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Review article: management of oesophageal adenocarcinoma -- control of acid, bile and inflammation in intervention strategies for Barrett's oesophagus 2004 Digestion Diseases Centre, Royal Infirmary, Leicester, UK. j.jankowski@le.ac.uk
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Alimentary Pharmacology & Therapeutics
Periodical, Abbrev.
Aliment.Pharmacol.Ther.
Pub Date Free Form
Oct
Volume
20 Suppl 5
Issue
Start Page
71
Other Pages
80; discussion 95-6
Notes
LR: 20061115; JID: 8707234; 0 (Gastrointestinal Agents); RF: 82; ppublish
Place of Publication
England
ISSN/ISBN
0269-2813; 0269-2813
Accession Number
PMID: 15456468
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; Review; IM
DOI
10.1111/j.1365-2036.2004.02143.x [doi]
Output Language
Unknown(0)
PMID
15456468
Abstract
Oesophagitis is associated with Barrett's metaplasia in about 10% of individuals. The UK has one of the highest world-wide prevalences of Barrett's metaplasia, with 1% of adults having the condition, resulting in an incidence of oesophageal adenocarcinoma two to three times that seen in either Europe or North America. In addition, the conversion rate to cancer in individuals with Barrett's metaplasia in UK surveillance programmes is twice that observed in the USA (0.96% per year vs. 0.4% per year), lending further support to the notion that the UK is a high-risk region. The evidence base on what can be achieved with medical therapy to reduce the risk of dysplasia or the development of adenocarcinoma needs to be strengthened with data from randomized controlled trials, as existing data have many limitations. Patients with Barrett's metaplasia respond variably to proton pump inhibitor therapy (even high-dose therapy 'normalizes' acid reflux in only 85% of cases), and symptom control is a poor determinant of the adequacy of suppression of acid reflux. Gastro-oesophageal reflux is implicated in the pathogenesis of Barrett's metaplasia, and ex vivo and in vitro evidence suggests that its attenuation reverses proliferation and biological variables over days, and perhaps the metaplastic histology to a degree over years. The effect of proton pump inhibitor therapy on cancer risk in the long term is essentially unknown. Acid suppressant therapy or anti-reflux surgery on its own does not result in the complete regression of the metaplastic epithelium. Bile acids, present especially frequently in the refluxate of Barrett's oesophagus patients, are also likely to influence the development and persistence of metaplasia. Barrett's metaplasia is replaced by a squamous epithelium when acid reflux is well controlled and the epithelium is physically destroyed by ablation with argon plasma coagulation or photodynamic therapy. These modalities are invasive and are not likely to be useful in the routine management of patients with Barrett's oesophagus without dysplasia or cancer. Why metaplasia does not fully regress once external initiating stimuli are removed is a mystery. There is some evidence to implicate a variety of molecules, including cyclo-oxygenase-2, tumour necrosis factor-alpha, beta-catenin nuclear translocation and mitogen-activated protein kinase signalling, because they are expressed preferentially in metaplastic rather than normal or inflamed squamous oesophageal mucosa. The use of non-steroidal anti-inflammatory drugs, including aspirin, is associated with a decreased incidence of oesophageal adenocarcinoma. There is therefore a great need for randomized controlled trials to assess the outcomes of such chemopreventive therapy in patients with Barrett's metaplasia.
Descriptors
Barrett Esophagus/prevention & control, Bile/secretion, Chemoprevention/methods, Drug Costs, Esophageal Neoplasms/prevention & control, Esophagitis/prevention & control, Gastroesophageal Reflux/prevention & control, Gastrointestinal Agents/therapeutic use, Humans, Risk Factors
Links
Book Title
Database
Publisher
Data Source
Authors
Jankowski,J. A., Anderson,M.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Review of hookah tobacco smoking among college students: policy implications and research recommendations 2015 School of Pharmacy and.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The American Journal of Drug and Alcohol Abuse
Periodical, Abbrev.
Am.J.Drug Alcohol Abuse
Pub Date Free Form
Volume
41
Issue
4
Start Page
272
Other Pages
280
Notes
LR: 20160114; GR: K05 DA031248/DA/NIDA NIH HHS/United States; JID: 7502510; OTO: NOTNLM; 2015/06/09 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1097-9891; 0095-2990
Accession Number
PMID: 26057153
Language
eng
SubFile
Journal Article; Review; IM
DOI
10.3109/00952990.2015.1043738 [doi]
Output Language
Unknown(0)
PMID
26057153
Abstract
BACKGROUND: About 30% of college students have smoked hookah tobacco. Although most students perceive this product to be innocuous and non-addictive, hookah tobacco increases the risk for disease and nicotine dependence. Currently, the US Food and Drug Administration (FDA) does not regulate the manufacture, distribution, or sale of hookah tobacco. OBJECTIVE: Empirical literature pertaining to hookah tobacco smoking is reviewed with a focus on the implications for regulatory policy. METHODS: PubMed, PsycINFO, and Scopus databases were searched to locate articles published in English. The literature search combined several key words including "hookahs", "college", "advertising", "health effects", and "health policy". RESULTS: Smoking hookah tobacco may play a role in the initiation of smoking among tobacco-naive college students and may portend persistent smoking among those who have smoked cigarettes. College students are typically nondaily, social smokers. They do not perceive that their heightened risk for tobacco diseases and nicotine dependence relates to their smoking behavior. However, few public health messages target college-age adults to counter media messages that endorse hookah tobacco smoking. CONCLUSION: Given that the FDA is not authorized to ban specific tobacco products, policy actions should focus on the development of effective risk communication strategies that target college-age adults and on limiting the accessibility of hookah tobacco products to these adults. Accordingly, a research agenda that would inform these policy actions is proposed.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Gathuru,I.M., Tarter,R.E., Klein-Fedyshin,M.
Original/Translated Title
URL
Date of Electronic
20150609
PMCID
Editors
Review on water pipe smoking. 2003 Radwan, G.N., Egyptian Smoking Prevention Research Institute.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of the Egyptian Society of Parasitology
Periodical, Abbrev.
J.Egypt.Soc.Parasitol.
Pub Date Free Form
/
Volume
33
Issue
3 Suppl
Start Page
1051
Other Pages
1071
Notes
Place of Publication
ISSN/ISBN
0253-5890
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Water-pipe smoking may lead to cancers, genetic damage, diseases of the lungs and other disease conditions. Many of the studies on these subjects are merely anecdotal or lack the necessary rigorous study design or the power needed to be certain of the results. Given the large number of people who smoke waterpipe and the fact that waterpipe smoking has become a fashionable trend in the Middle East and the Western world among the youth, it is essential to study the health effects of waterpipe smoking with renewed emphasis.
Descriptors
Egypt, health, human, review, smoking
Links
Book Title
Database
MEDLINE
Publisher
Data Source
Embase
Authors
Radwan,G. N., Mohamed,M. K., El-Setouhy,M., Israel,E.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
RF ablation of intestinal metaplasia (Barrett esophagus) 2004
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Conference proceedings : ...Annual International Conference of the IEEE Engineering in Medicine and Biology Society.IEEE Engineering in Medicine and Biology Society.Annual Conference
Periodical, Abbrev.
Conf.Proc.IEEE Eng.Med.Biol.Soc.
Pub Date Free Form
Volume
7
Issue
Start Page
5128
Other Pages
Notes
LR: 20140821; JID: 101243413; ppublish
Place of Publication
United States
ISSN/ISBN
1557-170X; 1557-170X
Accession Number
PMID: 17271477
Language
eng
SubFile
Journal Article
DOI
10.1109/IEMBS.2004.1404421 [doi]
Output Language
Unknown(0)
PMID
17271477
Abstract
Esophageal intestinal metaplasia, otherwise known as Barrett's Esophagus, is a pre-cancerous condition that afflicts over 1 million Americans annually. Barrett's Esophagus is caused by chronic esophageal exposure to stomach acid which can occur in patients afflicted with Gastro Esophageal Reflux Disease (GERD). The lining of the esophagus undergoes a metaplastic change, from normal squamous cell epithelium to columnar cell epithelium. Over time, this condition can progress to dysplasia and ultimately to adenocarcinoma. Currently, there are no widely practiced therapies for Barrett's Esophagus. Patients diagnosed with this disease are routinely screened to ensure do not have cancer, yet. It has been shown that if the GERD is controlled (i.e. a normal esophageal pH is maintained) and the metaplastic lining of the esophagus is carefully removed, i.e. no damage to underlying tissues), the normal squamous epithelial cells will repopulate the esophagus. A system has been designed to couple radiofrequency (RF) energy to the epithelial lining of the esophagus to effectively ablate the metaplastic cells and allow normal squamous cell repopulation. The design principles of this system and the resulting effects are the subject of this presentation.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jackson,J.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Right-to-left shunt and risk of decompression illness with cochleovestibular and cerebral symptoms in divers: case control study in 101 consecutive dive accidents 2003 Military Teaching Hospital, Service de Reanimation, Toulon-Naval, France.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Critical Care Medicine
Periodical, Abbrev.
Crit.Care Med.
Pub Date Free Form
Jan
Volume
31
Issue
1
Start Page
84
Other Pages
88
Notes
LR: 20041117; JID: 0355501; CIN: Crit Care Med. 2003 Jul;31(7):2083. PMID: 12847414; CIN: Crit Care Med. 2004 Sep;32(9):1983; author reply 1983. PMID: 15343047; ppublish
Place of Publication
United States
ISSN/ISBN
0090-3493; 0090-3493
Accession Number
PMID: 12544998
Language
eng
SubFile
Journal Article; AIM; IM
DOI
10.1097/01.CCM.0000038040.42972.81 [doi]
Output Language
Unknown(0)
PMID
12544998
Abstract
OBJECTIVE: We investigated the role of right-to-left shunt with standardized transcranial Doppler ultrasonography in a large population of divers referred for symptoms of decompression illness. DESIGN: Case series compared with a control group. SETTING: Military teaching hospital, hyperbaric unit. PATIENTS: Patients were 101 consecutive divers with clinical evidence of decompression illness and a control group of 101 healthy divers. INTERVENTION: Specification of the type of decompression illness involved and detection/evaluation of right-to-left shunt by standardized transcranial Doppler. The degree of right-to-left shunt was defined as major if the number of high-intensity transient signals in the middle cerebral artery was >20. MEASUREMENTS AND MAIN RESULTS: We evaluated the odds ratios by logistic regression analysis with vs. without right-to-left shunt for subjects with cochleovestibular symptoms, cerebral decompression illness, spinal decompression illness, and Caisson sickness. Of the 101 divers presenting with decompression illness, transcranial Doppler detected a right-to-left shunt in 59 (58.4%), whereas control subjects demonstrated a right-to-left shunt in 25 cases (24.8%; odds ratio, 4.3; 95% confidence interval, 2.3-7.8; p=.09). When a right-to-left shunt was detected, the right-to-left shunt was major in 12 of 25 patients in the control group and in 49 of 59 patients in the decompression illness group (odds ratio, 8.7; 95% confidence interval, 4.2-18.0; p<.001). Within the decompression illness group, the proportion of major right-to-left shunt was 24 of 34 (odds ratio, 29.7; 95% confidence interval, 10.0-87.2; p<.0001) in the cochleovestibular subgroup, 13 of 21 (odds ratio, 24.1, 95% confidence interval, 6.8-86.0, p< 0.0001) in the cerebral decompression illness subgroup, ten of 31 (odds ratio, 3.9; 95% confidence interval, 1.5-10.3; p<.01) in the spinal decompression illness subgroup, and two of two (odds ratio, 1.1; 95% confidence interval, 0.2-5.7; p=.9) in the subgroup of divers with Caisson sickness. CONCLUSION: Based on our results, we conclude that major right-to-left shunt was associated with an increased incidence of cochleovestibular and cerebral decompression illness, suggesting paradoxical embolism as a potential mechanism.
Descriptors
Adult, Case-Control Studies, Cochlear Diseases/epidemiology/etiology, Decompression Sickness/epidemiology/etiology/ultrasonography, Diving/injuries, Embolism, Paradoxical/complications, Female, France/epidemiology, Heart Septal Defects, Atrial/complications/ultrasonography, Humans, Incidence, Logistic Models, Male, Risk, Ultrasonography, Doppler, Transcranial, Vestibular Diseases/epidemiology/etiology
Links
Book Title
Database
Publisher
Data Source
Authors
Cantais,E., Louge,P., Suppini,A., Foster,P. P., Palmier,B.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Rise in electronic cigarette use among adolescents in Poland 2014 Division of Cancer Prevention and Population Sciences, Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, New York. Electronic address: maciej.goniewicz@roswellpark.org.; Department of General and Analytical Chemistry, Medical Universi
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
Periodical, Abbrev.
J.Adolesc.Health
Pub Date Free Form
Nov
Volume
55
Issue
5
Start Page
713
Other Pages
715
Notes
LR: 20151119; CI: Copyright (c) 2014; JID: 9102136; 0 (Ganglionic Stimulants); 6M3C89ZY6R (Nicotine); CIN: J Adolesc Health. 2014 Nov;55(5):595-7. PMID: 25344030; OTO: NOTNLM; 2014/05/06 [received]; 2014/07/20 [revised]; 2014/07/21 [accepted]; ppublish
Place of Publication
United States
ISSN/ISBN
1879-1972; 1054-139X
Accession Number
PMID: 25344033
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.jadohealth.2014.07.015 [doi]
Output Language
Unknown(0)
PMID
25344033
Abstract
PURPOSE: Despite the potential negative health effects of electronic cigarettes (e-cigarettes), these devices are increasing in popularity worldwide, especially among youth. METHODS: We compared data from two cross-sectional studies conducted in Poland among students aged 15-19 years in 2010-2011 and 2013-2014. We tested differences between samples in the prevalence of e-cigarette use, tobacco cigarette smoking, and simultaneous use of both tobacco and e-cigarettes ("dual use") using a multilevel linear mixed model regression. RESULTS: We found that the current use of e-cigarettes among adolescents in Poland was significantly higher in the 2013-2014 sample than the 2010-2011 sample (29.9% vs. 5.5%, respectively; p
Descriptors
Links
Book Title
Database
Publisher
Society for Adolescent Health and Medicine. Published by Elsevier Inc
Data Source
Authors
Goniewicz,M.L., Gawron,M., Nadolska,J., Balwicki,L., Sobczak,A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Rise of waterpipe smoking 2015 Department of Epidemiology, Florida International University, 11200 SW 8th Street Miami, FL 33139, USA Syrian Center for Tobacco Studies wmaziak@fiu.edu.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMJ (Clinical research ed.)
Periodical, Abbrev.
BMJ
Pub Date Free Form
17-Apr
Volume
350
Issue
Start Page
h1991
Other Pages
Notes
LR: 20150805; JID: 8900488; 0 (Tars); 0 (tobacco tar); CIN: BMJ. 2015;350:h3086. PMID: 26055421; epublish
Place of Publication
England
ISSN/ISBN
1756-1833; 0959-535X
Accession Number
PMID: 25888390
Language
eng
SubFile
Editorial; AIM; IM
DOI
10.1136/bmj.h1991 [doi]
Output Language
Unknown(0)
PMID
25888390
Abstract
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Maziak,W.
Original/Translated Title
URL
Date of Electronic
20150417
PMCID
Editors
Risk assessment of volatile organic compounds benzene, toluene, ethylbenzene, and xylene (BTEX) in consumer products 2014 a Division of Toxicology , College of Pharmacy, Sungkyunkwan University , Suwon , Gyeonggi-do , South Korea.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of toxicology and environmental health.Part A
Periodical, Abbrev.
J.Toxicol.Environ.Health A
Pub Date Free Form
Volume
77
Issue
22-24
Start Page
1502
Other Pages
1521
Notes
JID: 100960995; 0 (Benzene Derivatives); 0 (Volatile Organic Compounds); 0 (Xylenes); 3FPU23BG52 (Toluene); J64922108F (Benzene); L5I45M5G0O (ethylbenzene); ppublish
Place of Publication
England
ISSN/ISBN
1528-7394; 0098-4108
Accession Number
PMID: 25343298
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1080/15287394.2014.955905 [doi]
Output Language
Unknown(0)
PMID
25343298
Abstract
Exposure and risk assessment was performed by evaluating levels of volatile organic compounds (VOC) benzene, toluene, ethylbenzene, and xylene (BTEX) in 207 consumer products. The products were categorized into 30 different items, consisting of products of different brands. Samples were analyzed for BTEX by headspace-gas chromatography/mass spectrometry (headspace-GC/MS) with limit of detection (LOD) of 1 ppm. BTEX were detected in 59 consumer products from 18 item types. Benzene was detected in whiteout (ranging from not detected [ND] to 3170 ppm), glue (1486 ppm), oil-based ballpoint pens (47 ppm), and permanent (marking) pens (2 ppm). Toluene was detected in a leather cleaning product (6071 ppm), glue (5078 ppm), whiteout (1130 ppm), self-adhesive wallpaper (15-1012 ppm), shoe polish (806 ppm), permanent pen (609 ppm), wig adhesive (372 ppm), tapes (2-360 ppm), oil-based ballpoint pen (201 ppm), duplex wallpaper (12-52 ppm), shoes (27 ppm), and air freshener (13 ppm). High levels of ethylbenzene were detected in permanent pen (ND-345,065 ppm), shoe polish (ND-277,928 ppm), leather cleaner (42,223 ppm), whiteout (ND-2,770 ppm), and glue (ND-792 ppm). Xylene was detected in permanent pen (ND-285,132 ppm), shoe polish (ND-87,298 ppm), leather cleaner (12,266 ppm), glue (ND-3,124 ppm), and whiteout (ND-1,400 ppm). Exposure assessment showed that the exposure to ethylbenzene from permanent pens ranged from 0 to 3.11 mg/kg/d (men) and 0 to 3.75 mg/kg/d (women), while for xylene, the exposure ranges were 0-2.57 mg/kg/d and 0-3.1 mg/kg/d in men and women, respectively. The exposure of women to benzene from whiteout ranged from 0 to 0.00059 mg/kg/d. Hazard index (HI), defined as a ratio of exposure to reference dose (RfD), for ethylbenzene was 31.1 (3.11 mg/kg/d/0.1 mg/kg/d) and for xylene (2.57 mg/kg/d/0.2 mg/kg/d) was 12.85, exceeding 1 for both compounds. Cancer risk for benzene was calculated to be 3.2 x 10(-5) based on (0.00059 mg/kg/d x 0.055 mg/kg-d(-1), cancer potency factor), assuming that 100% of detected levels in some products such as permanent pens and whiteouts were exposed in a worst-case scenario. These data suggest that exposure to VOC via some consumer products exceeded the safe limits and needs to be reduced.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Lim,S.K., Shin,H.S., Yoon,K.S., Kwack,S.J., Um,Y.M., Hyeon,J.H., Kwak,H.M., Kim,J.Y., Kim,T.Y., Kim,Y.J., Roh,T.H., Lim,D.S., Shin,M.K., Choi,S.M., Kim,H.S., Lee,B.M.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Risk factors associated with Barrett's epithelial dysplasia 2014 Mikiko Fujita, Yuri Nakamura, Saeko Kasashima, Maiko Furukawa, Ryoichi Misaka, Hikaru Nagahara, Department of Gastroenterology, Aoyama Hospital, Tokyo Women's Medical University, Tokyo 1070061, Japan.; Mikiko Fujita, Yuri Nakamura, Saeko Kasashima, Maiko
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
World journal of gastroenterology
Periodical, Abbrev.
World J.Gastroenterol.
Pub Date Free Form
21-Apr
Volume
20
Issue
15
Start Page
4353
Other Pages
4361
Notes
LR: 20151022; JID: 100883448; 0 (TP53 protein, human); 0 (Tumor Suppressor Protein p53); OID: NLM: PMC3989971; OTO: NOTNLM; 2013/09/05 [received]; 2013/10/27 [revised]; 2013/11/18 [accepted]; ppublish
Place of Publication
China
ISSN/ISBN
2219-2840; 1007-9327
Accession Number
PMID: 24764673
Language
eng
SubFile
Journal Article; IM
DOI
10.3748/wjg.v20.i15.4353 [doi]
Output Language
Unknown(0)
PMID
24764673
Abstract
AIM: To elucidate risk factors associated with dysplasia of short-segment Barrett's esophagus (BE). METHODS: A total of 151 BE patients who underwent endoscopic examination from 2004 to 2008 in Aoyama Hospital, Tokyo Women's Medical University, Japan and whose diagnosis was confirmed from biopsy specimens were enrolled in the study. BE was diagnosed based on endoscopic findings of gastric-appearing mucosa or apparent columnar-lined esophagus proximal to the esophagogastric junction. Dysplasia was classified into three grades - mild, moderate and severe - according to the guidelines of the Vienna Classification System for gastrointestinal epithelial neoplasia. Anthropometric and biochemical data were analyzed to identify risk factors for BE dysplasia. The prevalence of Helicobacter pylori (H. pylori) infection and the expression of p53 by immunohistological staining were also investigated. RESULTS: Histological examination classified patients into three types: specialized columnar epithelium (SCE) (n = 65); junctional (n = 38); and gastric fundic (n = 48). The incidence of dysplasia or adenocarcinoma from BE of the SCE type was significantly higher than that of the other two types (P
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Fujita,M., Nakamura,Y., Kasashima,S., Furukawa,M., Misaka,R., Nagahara,H.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC3989971
Editors
Risk Factors Associated With Hookah Use 2015 Department of Psychiatry, Washington University School of Medicine, St. Louis, MO; rehgp@psychiatry.wustl.edu.; Department of Psychiatry, Washington University School of Medicine, St. Louis, MO;; Institute for Health Research and Policy, University of Ill
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
17
Issue
12
Start Page
1482
Other Pages
1490
Notes
LR: 20151126; CI: (c) The Author 2015; GR: R01 DA032843/DA/NIDA NIH HHS/United States; GR: R01 DA039455/DA/NIDA NIH HHS/United States; GR: R01-DA032843/DA/NIDA NIH HHS/United States; GR: U0-CA154254/CA/NCI NIH HHS/United States; GR: U01 CA154254/CA/NCI NI
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 25646349
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1093/ntr/ntv029 [doi]
Output Language
Unknown(0)
PMID
25646349
Abstract
BACKGROUND: Potential harms associated with hookah smoking are largely unrecognized and it is emerging as a trendy behavior. To help inform policy and preventive interventions, we used responses from a population survey of US adults to examine risk factors associated with hookah involvement. METHOD: An online survey of 17 522 US adults was conducted in 2013. The nationally representative sample was drawn from GfK Group's KnowledgePanel plus off-panel recruitment. Multinomial logistic regression was used to examine the relationships between tobacco use patterns across multiple products (cigarettes, cigars, and dissolvables), perceived harms towards regular pipe/hookah use, and demographic characteristics with hookah involvement (never used, ever used with/without reusing intent). RESULT: Nearly one in five (16%) of the respondents had smoked hookah at least once in their life ("ever users"). Ever users of hookah were at higher risk of having used cigarettes, cigars, and dissolvable tobacco products (all P
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
Cavazos-Rehg,P.A., Krauss,M.J., Kim,Y., Emery,S.L.
Original/Translated Title
URL
Date of Electronic
20150202
PMCID
PMC4654758
Editors