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Fine particle air pollution and secondhand smoke exposures and risks inside 66 US casinos 2011 Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USA. repace@comcast.net
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Environmental research
Periodical, Abbrev.
Environ.Res.
Pub Date Free Form
May
Volume
111
Issue
4
Start Page
473
Other Pages
484
Notes
CI: Copyright (c) 2011; JID: 0147621; 0 (Air Pollutants); 0 (Particulate Matter); 0 (Tobacco Smoke Pollution); 2010/04/28 [received]; 2011/02/07 [revised]; 2011/02/12 [accepted]; 2011/03/25 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1096-0953; 0013-9351
Accession Number
PMID: 21440253
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.envres.2011.02.007 [doi]
Output Language
Unknown(0)
PMID
21440253
Abstract
Smoking bans often exempt casinos, exposing occupants to fine particles (PM(2.5)) from secondhand smoke. We quantified the relative contributions to PM(2.5) from both secondhand smoke and infiltrating outdoor sources in US casinos. We measured real-time PM(2.5), particulate polycyclic aromatic hydrocarbons (PPAH), and carbon dioxide (CO(2)) (as an index of ventilation rate) inside and outside 8 casinos in Reno, Nevada. We combined these data with data from previous studies, yielding a total of 66 US casinos with smoking in California, Delaware, Nevada, New Jersey, and Pennsylvania, developing PM(2.5) frequency distributions, with 3 nonsmoking casinos for comparison. Geometric means for PM(2.5) were 53.8 mug/m(3) (range 18.5-205 mug/m(3)) inside smoking casinos, 4.3 mug/m(3) (range 0.26-29.7 mug/m(3)) outside those casinos, and 3.1 mug/m(3) (range 0.6-9 mug/m(3)) inside 3 nonsmoking casinos. In a subset of 21 Reno and Las Vegas smoking casinos, PM(2.5) in gaming areas averaged 45.2 mug/m(3) (95% CI, 37.7-52.7 mug/m(3)); adjacent nonsmoking casino restaurants averaged 27.2 mug/m(3) (95% CI, 17.5-36.9 mug/m(3)), while PM(2.5) outside the casinos averaged 3.9 mug/m(3) (95% CI, 2.5-5.3 mug/m(3)). For a subset of 10 Nevada and Pennsylvania smoking casinos, incremental (indoor-outdoor) PM(2.5) was correlated with incremental PPAH (R(2)=0.79), with ventilation rate-adjusted smoker density (R(2)=0.73), and with smoker density (R(2)=0.60), but not with ventilation rates (R(2)=0.15). PPAH levels in 8 smoking casinos in 3 states averaged 4 times outdoors. The nonsmoking casinos' PM(2.5) (n=3) did not differ from outdoor levels, nor did their PPAH (n=2). Incremental PM(2.5) from secondhand smoke in approximately half the smoking casinos exceeded a level known to produce cardiovascular morbidity in nonsmokers after less than 2h of exposure, posing acute health risks to patrons and workers. Casino ventilation and air cleaning practices failed to control secondhand smoke PM(2.5). Drifting PM(2.5) from secondhand smoke contaminated unseparated nonsmoking areas. Smoke-free casinos reduced PM(2.5) to the same low levels found outdoors.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Inc
Data Source
Authors
Repace,J.L., Jiang,R.T., Acevedo-Bolton,V., Cheng,K.C., Klepeis,N.E., Ott,W.R., Hildemann,L.M.
Original/Translated Title
URL
Date of Electronic
20110325
PMCID
Editors
Does stage-based smoking cessation advice in pregnancy result in long-term quitters? 18-month postpartum follow-up of a randomized controlled trial 2005 Department of Public Health and Epidemiology, University of Birmingham, Birmingham UK.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addiction (Abingdon, England)
Periodical, Abbrev.
Addiction
Pub Date Free Form
Jan
Volume
100
Issue
1
Start Page
107
Other Pages
116
Notes
LR: 20071115; JID: 9304118; ppublish
Place of Publication
England
ISSN/ISBN
0965-2140; 0965-2140
Accession Number
PMID: 15598198
Language
eng
SubFile
Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; IM
DOI
ADD936 [pii]
Output Language
Unknown(0)
PMID
15598198
Abstract
AIMS: To evaluate the effect on quitting smoking at 18 months postpartum of smoking cessation interventions based on the Transtheoretical Model (TTM) delivered in pregnancy compared to current standard care. It has been claimed that TTM-based interventions will continue to create quitters after the end of the intervention period. DESIGN: Cluster randomized trial. SETTING: Antenatal clinics in general practices in the West Midlands, UK. PARTICIPANTS: A total of 918 pregnant smokers originally enrolled in the trial, of which 393 women were followed-up at 18 months postpartum. INTERVENTIONS: One hundred general practices were randomized into the three trial arms. Midwives in these practices delivered three interventions: A (standard care), B (TTM-based self-help manuals) and C (TTM-based self-help manuals plus sessions with an interactive computer program giving individualized smoking cessation advice). MEASUREMENTS: Self-reported continuous and point prevalence abstinence since pregnancy. FINDINGS: When combined together, there was a slight and not significant benefit for both TTM arms compared to the control, with an odds ratio (OR) 95% confidence interval (CI) of 1.20 (0.29-4.88) for continuous abstinence. For point prevalence abstinence, the OR (95%CI) was 1.15 (0.66-2.03). Seven of the 54 (13%) women who had quit at the end of pregnancy were still quit 18 months later, and there was no evidence that the TTM-based interventions were superior in preventing relapse. CONCLUSIONS: The TTM-based interventions may have shown some evidence of a short-term benefit for quitting in pregnancy but no benefit relative to standard care when followed-up in the longer-term.
Descriptors
Adult, Behavior Therapy/methods, Cluster Analysis, Confidence Intervals, Female, Follow-Up Studies, Health Promotion, Humans, Odds Ratio, Patient Compliance, Patient Education as Topic/methods, Pregnancy, Pregnancy Complications/prevention & control, Smoking/prevention & control, Smoking Cessation/methods/psychology, Treatment Outcome
Links
Book Title
Database
Publisher
Data Source
Authors
Lawrence,T., Aveyard,P., Cheng,K. K., Griffin,C., Johnson,C., Croghan,E.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Air pollution in Boston bars before and after a smoking ban 2006 Department of Public Health and Family Medicine, Tufts University School of Medicine, Boston, MA 02111, USA. repace@comcast.net
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
27-Oct
Volume
6
Issue
Start Page
266
Other Pages
Notes
LR: 20140907; JID: 100968562; 0 (Air Pollutants, Occupational); 0 (Polycyclic Hydrocarbons, Aromatic); 0 (Tobacco Smoke Pollution); OID: NLM: PMC1637107; 2006/04/28 [received]; 2006/10/27 [accepted]; 2006/10/27 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 17069654
Language
eng
SubFile
Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
1471-2458-6-266 [pii]
Output Language
Unknown(0)
PMID
17069654
Abstract
BACKGROUND: We quantified the air quality benefits of a smoke-free workplace law in Boston Massachusetts, U.S.A., by measuring air pollution from secondhand smoke (SHS) in 7 pubs before and after the law, comparing actual ventilation practices to engineering society (ASHRAE) recommendations, and assessing SHS levels using health and comfort indices. METHODS: We performed real-time measurements of respirable particle (RSP) air pollution and particulate polycyclic aromatic hydrocarbons (PPAH), in 7 pubs and outdoors in a model-based design yielding air exchange rates for RSP removal. We also assessed ventilation rates from carbon dioxide concentrations. We compared RSP air pollution to the federal Air Quality Index (AQI) and the National Ambient Air Quality Standard (NAAQS) to assess health risks, and assessed odor and irritation levels using published SHS-RSP thresholds. RESULTS: Pre-smoking-ban RSP levels in 6 pubs (one pub with a non-SHS air quality problem was excluded) averaged 179 microg/m3, 23 times higher than post-ban levels, which averaged 7.7 microg/m3, exceeding the NAAQS for fine particle pollution (PM2.5) by nearly 4-fold. Pre-smoking ban levels of fine particle air pollution in all 7 of the pubs were in the Unhealthy to Hazardous range of the AQI. In the same 6 pubs, pre-ban indoor carcinogenic PPAH averaged 61.7 ng/m3, nearly 10 times higher than post-ban levels of 6.32 ng/m3. Post-ban particulate air pollution levels were in the Good AQI range, except for 1 venue with a defective gas-fired deep-fat fryer, while post-ban carcinogen levels in all 7 pubs were lower than outdoors. CONCLUSION: During smoking, although pub ventilation rates per occupant were within ASHRAE design parameters for the control of carbon dioxide levels for the number of occupants present, they failed to control SHS carcinogens or RSP. Nonsmokers' SHS odor and irritation sensory thresholds were massively exceeded. Post-ban air pollution measurements showed 90% to 95% reductions in PPAH and RSP respectively, differing little from outdoor concentrations. Ventilation failed to control SHS, leading to increased risk of the diseases of air pollution for nonsmoking workers and patrons. Boston's smoking ban eliminated this risk.
Descriptors
Air Movements, Air Pollutants, Occupational/analysis, Air Pollution, Indoor/analysis/legislation & jurisprudence/prevention & control, Boston, Environmental Monitoring/methods, Guidelines as Topic, Humans, Occupational Exposure/legislation & jurisprudence/prevention & control, Polycyclic Hydrocarbons, Aromatic/analysis, Program Evaluation, Public Policy, Restaurants/legislation & jurisprudence, Risk Assessment, Smoking/legislation & jurisprudence/prevention & control, Tobacco Smoke Pollution/analysis/legislation & jurisprudence/prevention & control, Ventilation/standards
Links
Book Title
Database
Publisher
Data Source
Authors
Repace,J. L., Hyde,J. N., Brugge,D.
Original/Translated Title
URL
Date of Electronic
20061027
PMCID
PMC1637107
Editors
From directive to practice: are pictorial warnings and plain packaging effective to reduce the tobacco addiction? 2015 Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Rome, Italy. Electronic address: alice.mannocci@uniroma1.it.; Department of Public Health and Infectious Diseases, "Sapienza" University of Rome, Rome, Italy.; Department
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Public health
Periodical, Abbrev.
Public Health
Pub Date Free Form
Dec
Volume
129
Issue
12
Start Page
1563
Other Pages
1570
Notes
CI: Copyright (c) 2015; JID: 0376507; OTO: NOTNLM; 2014/09/01 [received]; 2015/03/11 [revised]; 2015/08/22 [accepted]; 2015/12/10 [aheadofprint]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1476-5616; 0033-3506
Accession Number
PMID: 26452706
Language
eng
SubFile
Journal Article; IM
DOI
10.1016/j.puhe.2015.08.014 [doi]
Output Language
Unknown(0)
PMID
26452706
Abstract
OBJECTIVES: Tobacco packaging represents an important form of promotion of tobacco products and for this reason plain packaging (PP) can be considered an additional tobacco control measure. In Italy the current tobacco packaging is branded with textual warnings. The study investigated the perception of PP with textual warnings (PPTWs) and pictorial warnings (PPPWs) in Italy. STUDY DESIGN: Cross-sectional. METHODS: The study was conducted on adults who were current, never and former smokers. The participants watched out three types of packages (current packaging, PPTWs and PPPWs) and eight pictorial warnings, and indicated which they considered the most effective ones to motivate smoking cessation or reduction and to prevent the onset. RESULTS: 1065 subjects were recruited. The PPPWs were considered the most effective in motivating to quit, reduce and prevent the smoking habits (ranged 83.4%-96.1%) in all tobacco users and age groups (40 years) (P
Descriptors
Links
Book Title
Database
Publisher
The Royal Society for Public Health. Published by Elsevier Ltd
Data Source
Authors
Mannocci,A., Colamesta,V., Mipatrini,D., Messina,G., Gualano,M.R., Gianfagna,F., Boccia,G., Langiano,E., Nicolotti,N., Veronesi,G., Siliquini,R., De Vito,E., La Torre,G.
Original/Translated Title
URL
Date of Electronic
20151210
PMCID
Editors
Indoor particulate matter and secondhand smoke: simulation of an exposure scenario 2014 Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.; Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.; Department of Public Health and Infectious Diseases, Sapienza University of
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Annali di Igiene : Medicina Preventiva e di Comunita
Periodical, Abbrev.
Ann.Ig.
Pub Date Free Form
Mar-Apr
Volume
26
Issue
2
Start Page
186
Other Pages
189
Notes
JID: 9002865; 0 (Air Pollutants); 0 (Particulate Matter); 0 (Tobacco Smoke Pollution); ppublish
Place of Publication
Italy
ISSN/ISBN
1120-9135; 1120-9135
Accession Number
PMID: 24763452
Language
eng
SubFile
Evaluation Studies; Journal Article; IM
DOI
10.7416/ai.2014.1975 [doi]
Output Language
Unknown(0)
PMID
24763452
Abstract
BACKGROUND: To evaluate secondhand smoke (SHS) contribution on indoor Particulate Matter (PM) concentrations due to a single smoked cigarette in a real exposure scenario. METHODS: Total Suspended Particles (TSP) and sizes =10 (PM(10)), =4 (PM(4)), =2.5 (PM(2.5)), and =1 mum (PM(1)) levels were measured before, during and after smoking in an enclosed smoke-free environment. The measurement was stopped 30 minutes after extinguishing the cigarette, to focus the monitoring just on SHS. RESULTS: PM(1) concentrations dramatically increased during and 30 minutes after smoking (mean values: 21.1, 1544.0 and 279.0 mug/m3 before, during and after, respectively), while the other PM fractions remained almost unchanged. CONCLUSIONS: This experiment implies that smoking even one cigarette produces important indoor air pollution which may considerably increase individual exposure to ultrafine particles, and, consequently, pose a serious threat to health.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Protano,C., Cattaruzza,M.S., Osborn,J.F., Vitali,M.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
GHPSS multicenter Italian survey: smoking prevalence, knowledge and attitudes, and tobacco cessation training among third-year medical students 2013 Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tumori
Periodical, Abbrev.
Tumori
Pub Date Free Form
Jan-Feb
Volume
99
Issue
1
Start Page
17
Other Pages
22
Notes
LR: 20151119; JID: 0111356; ppublish
Place of Publication
Italy
ISSN/ISBN
2038-2529; 0300-8916
Accession Number
PMID: 23548994
Language
eng
SubFile
Journal Article; Multicenter Study; IM
DOI
10.1700/1248.13782 [doi]
Output Language
Unknown(0)
PMID
23548994
Abstract
AIMS AND BACKGROUND: Healthcare professionals have an important role to play both as advisers - influencing smoking cessation - and as role models. The aims of this study were to examine smoking prevalence, knowledge and attitudes among Italian university students attending medical schools using the Global Health Professions Student Survey (GHPSS) approach. METHODS AND STUDY DESIGN: A multicenter cross-sectional study was conducted among University students of 9 Italian medical schools (age ranging between 19 and 29 years). The GHPSS questionnaire was self-administered. A logistic regression model was used to identify possible factors associated with tobacco smoking status. Data were analyzed with the software SPSS 19.0 for Windows. RESULTS: Seven hundred thirty medical students (response rate 100%) were enrolled. The prevalence of current smokers was 20.4% (males 22.4%, females 19.1%). Of the total sample, 87.7% believed that health professionals should receive specific training in techniques to quit smoking, and 65% believed that health professionals had a role in giving advice or information about smoking cessation. However, 89.4% answered that they had not received specific training on smoking cessation techniques. Multivariate analysis showed that students belonging to universities in southern Italy were more likely to be smokers (OR = 2.00; 95% CI: 1.03-3.97). CONCLUSIONS: This Italian multicenter survey found that one fifth of future medical doctors are smokers. There is a need to adopt a standard undergraduate curriculum containing comprehensive tobacco prevention and cessation training to improve their effectiveness as role models.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Saulle,R., Bontempi,C., Baldo,V., Boccia,G., Bonaccorsi,G., Brusaferro,S., Donato,F., Firenze,A., Gregorio,P., Pelissero,G., Sella,A., Siliquini,R., Boccia,A., La Torre,G.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Knowledge and attitudes of waterpipe tobacco smoking among GPs in England 2014 Department of Public Health and Primary Care, Imperial College School of Public Health, Imperial College London. E-mail: mohammed.jawad06@imperial.ac.uk.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The British journal of general practice : the journal of the Royal College of General Practitioners
Periodical, Abbrev.
Br.J.Gen.Pract.
Pub Date Free Form
May
Volume
64
Issue
622
Start Page
222
Other Pages
223
Notes
LR: 20150708; JID: 9005323; OID: NLM: PMC4001149; ppublish
Place of Publication
England
ISSN/ISBN
1478-5242; 0960-1643
Accession Number
PMID: 24771819
Language
eng
SubFile
Letter; Research Support, Non-U.S. Gov't; IM
DOI
10.3399/bjgp14X679642 [doi]
Output Language
Unknown(0)
PMID
24771819
Abstract
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Hamilton,F.L., Millett,C., Albeyatti,A., Ananthavarathan,P.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC4001149
Editors
Knowledge of, attitude towards, and prevalence of tobacco use among dental students in Himachal Pradesh State, India 2013 Department of Public Health Dentistry, Himchal Pradesh Government Dental College, Shimla, Himachal Pradesh, India. drfotedar@rediffmail.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Oral health and dental management
Periodical, Abbrev.
Oral Health.Dent.Manag.
Pub Date Free Form
Jun
Volume
12
Issue
2
Start Page
73
Other Pages
79
Notes
JID: 101568098; 0 (Tobacco Smoke Pollution); ppublish
Place of Publication
Romania
ISSN/ISBN
2247-2452; 2247-2452
Accession Number
PMID: 23756422
Language
eng
SubFile
Journal Article; D; IM
DOI
Output Language
Unknown(0)
PMID
23756422
Abstract
AIM: The aim of the study was to assess the prevalence of tobacco use and knowledge of and attitude towards cessation counselling among dental students in Himachal Pradesh State, India. METHOD: The present study was conducted with the 219 third-year Bachelor of Dental Surgery (BDS) students in the five dental colleges of Himachal Pradesh during the month of March 2012. The Global Health Professional Students Survey (GHPSS) questionnaire, developed by the World Health Organization (WHO), the US Centers for Disease Control and Prevention (CDC) and the Canadian Public Health Association, was used in this study. The data were evaluated using statistical software and statistically tested with the chi-square test. RESULTS: The response was 210 (96%). Lifetime prevalence was 15% for smoking and 2% for tobacco use other than for smoking. Eighteen (9%) students were current smokers and four (2%) were tobacco users other than for smoking. Male students were significantly (P
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Fotedar,S., Sogi,G.M., Fotedar,V., Bhushan,B., Singh,B., Dahiya,P., Thakur,A.S.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Exploring the use of little cigars by students at a historically black university 2008 Department of Public Health Education, North Carolina Central University, P.O. Box 19738, Durham, NC 27707, USA. djolly@nccu.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Preventing chronic disease
Periodical, Abbrev.
Prev.Chronic Dis.
Pub Date Free Form
Jul
Volume
5
Issue
3
Start Page
A82
Other Pages
Notes
LR: 20160317; JID: 101205018; OID: NLM: PMC2483573; 2008/06/15 [epublish]; ppublish
Place of Publication
United States
ISSN/ISBN
1545-1151; 1545-1151
Accession Number
PMID: 18558032
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
A82 [pii]
Output Language
Unknown(0)
PMID
18558032
Abstract
INTRODUCTION: Considerable evidence exists that little cigars are popular among African American adolescents and young adults who smoke. However, few studies have been published on the use of this tobacco product by young blacks in the United States. This research investigated little-cigar use among students at a historically black university in the southeastern United States. METHODS: As a follow-up to a survey on tobacco use among freshmen that revealed unexpectedly high rates of little-cigar use, 3 focus groups were conducted with current or former smokers of little cigars. Topics included preferred brands of little cigars, preference for little cigars over cigarettes, social contexts for smoking little cigars, perceived health risks of smoking little cigars relative to smoking cigarettes, and thoughts about quitting. RESULTS: Focus group participants preferred little cigars to cigarettes for various reasons, among them taste, smell, a better "buzz," social purposes, status, and perceptions that smoking little cigars is less addictive and less harmful than smoking cigarettes. Opinions on health risks varied; some participants believed that health risks can be reduced by removing the inner liner of little cigars. CONCLUSION: Use of little cigars should be addressed in tobacco research, use prevention, and use cessation efforts, targeting students at historically black colleges and perhaps other young African Americans. Results also suggest that clear distinctions should be made among cigarettes, little cigars, and cigars, and that tobacco use prevention and cessation programs should debunk myths that little cigars are a safe alternative to cigarettes. Study findings should be confirmed and elucidated through additional research.
Descriptors
Adolescent, Adult, African Americans, Female, Focus Groups, Health Knowledge, Attitudes, Practice, Humans, Male, Marijuana Smoking/ethnology, Smoking/ethnology, Southeastern United States/epidemiology, Students, Universities
Links
Book Title
Database
Publisher
Data Source
Authors
Jolly,D. H.
Original/Translated Title
URL
Date of Electronic
20080615
PMCID
PMC2483573
Editors
Water pipe and smokeless tobacco use among medical students in South Africa 2012 Department of Public Health Medicine, School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa. fsenkubuge@gmail.com
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
Jun
Volume
14
Issue
6
Start Page
755
Other Pages
760
Notes
LR: 20151119; JID: 9815751; 2011/10/29 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 22039073
Language
eng
SubFile
Journal Article; IM
DOI
10.1093/ntr/ntr211 [doi]
Output Language
Unknown(0)
PMID
22039073
Abstract
INTRODUCTION: This study sought to determine the sociodemographic and behavioral factors associated with water pipe and smokeless tobacco (SLT) use among a population of medical students in the Pretoria area, South Africa. METHODS: Undergraduate medical students (N = 722) in their 2nd and 6th year of study in 2 medical schools in South Africa completed a self-administered questionnaire during 2008. Information on ever and current use of water pipe and SLT was obtained along with information on sociodemographic variables, alcohol use, and cigarette smoking status. Multiple logistic regression analysis were used to determine factors associated with current use of water pipe and SLT. RESULTS: The mean age of study participants was 23 years. Of the participants, 53% were female and 55% were self-identified as Black Africans. Of the study participants, 18.6% were current water pipe users, 3.1% were current SLT users, while 17.3% were current cigarette smokers. Factors independently associated with current water pipe use were having an alcohol drinking-problem (odds ratio [OR] = 2.43; 95% CI = 1.48-3.40), currently smoking cigarettes (3.40; 2.04-5.67), and reporting exposure to smoking in places other than home (2.51; 1.29-4.90). Compared with Black students, White medical students were more likely to have smoked a water pipe in the past month (3.14; 1.74-5.70) but less likely to have ever used SLT (0.37; 0.19-0.73). CONCLUSIONS: These findings suggest that the use of alternative tobacco products is common among South African medical students and may form part of a pattern of risk-taking behavior. Furthermore, there appear to be cultural differences in the use of certain tobacco products.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Senkubuge,F., Ayo-Yusuf,O.A., Louwagie,G.M., Okuyemi,K.S.
Original/Translated Title
URL
Date of Electronic
20111029
PMCID
Editors