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Comparison of Cotinine Salivary Levels in Hookah Smokers, Passive Smokers, and Non-Smokers 2015 Assistant Professor, Oral and Dental Disaese Research Center AND Department of Oral Medicine, School of Dentistry, Zahedan University of Medical Sciencse, Zahedan, Iran.; Associate Professor, Oral and Dental Research Center AND Department of Oral Medicine
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Print(0)
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Journal Article
Periodical, Full
Addiction & health
Periodical, Abbrev.
Addict.Health.
Pub Date Free Form
Summer-Autumn
Volume
7
Issue
4-Mar
Start Page
184
Other Pages
191
Notes
LR: 20160219; JID: 101582275; OID: NLM: PMC4741239; OTO: NOTNLM; ppublish
Place of Publication
Iran
ISSN/ISBN
2008-4633; 2008-4633
Accession Number
PMID: 26885355
Language
eng
SubFile
Journal Article
DOI
Output Language
Unknown(0)
PMID
26885355
Abstract
BACKGROUND: At present smoking is considered a great health-related problem. Smoking cigarettes and use of tobacco are on the rise in the Middle East countries; therefore, the number of people exposed to passive cigarette smoke is increasing, too. The aim of the present study was to determine and compare salivary cotinine levels in hookah smokers, individuals exposed to passive cigarette smoke and non-smoker (passive smokers). METHODS: In the present cross-sectional study, unstimulated salivary samples were collected from 150 subjects, including 50 hookah smokers, 50 passive smokers, and 50 non-smokers. Bioassay Technology Laboratory cotinine kit was used to determine salivary levels of cotinine using the enzyme-linked immunosorbent assay (ELISA) technique at a sensitivity rate of 0.019 pg/ml. Data were analyzed with SPSS software using t-test and Pearson's correlation coefficient. FINDINGS: The highest salivary cotinine levels were recorded in hookah users (20.24 +/- 5.62 ng/ml), followed by passive smokers (16.09 +/- 3.51 ng/ml), in descending order. No detectable cotinine levels were observed in non-smokers. Pearson's correlation coefficient showed a strong and positive correlation between use of hookah and salivary cotinine levels (r = 0.932, P = 0.001). CONCLUSION: Based on the results of the present study, salivary cotinine levels were higher in hookah smokers compared with passive smokers and non-smokers, in descending order.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Nosratzehi,T., Arbabi-Kalati,F., Alijani,E., Tajdari,H.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC4741239
Editors
Smoking motivators are different among cigarette and waterpipe smokers: The results of ITUPP 2015 Tobacco Control Unit, Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address: roohafza@crc.mui.ac.ir.; Isfahan Province Health Center, Isfahan University of Medi
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of epidemiology and global health
Periodical, Abbrev.
J.Epidemiol.Glob.Health.
Pub Date Free Form
Sep
Volume
5
Issue
3
Start Page
249
Other Pages
258
Notes
CI: Copyright (c) 2015; JID: 101592084; OTO: NOTNLM; 2014/05/12 [received]; 2014/12/04 [revised]; 2014/12/16 [accepted]; 2015/01/30 [aheadofprint]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
2210-6014; 2210-6006
Accession Number
PMID: 26231400
Language
eng
SubFile
Comparative Study; Journal Article; IM
DOI
10.1016/j.jegh.2014.12.003 [doi]
Output Language
Unknown(0)
PMID
26231400
Abstract
The present study explores different drivers of cigarette and water pipe smoking among middle and high school students in Isfahan province. A questionnaire-based cross-sectional study was conducted. Trained staff collected questionnaires and saliva samples for response accuracy evaluation. Prevalence by demographic, parental and educational factors was calculated. Logistic regression was applied to compare behavior drivers of those who purely smoked cigarettes or a waterpipe. Waterpipe smokers were considered as the reference category. This study reported ORs along 95% confidence intervals; 5408 questionnaires were returned. The sample age was 15.37+/-01.70 on average. The self-reported prevalence of cigarette and waterpipe experimentation was 11.60% (n=624) and 20.70% (n=1,109), respectively; and 5.08% (n=311), 11.06% (n=619) for smokers, and 13.30% (n=711) for the whole sample. Psychological factors were the most important driver for cigarette smoking; bad event happening with odds of 2.38 (95% CI: 1.29-4.39); angriness 2.58 times (95% CI: 1.51-4.43); and distress by 2.49 times (95% CI: 1.42-4.40). Habitual situations were strong predictors of cigarette smoking, but not a predictor of waterpipe smoking, such as smoking after a meal (OR=3.11, 95% CI: 1.67-5.77); and smoking after waking up (OR=2.56, 95% CI: 1.42-4.40). Comprehensive and multifaceted preventive programs must tailor identified factors and increase family's awareness.
Descriptors
Links
Book Title
Database
Publisher
Ministry of Health, Saudi Arabia. Published by Elsevier Ltd
Data Source
Authors
Roohafza,H., Heidari,K., Alinia,T., Omidi,R., Sadeghi,M., Andalib,E., Ajami,A., Sarrafzadegan,N.
Original/Translated Title
URL
Date of Electronic
20150130
PMCID
Editors
The Epidemiology of Tobacco Use among Khat Users: A Systematic Review 2015 Barts and The London School of Medicine and Dentistry and Institute of Dentistry, Queen Mary University of London, London E1 2AT, UK.; Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK ; Academic Unit of Primary Care
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BioMed research international
Periodical, Abbrev.
Biomed.Res.Int.
Pub Date Free Form
Volume
2015
Issue
Start Page
313692
Other Pages
Notes
LR: 20150816; JID: 101600173; OID: NLM: PMC4529904; 2015/01/19 [received]; 2015/04/30 [accepted]; 2015/07/26 [epublish]; ppublish
Place of Publication
United States
ISSN/ISBN
2314-6141
Accession Number
PMID: 26273606
Language
eng
SubFile
Journal Article; Review; IM
DOI
10.1155/2015/313692 [doi]
Output Language
Unknown(0)
PMID
26273606
Abstract
Khat, an "amphetamine-like green leaf," may influence the consumption of tobacco. This study reviews the epidemiology of tobacco use among khat users. Electronic database searches using appropriate keywords/terms were conducted to identify observational studies of khat use. Assessment of quality and risk of bias of all included studies was conducted, and the results were synthesised descriptively. Nine eligible cross-sectional studies were identified. All assessed self-reported tobacco among khat users and were carried out in Africa and the Middle East. Eight reported cigarettes and one reported waterpipes as the mode of use. Methods of tobacco use prevalence assessment varied. Prevalence of "current" tobacco use among students and university teachers ranged from 29 to 37%; "lifetime" tobacco use in university teachers was 58% and "undefined" tobacco use in nonspecific adults and students ranged from 17 to 78%. Daily tobacco use among adults was reported as 17% whilst simultaneous tobacco and khat use was reported as between 14 and 30% in students. In conclusion, tobacco prevalence among khat users appears significant. Findings should be interpreted cautiously due to self-reported tobacco use, diversity in questions assessing tobacco use, and type of tobacco consumption. Future research should address the methodological shortcomings identified in this review before appropriate policy interventions can be developed.
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Links
Book Title
Database
Publisher
Data Source
Authors
Kassim,S., Jawad,M., Croucher,R., Akl,E.A.
Original/Translated Title
URL
Date of Electronic
20150726
PMCID
PMC4529904
Editors
An outbreak of cholera in Medipally village, Andhra Pradesh, India, 2013 2015 SHARE India, Hyderabad, Andhra Pradesh, India.; SHARE India, Hyderabad, Andhra Pradesh, India.; SHARE India, Hyderabad, Andhra Pradesh, India.; Directorate of Health, Ministry of Health and Family Welfare, Hyderabad, Andhra Pradesh, India.; Directorate of
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of health, population, and nutrition
Periodical, Abbrev.
J.Health Popul.Nutr.
Pub Date Free Form
24-Jul
Volume
33
Issue
Start Page
7
Other Pages
015-0021-1
Notes
JID: 100959228; 2015/05/29 [received]; 2015/06/26 [accepted]; 2015/07/24 [aheadofprint]; epublish
Place of Publication
Bangladesh
ISSN/ISBN
2072-1315; 1606-0997
Accession Number
PMID: 26825056
Language
eng
SubFile
Journal Article; IM
DOI
10.1186/s41043-015-0021-1 [doi]
Output Language
Unknown(0)
PMID
26825056
Abstract
BACKGROUND: Cholera continues to remain endemic in over 50 countries and has caused large epidemics with around 3-5 million cases occurring every year in Asia alone. In India, cholera is endemic in many states. However, etiological information and age-specific incidence related to cholera outbreaks is limited. In November 2013, district authorities reported a cluster of diarrheal disease among residents of Medipally to the state surveillance unit. We investigated this cluster to confirm its etiology, describe its magnitude, identify potential risk factors, and make recommendations for control. FINDINGS: A house-to-house active search was conducted to identify cases of acute diarrhea and collect information on drinking water source. Drinking water samples were collected from common water sources and sampled households to test for bacteriological quality. Ten stool samples were collected for culture. A matched case-control study was conducted to identify the risk factors. A total of 138 case-patients of diarrhea (Attack rate: 11.5/100; POPULATION: 15 1,200) and 1 death (Case Fatality Ratio: 0.72/100) were identified. Five of the 10 stool samples were culture positive for V. cholerae, serogroup O1 El Tor. Drinking water from the overhead tank [Adjusted OR (AOR): 31.94, 95% CI: 7.3-139.5] was associated with risk of developing illness. CONCLUSIONS: This outbreak affected nearly 11% of the village population and was due to contamination of the main drinking water source. Outbreaks such as this can be prevented by constructing the drain away from the water pipelines and by monitoring regular chlorination of drinking water source and inspection of pipelines for damage.
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Book Title
Database
Publisher
Data Source
Authors
Uthappa,C.K., Allam,R.R., Nalini,C., Gunti,D., Udaragudi,P.R., Tadi,G.P., Murhekar,M.V.
Original/Translated Title
URL
Date of Electronic
20150724
PMCID
Editors
Regional differences in adults' smoking pattern: findings from China Kadoorie Biobank study in 10 areas in China 2015 Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China.; Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China; Email: lvjun@bjmu.edu.cn.; C
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi
Periodical, Abbrev.
Zhonghua Liu Xing Bing Xue Za Zhi
Pub Date Free Form
Nov
Volume
36
Issue
11
Start Page
1200
Other Pages
1204
Notes
LR: 20160322; GR: MC_U137686851/Medical Research Council/United Kingdom; JID: 8208604; ppublish
Place of Publication
China
ISSN/ISBN
0254-6450; 0254-6450
Accession Number
PMID: 26850236
Language
chi
SubFile
English Abstract; Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
Output Language
Unknown(0)
PMID
26850236
Abstract
OBJECTIVE: To describe the regional differences in adults' smoking pattern found by China Kadoorie Biobank (CKB) study involving half million adults in 10 areas in China. METHODS: After exclusion of the adults with self reported histories of coronary heart disease, stroke, cancer and chronic obstructive pulmonary disease at baseline survey, the area specific differences in smoking pattern of 452 829 subjects aged 30-79 years was analyzed. RESULTS: The overall rate of current smoker was higher in males (64.2%) than in females (2.1%). For females, the current smoker rate was higher in Harbin (10.5%) and Sichuan (8.5%) than in other areas. For males, the current smoker rate and the average numbers of cigarettes smoked per day were high in Hunan (68.8%, 20.9) and Sichuan (67.2%, 21.5) ; the current smoker rate was lowest (49.9%) but the average number of cigarettes smoked per day was highest (21.9) in Haikou. On the other hand, Gansu showed the highest rate of current smoker (71.4% ) with a lower mean number of cigarettes smoked per day (14.9). Most current smokers in males (88.3% ) smoked filter cigarettes, while hand-rolled cigarettes were commonly used in Sichuan (38.8%) and Gansu (37.8%) and pipes or water pipe were mainly used in Henan (14.6%). CONCLUSION: The rate of current smoker and other patterns of smoking including cigarette type, daily amount and inhalation depth varied greatly among the adults in 10 areas covered by CKB study.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Wang,X., Lyu,J., Guo,Y., Bian,Z., Yu,C., Zhou,H., Tan,Y., Pei,P., Chen,J., Chen,Z., Li,L., China Kadoor Biobank (CKB) Collaborative Group
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Associations between initial water pipe tobacco smoking and snus use and subsequent cigarette smoking: results from a longitudinal study of US adolescents and young adults 2015 Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire2Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.; Norris Cotton Cancer Center, Geisel S
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
JAMA pediatrics
Periodical, Abbrev.
JAMA Pediatr.
Pub Date Free Form
Feb
Volume
169
Issue
2
Start Page
129
Other Pages
136
Notes
LR: 20151028; GR: KL2 TR001088/TR/NCATS NIH HHS/United States; GR: KL2TR001088/TR/NCATS NIH HHS/United States; GR: P30 CA023108/CA/NCI NIH HHS/United States; GR: R01 CA077026/CA/NCI NIH HHS/United States; GR: R01 CA140150/CA/NCI NIH HHS/United States; GR:
Place of Publication
United States
ISSN/ISBN
2168-6211; 2168-6203
Accession Number
PMID: 25485959
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; AIM; IM
DOI
10.1001/jamapediatrics.2014.2697 [doi]
Output Language
Unknown(0)
PMID
25485959
Abstract
IMPORTANCE: Many adolescents and young adults use alternative tobacco products, such as water pipes and snus, instead of cigarettes. OBJECTIVE: To assess whether prior water pipe tobacco smoking and snus use among never smokers are risk factors for subsequent cigarette smoking. DESIGN, SETTING, AND PARTICIPANTS: We conducted a 2-wave national longitudinal study in the United States among 2541 individuals aged 15 to 23 years old. At baseline (October 25, 2010, through June 11, 2011), we ascertained whether respondents had smoked cigarettes, smoked water pipe tobacco, or used snus. At the 2-year follow-up (October 27, 2012, through March 31, 2013), we determined whether baseline non-cigarette smokers had subsequently tried cigarette smoking, were current (past 30 days) cigarette smokers, or were high-intensity cigarette smokers. We fit multivariable logistic regression models among baseline non-cigarette smokers to assess whether baseline water pipe tobacco smoking and baseline snus use were associated with subsequent cigarette smoking initiation and current cigarette smoking, accounting for established sociodemographic and behavioral risk factors. We fit similarly specified multivariable ordinal logistic regression models to assess whether baseline water pipe tobacco smoking and baseline snus use were associated with high-intensity cigarette smoking at follow-up. EXPOSURES: Water pipe tobacco smoking and the use of snus at baseline. MAIN OUTCOMES AND MEASURES: Among baseline non-cigarette smokers, cigarette smoking initiation, current (past 30 days) cigarette smoking at follow-up, and the intensity of cigarette smoking at follow-up. RESULTS: Among 1596 respondents, 1048 had never smoked cigarettes at baseline, of whom 71 had smoked water pipe tobacco and 20 had used snus at baseline. At follow-up, accounting for behavioral and sociodemographic risk factors, baseline water pipe tobacco smoking and snus use were independently associated with cigarette smoking initiation (adjusted odds ratios: 2.56; 95% CI, 1.46-4.47 and 3.73; 95% CI, 1.43-9.76, respectively), current cigarette smoking (adjusted odds ratios: 2.48; 95% CI, 1.01-6.06 and 6.19; 95% CI, 1.86-20.56, respectively), and higher intensity of cigarette smoking (adjusted proportional odds ratios: 2.55; 95% CI, 1.48-4.38 and 4.45; 95% CI, 1.75-11.27, respectively). CONCLUSIONS AND RELEVANCE: Water pipe tobacco smoking and the use of snus independently predicted the onset of cigarette smoking and current cigarette smoking at follow-up. Comprehensive Food and Drug Administration regulation of these tobacco products may limit their appeal to youth and curb the onset of cigarette smoking.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Soneji,S., Sargent,J.D., Tanski,S.E., Primack,B.A.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC4388043
Editors
Epidemiology, attitudes and perceptions toward cigarettes and hookah smoking amongst adults in Jordan 2015 Department of Public Health, Faculty of Medicine, Mutah University, Mutah, 61710, Karak, Jordan. mabuhelalah@yahoo.co.uk.; Department of Industrial Engineering, Faculty of Engineering, Jordan University of Science and Technology, Irbid, Jordan.; Faculty o
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Environmental health and preventive medicine
Periodical, Abbrev.
Environ.Health.Prev.Med.
Pub Date Free Form
Nov
Volume
20
Issue
6
Start Page
422
Other Pages
433
Notes
LR: 20151105; JID: 9609642; OID: NLM: PMC4626463 [Available on 11/01/16]; OTO: NOTNLM; PMCR: 2016/11/01 00:00; 2015/06/29 [received]; 2015/07/06 [accepted]; 2015/07/21 [aheadofprint]; ppublish
Place of Publication
Japan
ISSN/ISBN
1347-4715; 1342-078X
Accession Number
PMID: 26194452
Language
eng
SubFile
Journal Article; IM
DOI
10.1007/s12199-015-0483-1 [doi]
Output Language
Unknown(0)
PMID
26194452
Abstract
OBJECTIVES: The aims of this study are to assess cigarette and hookah smoking rates amongst adult population in Jordan and to determine predictors of smoking status. Selected beliefs, perceptions and attitudes toward cigarettes and hookah smoking were also assessed. METHODS: This cross-sectional study was conducted in five regional governorates of Jordan through face-to-face interviews on a random sample of adult population aged 18-79 years. Data was collected using a piloted questionnaire based on the Global Adult Tobacco Questionnaire. RESULTS: The overall prevalence of cigarette smoking in our sample (869) was 59.1 % amongst males and 23.3 % amongst females, while the overall prevalence of hookah smoking was 18.9 % amongst males and 23.1 % amongst females. Leisure and imitation were the most commonly reported reasons for smoking. Regardless of smoking status, people were aware of health risks associated smoking and also had negative perceptions toward smoking. CONCLUSIONS: Smoking rates for both genders have reached alarmingly high rates in Jordan. There is an urgent need for a comprehensive national programme to target the country's growing burden of smoking. Suggestions on leisure time activities should be included in such programmes.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Abu-Helalah,M.A., Alshraideh,H.A., Al-Serhan,A.A., Nesheiwat,A.I., Da'na,M., Al-Nawafleh,A.
Original/Translated Title
URL
Date of Electronic
20150721
PMCID
PMC4626463
Editors
Short-term nose-only water-pipe (shisha) smoking exposure accelerates coagulation and causes cardiac inflammation and oxidative stress in mice 2015 Department of Physiology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology
Periodical, Abbrev.
Cell.Physiol.Biochem.
Pub Date Free Form
Volume
35
Issue
2
Start Page
829
Other Pages
840
Notes
CI: (c) 2015; JID: 9113221; 0 (Interleukin-6); 0 (Tumor Necrosis Factor-alpha); 0 (interleukin-6, mouse); 2014/10/29 [accepted]; 2015/01/30 [aheadofprint]; ppublish
Place of Publication
Switzerland
ISSN/ISBN
1421-9778; 1015-8987
Accession Number
PMID: 25634761
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1159/000369741 [doi]
Output Language
Unknown(0)
PMID
25634761
Abstract
BACKGROUND/AIM: Water-pipe smoking (WPS) has acquired worldwide popularity, and is disseminating particularly rapidly in Europe and North America. However, little is known about the short-term cardiovascular effects of WPS. METHODS: Presently, we assessed the short-term cardiovascular effects of nose-only exposure to mainstream WPS in BALB/c mice for 30 min/day for 5 consecutive days. Control mice were exposed to air. At the end of the exposure period, several cardiovascular endpoints were measured. RESULTS: WPS did not affect the number of leukocytes and the plasma concentrations of C-reactive protein, tumor necrosis factor alpha (TNFalpha) and interleukin-6 (IL-6). Likewise, plasma levels of lipid peroxidation (LPO), reduced glutathione (GSH) and catalase were not affected by WPS. By contrast, WPS aggravated in vivo thrombosis by shortening the thrombotic occlusion time in pial arterioles and venules. The number of circulating platelets was reduced by WPS suggesting the occurrence of platelet aggregation in vivo. Elevated concentrations of fibrinogen and plasminogen activator inhibitor-1 were seen after the exposure to WPS. Blood samples taken from mice exposed to WPS and exposed to adenosine diphosphate showed more platelet aggregation. The heart concentrations of IL-6 and TNFalpha were augmented by WPS. Likewise, heart levels of LPO, reactive oxygen species and the antioxidants catalase and GSH were increased by WPS. However, the systolic blood pressure and heart rate were not affected by WPS. CONCLUSION: It can be concluded that short-term exposure to WPS exerts procoagulatory effects and induce cardiac inflammation and oxidative stress. At the time point investigated, there was no evidence for blood inflammation or oxidative stress.
Descriptors
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Book Title
Database
Publisher
S. Karger AG, Basel
Data Source
Authors
Nemmar,A., Yuvaraju,P., Beegam,S., Ali,B.H.
Original/Translated Title
URL
Date of Electronic
20150130
PMCID
Editors
A web-based program to increase knowledge and reduce cigarette and nargila smoking among Arab university students in Israel: mixed-methods study to test acceptability 2015 Bar Ilan University, Faculty of Medicine in the Galilee, Safed, Israel. jamanh.essa-hadad@mail.biu.ac.il.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of medical Internet research
Periodical, Abbrev.
J.Med.Internet Res.
Pub Date Free Form
20-Feb
Volume
17
Issue
2
Start Page
e39
Other Pages
Notes
LR: 20151119; ISRCTN/ISRCTN59207794; JID: 100959882; OID: NLM: PMC4376148; OTO: NOTNLM; 2013/09/29 [received]; 2014/12/06 [accepted]; 2014/01/13 [revised]; epublish
Place of Publication
Canada
ISSN/ISBN
1438-8871; 1438-8871
Accession Number
PMID: 25707034
Language
eng
SubFile
Clinical Trial; Journal Article; IM
DOI
10.2196/jmir.2988 [doi]
Output Language
Unknown(0)
PMID
25707034
Abstract
BACKGROUND: Among Arab citizens in Israel, cigarette and nargila (hookah, waterpipe) smoking is a serious public health problem, particularly among the young adult population. With the dramatic increase of Internet and computer use among Arab college and university students, a Web-based program may provide an easy, accessible tool to reduce smoking rates without heavy resource demands required by traditional methods. OBJECTIVE: The purpose of this research was to examine the acceptability and feasibility of a pilot Web-based program that provides tailored feedback to increase smoking knowledge and reduce cigarette and nargila smoking behaviors among Arab college/university students in Israel. METHODS: A pilot Web-based program was developed, consisting of a self-administered questionnaire and feedback system on cigarette and nargila smoking. Arab university students were recruited to participate in a mixed-methods study, using both quantitative (pre-/posttest study design) and qualitative tools. A posttest was implemented at 1 month following participation in the intervention to assess any changes in smoking knowledge and behaviors. Focus group sessions were implemented to assess acceptability and preferences related to the Web-based program. RESULTS: A total of 225 participants-response rate of 63.2% (225/356)-completed the intervention at baseline and at 1-month poststudy, and were used for the comparative analysis. Statistically significant reductions in nargila smoking among participants (P=.001) were found. The intervention did not result in reductions in cigarette smoking. However, the tailored Web intervention resulted in statistically significant increases in the intention to quit smoking (P=.021). No statistically significant increases in knowledge were seen at 1-month poststudy. Participants expressed high satisfaction with the intervention and 93.8% (211/225) of those who completed the intervention at both time intervals reported that they would recommend the program to their friends, indicating excellent acceptability and feasibility of the intervention. This was further emphasized in the focus group sessions. CONCLUSIONS: A tailored Web-based program may be a promising tool to reduce nargila smoking among Arab university students in Israel. The tailored Web intervention was not successful at significantly reducing cigarette smoking or increasing knowledge. However, the intervention did increase participants' intention to quit smoking. Participants considered the Web-based tool to be an interesting, feasible, and highly acceptable strategy. TRIAL REGISTRATION: TRIAL REGISTRATION: ISRCTN registry ISRCTN59207794; http://www.isrctn.com/ISRCTN59207794 (Archived by WebCite at http://www.webcitation.org/6VkYOBNOJ).
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Essa-Hadad,J., Linn,S., Rafaeli,S.
Original/Translated Title
URL
Date of Electronic
20150220
PMCID
PMC4376148
Editors
Better view on attitudes and perceived parental reactions behind waterpipe smoking among Iranian students 2015 Tobacco Control Unit, Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.; Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.; Isfaha
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences
Periodical, Abbrev.
J.Res.Med.Sci.
Pub Date Free Form
Nov
Volume
20
Issue
11
Start Page
1032
Other Pages
1038
Notes
LR: 20160307; JID: 101235599; OID: NLM: PMC4755088; OTO: NOTNLM; ppublish
Place of Publication
India
ISSN/ISBN
1735-1995; 1735-1995
Accession Number
PMID: 26941805
Language
eng
SubFile
Journal Article
DOI
10.4103/1735-1995.172812 [doi]
Output Language
Unknown(0)
PMID
26941805
Abstract
BACKGROUND: Because of the increasing usage of waterpipe globally, we need to know more about the different factors related to waterpipe and cigarette smoking. Therefore, the present study aims at gaining more insight on waterpipe and cigarette smoking based on perceived parental reaction and appeal and repellent of smoking among adolescents. MATERIALS AND METHODS: A cross-sectional survey entitled "Isfahan Tobacco Use Prevention Program" (ITUPP) was conducted among 5,500 adolescents in Isfahan Province, Iran in 2010 using a self-administered anonymous questionnaire. Demographic factors, cigarette and waterpipe smoking status, appeal and repellent of smoking, perceived parental reactions, and the main reasons behind the increase in waterpipe smoking were measured. Chi-square, univariate logistic regression, and multiple logistic regression were used. For all analyses, we defined statistical significance a priori with a two-tailed alpha of 0.05. Statistical analyses were conducted using the Statistical Package for the Social Sciences (SPSS) version 15. RESULTS: 50% of the sample was female and 89% lived in urban areas. The average age of the respondents was 14.37 +/- 1. 70 years. While a majority of cigarette smokers (70.9%) were waterpipe smokers, only 35.7% of waterpipe smokers smoked cigarettes. The incidence of smoking was high in those who expected less extensive parental reaction with odds ratio (OR) = 1.89 [95% confidence interval (CI): 1.35-2.63] (P
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Roohafza,H., Kasaei,Z., Heidari,K., Omidi,R., Alinia,T., Naji,M., Jaberifar,M., Sadeghi,M.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC4755088
Editors