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Predictors of nicotine withdrawal symptoms: findings from the first randomized smoking cessation trial in a low-income country setting 2016 Department of Epidemiology, Florida International University, Miami, FL, USA. zbent002@fiu.edu.; Division of Social and Behavioral Sciences, School of Public Health, University of Memphis, Memphis, TN, USA.; Syrian Center for Tobacco Studies, Aleppo, Syri
Source Type
Print(0)
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Journal Article
Periodical, Full
International journal of public health
Periodical, Abbrev.
Int.J.Public.Health.
Pub Date Free Form
Jul
Volume
61
Issue
6
Start Page
701
Other Pages
708
Notes
JID: 101304551; OTO: NOTNLM; 2015/08/30 [received]; 2016/03/29 [accepted]; 2016/03/23 [revised]; 2016/04/15 [aheadofprint]; ppublish
Place of Publication
Switzerland
ISSN/ISBN
1661-8564; 1661-8556
Accession Number
PMID: 27083449
Language
eng
SubFile
Journal Article; IM
DOI
10.1007/s00038-016-0818-8 [doi]
Output Language
Unknown(0)
PMID
27083449
Abstract
OBJECTIVES: To identify predictors of nicotine withdrawal symptoms among smokers who participated in a randomized cessation trial in a low-income country. METHODS: We analyzed data from 269 smokers who participated in a randomized, placebo-controlled smoking cessation trial conducted in primary healthcare in Aleppo, Syria. All participants received behavioral counseling and were randomized to receive either 6 weeks of nicotine or placebo patch and were followed for one year. RESULTS: Throughout the study, lower total withdrawal score was associated with greater education (p = 0.044), older age of smoking initiation (p = 0.017), lower nicotine dependence (p = 0.024), higher confidence in ability to quit (p = 0.020), lower reported depression (p
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Ben Taleb,Z., Ward,K.D., Asfar,T., Jaber,R., Auf,R., Maziak,W.
Original/Translated Title
URL
Date of Electronic
20160415
PMCID
Editors
The global epidemiology of waterpipe smoking 2015 Department of Epidemiology, Florida International University, Miami, Florida, USA Syrian Center for Tobacco Studies, Aleppo, Syria.; Department of Epidemiology, Florida International University, Miami, Florida, USA.; Department of Epidemiology, Florida In
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
i3
Other Pages
i12
Notes
LR: 20150423; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.; GR: R01 DA035160/DA/NIDA NIH HHS/United States; GR: R
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 25298368
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Review; IM
DOI
10.1136/tobaccocontrol-2014-051903 [doi]
Output Language
Unknown(0)
PMID
25298368
Abstract
OBJECTIVES: In the past decade, waterpipe smoking (a.k.a. hookah, shisha, narghile) has become a global phenomenon. In this review, we provide an updated picture of the main epidemiological trends in waterpipe smoking globally. DATA SOURCES: Peer-reviewed publications indexed in major biomedical databases between 2004 and 2014. Search keywords included a combination of: waterpipe, hookah, shisha along with epidemiology, patterns, prevalence and predictors. We also used different spellings of waterpipe terms commonly used. STUDY SELECTION: The focus was on studies with large representative samples, national data or high-quality reports that illuminated aspects of the epidemiology and trends in waterpipe smoking. DATA EXTRACTION: Multiple researchers extracted the data independently and collectively decided on the most important and pertinent studies to include in the review. DATA SYNTHESIS: Waterpipe smoking has become a global phenomenon among youth. The global waterpipe epidemic is likely driven by (1) the introduction of manufactured flavoured tobacco (Maassel); (2) the intersection between waterpipe's social dimension and thriving cafe culture; (3) the evolution of mass communication media; (4) the lack of regulatory/policy framework specific to the waterpipe. Waterpipe smoking is becoming the most popular tobacco use method among youth in the Middle East, and is quickly gaining popularity elsewhere. Important patterns of waterpipe smoking include the predominance among younger, male, high socioeconomic, and urban groups. Intermittent and social use are also noted patterns. CONCLUSIONS: Waterpipe smoking has become a global public health problem. Developing surveillance, intervention and regulatory/policy frameworks specific to the waterpipe has become a public health priority.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Maziak,W., Taleb,Z.B., Bahelah,R., Islam,F., Jaber,R., Auf,R., Salloum,R.G.
Original/Translated Title
URL
Date of Electronic
20141008
PMCID
PMC4345835
Editors
Environmental monitoring of secondhand smoke exposure 2013 Department of Epidemiology, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, 615N. Wolfe St, Baltimore, Maryland 21205, USA. pbreysse@jhsph.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
May
Volume
22
Issue
3
Start Page
147
Other Pages
155
Notes
LR: 20151119; JID: 9209612; 0 (Biomarkers); 0 (Particulate Matter); 0 (Tobacco Smoke Pollution); 6M3C89ZY6R (Nicotine); OID: NLM: PMC3639351; 2012/09/04 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 22949497
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; Review; IM
DOI
10.1136/tobaccocontrol-2011-050301 [doi]
Output Language
Unknown(0)
PMID
22949497
Abstract
The complex composition of secondhand smoke (SHS) provides a range of constituents that can be measured in environmental samples (air, dust and on surfaces) and therefore used to assess non-smokers' exposure to tobacco smoke. Monitoring SHS exposure (SHSe) in indoor environments provides useful information on the extent and consequences of SHSe, implementing and evaluating tobacco control programmes and behavioural interventions, and estimating overall burden of disease caused by SHSe. The most widely used markers have been vapour-phase nicotine and respirable particulate matter (PM). Numerous other environmental analytes of SHS have been measured in the air including carbon monoxide, 3-ethenylpyridine, polycyclic aromatic hydrocarbons, tobacco-specific nitrosamines, nitrogen oxides, aldehydes and volatile organic compounds, as well as nicotine in dust and on surfaces. The measurement of nicotine in the air has the advantage of reflecting the presence of tobacco smoke. While PM measurements are not as specific, they can be taken continuously, allowing for assessment of exposure and its variation over time. In general, when nicotine and PM are measured in the same setting using a common sampling period, an increase in nicotine concentration of 1 mug/m(3) corresponds to an average increase of 10 mug/m3 of PM. This topic assessment presents a comprehensive summary of SHSe monitoring approaches using environmental markers and discusses the strengths and weaknesses of these methods and approaches.
Descriptors
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Database
Publisher
Data Source
Authors
Apelberg,B.J., Hepp,L.M., Avila-Tang,E., Gundel,L., Hammond,S.K., Hovell,M.F., Hyland,A., Klepeis,N.E., Madsen,C.C., Navas-Acien,A., Repace,J., Samet,J.M., Breysse,P.N.
Original/Translated Title
URL
Date of Electronic
20120904
PMCID
PMC3639351
Editors
E-cigarette awareness, use, and harm perceptions in Italy: a national representative survey 2014 Department of Epidemiology, IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; silvano.gallus@marionegri.it.; Department of Clinical Sciences and Community Health, Universita degli Studi di Milano, Milan, Italy;; Department of Therapeu
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
16
Issue
12
Start Page
1541
Other Pages
1548
Notes
CI: (c) The Author 2014; JID: 9815751; 2014/07/31 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 25082832
Language
eng
SubFile
Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/ntr/ntu124 [doi]
Output Language
Unknown(0)
PMID
25082832
Abstract
INTRODUCTION: Only a few studies have provided information on awareness, use, and harm perceptions of e-cigarettes in Europe. We fill the knowledge gap in Italy. METHODS: We used data from a face-to-face survey conducted in 2013 of a sample of 3,000 individuals, representative of the Italian population aged >/=15 years (51.1 million inhabitants). RESULTS: Awareness of e-cigarettes was 91.1%; it was lowest among women (87.8%), the elderly (78.4%), those with less education (84.1%), and never-smokers (89.0%). Ever e-cigarette use was 6.8% overall and was inversely related to age, whereas no significant difference was observed according to sex. With regard to smoking status, 2.6% of never-smokers, 7.0% of ex-smokers, and 20.4% of current smokers tried the e-cigarette at least once. Regular e-cigarette use was 1.2% overall, 1.5% among men, and 0.9% among women, and it was highest among young (2.4%) and current smokers (3.7%). Among 36 e-cigarette regular users, 22.0% did not change their smoking habit, 67.7% reduced traditional cigarette consumption, and 10.4% quit smoking. CONCLUSIONS: After fewer than 3 years from the opening of the first Italian e-cigarette shop, more than 45 million Italians have heard about e-cigarettes, 3.5 million have tried e-cigaretts, and more than 600,000 Italians regularly use e-cigarettes. Three out of 4 e-cigarette users reported to have favorably modified their smoking habit; however, 90% of users did not quit smoking as a consequence of starting vaping e-cigarettes. Almost 900,000 Italian never-smokers, particularly young never-smokers, have tried this new and potentially addictive product at least once.
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
Gallus,S., Lugo,A., Pacifici,R., Pichini,S., Colombo,P., Garattini,S., La Vecchia,C.
Original/Translated Title
URL
Date of Electronic
20140731
PMCID
Editors
Smoking prevalence in Italy 2011 and 2012, with a focus on hand-rolled cigarettes 2013 Department of Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri-IRCCS, Milan, Italy. silvano.gallus@marionegri.it
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Preventive medicine
Periodical, Abbrev.
Prev.Med.
Pub Date Free Form
May
Volume
56
Issue
5
Start Page
314
Other Pages
318
Notes
CI: Copyright (c) 2013; JID: 0322116; 2012/09/28 [received]; 2013/01/07 [revised]; 2013/02/13 [accepted]; 2013/02/24 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1096-0260; 0091-7435
Accession Number
PMID: 23462480
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.ypmed.2013.02.009 [doi]
Output Language
Unknown(0)
PMID
23462480
Abstract
OBJECTIVE: To provide updated information on smoking prevalence in Italy, with a focus on type of tobacco product, including hand-rolled (HR) cigarettes. METHOD: Two nationally representative surveys were conducted in 2011 and 2012 in Italy on a total sample of 6167 adults. Information on type of tobacco most frequently smoked was collected. RESULTS: Current smokers were 21.7% (22.7% in 2011 and 20.8% in 2012) overall, 25.3% among men and 18.4% among women. Among smokers, 94.6% most frequently consumed manufactured cigarettes, 4.6% HR cigarettes, 0.5% cigars, 0.2% cigarillos, and 0.2% pipe and none smokeless tobacco. HR cigarette use was more frequent in men (6.9%) than in women (1.7%), in 2012 (5.9%) than in 2011 (3.4%), and among the young (15-24 years; 9.1%). The average estimated price of one HR cigarette was 0.09euro and that of a manufactured cigarette was 0.18euro. CONCLUSION: In 2012 we observed the lowest reported overall smoking prevalence in Italy, though change since 2008 has been limited. The proportion of HR cigarettes on total tobacco trade has appreciably increased, particularly among young male smokers, who appear to switch to affordable cigarettes in a period of economic crisis. Fiscal policies aiming to equalise the cost of different cigarette types are needed in Italy.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Inc
Data Source
Authors
Gallus,S., Lugo,A., Colombo,P., Pacifici,R., La Vecchia,C.
Original/Translated Title
URL
Date of Electronic
20130224
PMCID
Editors
Cigar and pipe smoking, smokeless tobacco use and pancreatic cancer: an analysis from the International Pancreatic Cancer Case-Control Consortium (PanC4) 2011 Department of Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Annals of Oncology : Official Journal of the European Society for Medical Oncology / ESMO
Periodical, Abbrev.
Ann.Oncol.
Pub Date Free Form
Jun
Volume
22
Issue
6
Start Page
1420
Other Pages
1426
Notes
LR: 20150813; GR: 5R01-CA098870/CA/NCI NIH HHS/United States; GR: CA098889/CA/NCI NIH HHS/United States; GR: CA108370/CA/NCI NIH HHS/United States; GR: CA109767/CA/NCI NIH HHS/United States; GR: CA59706/CA/NCI NIH HHS/United States; GR: CA89726/CA/NCI NIH
Place of Publication
England
ISSN/ISBN
1569-8041; 0923-7534
Accession Number
PMID: 21245160
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, N.I.H., Intramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/annonc/mdq613 [doi]
Output Language
Unknown(0)
PMID
21245160
Abstract
BACKGROUND: Cigarette smoking is the best-characterized risk factor for pancreatic cancer. However, data are limited for other tobacco smoking products and smokeless tobacco. MATERIALS AND METHODS: We conducted a pooled analysis of cigar and pipe smoking and smokeless tobacco use and risk of pancreatic cancer using data from 11 case-control studies (6056 cases and 11,338 controls) within the International Pancreatic Cancer Case-Control Consortium (PanC4). Pooled odds ratios (OR) and the corresponding 95% confidence intervals (CI) were estimated by unconditional multiple logistic regression models adjusted for study center and selected covariates. RESULTS: Compared with never tobacco users, the OR for cigar-only smokers was 1.6 (95% CI: 1.2-2.3), i.e. comparable to that of cigarette-only smokers (OR 1.5; 95% CI 1.4-1.6). The OR was 1.1 (95% CI 0.69-1.6) for pipe-only smokers. There was some evidence of increasing risk with increasing amount of cigar smoked per day (OR 1.82 for >/= 10 grams of tobacco), although not with duration. The OR for ever smokeless tobacco users as compared with never tobacco users was 0.98 (95% CI 0.75-1.3). CONCLUSION: This collaborative analysis provides evidence that cigar smoking is associated with an excess risk of pancreatic cancer, while no significant association emerged for pipe smoking and smokeless tobacco use.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Bertuccio,P., La Vecchia,C., Silverman,D.T., Petersen,G.M., Bracci,P.M., Negri,E., Li,D., Risch,H.A., Olson,S.H., Gallinger,S., Miller,A.B., Bueno-de-Mesquita,H.B., Talamini,R., Polesel,J., Ghadirian,P., Baghurst,P.A., Zatonski,W., Fontham,E.T., Bamlet,W.R., Holly,E.A., Lucenteforte,E., Hassan,M., Yu,H., Kurtz,R.C., Cotterchio,M., Su,J., Maisonneuve,P., Duell,E.J., Bosetti,C., Boffetta,P.
Original/Translated Title
URL
Date of Electronic
20110118
PMCID
PMC3139985
Editors
Menthol cigarettes, race/ethnicity, and biomarkers of tobacco use in U.S. adults: the 1999-2010 National Health and Nutrition Examination Survey (NHANES) 2013 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. mijones@jhsph.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
Periodical, Abbrev.
Cancer Epidemiol.Biomarkers Prev.
Pub Date Free Form
Feb
Volume
22
Issue
2
Start Page
224
Other Pages
232
Notes
LR: 20151119; GR: R03 CA153959/CA/NCI NIH HHS/United States; GR: R03CA153959/CA/NCI NIH HHS/United States; GR: T32 HL007024/HL/NHLBI NIH HHS/United States; GR: T32HL007024/HL/NHLBI NIH HHS/United States; JID: 9200608; 0 (4-(methylnitrosamino)-1-(3-pyridyl
Place of Publication
United States
ISSN/ISBN
1538-7755; 1055-9965
Accession Number
PMID: 23250935
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1158/1055-9965.EPI-12-0912 [doi]
Output Language
Unknown(0)
PMID
23250935
Abstract
BACKGROUND: In the United States, cigarette flavorings are banned, with the exception of menthol. The cooling effects of menthol could facilitate the absorption of tobacco toxicants. We examined levels of biomarkers of tobacco exposure among U.S. smokers of menthol and nonmenthol cigarettes. METHODS: We studied 4,603 White, African-American, and Mexican-American current smokers 20 years of age or older who participated in the National Health and Nutrition Examination Survey (NHANES) from 1999 through 2010 and had data on cigarette type and serum cotinine, blood cadmium, and blood lead concentrations. Urinary total 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol) (NNAL) was studied in 1,607 participants with available measures. RESULTS: A total of 3,210 (74.3%) participants smoked nonmenthol cigarettes compared with 1,393 (25.7%) participants who smoked menthol cigarettes. The geometric mean concentrations comparing smokers of nonmenthol with menthol cigarettes were 163.1 versus 175.9 ng/mL for serum cotinine; 0.95 versus 1.02 mug/L for blood cadmium; 1.87 versus 1.75 mug/dL for blood lead; and 0.27 versus 0.23 ng/mL for urine NNAL. After multivariable adjustment, the ratios [95% confidence interval (CI)] comparing smokers of menthol with nonmenthol cigarettes were 1.03 (0.95-1.11) for cotinine, 1.10 (1.04-1.16) for cadmium, 0.95 (0.90-1.01) for lead, and 0.81 (0.65-1.01) for NNAL. CONCLUSIONS: In a representative sample of U.S. adult smokers, current menthol cigarette use was associated with increased concentration of blood cadmium, an established carcinogen and highly toxic metal, but not with other biomarkers. IMPACT: These findings provide information regarding possible differences in exposure to toxic constituents among menthol cigarette smokers compared with nonmenthol cigarette smokers.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Jones,M.R., Apelberg,B.J., Tellez-Plaza,M., Samet,J.M., Navas-Acien,A.
Original/Translated Title
URL
Date of Electronic
20121218
PMCID
PMC3565051
Editors
Association Between Childhood Residential Mobility and Non-medical Use of Prescription Drugs Among American Youth 2015 Department of Epidemiology, Robert C. Byrd Health Sciences Center, West Virginia University School of Public Health, P.O. Box 9190, Morgantown, WV, 26506-9190, USA. mstabler@hsc.wvu.edu.; Department of Epidemiology, Injury Control Research Center, West Vi
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Maternal and child health journal
Periodical, Abbrev.
Matern.Child Health J.
Pub Date Free Form
Dec
Volume
19
Issue
12
Start Page
2646
Other Pages
2653
Notes
GR: R49CE002109/CE/NCIPC CDC HHS/United States; JID: 9715672; OTO: NOTNLM; ppublish
Place of Publication
United States
ISSN/ISBN
1573-6628; 1092-7875
Accession Number
PMID: 26156823
Language
eng
SubFile
Journal Article; Research Support, U.S. Gov't, P.H.S.; IM
DOI
10.1007/s10995-015-1785-z [doi]
Output Language
Unknown(0)
PMID
26156823
Abstract
INTRODUCTION: Prescription drug abuse is a public health epidemic, resulting in 15,000 deaths annually. Disruption of childhood residence has been shown to increase drug-seeking behavior among adolescents; however, little research has explored its association specifically with non-medical use of prescription drugs (NMUPD). The objective of the study was to measure the association between residential mobility and NMUPD. METHODS: The 2010 National Survey on Drug Use and Health data were analyzed for 15,745 participants aged 12-17 years. NMUPD was defined as self-report of any non-medical use (i.e., taking a prescription drug that was not prescribed to them or consumption for recreational purposes) of tranquilizers, pain relievers, sedatives, or stimulants. Logistic regression for survey data was used to estimate the association between residential mobility and NMUPD, adjusting for potential confounders. RESULTS: After controlling for demographic, intrapersonal, interpersonal, and community factors, adolescents with low mobility (1-2 moves in the past 5 years) and residential instability (>/=3 moves) were 16% (OR 1.16, 95% CI 1.01, 1.33) and 25% (OR 1.25, 95% CI 1.00, 1.56) more likely to report NMUPD compared to non-mobile adolescents (0 moves). Low-mobile adolescents were 18% (OR 1.18, 95% CI 1.01, 1.38) more likely to abuse pain relievers, specifically. No relationship was found between moving and tranquilizer, stimulant, or sedative use. DISCUSSION: Increasing childhood residential mobility is associated with NMUPD; therefore, efforts to prevent NMUPD should target mobile adolescents. Further examination of the psychological effects of moving and its association with pain reliever abuse is indicated.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Stabler,M.E., Gurka,K.K., Lander,L.R.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Early symptoms of nicotine dependence among adolescent waterpipe smokers 2016 Department of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, Florida, USA Faculty of Medicine and Health Sciences, Aden University, Yemen.; Department of Family Medicine and Community Health,
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
25-Apr
Volume
Issue
Start Page
Other Pages
Notes
LR: 20160429; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/; GR: R01 DA035160/DA/NIDA NIH HHS/United Sta
Place of Publication
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27113610
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
tobaccocontrol-2015-052809 [pii]
Output Language
Unknown(0)
PMID
27113610
Abstract
BACKGROUND: Although waterpipe smoking is increasingly popular among youth and can lead to nicotine dependence (ND), no studies have documented how ND develops in waterpipe smokers. We examined the emerging symptoms of ND among adolescent waterpipe smokers in Lebanon. METHODS: Individual confidential interviews were used to evaluate ND in 160 waterpipe smokers and 24 cigarette smokers from a sample of 498 students enrolled in 8th and 9th grades in Lebanon. RESULTS: Among waterpipe smokers, 71.3% endorsed at least one Hooked on Nicotine Checklist (HONC) symptom and 38.1% developed the full syndrome of ND (>/=3 criteria using the International Classification of Diseases, 10th revision). The early symptoms of ND among waterpipe smokers were craving (25%), feeling addicted (22.5%), and failed quit attempts (14.3%). Among those who reached the respective milestones, median tobacco use when the first HONC symptom emerged was 7.5 waterpipes/month with smoking frequency of 6 days/month; the median tobacco use for the full syndrome of ND was 15 waterpipes/month with smoking frequency of 15 days/month. Among those who had already reached these milestones, the first HONC symptom appeared 10.9 months after the initiation of waterpipe smoking, and the full syndrome of ND was reached at 13.9 months. In addition, cues such as seeing or smelling waterpipe, and the cafe environment triggered craving in most waterpipe smokers with symptoms of ND. CONCLUSIONS: Symptoms of ND develop among adolescent waterpipe smokers at low levels of consumption and frequency of use. Craving for nicotine triggered by waterpipe-specific cues is reported even at this young age. Waterpipe-specific ND prevention and intervention programmes for youth are needed.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Bahelah,R., DiFranza,J.R., Fouad,F.M., Ward,K.D., Eissenberg,T., Maziak,W.
Original/Translated Title
URL
Date of Electronic
20160425
PMCID
Editors
Determinants of waterpipe smoking initiation among school children in Irbid, Jordan: a 4-year longitudinal analysis 2014 Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC II - Room 595-1, Miami, FL 33099, USA. Electronic address: kscot005@fiu.edu.; Department of Health Promotion an
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Drug and alcohol dependence
Periodical, Abbrev.
Drug Alcohol Depend.
Pub Date Free Form
1-Sep
Volume
142
Issue
Start Page
307
Other Pages
313
Notes
LR: 20151119; CI: Copyright (c) 2014; 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/United States; JID: 7513587; NIHMS612962
Place of Publication
Ireland
ISSN/ISBN
1879-0046; 0376-8716
Accession Number
PMID: 25060962
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1016/j.drugalcdep.2014.06.038 [doi]
Output Language
Unknown(0)
PMID
25060962
Abstract
OBJECTIVE: Guided by the Attitude-Social influence-self Efficacy (ASE) theory, this study identified predictors of waterpipe (WP) smoking initiation in a WP naive cohort of Jordanian school children. METHODS: A school-based cohort of all 7th grade students (N=1781) in 19 of 60 schools in Irbid, Jordan, was followed from 2008 to 2011. Generalized linear mixed modeling was used to examine predictors of WP initiation among WP-naive students (N=1243). RESULTS: During the 3-year study, WP initiation was documented in 39% of boys and 28% of girls. Prior cigarette smoking (boys: odds ratio 7.41; 95% confidence interval 4.05-12.92 and girls: 8.48; 4.34-16.56) and low WP refusal self-efficacy (boys: 26.67; 13.80-51.53 and girls: 11.49; 6.42-20.55) were strongly predictive of initiating WP. Boys were also more likely to initiate WP smoking if they had siblings (2.30; 1.14-4.64) or teachers (2.07; 1.12-3.84) who smoked and girls if they had friends (2.96; 1.59-5.54) who smoked. CONCLUSION: There is a sizeable incidence of WP initiation among students of both sexes. These findings will help in designing culturally responsive prevention interventions against WP smoking. Gender-specific factors, refusal skills, and cigarette smoking need to be important components of such initiatives.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ireland Ltd
Data Source
Authors
McKelvey,K., Attonito,J., Madhivanan,P., Jaber,R., Yi,Q., Mzayek,F., Maziak,W.
Original/Translated Title
URL
Date of Electronic
20140709
PMCID
PMC4138134
Editors