WTS database

Title	Pub Year	Author Sort descending	SearchLink
The Effect of Waterpipe Tobacco Smoke Exposure on Learning and Memory Functions in the Rat Model	2015	Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, 22110, Jordan. khalzoubi@just.edu.jo.; Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, Jordan University of Science a	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of molecular neuroscience : MN Periodical, Abbrev. J.Mol.Neurosci. Pub Date Free Form Oct Volume 57 Issue 2 Start Page 249 Other Pages 256 Notes LR: 20160701; GR: P50 DA036105/DA/NIDA NIH HHS/United States; GR: P50 DA036105/DA/NIDA NIH HHS/United States; GR: R01 DA025659/DA/NIDA NIH HHS/United States; GR: R01 DA025659/DA/NIDA NIH HHS/United States; JID: 9002991; 0 (Tobacco Smoke Pollution); NIHMS7 Place of Publication United States ISSN/ISBN 1559-1166; 0895-8696 Accession Number PMID: 26160697 Language eng SubFile Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; IM DOI 10.1007/s12031-015-0613-7 [doi] Output Language Unknown(0) PMID 26160697 Abstract Tobacco smoking is a global health hazard that kills about 5 million people annually. Waterpipe smoking is among the most popular methods of tobacco consumption worldwide. In this study, we investigated whether waterpipe smoking impairs learning and memory in the hippocampus, a question of special concern due to the particular popularity of waterpipe use among youth. Additionally, possible molecular targets for expected learning and memory impairment were determined. In this study, rats were exposed to waterpipe smoke (WTS) by whole body exposure 1 h x 5 days/week, for 1 month, and outcomes were compared to a control group exposed only to fresh air. Outcomes included spatial learning and memory using the radial arm water maze (RAWM) and oxidative stress biomarkers (catalase, glutathione peroxidase (GPx), superoxide dismutase (SOD), glutathione (GSH), oxidized glutathione (GSSG), GSH/GSSG ratio). We found that WTS exposure led to impaired short- and long-term memory. This impairment was accompanied by reduced hippocampal activity of catalase, SOD, GPx, GSH, and GSH/GSSG, elevated GSSG, thus marked changes in oxidative stress biomarkers. In conclusion, there is reason for concern that WTS exposure may impair cognitive ability. Descriptors Links Book Title Database Publisher Data Source Authors Alzoubi,K.H., Khabour,O.F., Alharahshah,E.A., Alhashimi,F.H., Shihadeh,A., Eissenberg,T. Original/Translated Title URL Date of Electronic 20150711 PMCID PMC4575272 Editors
The combined effect of sleep deprivation and Western diet on spatial learning and memory: role of BDNF and oxidative stress	2013	Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan 22110. khalzoubi@just.edu.jo	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of molecular neuroscience : MN Periodical, Abbrev. J.Mol.Neurosci. Pub Date Free Form May Volume 50 Issue 1 Start Page 124 Other Pages 133 Notes JID: 9002991; 0 (Brain-Derived Neurotrophic Factor); 2012/06/30 [received]; 2012/08/26 [accepted]; 2012/09/07 [aheadofprint]; ppublish Place of Publication United States ISSN/ISBN 1559-1166; 0895-8696 Accession Number PMID: 22956188 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1007/s12031-012-9881-7 [doi] Output Language Unknown(0) PMID 22956188 Abstract Either sleep deprivation or Western diet can impair learning and memory via induction of oxidative stress, which results in neuronal damage and interference with the neurotransmission. In this study, we examined the combined effect of sleep deprivation and Western diet on hippocampus-dependent spatial learning and memory. In addition, possible molecular targets for sleep deprivation and Western diet-induced cognitive impairments were investigated. Sleep deprivation was induced in rats using the modified multiple platform model simultaneous with the administration of Western diet for 6 weeks. Thereafter, spatial learning and memory were tested using radial arm water maze. At the molecular level, BDNF protein and antioxidant markers including superoxide dismutase (SOD), catalase, glutathione peroxidase (GPx), glutathione (GSH), oxidized glutathione (GSSG), GSH/GSSG, and thiobarbituric acid reactive substances (TBARS) were assessed. The results of this study revealed that sleep deprivation, Western diet, or a combination of both impair short- and long-term memory (P Descriptors Links Book Title Database Publisher Data Source Authors Alzoubi,K.H., Khabour,O.F., Salah,H.A., Abu Rashid,B.E. Original/Translated Title URL Date of Electronic 20120907 PMCID Editors
Evaluation of the effect of pentoxifylline on sleep-deprivation induced memory impairment	2013	Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Hippocampus Periodical, Abbrev. Hippocampus Pub Date Free Form Sep Volume 23 Issue 9 Start Page 812 Other Pages 819 Notes CI: Copyright (c) 2013; JID: 9108167; 0 (Phosphodiesterase Inhibitors); EC 1.11.1.6 (Catalase); EC 1.11.1.9 (Glutathione Peroxidase); EC 1.15.1.1 (Superoxide Dismutase); GAN16C9B8O (Glutathione); SD6QCT3TSU (Pentoxifylline); OTO: NOTNLM; 2013/04/05 [accep Place of Publication United States ISSN/ISBN 1098-1063; 1050-9631 Accession Number PMID: 23592546 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1002/hipo.22135 [doi] Output Language Unknown(0) PMID 23592546 Abstract In this study, we examined the ability of Pentoxifylline (PTX) to prevent sleep deprivation induced memory impairment probably through decreasing oxidative stress. Sleep deprivation was chronically induced 8 h/day for 6 weeks in rats using modified multiple platform model. Concurrently, PTX (100 mg/kg) was administered to animals on daily basis. After 6 weeks of treatment, behavioral studies were conducted to test the spatial learning and memory using the Radial Arm Water Maze. Additionally, the hippocampus was dissected; and levels/activities of antioxidant defense biomarkers glutathione reduced (GSH), glutathione oxidized (GSSG), GSH/GSSG ratio, glutathione peroxidase (GPx), catalase, and superoxide dismutase (SOD), were assessed. The results show that chronic sleep deprivation impaired short- and long-term memories, which was prevented by chronic treatment with PTX. Additionally, PTX normalized sleep deprivation-induced reduction in the hippocampus GSH/GSSG ratio (P Descriptors Links Book Title Database Publisher Wiley Periodicals, Inc Data Source Authors Alzoubi,K.H., Khabour,O.F., Tashtoush,N.H., Al-Azzam,S.I., Mhaidat,N.M. Original/Translated Title URL Date of Electronic 20130522 PMCID Editors
CO exposure and puff topography are associated with Lebanese waterpipe dependence scale score	2013	Department of Clinical Pharmacy, Jordan University of Science and Technology, Irbid, Jordan;	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 Oct Volume 15 Issue 10 Start Page 1782 Other Pages 1786 Notes LR: 20150427; GR: R01 DA025659/DA/NIDA NIH HHS/United States; GR: R01CA120142/CA/NCI NIH HHS/United States; GR: R01DA025659/DA/NIDA NIH HHS/United States; GR: R03TW008371./TW/FIC NIH HHS/United States; JID: 9815751; 0 (Tobacco Smoke Pollution); 7U1EE4V452 Place of Publication England ISSN/ISBN 1469-994X; 1462-2203 Accession Number PMID: 23616231 Language eng SubFile Clinical Trial; Journal Article; Research Support, N.I.H., Extramural; IM DOI 10.1093/ntr/ntt049 [doi] Output Language Unknown(0) PMID 23616231 Abstract INTRODUCTION: Waterpipe tobacco smoking involves self-administration of the dependence-producing drug nicotine. Few studies have examined if dependence in waterpipe smokers influences toxicant exposure and smoking behavior. METHOD: Current waterpipe tobacco smokers were categorized based on Lebanese Waterpipe Dependence Scale-11 (LWDS-11) score (LWDS-11: LOW 13; N = 59). Participants abstained from smoking for 12 hr and then completed a single 30-min waterpipe tobacco smoking episode. Expired-air carbon monoxide (CO) was measured before and 5 min after smoking and puff topography was measured during smoking. RESULTS: Total mean smoking time was 30.9 min (SD = 3.5) and did not differ significantly by LWDS-11 score. CO boost was greater for participants in the HIGH versus LOW groups (62.3 vs. 43.6 ppm, p Descriptors Links Book Title Database Publisher Data Source Authors Alzoubi,K.H., Khabour,O.F., Azab,M., Shqair,D.M., Shihadeh,A., Primack,B., Eissenberg,T. Original/Translated Title URL Date of Electronic 20130424 PMCID PMC3842104 Editors
Comparison of Smoking and Khat Chewing Habits between Medical and Non-Medical Female Students at UST, Sana'a, Yemen	2015	Department of Clinical Pharmacy, University of Science and Technology Hospital, Sana'a, Yemen. m7kubas_ph@yahoo.com.; Department of Medical Education, School of Medicine and Health Sciences, University of Science and Technology, Sana'a, Yemen.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of research in health sciences Periodical, Abbrev. J.Res.Health.Sci. Pub Date Free Form Fall Volume 15 Issue 4 Start Page 262 Other Pages 265 Notes JID: 101480094; OTO: NOTNLM; 2015/04/15 [received]; 2015/07/23 [accepted]; 2015/06/15 [revised]; ppublish Place of Publication Iran ISSN/ISBN 2228-7809; 2228-7795 Accession Number PMID: 26728914 Language eng SubFile Journal Article; IM DOI 2047 [pii] Output Language Unknown(0) PMID 26728914 Abstract BACKGROUND: Smoking is a worldwide problem that kills millions of people. Women smoke much lower than males but the numbers of smoker women are growing up. The objectives of this study were to assess the prevalence of smoking and khat chewing in medical and non-medical female students at University of Science and Technology (UST), Sana'a, Yemen. METHODS: We used self-administrated questionnaire to collect cross-sectional data from a randomly selected sample of medical and non-medical female students of UST in 2012-2013. Overall, 480 students completed and returned the questionnaire, of them medical students represented 50% of them. RESULTS: The prevalence of smoking was significantly low among female medical students (P=0.045), however, not significantly difference was found between medical and non-medical female students in khat chewing habits (P=0.083). Non-smoker medical female students who tried smoking (45.6%) were significantly lower than non-medical students (54.4%), and curiosity was the main reason for trying smoking. Water pipe was the most common type of smoking among smoker students (78.6%). Out of 26 female students who smoke and chew khat, 18 students reported that they smoke more while they chew khat. CONCLUSIONS: Our study highlights the need for increased health education, awareness, and knowledge of the risks of smoking and particularly khat chewing to reduce these habits among female university students especially in non-medical female students. Descriptors Links Book Title Database Publisher Data Source Authors Kubas,M.A., Wadi,M. Original/Translated Title URL Date of Electronic PMCID Editors
Web-based psychotherapy for posttraumatic stress disorder in war-traumatized Arab patients: randomized controlled trial	2015	Department of Clinical Psychology, Freie University, Berlin, Germany. christine.knaevelsrud@fu-berlin.de.	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 20-Mar Volume 17 Issue 3 Start Page e71 Other Pages Notes LR: 20151119; ANZCTR/ACTRN12611001019998; JID: 100959882; OID: NLM: PMC4385175; OTO: NOTNLM; 2014/06/04 [received]; 2014/11/26 [accepted]; 2014/09/01 [revised]; epublish Place of Publication Canada ISSN/ISBN 1438-8871; 1438-8871 Accession Number PMID: 25799024 Language eng SubFile Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; IM DOI 10.2196/jmir.3582 [doi] Output Language Unknown(0) PMID 25799024 Abstract BACKGROUND: In recent years, armed conflicts in the Middle East have resulted in high rates of exposure to traumatic events. Despite the increasing demand of mental health care provision, ongoing violence limits conventional approaches of mental health care provision. Internet-based interventions for posttraumatic stress disorder (PTSD) have proved feasible and effective in Western countries, but their applicability and efficacy in war and conflict regions remains unknown. OBJECTIVE: This study investigated the efficacy of a cognitive behavioral Internet-based intervention for war-traumatized Arab patients, with focus on Iraq. METHODS: A total of 159 individuals with PTSD participated in a parallel group randomized trial. Participants were randomly allocated by a computer-generated sequence to a treatment group (n=79) or a waiting list control group (n=80). The treatment group received 2 weekly 45-minute cognitive behavioral interventions via Internet over a 5-week period (10 sessions in total). The primary outcome was recovery from posttraumatic stress symptoms. RESULTS: Posttraumatic stress symptoms were significantly reduced from baseline to posttreatment (intention-to-treat analysis) in the treatment group relative to the control group (F1,157=44.29, P<.001 d="0.92)." treatment="" effects="" were="" sustained="" at="" follow-up.="" completer="" analysis="" indicated="" that="" of="" patients="" in="" the="" group="" had="" recovered="" from="" posttraumatic="" stress="" symptoms="" posttreatment="" change="" and="" diagnostic="" scale="" score="" versus="" patient="" control="" ci="" p="" indicating="" chance="" recovering="" was="" times="" higher="" than="" group.="" conclusions:="" results="" indicate="" even="" unstable="" insecure="" settings="" with="" ongoing="" exposure="" to="" human="" rights="" violations="" through="" war="" dictatorships="" people="" benefit="" a="" cognitive="" behavioral="" provided="" entirely="" internet.="" this="" method="" delivery="" could="" improve="" access="" humanitarian="" aid="" form="" e-mental="" health="" services.="" trial="" registration:="" australian="" new="" zealand="" clinical="" registry="" actrn12611001019998="" https:="" by="" webcite="" http:=""> Descriptors Links Book Title Database Publisher Data Source Authors Knaevelsrud,C., Brand,J., Lange,A., Ruwaard,J., Wagner,B. Original/Translated Title URL Date of Electronic 20150320 PMCID PMC4385175 Editors
Determinants of nonmedical use, abuse or dependence on prescription drugs, and use of substance abuse treatment	2013	Department of Clinical Sciences and Administration, College of Pharmacy, University of Houston, 1441 Moursund St, Houston, TX 77030, USA. v.bali4u@gmail.com	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Research in social & administrative pharmacy : RSAP Periodical, Abbrev. Res.Social Adm.Pharm. Pub Date Free Form May-Jun Volume 9 Issue 3 Start Page 276 Other Pages 287 Notes LR: 20150312; CI: Copyright (c) 2013; JID: 101231974; 0 (Prescription Drugs); EIN: Res Social Adm Pharm. 2013 Jul-Aug;9(4):495; 2011/09/18 [received]; 2012/04/15 [revised]; 2012/04/16 [accepted]; 2012/06/23 [aheadofprint]; ppublish Place of Publication United States ISSN/ISBN 1934-8150; 1551-7411 Accession Number PMID: 22727534 Language eng SubFile Journal Article; IM DOI 10.1016/j.sapharm.2012.04.008 [doi] Output Language Unknown(0) PMID 22727534 Abstract BACKGROUND: Previous studies have found a negative association between health insurance and nonmedical use of prescription drugs (NMUPD), and abuse or dependence on prescription drugs (ADPD); and mixed associations between health insurance and use of substance abuse treatment (SAT). However, effect of health insurance in the specific subgroups of population is largely unknown. OBJECTIVE: To estimate the relationship between health insurance and (1) NMUPD, (2) ADPD, and (3) use of SAT services among 12-64 years old, noninstitutionalized individuals and to see if these relationships are different in different subgroups of population. METHODS: This study used cross-sectional survey data from 2007 National Survey on Drug Use and Health. Bivariate and multiple logistic regression analyses were conducted. RESULTS: In 2007, self-reported prevalence of NMUPD was approximately 10% (N=15,509,703). In multivariate analysis, NMUPD was negatively associated with health insurance, age, race other than non-Hispanic White, education, marital status, and income ($40,000-$74,999). Past year use of tobacco and alcohol were positively associated with NMUPD. Among those with private health insurance, Hispanics and individuals with family income less than $20,000 and $40,000-$74,999 were more likely prone to NMUPD than others. High school graduates with public health insurance were less likely prone to NMUPD. Approximately, 13% of nonmedical users reported ADPD (N=2,011,229). Health insurance and age were negatively associated with ADPD. However, people who were unmarried, reported fair/poor health, and used tobacco were more likely to report ADPD. Lastly, the use of substance abuse treatment programs was approximately 73% and 76% between NMUPD and ADPD population, respectively. Health insurance was not associated with use of substance abuse treatment. Individuals with high school education were 2.6 times more likely to use substance abuse treatment than the college graduates. Additionally, no significant interaction effects were found between health insurance, and sociodemographic factors on ADPD and the use of substance abuse treatment. CONCLUSIONS: Health insurance had a differential impact on NMUPD only. Among privately insured, Hispanics and individuals reporting family income less than $20,000 were more likely to engage in NMUPD. There is a need to better understand and monitor the use of prescription drugs among these groups. This knowledge can help in developing public health programs and policies that discourage NMUPD among these individuals. Descriptors Links Book Title Database Publisher Elsevier Inc Data Source Authors Bali,V., Raisch,D.W., Moffett,M.L., Khan,N. Original/Translated Title URL Date of Electronic 20120623 PMCID Editors
Prevalence, distribution and correlates of tobacco smoking and chewing in Nepal: a secondary data analysis of Nepal Demographic and Health Survey-2006	2011	Department of Clinical Sciences, Faculty of Medical and Health Science, University Tunku Abdul Rahman, Bandar Sungai Long, Kajang, Selangor, Malaysia. chandrashekharats@yahoo.com	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Substance abuse treatment, prevention, and policy Periodical, Abbrev. Subst.Abuse Treat.Prev.Policy. Pub Date Free Form 20-Dec Volume 6 Issue Start Page 33 Other Pages 597X-6-33 Notes LR: 20151119; JID: 101258060; OID: NLM: PMC3266635; 2011/09/28 [received]; 2011/12/20 [accepted]; 2011/12/20 [aheadofprint]; epublish Place of Publication England ISSN/ISBN 1747-597X; 1747-597X Accession Number PMID: 22185233 Language eng SubFile Journal Article; IM DOI 10.1186/1747-597X-6-33 [doi] Output Language Unknown(0) PMID 22185233 Abstract BACKGROUND: Nearly four-fifths of estimated 1.1 million smokers live in low or middle-income countries. We aimed to provide national estimates for Nepal on tobacco use prevalence, its distribution across demographic, socio-economic and spatial variables and correlates of tobacco use. METHODS: A secondary data analysis of 2006 Nepal Demographic and Health Survey (DHS) was done. A representative sample of 9,036 households was selected by two-stage stratified, probability proportional to size (PPS) technique. We constructed three outcome variables 'tobacco smoke', 'tobacco chewer' and 'any tobacco use' based on four questions about tobacco use that were asked in DHS questionnaires. Socio-economic, demographic and spatial predictor variables were used. We computed overall prevalence for 'tobacco smoking', 'tobacco chewing' and 'any tobacco use' i.e. point estimates of prevalence rates, 95% confidence intervals (CIs) after adjustment for strata and clustering at primary sampling unit (PSU) level. For correlates of tobacco use, we used multivariate analysis to calculate adjusted odds ratios (AORs) and their 95% CIs. A p-value Descriptors Links Book Title Database Publisher Data Source Authors Sreeramareddy,C.T., Ramakrishnareddy,N., Harsha Kumar,H., Sathian,B., Arokiasamy,J.T. Original/Translated Title URL Date of Electronic 20111220 PMCID PMC3266635 Editors
Waterpipe (hookah) tobacco smoking among youth	2011	Department of Community and Family Health, University of South Florida, College of Public Health (MDC 056), Tampa, FL, USA.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Current problems in pediatric and adolescent health care Periodical, Abbrev. Curr.Probl.Pediatr.Adolesc.Health.Care. Pub Date Free Form Feb Volume 41 Issue 2 Start Page 34 Other Pages 57 Notes LR: 20151119; CI: Copyright (c) 2011; JID: 101134613; 0 (Tobacco Smoke Pollution); 6M3C89ZY6R (Nicotine); 7U1EE4V452 (Carbon Monoxide); ppublish Place of Publication United States ISSN/ISBN 1538-3199; 1538-3199 Accession Number PMID: 21232693 Language eng SubFile Journal Article; IM DOI 10.1016/j.cppeds.2010.10.001 [doi] Output Language Unknown(0) PMID 21232693 Abstract Waterpipe tobacco smoking is a centuries old practice, influenced by cultural tradition in Eastern Mediterranean countries, the Middle East, and parts of Asia. It historically has been an activity enjoyed primarily by men. In the past 2 decades, however, this method of tobacco smoking has increased in popularity in other parts of the world, including the USA. Growing interest in this form of smoking can be traced, in part, to the advent of a flavored tobacco, called maassel. The combination of flavoring agents and the paraphernalia itself used in the smoking process, along with its mystic appeal, novelty, affordability, and the social atmosphere in which smoking often occurs, has made waterpipe smoking attractive to women as well as men, cigarette smokers and nonsmokers alike, and particular groups, including persons of college age and younger adolescents. Although waterpipe smoking is perceived by its new generation of users to be less addictive and hazardous to health than cigarette smoking, researchers draw diametrically opposed conclusions. Research demonstrates that numerous toxic agents, including carcinogens, heavy metals, other particulate matter, and high levels of nicotine, are efficiently delivered through waterpipes. Moreover, sidestream smoke exposes others in the vicinity of waterpipe smokers to the risk of respiratory diseases and other conditions. In addition, persons sharing waterpipe mouthpieces may share infectious agents as well. Waterpipe tobacco smoking has been declared a public health problem by the World Health Organization and other authorities. Recognition of the deleterious effects of waterpipe smoking has led to initial attempts to expand regulatory control. Because waterpipe tobacco is not directly burned in the smoking process, many existing control measures do not apply. Public health authorities should monitor waterpipe tobacco use carefully. Finally, pediatricians and other healthcare providers should discourage experimentation and continued use among their adolescent patients. Descriptors Links Book Title Database Publisher Mosby, Inc Data Source Authors Martinasek,M.P., McDermott,R.J., Martini,L. Original/Translated Title URL Date of Electronic PMCID Editors
Tobacco smoking status and perception of health among a sample of Jordanian students	2014	Department of Community and Mental Health, Faculty of Nursing, Hashemite University, P.O. Box 150459, Zarqa 13115, Jordan. sukaina-alzyoud@hu.edu.jo.; Department of Public Health, Faculty of Medicine, Jordan University of Science and Technology, P.O. Box	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full International journal of environmental research and public health Periodical, Abbrev. Int.J.Environ.Res.Public.Health. Pub Date Free Form 11-Jul Volume 11 Issue 7 Start Page 7022 Other Pages 7035 Notes LR: 20150805; JID: 101238455; OID: NLM: PMC4113858; 2014/04/28 [received]; 2014/06/05 [revised]; 2014/06/27 [accepted]; epublish Place of Publication Switzerland ISSN/ISBN 1660-4601; 1660-4601 Accession Number PMID: 25019264 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.3390/ijerph110707022 [doi] Output Language Unknown(0) PMID 25019264 Abstract Limited data are available from Jordan examining patterns of tobacco use among adolescents, or how use is related to health perceptions. This study aims to estimate the prevalence of tobacco use and to assess the relationship between use and health-related perceptions. A cross-sectional survey was conducted among a sample of 11-18 year old school students from a major governorate in Jordan. Using a multistage random sampling 1050 students were selected. Students were categorized as non-smokers, cigarette-only smokers, waterpipe-only smokers, or dual smokers. Rates of waterpipe-only and cigarette-only smoking were 7% and 3%, respectively, and were similar for boys and girls. In contrast, the rate of dual use was much higher than for single product use and was double in girls compared to boys (34% vs. 17%). Dual-smokers were significantly more likely to think that it is safe to smoke as long as the person intends to quit within two years compared to non-smokers, and had lower self-rated health status than other groups. This is the first study among Arab adolescents to document high rates of dual tobacco use, especially pronounced among girls. The study findings have significant implications for designing tobacco smoking prevention programs for school health settings. Descriptors Links Book Title Database Publisher Data Source Authors Alzyoud,S., Kheirallah,K.A., Weglicki,L.S., Ward,K.D., Al-Khawaldeh,A., Shotar,A. Original/Translated Title URL Date of Electronic 20140711 PMCID PMC4113858 Editors

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