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Would placing pictorial health warnings on waterpipe devices reduce waterpipe tobacco smoking? A qualitative exploration of Egyptian waterpipe smokers' and non-smokers' responses 2019 Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.; Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Jul
Volume
28
Issue
4
Start Page
475
Other Pages
478
Notes
LR: 20190712; CI: (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2019; JID: 9209612; OTO: NOTNLM; 2018/05/09 00:00 [received]; 2018/05/31 00:00 [revised]; 2018/06/11 00:00 [accepted]; 2018/07/08 06:00 [pubm
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 29980654
Language
eng
SubFile
Journal Article
DOI
10.1136/tobaccocontrol-2018-054494 [doi]
Output Language
Unknown(0)
PMID
29980654
Abstract
BACKGROUND: Although Egypt places four generic pictorial health warnings (PHWs) on the front and back half of waterpipe tobacco packs (WTPs), waterpipe tobacco smoking (WTS) rates have continued to rise. It has been suggested that PHWs would be more salient if placed on the waterpipe device itself. This qualitative study explored how participants perceived the effects placing PHWs on waterpipe devices would have on warning salience and uptake or quitting of WTS. METHODS: We conducted 10 focus groups and 10 in-depth interviews with 90 adult waterpipe smokers and non-smokers, men and women, who lived in rural, semi-urban and urban regions of Egypt. We presented participants with four novel PHWs of different sizes positioned randomly at four locations on a waterpipe device (the glass body, metal holder, mouthpiece or hose), one at a time. At each session, participants viewed a PHW on all four locations. Novel warnings were shown on plain labels with a dark uniform background and featured pictures, text and the quitline number. Transcripts were analysed using thematic analysis. RESULTS: Participants thought placing PHWs on waterpipe devices might increase salience, prevent WTS initiation or trigger quit attempts; they favoured placing PHWs on the glass body, mouthpiece or waterpipe hose. Both waterpipe smoker and non-smoker participants thought these potential effects would affect non-smokers or non-established smokers more than established waterpipe users. CONCLUSIONS: Our exploratory study suggests that PHWs featured prominently on waterpipe devices could potentially deter experimentation with waterpipe tobacco products and promote cessation, especially among non-established users.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Mostafa,A., Mohammed,H.T., Hussein,W.M., Elhabiby,M., Safwat,W., Labib,S., Aboul Fotouh,A., Hoek,J.
Original/Translated Title
URL
Date of Electronic
20180706
PMCID
PMC6589487
Editors
Young adult waterpipe smokers: Smoking behaviors and associated subjective and physiological effects 2014 Program of Excellence in the Addictions, College of Nursing, Washington State University, WA, USA. Electronic address: Kawkab.shishani@gmail.com.; Program of Excellence in the Addictions, College of Nursing, Washington State University, WA, USA.; Program
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addictive Behaviors
Periodical, Abbrev.
Addict.Behav.
Pub Date Free Form
Jun
Volume
39
Issue
6
Start Page
1113
Other Pages
1119
Notes
LR: 20151119; CI: Copyright (c) 2014; GR: K01 DA037661/DA/NIDA NIH HHS/United States; JID: 7603486; 6M3C89ZY6R (Nicotine); 7U1EE4V452 (Carbon Monoxide); NIHMS610813; OID: NLM: NIHMS610813; OID: NLM: PMC4096831; OTO: NOTNLM; 2013/11/06 [received]; 2014/02/
Place of Publication
England
ISSN/ISBN
1873-6327; 0306-4603
Accession Number
PMID: 24657000
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.addbeh.2014.03.010 [doi]
Output Language
Unknown(0)
PMID
24657000
Abstract
INTRODUCTION: The purpose of this pilot study was to investigate smoking behaviors and subjective and physiological effects of nicotine on young adult occasional waterpipe smokers. METHODS: This study utilized a repeated-measures design that included one repeated factor for condition (nicotine and non-nicotine). For each participant, the sequencing of the repeated factor was assigned using random allocation. The two nicotine conditions were nicotine (0.75 g) and non-nicotine (0 g placebo) tobacco. Over the course of two weeks, twenty-two participants completed subjective (Acute Subjective Effects of Nicotine) and physiological (blood pressure, heart rate, and CO level) measures. Additional measures (QSU and MNWS-R) were used to assess for withdrawal symptoms. SAMPLE: The participants (n=22) were young adults (23 +/- 3.1years); 71% smoked waterpipe once a month in the past year and 29% smoked waterpipe 1-2 times per week. In addition, 60% reported sharing their waterpipe with friends while smoking. None of the participants reported using any other forms of tobacco products. RESULTS: Under the nicotine condition, participants tended to smoke longer (i.e. smoking duration, p=0.004), take more puffs (p=0.03), take shorter puffs (p=0.03), and inhale less volume with each puff (p=0.02). The repeated measures analysis of the factor headrush revealed an effect of the nicotine condition (F=9.69, p
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ltd
Data Source
Authors
Shishani,K., Howell,D., McPherson,S., Roll,J.
Original/Translated Title
URL
Date of Electronic
20140312
PMCID
PMC4096831
Editors