WTS database

Title	Pub Year	SearchLink Sort descending
Prevalence of tobacco use among adults in Egypt, 2009	2016	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Glob Health Promot Periodical, Abbrev. Pub Date Free Form Volume 23 Issue 2 Start Page 38 Other Pages 47 Notes ID: 24042971 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract INTRODUCTION: We assessed the differences in overall use of tobacco and in the use of various tobacco products, by sex and by frequency of use across various demographic groups. METHODS: We used data from the Global Adult Tobacco Survey (GATS), conducted in 2009 in Egypt. The data consist of answers to GATS by 20,924 respondents from a nationally representative, multistage probability sample of adults aged 15 years or older from all regions of Egypt. Current tobacco use was defined as current smoking or use of smokeless tobacco products, either daily or occasionally. We analyzed the differences in current cigarette, shisha, and smokeless tobacco use by sex and frequency of use (daily or occasional); and by demographic characteristics that included age, region, education level and employment status. RESULTS: Overall, 19.7% of the Egyptian population currently use some form of tobacco. Men (38.1% 95% confidence interval (CI) 36.8-39.4]) are much more likely than women (0.6% 95% CI 0.4-0.9]) to use tobacco. Almost 96% of men who use tobacco, do so daily. Men are more likely to use manufactured cigarettes (31.8% 95% CI 30.6-33.1]) than shisha (6.2% 95% CI 5.6-6.9]) or smokeless tobacco (4.1% 95% CI 3.4-4.8]). Few women use tobacco (cigarettes (0.2%), shisha (0.3%) and smokeless tobacco (0.3%)); however, all women who currently smoke shisha, do so daily. Lower educational status, being between ages 25-64 and being employed predicted a higher use of tobacco. CONCLUSION: Egypt has implemented several initiatives to reduce tobacco use. The World Health Organization (WHO) MPOWER technical package, which aims to reverse the tobacco epidemic, is implemented at various levels throughout the country. Our findings show that there is significant variation in the prevalence of tobacco use and types of tobacco used by adult men and women in Egypt. GATS data can be used to better understand comparative patterns of tobacco use by adults, which in turn can be used to develop interventions. Descriptors Links http://dx.doi.org/10.1177/1757975913499801 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Fouad,Heba, Awa,Fatimah El, Naga,Randa Abou El, Emam,Awatef Hussien, Labib,Sahar, Palipudi,Krishna Mohan, Andes,Linda J., Asma,Samira, Talley,Brandon Original/Translated Title URL Date of Electronic PMCID Editors
Adolescents' Perceptions of Health Risks, Social Risks, and Benefits Differ Across Tobacco Products	2016	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full J Adolesc Health Periodical, Abbrev. J.Adolesc.Health Pub Date Free Form Volume 58 Issue 5 Start Page 558 Other Pages 66 Notes ID: 27107909 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract OBJECTIVE: This study assesses perceptions of overall harm, short-term health and social risks, long-term health risks, and benefits associated with various tobacco products including conventional cigarettes, e-cigarettes, cigars, chew, and hookah. This study also assesses whether and how perceptions differ by age, gender, race/ethnicity, and previous experience with tobacco. METHODS: A total of 722 high school students completed an online survey, answering questions about their use and perceptions of a variety of tobacco products. Differences in perceptions across products were assessed using a generalized estimation equation with an exchangeable correlation structure. RESULTS: Adolescents rated the various tobacco products as conferring significantly different levels of risks and benefits. Generally, adolescents rated cigarettes as most risky, followed by cigars and chew, with hookah and e-cigarettes rated as least risky. Adolescents rated hookah followed by cigarettes and e-cigarettes as most likely to make them look cool or fit in and cigars and chew as least likely to confer these benefits. There were interaction effects by age and use, with older adolescents and those with tobacco experience holding lower perceptions of risk. There were no significant interaction effects by race/ethnicity or gender. CONCLUSION: Given the significant differences in adolescents' perceptions of risks and benefits of using different tobacco products and research showing the predictive relationship between perceptions and behavior, there is a need for comprehensive messaging that discusses risks of all tobacco products, particularly hookah and e-cigarettes. There is also a need to address perceived benefits of tobacco products, especially hookah and e-cigarettes. Descriptors Links http://dx.doi.org/10.1016/j.jadohealth.2016.01.012 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Roditis,Maria, Delucchi,Kevin, Cash,David, Halpern-Felsher, Bonnie Original/Translated Title URL Date of Electronic PMCID Editors
Progression of Poly-tobacco Product Use Patterns in Adolescents	2016	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Periodical, Abbrev. Pub Date Free Form Volume Issue Start Page Other Pages Notes ID: 27211895 Place of Publication ISSN/ISBN Accession Number Language ENG SubFile DOI Output Language Unknown(0) PMID Abstract INTRODUCTION: Diverse patterns of adolescent use and poly-use of tobacco products other than conventional cigarettes are emerging. Data characterizing common patterns of youth tobacco product use and typical transitions among patterns may inform tobacco control policy and prevention. This study identified common patterns of use and poly-use of five popular tobacco products (i.e., conventional cigarettes, electronic e-]cigarettes, hookah, blunts, and cigars) and progression among patterns across time among ninth-graders using latent transition analysis (analyses conducted in 2015). METHODS: Data were from a longitudinal cohort study of ninth-grade students enrolled in ten public high schools in California (N=3,304; 46.6% male; 48.3% Hispanic; mean age, 14.58 SD=0.40] years), involving a baseline (2013) and 6-month follow-up (2014). Past 6-month any use of the five tobacco products was assessed. RESULTS: Poly-use (two or more products) constituted 42% and 50% of tobacco-using teens at baseline and follow-up, respectively. Three common patterns were identified, which reflected successfully greater degrees of low, intermediate, and high diversity of tobacco product use: non-users (baseline prevalence, 0.75; follow-up prevalence, 0.64); e-cigarette/hookah users only (prevalence, 0.21, 0.27); and poly-tobacco product users of all five products (prevalence, 0.04, 0.09). Most typical transitions involved progressing to the next more diverse pattern (non-userÃ¢Â†Â’e-cigarette/hookah user probability=0.13] and e-cigarette/hookah userÃ¢Â†Â’poly-tobacco product user probability=0.19]). Transition from one of the user patterns to non-user status was rare (probability=0.08). CONCLUSIONS: Adolescent poly-tobacco use is common. E-cigarette and hookah use may reflect an intermediate pattern of tobacco product use progression along a continuum of poly-product use diversity. Descriptors Links http://dx.doi.org/10.1016/j.amepre.2016.04.004 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Huh,Jimi, Leventhal,Adam M. Original/Translated Title URL Date of Electronic PMCID Editors
Associations between tobacco and nicotine product use and depressive symptoms among college students in Texas	2016	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Addict Behav Periodical, Abbrev. Addict.Behav. Pub Date Free Form Volume 63 Issue Start Page 19 Other Pages 22 Notes ID: 27393934 Place of Publication ISSN/ISBN Accession Number Language ENG SubFile DOI Output Language Unknown(0) PMID Abstract BACKGROUND: There is a well-established link between cigarette smoking and depression; less is known about the potential association between alternative tobacco products, such as hookah, cigars, smokeless tobacco, and electronic cigarette (e-cigarette use) with depression. The Food and Drug Administration (FDA) is now regulating tobacco products and is interested in tobacco product use among those with mental health problems and other special populations such as college students. METHODS: Cross-sectional statewide convenience sample study of 5438 college students in 24 colleges and universities in Texas. Past 30-day use of hookah, cigar, smokeless tobacco, cigarette, and e-cigarette use were measured by self-report. Depressive symptoms were measured by the 10-item short form of the Center for Epidemiologic Studies scale. RESULTS: Only e-cigarette use was positively associated with depressive symptoms, even after accounting for all other tobacco products and socio-demographics. There were no significant interactions between race/ethnicity or gender with each of the tobacco products on depressive symptoms. CONCLUSIONS: E-cigarette use was positively associated with depressive symptoms among college students in Texas. Further research is needed to determine causality, which may inform FDA regulatory planning. Descriptors Links http://dx.doi.org/10.1016/j.addbeh.2016.06.024 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Bandiera,Frank C., Loukas,Alexandra, Wilkinson,Anna V., Perry,Cheryl L. Original/Translated Title URL Date of Electronic PMCID Editors
Openness to Using Non-cigarette Tobacco Products Among U.S. Young Adults	2016	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Am J Prev Med Periodical, Abbrev. Am.J.Prev.Med. Pub Date Free Form Volume 50 Issue 4 Start Page 528 Other Pages 34 Notes ID: 26549502 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract INTRODUCTION: National data indicate that the prevalence of non-cigarette tobacco product use is highest among young adults; however, little is known about their openness to use these products in the future and associated risk factors. This study sought to characterize openness to using non-cigarette tobacco products and associated factors among U.S. young adults. METHODS: In 2014, National Adult Tobacco Survey data (2012-2013) were analyzed to characterize openness to using the following tobacco products among all young adults aged 18-29 years (N=5,985): cigars; electronic cigarettes ("e-cigarettes"); hookah; pipe tobacco; chew, snuff, or dip; snus; and dissolvables. Among those who were not current users of each product, multivariable logistic regression was used to examine associations between demographics, cigarette smoking status, lifetime use of other non-cigarette products, perceived harm and addictiveness of smoking, and receipt of tobacco industry promotions and openness to using each product. RESULTS: Among all young adults, openness to using non-cigarette tobacco products was greatest for hookah (28.2%); e-cigarettes (25.5%); and cigars (19.1%). In multivariable analyses, which included non-current users of each product, non-current ever, current, and former smokers were more likely than never smokers to be open to using most examined products, as were men and adults aged 18-24 years. Receipt of tobacco industry promotions was associated with openness to using e-cigarettes; chew, snuff, or dip; and snus. CONCLUSIONS: There is substantial openness to trying non-cigarette tobacco products among U.S. young adults. Young adults are an important population to consider for interventions targeting non-cigarette tobacco product use. Descriptors Links http://dx.doi.org/10.1016/j.amepre.2015.08.015 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Mays,Darren, Arrazola,RenÃ© A., Tworek,Cindy, Rolle,Italia V., Neff,Linda J., Portnoy,David B. Original/Translated Title URL Date of Electronic PMCID Editors
PM2.5 as a marker of exposure to tobacco smoke and other sources of particulate matter in Cairo, Egypt	2016	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Int J Tuberc Lung Dis Periodical, Abbrev. Int.J.Tuberc.Lung Dis. Pub Date Free Form Volume 20 Issue 3 Start Page 417 Other Pages 22 Notes ID: 27046726 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract SETTING: Cairo and Giza governorates of Egypt. BACKGROUND: Particulate matter under 2.5 Âµm in diameter (PM2.5) arises from diverse sources, including tobacco smoke from cigarettes and waterpipes, and is recognized as a cause of acute and chronic morbidity and mortality. OBJECTIVE: To measure PM2.5 in workplaces with different intensities of smoking and varying levels of smoking restrictions. DESIGN: We conducted an air sampling study to measure PM2.5 levels in a convenience sample of indoor and outdoor venues in 2005-2006. RESULTS: Using a calibrated SidePak instrument, 3295 individual measurements were collected at 96 venues. Compared to indoor venues where tobacco smoking was banned (PM2.5 levels 72-81 Âµg/m(3)), places offering waterpipes to patrons of cafes (478 Âµg/m(3)) and Ramadan tents (612 Âµg/m(3)) had much higher concentrations, as did venues such as public buildings with poor enforcement of smoking restrictions (range 171-704 Âµg/m(3)). Both the number of waterpipe smokers and the number of cigarette smokers observed at each venue contributed significantly to the overall burden of PM2.5. CONCLUSION: Such data will support smoke-free policies and programs aimed specifically at reducing environmental tobacco exposure and improving air quality in general, and will provide a baseline for monitoring the impact of tobacco control policies. Descriptors Links http://dx.doi.org/10.5588/ijtld.15.0316 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Loffredo,C A., Tang,Y., Momen,M., Makambi,K., Radwan,G N., Aboul-Foutoh, A Original/Translated Title URL Date of Electronic PMCID Editors
Toking, Vaping, and Eating for Health or Fun: Marijuana Use Patterns in Adults, U.S., 2014	2016	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Am J Prev Med Periodical, Abbrev. Am.J.Prev.Med. Pub Date Free Form Volume 50 Issue 1 Start Page 1 Other Pages 8 Notes ID: 26277652 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract INTRODUCTION: Policies legalizing marijuana for medical and recreational use have been increasing in the U.S. Considering the potential impact of these policies, important knowledge gaps exist, including information about the prevalence of various modes of marijuana use (e.g., smoked in joints, bowls, bongs; consumed in edibles or drinks) and about medical versus recreational use. Accordingly, this study assessed (1) prevalence and correlates of modes of current and ever marijuana use and (2) prevalence of medicinal and recreational marijuana use in U.S. adults. METHODS: Data came from Summer Styles (n=4,269), a nationally representative consumer panel survey of adults aged â‰¥18 years, collected in 2014. The survey asked about past 30-day (current) and ever mode of marijuana use and current reason for use (medicinal, recreational, both). Weighted prevalence estimates were computed and correlates were assessed in 2014 using logistic regression. RESULTS: Overall, 7.2% of respondents reported current marijuana use; 34.5% reported ever use. Among current users, 10.5% reported medicinal-only use, 53.4% reported recreational-only use, and 36.1% reported both. Use of bowl or pipe (49.5%) and joint (49.2%) predominated among current marijuana users, with lesser use of bong, water pipe, or hookah (21.7%); blunts (20.3%); edibles/drinks (16.1%); and vaporizers (7.6%); 92.1% of the sample reported combusted-only marijuana use. CONCLUSION: Combusted modes of marijuana use are most prevalent among U.S. adults, with a majority using marijuana for recreation. In light of changing policies and patterns of use, improved marijuana surveillance is critical for public health planning. Descriptors Links http://dx.doi.org/10.1016/j.amepre.2015.05.027 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Schauer,Gillian L., King,Brian A., Bunnell,Rebecca E., Promoff,Gabbi, McAfee,Timothy A. Original/Translated Title URL Date of Electronic PMCID Editors
Opium: an emerging risk factor for gastric adenocarcinoma	2013	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Int J Cancer Periodical, Abbrev. Int.J.Cancer Pub Date Free Form Volume 133 Issue 2 Start Page 455 Other Pages 61 Notes ID: 23319416 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract Opium use has been associated with higher risk of cancers of the esophagus, bladder, larynx, and lung; however, no previous study has examined its association with gastric cancer. There is also little information on the associations between hookah (water pipe) smoking or the chewing of tobacco products and the risk of gastric cancer. In a case-control study in Golestan Province of Iran, we enrolled 309 cases of gastric adenocarcinoma (118 noncardia, 161 cardia and 30 mixed-location adenocarcinomas) and 613 matched controls. Detailed information on long-term use of opium, tobacco products and other covariates were collected using structured and validated lifestyle and food frequency questionnaires. Odds ratios (ORs) and 95% confidence intervals (95% CIs) were obtained using conditional logistic regression models. Opium use was associated with an increased risk of gastric adenocarcinoma, with an adjusted OR (95% CI) of 3.1 (1.9-5.1), and this increased risk was apparent for both anatomic subsites (cardia and noncardia). There was a dose-response effect, and individuals with the highest cumulative opium use had the strongest association (OR: 4.5; 95% CI: 2.3-8.5). We did not find a statistically significant association between the use of any of the tobacco products and risk of gastric adenocarcinoma, overall or by anatomic subsite. We showed, for the first time, an association between opium use and gastric adenocarcinoma. Given that opium use is a traditional practice in many parts of the world, these results are of public health significance. Descriptors Links Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Shakeri,Ramin, Malekzadeh,Reza, Etemadi,Arash, Nasrollahzadeh,Dariush, Aghcheli,Karim, Sotoudeh,Masoud, Islami,Farhad, Pourshams,Akram, Pawlita,Michael, Boffetta,Paolo, Dawsey,Sanford M., Abnet,Christian C., Kamangar,Farin Original/Translated Title URL Date of Electronic PMCID Editors
Waterpipe smoking among U.S. university students	2013	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Nicotine Tob Res Periodical, Abbrev. Nicotine Tob.Res. Pub Date Free Form Volume 15 Issue 1 Start Page 29 Other Pages 35 Notes ID: 22641433 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract INTRODUCTION: While cigarette use is declining, smoking tobacco with a waterpipe is an emerging trend. We aimed to determine the prevalence of waterpipe use in a large diverse sample of U.S. university students and to assess the association of waterpipe use with individual and institution-related characteristics. METHODS: We assessed students from 152 U.S. universities participating in the National College Health Assessment during 2008-2009. We used multivariable regression models to determine independent associations between individual and institutional characteristics and waterpipe tobacco use in the past 30 days and ever. RESULTS: Of 105,012 respondents included in the analysis, most were female (65.7%), White (71.2%), and attending public (59.7%) nonreligious (83.1%) institutions. Mean age was 22.1 years. A total of 32,013 (30.5%) reported ever using a waterpipe to smoke tobacco. Rates for current tobacco use were 8.4% for waterpipes, 16.8% for cigarettes, 7.4% for cigars (including cigarillos), and 3.5% for smokeless tobacco. Of current waterpipe users, 51.4% were not current cigarette smokers. Although current waterpipe use was reported across all individual and institutional characteristics, fully adjusted multivariable models showed that it was most strongly associated with younger age, male gender, White race, fraternity/sorority membership, and nonreligious institutions in large cities in the western United States. CONCLUSIONS: After cigarettes, waterpipe use was the most common form of tobacco use among university students. Because waterpipe use affects groups with a wide variety of individual and institutional characteristics, it should be included with other forms of tobacco in efforts related to tobacco surveillance and intervention. Descriptors Links Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Primack,Brian A., Shensa,Ariel, Kim,Kevin H., Carroll,Mary V., Hoban,Mary T., Leino,E V., Eissenberg,Thomas, Dachille,Kathleen H., Fine,Michael J. Original/Translated Title URL Date of Electronic PMCID Editors
Smoking trajectories across high school: sensation seeking and Hookah use	2013	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Nicotine Tob Res Periodical, Abbrev. Nicotine Tob.Res. Pub Date Free Form Volume 15 Issue 8 Start Page 1400 Other Pages 8 Notes ID: 23322766 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract INTRODUCTION: This study investigated the associations of trajectories of cigarette smoking over the high school years with the prior development of childhood sensation seeking and the subsequent use of cigarettes and hookah at age 20/21. METHODS: Participants (N = 963) were members of a cohort-sequential longitudinal study, the Oregon Youth Substance Use Project. Sensation seeking was assessed across 4th-8th grades and cigarette smoking was assessed across 9th-12th grades. Cigarette and hookah use was assessed at age 20/21 for 684 of the 963 participants. RESULTS: Four trajectory classes were identified: Stable High Smokers (6%), Rapid Escalators (8%), Experimenters (15%), and Stable Nonsmokers or very occasional smokers (71%). Membership in any smoker class versus nonsmokers was predicted by initial level and growth of sensation seeking. At age 20/21, there was a positive association between smoking and hookah use for Nonsmokers and Experimenters in high school, whereas this association was not significant for Stable High Smokers or Rapid Escalators. CONCLUSIONS: Level and rate of growth of sensation seeking are risk factors for adolescent smoking during high school (Stable High Smokers, Rapid Escalators, and Experimenters), suggesting the need for interventions to reduce the rate of increase in childhood sensation seeking. For those who were not already established smokers by the end of high school, hookah use may have served as a gateway to smoking. Descriptors Links Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Hampson,Sarah E., Tildesley,Elizabeth, Andrews,Judy A., Barckley,Maureen, Peterson,Missy Original/Translated Title URL Date of Electronic PMCID Editors

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