurobiology, Care Sciences and Society, Unit for Family Medicine, Karolinska Institute, Stockholm, Sweden. Reza.Mo
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
3-Mar
Volume
Issue
Start Page
Other Pages
Notes
LR: 20160305; JID: 9421097; OTO: NOTNLM; aheadofprint
Place of Publication
ISSN/ISBN
1532-7558; 1070-5503
Accession Number
PMID: 26940816
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
10.1007/s12529-016-9555-x [doi]
Output Language
Unknown(0)
PMID
26940816
Abstract
PURPOSE: The purpose of the present study was to determine the correlates of waterpipe (WP) smoking among 15-17-year-old high school students in Iran. METHOD: Data were collected using the Global Youth Tobacco Survey (GYTS), a self-administrated questionnaire distributed to a representative sample of high school students aged 15-17 in the city of Tabriz. Current WP smoking was defined as past 30-day use, and ever WP smoking was defined as at least one or two lifetime puffs. Differences in WP use, knowledge, and attitudes were analyzed using chi-square and Fisher exact tests. Binary logistic regression estimated the association between relevant independent variables (e.g., age) and the dependent variables (current/ever WP smoking). RESULTS: Of 1517 students, 21.6 % (95 % confidence interval [CI] = 19.5, 23.8) were ever WP smokers, and 9.7 % (95 % CI = 8.2, 11.2) were current WP smokers. Of current WP smokers, 40.3 % have stated that they want to stop smoking now. Moreover, 14.1 % of non-WP smokers reported that they might enjoy smoking WP. Of current WP smokers, 49.0 % have smoked at cafes. Additionally, 95.3 % of current WP smokers reported that their age did not prevent them from being served a WP. Studying in high school third grade (adjusted odds ratios (AORs) = 1.70; 95 % CI [1.10, 2.63]), experience of cigarette smoking (AORs = 1.57; 95 % CI [1.12, 2.20]), and being prepared to accept a WP offered by close friends (AORs = 3.31; 95 % CI [2.17, 5.04]) were independently associated with ever WP smoking, and accepting a WP offered by close friends (AORs = 4.36; 95 % CI [2.69, 7.07]) and gender (female) (AORs = 0.45; 95 % CI [0.30, 0.70] were independently associated with current WP smoking. CONCLUSION: Prevalence of current and ever WP smoking is high in Tabriz. There is an urgent need to design interventions in order to increase students' and their parents' awareness regarding the harmfulness of WP, and to establish legal measures to restrict adolescents' access to WPs and tobacco in society.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Ziaei,R., Mohammadi,R., Dastgiri,S., Viitasara,E., Rahimi,V.A., Jeddi,A., Soares,J.
Original/Translated Title
URL
Date of Electronic
20160303
PMCID
Editors
The Protective Effect of Selenium on Oxidative Stress Induced by Waterpipe (Narghile) Smoke in Lungs and Liver of Mice 2016
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Periodical, Abbrev.
Pub Date Free Form
Volume
Issue
Start Page
Other Pages
Notes
ID: 27178166
Place of Publication
ISSN/ISBN
Accession Number
Language
ENG
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Waterpipe smoking is common in the Middle East populations and results in health problems. In this study, we investigated the effects of exposure of mice to waterpipe smoke on oxidative stress in lungs and liver and the effects of selenium administration before smoke exposure on the oxidative stress. Twenty-four mice were divided equally into four groups: (i) the control mice received no exposure or treatment; (ii) mice exposed to waterpipe smoke; (iii) mice received intraperitoneal injection of 0.59 µg selenium/kg body weight as sodium selenite 15 min before the exposure to waterpipe smoke; and (iv) mice received intraperitoneal injection of 1.78 µg selenium/kg body weight as sodium selenite 15 min before the exposure to waterpipe smoke. Mice were exposed to waterpipe smoke every other day for four times within 8 successive days. Malondialdehyde and nitric oxide levels were significantly higher in the lungs and liver, while the activities of superoxide dismutase, glutathione peroxidase-1, and catalase were significantly lower in the waterpipe smoke group when compared to control mice. Treating mice with 1.78 µg selenium/kg body weight significantly restored the normal levels of these parameters. Histological examinations of lungs and liver confirmed the protective actions of selenium against the effects of exposure to waterpipe smoke. In conclusion, exposure of mice to waterpipe smoke-induced oxidative stress in lungs and liver. Administration of low level of selenium, 1.78 µg selenium/kg body weight as sodium selenite, exerted protective effects against oxidative stress induced by exposure to waterpipe smoke.
Descriptors
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-27178166
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Charab,Mohamad A., Abouzeinab,Noura S., Moustafa,Mohamed E.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
The relationship between waterpipe and cigarette smoking in low and middle income countries: cross-sectional analysis of the global adult tobacco survey 2014 Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom.; Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom.; Department of
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
PloS one
Periodical, Abbrev.
PLoS One
Pub Date Free Form
24-Mar
Volume
9
Issue
3
Start Page
e93097
Other Pages
Notes
LR: 20150514; JID: 101285081; OID: NLM: PMC3963998; 2014 [ecollection]; 2013/10/07 [received]; 2014/03/03 [accepted]; 2014/03/24 [epublish]; epublish
Place of Publication
United States
ISSN/ISBN
1932-6203; 1932-6203
Accession Number
PMID: 24664109
Language
eng
SubFile
Comparative Study; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't; IM
DOI
10.1371/journal.pone.0093097 [doi]
Output Language
Unknown(0)
PMID
24664109
Abstract
INTRODUCTION: Waterpipe tobacco smoking is receiving growing attention due to accumulating evidence suggesting increasing prevalence in some populations and deleterious health effects. Nevertheless, the relationship between waterpipe and cigarette smoking remain unknown, particularly in low and middle income countries. MATERIALS AND METHODS: We analysed waterpipe and cigarette smoking using data from Global Adult Tobacco Survey, a household survey of adults aged >/=15 years conducted between 2008-2010 in LMICs. Factors associated with waterpipe and cigarette use were assessed using multiple logistic regression. Factors associated with the quantity of waterpipe and cigarette smoking were assessed using log-linear regression models. RESULTS: After adjusting for age, gender, residence, education, occupation and smokeless tobacco use, waterpipe smoking was significantly higher among cigarette users than in non-cigarette users in India (5.6% vs. 0.6%, AOR 13.12, 95% CI 7.41-23.23) and Russia (6.7% vs. 0.2%, AOR 27.73, 95% CI 11.41-67.43), but inversely associated in Egypt (2.6% vs. 3.4%, AOR 0.21, 95% CI 0.15-0.30) and not associated in Vietnam (13.3% vs. 4.7%, AOR 0.96, 95% CI 0.74-1.23). Compared to non-cigarette smokers, waterpipe smokers who also used cigarettes had more waterpipe smoking sessions per week in Russia (1.3 vs. 2.9, beta coefficient 0.31, 95% CI 0.06, 0.57), but less in Egypt (18.2 vs. 10.7, beta coefficient -0.45, 95% CI -0.73, -0.17) and Vietnam (102.0 vs. 79.3, beta coefficient -0.31, 95% CI -0.56, -0.06) and similar amounts in India (29.4 vs. 32.6, beta coefficient -0.12, 95% CI -0.46, 0.22). CONCLUSIONS: Waterpipe smoking is low in most LMICs but important country-level differences in use, including concurrent cigarette smoking, should be taken into account when designing and evaluating tobacco control interventions.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Lee,J.T., Millett,C.
Original/Translated Title
URL
Date of Electronic
20140324
PMCID
PMC3963998
Editors
The relationship between waterpipe smoking and body weight: population-based findings from Syria 2015 School of Public Health, University of Memphis, Memphis, TN; Syrian Center for Tobacco Studies, Aleppo, Syria; kdward@memphis.edu.; School of Public Health, University of Memphis, Memphis, TN;; School of Public Health, University of Memphis, Memphis, TN;
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
Jan
Volume
17
Issue
1
Start Page
34
Other Pages
40
Notes
LR: 20160101; CI: (c) The Author 2014; GR: R01 DA035160/DA/NIDA NIH HHS/United States; GR: R01DA024876/DA/NIDA NIH HHS/United States; GR: R01DA035160/DA/NIDA NIH HHS/United States; GR: R01TW05962/TW/FIC NIH HHS/United States; GR: R21TW006545/TW/FIC NIH HH
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 25096252
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1093/ntr/ntu121 [doi]
Output Language
Unknown(0)
PMID
25096252
Abstract
INTRODUCTION: Cigarette smoking has well known effects on body weight, with current smokers weighing less than never-smokers, and cessation producing weight gain. Use of waterpipe (or "hookah") is increasing in many parts of the world but its effects on body weight are not known. METHODS: We compared body mass index (BMI) among 2,536 adults (age >/= 18 years old), who were never, former, current nondaily, or current daily waterpipe smokers, drawn from 2 representative, population-based household surveys of adults in Aleppo, Syria. RESULTS: Overall, 84.1% (n = 2,134) never-smoked waterpipe, 4.6% (n = 116) were former smokers, 9.9% (n = 251) were current nondaily smokers, and 1.4% (n = 35) were current daily smokers. Mean BMI of the sample was 30.2 kg/m(2) (SD = 6.3). Adjusted for cigarette smoking, number of chronic diseases, age, gender, income, and marital status, daily waterpipe users were 2.26 BMI units greater than never-smokers (beta = 2.26, 95% CI = 0.79-3.72), and had nearly threefold odds of being obese (odds ratio = 2.87, 95% CI = 1.06-7.76). Nondaily and former waterpipe users were similar to never-smokers in terms of BMI and obesity risk. CONCLUSION: Results indicate that daily waterpipe users, compared to never-users, have higher BMI, translating into 6 extra kilograms of weight on average, and are 3 times as likely to be obese.
Descriptors
Links
Book Title
Database
Publisher
. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco
Data Source
Authors
Ward,K.D., Ahn,S., Mzayek,F., Al Ali,R., Rastam,S., Asfar,T., Fouad,F., Maziak,W.
Original/Translated Title
URL
Date of Electronic
20140805
PMCID
PMC4351400
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.
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
The Social Patterning of Tobacco Use Among Women in Jordan: The Protective Effect of Education on Cigarette Smoking and the Deleterious Effect of Wealth on Cigarette and Waterpipe Smoking 2016
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine Tob Res
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Volume
18
Issue
4
Start Page
379
Other Pages
85
Notes
ID: 26014452
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
INTRODUCTION: The presence of social inequalities in tobacco-use has been fully recognized in the international literature. Even though cigarette and waterpipe tobacco smoking (WTS) are prevalent in the Arab region, the literature has not addressed the social determinants of the impending tobacco epidemic. This study examined the socioeconomic patterning of cigarette and WTS among Jordanian women. METHODS: We analyzed pooled data from four waves of the Jordan Demographic and Health Surveys: 2002 (N = 5851); 2007 (N = 10 654); 2009 (N = 9879), and 2012 (N = 11 113). We specified logistic regression models to test the association between education and household wealth and the two outcome measures, cigarette and WTS, adjusting for other covariates. For each outcome, we ran time-unadjusted and time-adjusted logistic models. RESULTS: Cigarette smoking prevalence among Jordanian women remained almost constant (around 10%) between 2002 and 2012. WTS prevalence steadily increased from 4.1% in 2002 to 10.2% in 2012. Increasing education predicted lower odds of cigarette smoking, whereas increasing household wealth weakly predicted higher odds. As to WTS, increasing household wealth strongly predicted higher odds of use. CONCLUSIONS: Among Jordanian women, increasing education is protective against cigarette smoking. Household wealth, on the other hand, exerts a deleterious effect on both forms of tobacco consumption, particularly WTS. This pattern shows that Jordan has not fully undergone the socioeconomic crossover in tobacco prevalence which characterizes high-income countries. Future control policies should aim to decrease prevalence but also preempt increasing social inequalities in tobacco use.
Descriptors
Links
http://dx.doi.org/10.1093/ntr/ntv111
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Jawad,Mohammed, Abdulrahim,Sawsan, Daouk,Aref
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
The Waterpipe: A New Global Threat to CV Health? 2012
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Glob Heart
Periodical, Abbrev.
Pub Date Free Form
Volume
7
Issue
2
Start Page
179
Other Pages
81
Notes
ID: 25691314
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
Links
http://dx.doi.org/10.1016/j.gheart.2012.03.003
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Maziak,Wasim
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
The waterpipe: a new way of hooking youth on tobacco 2014 Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The American Journal on Addictions / American Academy of Psychiatrists in Alcoholism and Addictions
Periodical, Abbrev.
Am.J.Addict.
Pub Date Free Form
Mar-Apr
Volume
23
Issue
2
Start Page
103
Other Pages
107
Notes
LR: 20150509; CI: Copyright (c) American Academy of Addiction Psychiatry.; GR: R01 DA024876/DA/NIDA NIH HHS/United States; GR: R01 DA024876/DA/NIDA NIH HHS/United States; GR: R01 DA035160/DA/NIDA NIH HHS/United States; GR: R01 DA035160/DA/NIDA NIH HHS/Uni
Place of Publication
England
ISSN/ISBN
1521-0391; 1055-0496
Accession Number
PMID: 25187045
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Review; IM
DOI
10.1111/j.1521-0391.2013.12073.x [doi]
Output Language
Unknown(0)
PMID
25187045
Abstract
BACKGROUND: Tobacco smoking continues to be the number one preventable cause of morbidity and mortality worldwide. Several evidence-based interventions and policies have been successful in reducing cigarette smoking in developed countries. Globally, however, many beginning smokers are introduced to tobacco by means other than cigarettes. In particular, waterpipe smoking (a.k.a. hookah, narghile, shisha) has been dramatically increasing among youth worldwide. METHODS: In this short review, I will introduce the reader to this emerging tobacco use method and focus on its addictive properties, and how this pertains to the development of effective interventions to curb its spread. RESULTS AND CONCLUSIONS: Waterpipe smoking is likely to be associated with much of the harmful effects of cigarette smoking, is addictive, and can serve as a bridge to cigarettes. Due to its unique features, waterpipe-specific interventions and policies are needed to curb the global waterpipe epidemic.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Maziak,W.
Original/Translated Title
URL
Date of Electronic
20130610
PMCID
PMC4424425
Editors
The waterpipe: an emerging global epidemic in need of action 2015
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Mar
Volume
24 Suppl 1
Issue
Start Page
i1
Other Pages
i2
Notes
LR: 20150319; JID: 9209612; 059QF0KO0R (Water); OID: NLM: PMC4345809; OTO: NOTNLM; 2015/01/24 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 25618894
Language
eng
SubFile
Editorial; Introductory Journal Article; IM
DOI
10.1136/tobaccocontrol-2014-052203 [doi]
Output Language
Unknown(0)
PMID
25618894
Abstract
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Ward,K.D.
Original/Translated Title
URL
Date of Electronic
20150124
PMCID
PMC4345809
Editors
The waterpipe: an emerging global risk for cancer 2013
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Cancer epidemiology
Periodical, Abbrev.
Cancer.Epidemiol.
Pub Date Free Form
Feb
Volume
37
Issue
1
Start Page
1
Other Pages
4
Notes
LR: 20150219; CI: Copyright (c) 2012; GR: R01 DA024876/DA/NIDA NIH HHS/United States; GR: R01 DA035160/DA/NIDA NIH HHS/United States; GR: R01 DA035160/DA/NIDA NIH HHS/United States; JID: 101508793; NIHMS615571; OID: NLM: NIHMS615571; OID: NLM: PMC4143981;
Place of Publication
Netherlands
ISSN/ISBN
1877-783X; 1877-7821
Accession Number
PMID: 23196170
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Review; IM
DOI
10.1016/j.canep.2012.10.013 [doi]
Output Language
Unknown(0)
PMID
23196170
Abstract
Tobacco smoking continues to be the leading preventable cause of morbidity and mortality worldwide. Each year more than 5 million smokers die prematurely because of their habit wreaking havoc on the welfare of families and communities worldwide. While cigarettes remain the main tobacco killer worldwide, for many youth tobacco use and addiction is maintained by means other than cigarettes. In particular, over the past decade, waterpipe smoking (a.k.a. hookah, shisha, narghile) has become increasingly popular among youth in the Middle East, and is rapidly spreading globally. Available evidence suggests that waterpipe smoking is associated with many of the known risks of tobacco smoking, particularly cancer. Despite these worrisome signs, policies and interventions to address this emerging public health problem have been lagging behind. In this short review I discuss briefly the evidence generated mostly in the past decade about the global spread of waterpipe smoking and its cancer risk potential.
Descriptors
Links
Book Title
Database
Publisher
. Published by Elsevier Ltd
Data Source
Authors
Maziak,W.
Original/Translated Title
URL
Date of Electronic
20121126
PMCID
PMC4143981
Editors