WTS database

Title	Pub Year Sort ascending	Author	SearchLink
Patterns of dual use of snus and cigarettes in a mature snus market	2013	Department of Tobacco, Norwegian Institute for Alcohol and Drug Research, Oslo, Norway. kel@sirus.no	Read more...
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 Mar Volume 15 Issue 3 Start Page 678 Other Pages 684 Notes LR: 20150223; JID: 9815751; OID: NLM: PMC3572872; 2012/09/18 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1469-994X; 1462-2203 Accession Number PMID: 22990221 Language eng SubFile Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1093/ntr/nts185 [doi] Output Language Unknown(0) PMID 22990221 Abstract INTRODUCTION: We examine the prevalence of dual use of snus and cigarettes among Norwegian men by categorizing dual use into four categories according to the frequency of use of each product, considering the order of uptake of both products, and examining reasons for additional snus use. We compare dual users and exclusive cigarette smokers with respect to their smoking intensity, plans for quitting smoking, and future smoking identity. METHODS: We used a data pool of six cross-sectional, national representative surveys conducted annually in the period 2005-2010 containing a total of 3,524 males aged 16-74. RESULTS: 6.8% of men had some kind of current concomitant use of snus and cigarettes--but only 1% reported a daily consumption of both products. The most typical pattern of dual use was a combination where daily use of one product was paired with occasional use of the other. Dual users consumed significantly fewer cigarettes per week (56.6; n = 226; SD, 53.82) than smokers who had either quit snus (79.6; n = 108; SD, 61.47) or single smokers with no history of snus use (80.2; n = 621; SD, 55.86). Only 24% with a history of dual use reported snus to be their first tobacco product, but the proportion who had initiated tobacco use with snus increased significantly with younger age. Among dual users with daily intake of snus, a majority of 53.6% reported that the purpose of their snus use was to quit smoking. A higher proportion of dual users (74.4%; 95% CI, 68.8-80.0; n = 235) than exclusive smokers (61.3%; 95% CI, 57.6-65.0; n = 658) reported that they most definitely or probably would be totally smoke-free 5 years into the future. CONCLUSIONS: In the mature snus market of Norway, the magnitude of dual use of cigarettes and snus is relatively small. Dual users consume fewer cigarettes, and a higher proportion portray themselves as smoke-free in the future than do exclusive cigarette smokers. Descriptors Links Book Title Database Publisher Data Source Authors Lund,K.E., McNeill,A. Original/Translated Title URL Date of Electronic 20120918 PMCID PMC3572872 Editors
Determinants of dental health status and dental health behavior among Sana'a University students, Yemen	2013	Department of Oral Medicine, Faculty of Dentistry, Damascus University, Damascus, Syria; Department of Oral Medicine and Periodontology, Faculty of Dentistry, Sana'a University, Sana'a, Yemen.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of investigative and clinical dentistry Periodical, Abbrev. J.Investig.Clin.Dent. Pub Date Free Form Nov Volume 4 Issue 4 Start Page 257 Other Pages 264 Notes CI: (c) 2013; JID: 101524471; OTO: NOTNLM; 2011/12/04 [received]; 2012/05/30 [accepted]; 2013/02/01 [aheadofprint]; ppublish Place of Publication Australia ISSN/ISBN 2041-1626; 2041-1618 Accession Number PMID: 23371921 Language eng SubFile Journal Article; D; IM DOI 10.1111/j.2041-1626.2012.00156.x [doi] Output Language Unknown(0) PMID 23371921 Abstract AIMS: To evaluate the dental health status and toothbrushing behavior among Sana'a University students, and to explore any associations with different factors. METHODS: In this cross-sectional study, the dental health of 360 students from the dental, medical, and literature faculties (120 each) at Sana'a University were examined using the Decayed, Missing, and Filled Teeth (DMFT) index. Data regarding study field, grade, toothbrushing behavior, parents' education, and smoking and khat chewing habits were recorded. RESULTS: Nearly 76% of students (n = 273) reported regularly brushing their teeth. Excluding fathers' education levels and khat chewing, other factors (faculty, grade, sex, mothers' education, and smoking) were significant independent predictors for this behavior. The overall mean DMFT score (+/- standard deviation) was 4.13 +/- 3.1, and was found to be adversely influenced by smoking, which explained only 1.1% of the variance. Toothbrushing, sex, and smoking were significant independent predictors for the decay score, and explained 10.6% of its variance. Khat chewing was found to be adversely associated with the missing score, with an influence of only 2.9%. The filling score was found to be positively associated with toothbrushing and study grade, which together had an influence of 10%. CONCLUSIONS: The dental health and toothbrushing behaviors of Sana'a University students are unsatisfactory, and influenced unequally by different factors. Descriptors Links Book Title Database Publisher Wiley Publishing Asia Pty Ltd Data Source Authors Halboub,E., Dhaifullah,E., Yasin,R. Original/Translated Title URL Date of Electronic 20130201 PMCID Editors
Factors associated with small cigar use among college students	2013	Institute of Public Health, Georgia State University, Atlanta, GA, USA. ksterling@gsu.edu	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 May Volume 37 Issue 3 Start Page 325 Other Pages 333 Notes LR: 20150423; GR: 1K07CA139114-01A1/CA/NCI NIH HHS/United States; GR: 1P60MD003422/MD/NIMHD NIH HHS/United States; GR: 2R01CA-61021/CA/NCI NIH HHS/United States; GR: K07 CA139114/CA/NCI NIH HHS/United States; JID: 9602338; NIHMS450226; OID: NLM: NIHMS4502 Place of Publication United States ISSN/ISBN 1945-7359; 1087-3244 Accession Number PMID: 23985179 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; IM DOI 10.5993/AJHB.37.3.5 [doi] Output Language Unknown(0) PMID 23985179 Abstract OBJECTIVE: To assess small cigar use among college students in the southeastern United States. METHODS: Data from a 2010 online survey were analyzed to examine small cigar smoking and its sociodemographic and psychosocial correlates among 4388 college students, aged 18-30. RESULTS: Small cigar users were more likely to be younger, male, black, and current cigarette, cigar, hookah, or marijuana smokers (p's Descriptors Links Book Title Database Publisher Data Source Authors Sterling,K., Berg,C.J., Thomas,A.N., Glantz,S.A., Ahluwalia,J.S. Original/Translated Title URL Date of Electronic PMCID PMC3757522 Editors
Smoking cessation among diabetes patients: results of a pilot randomized controlled trial in Kerala, India	2013	Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala 695011, India. kavumpurathu@yahoo.com	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full BMC public health Periodical, Abbrev. BMC Public Health Pub Date Free Form 18-Jan Volume 13 Issue Start Page 47 Other Pages 2458-13-47 Notes LR: 20150219; GR: R01TW005969-01/TW/FIC NIH HHS/United States; JID: 100968562; OID: NLM: PMC3560246; 2012/07/16 [received]; 2013/01/15 [accepted]; 2013/01/18 [aheadofprint]; epublish Place of Publication England ISSN/ISBN 1471-2458; 1471-2458 Accession Number PMID: 23331722 Language eng SubFile Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; IM DOI 10.1186/1471-2458-13-47 [doi] Output Language Unknown(0) PMID 23331722 Abstract BACKGROUND: India has the second largest diabetic population (61 million) and tobacco users (275 million) in the world. Data on smoking cessation among diabetic patients are limited in low and middle income countries. The objective of the study was to document the effectiveness of diabetic specific smoking cessation counseling by a non-doctor health professional in addition to a cessation advice to quit, delivered by doctors. METHODS: In our parallel-group randomized controlled trial, we selected 224 adult diabetes patients aged 18 years or older who smoked in the last month, from two diabetes clinics in South India. Using a computer generated random sequence with block size four; the patients were randomized equally into intervention-1 and intervention-2 groups. Patients in both groups were asked and advised to quit smoking by a doctor and distributed diabetes specific education materials. The intervention-2 group received an additional diabetes specific 30 minutes counseling session using the 5As (Ask, Advise, Assess, Assist and Arrange), and 5 Rs (Relevance, Risks, Rewards, Roadblocks and Repetition) from a non-doctor health professional. Follow up data were available for 87.5% of patients at six months. The Quit Tobacco International Project is supported by a grant from the Fogarty International Centre of the US National Institutes of Health (RO1TW005969-01).The primary outcomes were quit rate (seven day smoking abstinence) and harm reduction (reduction of the number of cigarettes / bidis smoked per day > 50% of baseline use) at six months. RESULTS: In the intention to treat analysis, the odds for quitting was 8.4 [95% confidence interval (CI): 4.1-17.1] for intervention-2 group compared to intervention-1 group. Even among high level smokers the odds of quitting was similar. The odds of harm reduction was 1.9 (CI: 0.8-4.1) for intervention-2 group compared to intervention-1 group. CONCLUSIONS: The value addition of culturally sensitive diabetic specific cessation counseling sessions delivered by non-doctor health professional was an impressive and efficacious way of preventing smoking related diabetic complications. TRIAL REGISTRATION: Clinical Trial Registry of India (CTRI/2012/01/002327). Descriptors Links Book Title Database Publisher Data Source Authors Thankappan,K.R., Mini,G.K., Daivadanam,M., Vijayakumar,G., Sarma,P.S., Nichter,M. Original/Translated Title URL Date of Electronic 20130118 PMCID PMC3560246 Editors
Influence of integrated services on postpartum family planning use: a cross-sectional survey from urban Senegal	2013	Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA. ilene_speizer@unc.edu.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full BMC public health Periodical, Abbrev. BMC Public Health Pub Date Free Form 14-Aug Volume 13 Issue Start Page 752 Other Pages 2458-13-752 Notes GR: 5 R24 HD050924/HD/NICHD NIH HHS/United States; GR: R24 HD050924/HD/NICHD NIH HHS/United States; JID: 100968562; OID: NLM: PMC3846684; 2013/01/16 [received]; 2013/08/08 [accepted]; 2013/08/14 [aheadofprint]; epublish Place of Publication England ISSN/ISBN 1471-2458; 1471-2458 Accession Number PMID: 23941611 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM DOI 10.1186/1471-2458-13-752 [doi] Output Language Unknown(0) PMID 23941611 Abstract BACKGROUND: Although the majority of postpartum women indicate a desire to delay a next birth, family planning (FP) methods are often not offered to, or taken up by, women in the first year postpartum. This study uses data from urban Senegal to examine exposure to FP information and services at the time of delivery and at child immunization appointments and to determine if these points of integration are associated with greater use of postpartum FP. METHODS: A representative, household sample of women, ages 15-49, was surveyed from six cities in Senegal in 2011. This study focuses on women who were within two years postpartum (n = 1879). We also include women who were surveyed through exit interviews after a visit to a high volume health facility in the same six cities; clients included were visiting the health facility for delivery, post-abortion care, postnatal care, and child immunization services (n = 794). Descriptive analyses are presented to examine exposure to FP services among postpartum women and women visiting the health facility. Logistic regression models are used to estimate the effect of integrated services on postpartum FP use in the household sample of women. Analyses were conducted using Stata version 12. RESULTS: Among exit interview clients, knowledge of integrated services is high but only a few reported receiving FP services. A majority of the women who did not receive FP services indicated an interest in receiving such information and services.Among the household sample of women up to two-years postpartum, those who received FP information at the time of delivery are more likely to be using modern FP postpartum than their counterparts who also delivered in a facility but did not receive such information. Exposure to FP services at an immunization visit was not significantly related to postpartum FP use. Another key finding is that women with greater self-efficacy are more likely to use a modern FP method. CONCLUSION: This study's findings lend strong support for the need to improve integration of FP services into maternal, newborn, and child health services with the goal of increasing postpartum women's use of FP methods in urban Senegal. Descriptors Links Book Title Database Publisher Data Source Authors Speizer,I.S., Fotso,J.C., Okigbo,C., Faye,C.M., Seck,C. Original/Translated Title URL Date of Electronic 20130814 PMCID PMC3846684 Editors
Development and preliminary randomized controlled trial of a distress tolerance treatment for smokers with a history of early lapse	2013	Department of Psychiatry and Human Behavior, Butler Hospital/Alpert Medical School of Brown University, Providence, RI;	Read more...
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 Dec Volume 15 Issue 12 Start Page 2005 Other Pages 2015 Notes LR: 20151119; GR: DA017332/DA/NIDA NIH HHS/United States; JID: 9815751; 6M3C89ZY6R (Nicotine); OID: NLM: PMC3819975; 2013/07/24 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1469-994X; 1462-2203 Accession Number PMID: 23884317 Language eng SubFile Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; IM DOI 10.1093/ntr/ntt093 [doi] Output Language Unknown(0) PMID 23884317 Abstract INTRODUCTION: An inability to tolerate distress is a significant predictor of early smoking lapse following a cessation attempt. We conducted a preliminary randomized controlled trial to compare a distress tolerance (DT) treatment that incorporated elements of exposure-based therapies and Acceptance and Commitment Therapy to standard smoking cessation treatment (ST). METHODS: Smokers with a history of early lapse in prior quit attempts received either DT (N = 27; 9 2-hr group and 6 50-min individual sessions) or ST (N = 22; 6 90-min group and 1 20-min individual session), plus 8 weeks of transdermal nicotine patch. RESULTS: At the end of behavioral treatment, odds of abstinence among participants receiving DT were 6.46 times greater than among participants receiving ST (66.7% vs. 31.8%), equivalent to a medium- to large-effect size. Odds of abstinence for DT were still 1.73 times greater at 8 weeks, corresponding to a small- to medium-effect size, although neither this difference nor those at 13 and 26 weeks were statistically significant. Furthermore, of those who lapsed to smoking during the first week postquit, DT participants had more than 4 times greater odds of abstinence than ST participants at the end of treatment. Relative to ST, DT participants also reported a larger decrease in experiential avoidance, a hypothesized DT treatment mediator, prior to quit day. The trajectory of negative mood and withdrawal symptoms in DT differed from ST and was largely consistent with hypotheses. CONCLUSIONS: Reasons for the decrease in abstinence in DT after treatment discontinuation and suggestions for future research are discussed. Descriptors Links Book Title Database Publisher Data Source Authors Brown,R.A., Reed,K.M., Bloom,E.L., Minami,H., Strong,D.R., Lejuez,C.W., Kahler,C.W., Zvolensky,M.J., Gifford,E.V., Hayes,S.C. Original/Translated Title URL Date of Electronic 20130724 PMCID PMC3819975 Editors
Hookah pipe smoking among health sciences students	2013	Faculty of Health Sciences, University of Cape Town, South Africa. nicolina.vandermerwe@gmail.com.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde Periodical, Abbrev. S.Afr.Med.J. Pub Date Free Form 30-Sep Volume 103 Issue 11 Start Page 847 Other Pages 849 Notes LR: 20151119; JID: 0404520; 2013/08/31 [received]; 2013/09/05 [accepted]; epublish Place of Publication South Africa ISSN/ISBN 0256-9574 Accession Number PMID: 24148170 Language eng SubFile Journal Article; IM DOI 10.7196/samj.7448 [doi] Output Language Unknown(0) PMID 24148170 Abstract BACKGROUND: Hookah pipe smoking is a social practice and has gained popularity, especially among South African youth. The extent of this practice among health sciences students, and their knowledge regarding the health risks, are unknown. This is important, as these students will become future health professionals possibly influencing the practice of individuals and communities. OBJECTIVE: To explore the knowledge, attitudes and practices of hookah pipe smoking among students at the Faculty of Health Sciences, University of Cape Town. METHODS. A cross-sectional study was conducted among undergraduate and postgraduate students. A self-administered questionnaire was distributed as a hard copy and online survey. RESULTS: Of 228 participants, 66% had smoked a hookah pipe before, with 18% still smoking. Most began smoking in high school, with 25% initiating at university. Of the current smokers, 65% smoked occasionally socially, commonly at friends' houses for 30 - 60 min/session. A further 11% smoked cigarettes concurrently and 30% added other substances, mainly cannabis, to pipes. Most current hookah smokers had no interest in quitting (84%). Only 30% of participants had prior health information about hookah pipe smoking. Most knew that it was harmful (91%), with many not knowing why. A total of 80% of participants perceived that the practice was socially acceptable and 84% would recommend it to others.CONCLUSION; The poor knowledge about the dangers of hookah pipe smoking and the extent of its practice among health sciences students is alarming. These findings highlight the need for school and university health promotion campaigns, and for better regulation of hookah pipe smoking. Descriptors Links Book Title Database Publisher Data Source Authors van der Merwe,N., Banoobhai,T., Gqweta,A., Gwala,A., Masiea,T., Misra,M., Zweigenthal,V. Original/Translated Title URL Date of Electronic 20130930 PMCID Editors
Intent to quit among daily and non-daily college student smokers	2013	Department of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, GA 30322, USA.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Health education research Periodical, Abbrev. Health Educ.Res. Pub Date Free Form Apr Volume 28 Issue 2 Start Page 313 Other Pages 325 Notes LR: 20151119; GR: 1K07CA139114-01A1/CA/NCI NIH HHS/United States; GR: 1P60MD003422/MD/NIMHD NIH HHS/United States; GR: K07 CA139114/CA/NCI NIH HHS/United States; JID: 8608459; OID: NLM: PMC3594929; 2012/11/28 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1465-3648; 0268-1153 Accession Number PMID: 23197630 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; T DOI 10.1093/her/cys116 [doi] Output Language Unknown(0) PMID 23197630 Abstract Given the high prevalence of young adult smoking, we examined (i) psychosocial factors and substance use among college students representing five smoking patterns and histories [non-smokers, quitters, native non-daily smokers (i.e. never daily smokers), converted non-daily smokers (i.e. former daily smokers) and daily smokers] and (ii) smoking category as it relates to readiness to quit among current smokers. Of the 4438 students at six Southeast colleges who completed an online survey, 69.7% (n = 3094) were non-smokers, 6.6% (n = 293) were quitters, 7.1% (n = 317) were native non-daily smokers, 6.4% (n = 283) were converted non-daily smokers and 10.2% (n = 451) were daily smokers. There were differences in sociodemographics, substance use (alcohol, marijuana, other tobacco products) in the past 30 days and psychosocial factors among these subgroups of students (P Descriptors Links Book Title Database Publisher Data Source Authors Pinsker,E.A., Berg,C.J., Nehl,E.J., Prokhorov,A.V., Buchanan,T.S., Ahluwalia,J.S. Original/Translated Title URL Date of Electronic 20121128 PMCID PMC3594929 Editors
Internet-based photoaging within Australian pharmacies to promote smoking cessation: randomized controlled trial	2013	Curtin Health Innovation Research Institute, School of Pharmacy, Curtin University, Perth, Australia. O.Burford@curtin.edu.au	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of medical Internet research Periodical, Abbrev. J.Med.Internet Res. Pub Date Free Form 26-Mar Volume 15 Issue 3 Start Page e64 Other Pages Notes LR: 20150427; JID: 100959882; OID: NLM: PMC3636310; 2012/09/03 [received]; 2013/02/03 [accepted]; epublish Place of Publication Canada ISSN/ISBN 1438-8871; 1438-8871 Accession Number PMID: 23531984 Language eng SubFile Journal Article; Randomized Controlled Trial; IM DOI 10.2196/jmir.2337 [doi] Output Language Unknown(0) PMID 23531984 Abstract BACKGROUND: Tobacco smoking leads to death or disability and a drain on national resources. The literature suggests that cigarette smoking continues to be a major modifiable risk factor for a variety of diseases and that smokers aged 18-30 years are relatively resistant to antismoking messages due to their widely held belief that they will not be lifelong smokers. OBJECTIVE: To conduct a randomized controlled trial (RCT) of a computer-generated photoaging intervention to promote smoking cessation among young adult smokers within a community pharmacy setting. METHODS: A trial was designed with 80% power based on the effect size observed in a published pilot study; 160 subjects were recruited (80 allocated to the control group and 80 to the intervention group) from 8 metropolitan community pharmacies located around Perth city center in Western Australia. All participants received standardized smoking cessation advice. The intervention group participants were also digitally photoaged by using the Internet-based APRIL Face Aging software so they could preview images of themselves as a lifelong smoker and as a nonsmoker. Due to the nature of the intervention, the participants and researcher could not be blinded to the study. The main outcome measure was quit attempts at 6-month follow-up, both self-reported and biochemically validated through testing for carbon monoxide (CO), and nicotine dependence assessed via the Fagerstrom scale. RESULTS: At 6-month follow-up, 5 of 80 control group participants (6.3%) suggested they had quit smoking, but only 1 of 80 control group participants (1.3%) consented to, and was confirmed by, CO validation. In the intervention group, 22 of 80 participants (27.5%) reported quitting, with 11 of 80 participants (13.8%) confirmed by CO testing. This difference in biochemically confirmed quit attempts was statistically significant (chi(2) 1=9.0, P=.003). A repeated measures analysis suggested the average intervention group smoking dependence score had also significantly dropped compared to control participants (P<.001 these="" differences="" remained="" statistically="" significant="" after="" adjustment="" for="" small="" in="" gender="" distribution="" and="" nicotine="" dependence="" between="" the="" groups.="" mean="" cost="" of="" implementing="" intervention="" was="" estimated="" at="" au="" per="" participant.="" incremental="" cost-effectiveness="" ratio="" additional="" quitter.="" that="" participants="" indicated="" they="" were="" willing="" to="" pay="" digital="" aging="" service="" conclusions:="" demonstrating="" detrimental="" effects="" on="" facial="" physical="" appearance="" by="" using="" a="" computer-generated="" simulation="" may="" be="" both="" effective="" cost-effective="" persuading="" young="" adult="" smokers="" quit.="" trial="" registration:="" australian="" new="" zealand="" clinical="" trials="" registry:="" actrn12609000885291="" https:="" webcite="" http:=""> Descriptors Links Book Title Database Publisher Data Source Authors Burford,O., Jiwa,M., Carter,O., Parsons,R., Hendrie,D. Original/Translated Title URL Date of Electronic 20130326 PMCID PMC3636310 Editors
Smoking water-pipe, chewing nass and prevalence of heart disease: a cross-sectional analysis of baseline data from the Golestan Cohort Study, Iran	2013	One Gustave L. Levy Place, New York, NY 10029, USA.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Heart (British Cardiac Society) Periodical, Abbrev. Heart Pub Date Free Form Feb Volume 99 Issue 4 Start Page 272 Other Pages 278 Notes LR: 20150325; GR: C20/A5860/Cancer Research UK/United Kingdom; GR: K01 TW009218/TW/FIC NIH HHS/United States; GR: K01TW009218/TW/FIC NIH HHS/United States; GR: ZIA CP000185-08/Intramural NIH HHS/United States; JID: 9602087; 0 (Plant Extracts); 64706-31-6 Place of Publication England ISSN/ISBN 1468-201X; 1355-6037 Accession Number PMID: 23257174 Language eng SubFile Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; AIM; IM DOI 10.1136/heartjnl-2012-302861 [doi] Output Language Unknown(0) PMID 23257174 Abstract OBJECTIVE: Water-pipe and smokeless tobacco use have been associated with several adverse health outcomes. However, little information is available on the association between water-pipe use and heart disease (HD). Therefore, we investigated the association of smoking water-pipe and chewing nass (a mixture of tobacco, lime and ash) with prevalent HD. DESIGN: Cross-sectional study. SETTING: Baseline data (collected in 2004-2008) from a prospective population-based study in Golestan Province, Iran. PARTICIPANTS: 50 045 residents of Golestan (40-75 years old; 42.4% men). MAIN OUTCOME MEASURES: ORs and 95% CIs from multivariate logistic regression models for the association of water-pipe and nass use with HD prevalence. RESULTS: A total of 3051 (6.1%) participants reported a history of HD, and 525 (1.1%) and 3726 (7.5%) reported ever water-pipe or nass use, respectively. Heavy water-pipe smoking was significantly associated with HD prevalence (highest level of cumulative use vs never use, OR=3.75; 95% CI 1.52 to 9.22; p for trend=0.04). This association persisted when using different cut-off points, when restricting HD to those taking nitrate compound medications, and among never cigarette smokers. There was no significant association between nass use and HD prevalence (highest category of use vs never use, OR=0.91; 95% CI 0.69 to 1.20). CONCLUSIONS: Our study suggests a significant association between HD and heavy water-pipe smoking. Although the existing evidence suggesting similar biological consequences of water-pipe and cigarette smoking make this association plausible, results of our study were based on a modest number of water-pipe users and need to be replicated in further studies. Descriptors Links Book Title Database Publisher Data Source Authors Islami,F., Pourshams,A., Vedanthan,R., Poustchi,H., Kamangar,F., Golozar,A., Etemadi,A., Khademi,H., Freedman,N.D., Merat,S., Garg,V., Fuster,V., Wakefield,J., Dawsey,S.M., Pharoah,P., Brennan,P., Abnet,C.C., Malekzadeh,R., Boffetta,P. Original/Translated Title URL Date of Electronic 20121220 PMCID PMC3671096 Editors

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