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Tobacco use in 3 billion individuals from 16 countries: an analysis of nationally representative cross-sectional household surveys 2012 Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY 14214-8028, USA. ggiovino@buff alo.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Lancet (London, England)
Periodical, Abbrev.
Lancet
Pub Date Free Form
18-Aug
Volume
380
Issue
9842
Start Page
668
Other Pages
679
Notes
LR: 20150708; CI: Copyright (c) 2012; GR: G0701732/Medical Research Council/United Kingdom; GR: MC_U137686857/Medical Research Council/United Kingdom; JID: 2985213R; CIN: Lancet. 2012 Dec 1;380(9857):1906; author reply 1906-7. PMID: 23200498; CIN: Lancet.
Place of Publication
England
ISSN/ISBN
1474-547X; 0140-6736
Accession Number
PMID: 22901888
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; Review; AIM; IM
DOI
10.1016/S0140-6736(12)61085-X [doi]
Output Language
Unknown(0)
PMID
22901888
Abstract
BACKGROUND: Despite the high global burden of diseases caused by tobacco, valid and comparable prevalence data for patterns of adult tobacco use and factors influencing use are absent for many low-income and middle-income countries. We assess these patterns through analysis of data from the Global Adult Tobacco Survey (GATS). METHODS: Between Oct 1, 2008, and March 15, 2010, GATS used nationally representative household surveys with comparable methods to obtain relevant information from individuals aged 15 years or older in 14 low-income and middle-income countries (Bangladesh, Brazil, China, Egypt, India, Mexico, Philippines, Poland, Russia, Thailand, Turkey, Ukraine, Uruguay, and Vietnam). We compared weighted point estimates and 95% CIs of tobacco use between these 14 countries and with data from the 2008 UK General Lifestyle Survey and the 2006-07 US Tobacco Use Supplement to the Current Population Survey. All these surveys had cross-sectional study designs. FINDINGS: In countries participating in GATS, 48.6% (95% CI 47.6-49.6) of men and 11.3% (10.7-12.0) of women were tobacco users. 40.7% of men (ranging from 21.6% in Brazil to 60.2% in Russia) and 5.0% of women (0.5% in Egypt to 24.4% in Poland) in GATS countries smoked a tobacco product. Manufactured cigarettes were favoured by most smokers (82%) overall, but smokeless tobacco and bidis were commonly used in India and Bangladesh. For individuals who had ever smoked daily, women aged 55-64 years at the time of the survey began smoking at an older age than did equivalently aged men in most GATS countries. However, those individuals who had ever smoked daily and were aged 25-34-years when surveyed started to do so at much the same age in both sexes. Quit ratios were very low (
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ltd
Data Source
Authors
Giovino,G.A., Mirza,S.A., Samet,J.M., Gupta,P.C., Jarvis,M.J., Bhala,N., Peto,R., Zatonski,W., Hsia,J., Morton,J., Palipudi,K.M., Asma,S., GATS Collaborative Group
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Tobacco use in older adults in Ghana: sociodemographic characteristics, health risks and subjective wellbeing 2013 Department of Community Health, University of Ghana Medical School, College of Health Sciences, Room 46, P, O, Box 4236, Korle-Bu, Accra, Ghana. aeyawson@yahoo.com.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
20-Oct
Volume
13
Issue
Start Page
979
Other Pages
2458-13-979
Notes
GR: OGHA 04034785/PHS HHS/United States; GR: R01 AG034479-64401A1/AG/NIA NIH HHS/United States; GR: Y1-AG-1005-01/AG/NIA NIH HHS/United States; GR: YA1323-08-CN-0020/CN/NCI NIH HHS/United States; JID: 100968562; OID: NLM: PMC3924352; 2013/08/14 [received]
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 24138966
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1186/1471-2458-13-979 [doi]
Output Language
Unknown(0)
PMID
24138966
Abstract
BACKGROUND: Tobacco use over the life-course threatens to increase disease burden in older adulthood, including lower income countries like Ghana. This paper describes demographic, socioeconomic, health risks and life satisfaction indices related to tobacco use among older adults in Ghana. METHODS: This work was based on the World Health Organization's multi-country Study on global AGEing and adult health (SAGE), conducted in six countries including Ghana. Wave one of SAGE in Ghana was conducted in 2007-2008 as collaboration between WHO and the University of Ghana Medical School through the Department of Community Health. A nationally representative sample of 4305 older adults aged 50 years and above were interviewed. Associations between tobacco consumption and sociodemographic, socioeconomic, health risk and life satisfaction were evaluated using chi-square and odds ratio (OR). Logistic regression analyses, adjusted for age, sex and other variables, were conducted to determine predictors of tobacco consumption in older persons. RESULTS: Overall prevalence of current daily smokers among older adults in Ghana was 7.6%. Tobacco use (i.e. ever used tobacco) was associated with older males, (AOR = 1.10, CI 1.05-1.15), older adults residing in rural locations (AOR = 1.37, CI 1.083-1.724), and older adults who used alcohol (AOR = 1.13, CI 0.230-2.418). Tobacco use was also associated (although not statistically significant per p-values) with increased self-reporting of angina, arthritis, asthma, chronic lung disease, depression, diabetes, hypertension, and stroke. Older adults who used tobacco and with increased health risks, tended to be without health insurance (AOR = 1.41, CI 1.111-1.787). Satisfaction with life and daily living was much lower for those who use tobacco. Regional differences existed in tobacco use; the three northern regions (Upper East, Northern and Upper West) had higher proportions of tobacco use among older adults in the country. Quitting tobacco use was higher in the 70+ years age group, in women, among urban residents and in those with at least secondary education. Quitting tobacco use also increased with increasing income levels. CONCLUSIONS: Tobacco use among older adults in Ghana was associated with older men living in rural locations, chronic ill-health and reduced life satisfaction. A high proportion of older adults have stopped using tobacco, demonstrating the possibilities for effective public health interventions. Health risk reduction strategies through targeted anti-smoking health campaigns, improvement in access to health and social protection (such as health insurance) will reduce health risks among older persons who use tobacco.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Yawson,A.E., Baddoo,A., Hagan-Seneadza,N.A., Calys-Tagoe,B., Hewlett,S., Dako-Gyeke,P., Mensah,G., Minicuci,N., Naidoo,N., Chatterji,S., Kowal,P., Biritwum,R.
Original/Translated Title
URL
Date of Electronic
20131020
PMCID
PMC3924352
Editors
Tobacco use in Tunisia: Behaviour and awareness 2002 Fakhfakh, R., Inst. Natl. de Sante Publique, Le Diplomat, 1002 Le Belvedère, Tunis, Tunisia
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Bulletin of the World Health Organization
Periodical, Abbrev.
Bull.WHO
Pub Date Free Form
2002/
Volume
80
Issue
5
Start Page
350
Other Pages
356
Notes
Place of Publication
ISSN/ISBN
0042-9686
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Objective: To assess tobacco use and the awareness of and attitudes towards tobacco and its control in the adult population of Tunisia. Methods: A cross-sectional study was conducted in 1996 of a representative national sample of 5696 subjects aged 25 and over. Data were collected by means of a questionnaire in Arabic. Findings: Tobacco use was reported by 30.4% of the respondents, of whom 24.6% smoked cigarettes and 5.8% consumed traditional tobacco, i.e. snuff, chewing tobacco and/or water pipe tobacco. Whereas 55.6% of men used tobacco, only 5.2% of women did so. Among men the proportion of tobacco users diminished with age as the rate of cessation increased. Among women, smoking peaked in the 35-54 age group. The proportion of men consuming traditional tobacco alone increased from 2.4% in the 25-34 age group to 20.4% in the 55+ age group; the corresponding values for women were 0.1% and 14.3%. Tobacco use was more widespread in rural than in urban areas and was relatively high among poorly educated men from economically deprived backgrounds. The use of tobacco was believed to be harmful to health by 98.6% of the respondents. Over 90% of the interviewees were aware that tobacco played a part in the development of heart disease. However, there were some gaps in awareness. A fear of cancer was expressed by 85% of the respondents, whereas only 5.6% were fearful of accidents. Conclusions: Informational and educational campaigns relating to tobacco control should be directed at individuals and communities, taking into account the gaps in awareness of the effects of tobacco on health.
Descriptors
adult, aged, article, attitude, awareness, smoking, control system, education, female, health behavior, high risk population, human, major clinical study, male, sampling, sex ratio, smokeless tobacco, tobacco, Tunisia
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Fakhfakh,R., Hsairi,M., Maalej,M., Achour,N., Nacef,T.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Tobacco Use Trends among Mississippi Youth following the 1997 Settlement of Mississippi's Medicaid Lawsuit and Subsequent Tobacco Prevention Initiatives 2015
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of the Mississippi State Medical Association
Periodical, Abbrev.
J.Miss.State Med.Assoc.
Pub Date Free Form
Nov
Volume
56
Issue
11
Start Page
328
Other Pages
333
Notes
JID: 7505622; ppublish
Place of Publication
United States
ISSN/ISBN
0026-6396; 0026-6396
Accession Number
PMID: 26863821
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
Output Language
Unknown(0)
PMID
26863821
Abstract
BACKGROUND: Mississippi has implemented several programs and policies to reduce youth tobacco. This study examines trends in youth tobacco use and compares current prevalence rates for cigarettes, cigars, smokeless tobacco, and e-cigarettes. DESIGN/METHODS: The Youth Tobacco Survey is a self-administered survey of a multi-stage sample of public high school students. RESULTS: Cigarette and cigar smoking decreased from 1998 to 2014. However, current use of smokeless tobacco did not change and e-cigarette use has increased. Currently, there are no significant differences in the prevalence of cigarette, cigar, smokeless tobacco, or electronic cigarette use. CONCLUSION: The state has successfully decreased cigarette and cigar smoking. However, smokeless tobacco use has not changed and e-cigarettes are becoming increasingly popular. Currently, Mississippi youth are at equal risk for cigarette, cigar, smokeless tobacco, or electronic cigarette use. Tobacco prevention efforts, clinician counseling, and policies should address each of these products rather than focus primarily on cigarettes.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
McClelland,E., Valentine,N., McMillen,R.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Tobacco Use, Quitting Behavior, and Health Characteristics Among Current Electronic Cigarette Users in a National Tri-Ethnic Adult Stable Smoker Sample 2015 Department of Psychology, California State University San Marcos, San Marcos, CA; kpulvers@csusm.edu.; Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA;; Department of Preven
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
Sep
Volume
17
Issue
9
Start Page
1085
Other Pages
1095
Notes
LR: 20151103; CI: (c) The Author 2014; GR: 1P60MD003422/MD/NIMHD NIH HHS/United States; GR: P30 CA077598/CA/NCI NIH HHS/United States; JID: 9815751; OID: NLM: PMC4627485 [Available on 09/01/16]; PMCR: 2016/09/01 00:00; 2014/05/13 [received]; 2014/11/03 [a
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 25385875
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/ntr/ntu241 [doi]
Output Language
Unknown(0)
PMID
25385875
Abstract
INTRODUCTION: The present study characterizes the tobacco use, quitting behaviors, and health characteristics of cigarette smokers who did not change their smoking pattern over the past 6 months and have used electronic cigarettes (ECs) in the past 30 days. This is an important subpopulation to characterize if EC dual use with cigarettes continues to grow. METHODS: Participants (N = 2,376) from a research survey panel completed an online cross-sectional survey between June and August 2012. Sampling was stratified to recruit equal numbers of cigarette smoking participants by race/ethnicity (Black, Hispanic, and Caucasian) and smoking frequency (nondaily and daily). All displayed a stable rate of smoking for the past 6 months and were not currently in treatment. Bivariate and multivariate analyses were used to examine correlates of current EC use (any use within the past 30 days). RESULTS: Current EC use was reported by 9.2% (n = 219) of the total sample. Of current EC users, 44% reported having used ECs as a quit method. Bivariate and multivariate analyses showed that current EC use was significantly associated with greater nicotine dependence, concurrent poly-tobacco use, more past-year quit attempts, past use of multiple cessation methods, and more depressive symptoms. No demographic variables were significantly associated with current EC use. CONCLUSIONS: This study suggests that stable smokers who currently use ECs possess characteristics that are associated with difficulty in achieving smoking cessation. These characteristics should be considered when examining the effectiveness of ECs on cessation and in designing future cessation trials using ECs.
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
Pulvers,K., Hayes,R.B., Scheuermann,T.S., Romero,D.R., Emami,A.S., Resnicow,K., Olendzki,E., Person,S.D., Ahluwalia,J.S.
Original/Translated Title
URL
Date of Electronic
20141110
PMCID
PMC4627485
Editors
Tobacco use, smoking quit rates, and socioeconomic patterning among men and women: a cross-sectional survey in rural Andhra Pradesh, India 2014 Harvard University, Cambridge, MA, USA djcorsi@hsph.harvard.edu.; Harvard School of Public Health, Boston, MA, USA.; Simon Fraser University, Vancouver, BC, Canada.; McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada.; McMaster Univers
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
European journal of preventive cardiology
Periodical, Abbrev.
Eur.J.Prev.Cardiol.
Pub Date Free Form
Oct
Volume
21
Issue
10
Start Page
1308
Other Pages
1318
Notes
CI: (c) The European Society of Cardiology 2013; JID: 101564430; OTO: NOTNLM; 2013/05/30 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
2047-4881; 2047-4873
Accession Number
PMID: 23723329
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1177/2047487313491356 [doi]
Output Language
Unknown(0)
PMID
23723329
Abstract
BACKGROUND: Tobacco use is common in India and a majority of users are in rural areas. We examine tobacco use and smoking quit rates along gender and socioeconomic dimensions in rural Andhra Pradesh. DESIGN AND METHODS: Data come from a cross-sectional survey. Markers of socioeconomic status (SES) were education, occupation, and income. Regression analyses were undertaken to examine determinants of current smoking, smoking quit rates, tobacco use by type (cigarettes, bidis, and chewing), and quantity consumed (number per day, pack-years). RESULTS: The weighted prevalence of current smoking and tobacco chewing was higher in men (50.3%, 95% confidence interval, CI, 48.1-52.6 and 5.0%, 95% CI 4.1-5.9, respectively) compared with women (4.8%, 95% CI 3.9-5.7 and 1.0%, 95% CI 0.6-1.4, respectively) and higher among older age groups. The quit rate was higher in women (45.5%, 95% CI 38.7-52.2) compared to men (18.8%, 95% CI 16.7-20.9). Illiterate individuals were more likely to be current smokers of any type compared to those with secondary/higher education (odds ratio, OR, 3.25, 95% CI 2.54-4.16), although cigarette smoking was higher in men of high SES. Smoking quit rates were positively associated with SES (OR 2.56, 95% CI 1.76-3.71) for secondary/higher education vs. illiterates. Level of consumption increased with SES and those with secondary/higher education smoked an additional 1.93 (95% CI 1.08-2.77) cigarettes or bidis per day and had an additional 1.87 (95% CI 0.57-3.17) pack-years vs. illiterates. CONCLUSIONS: The social gradients in cigarette smoking and level of consumption contrasted those for indigenous forms of tobacco (bidi smoking and chewing). International prevention and cessation initiatives designed at modifying Western-style cigarette usage will need to be tailored to the social context of rural Andhra Pradesh to effectively influence the use of cigarettes and equally harmful indigenous forms of tobacco.
Descriptors
Links
Book Title
Database
Publisher
Reprints and permissions: sagepub.co.uk/journalsPermissions.nav
Data Source
Authors
Corsi,D.J., Subramanian,S.V., Lear,S.A., Teo,K.K., Boyle,M.H., Raju,P.K., Joshi,R., Neal,B., Chow,C.K.
Original/Translated Title
URL
Date of Electronic
20130530
PMCID
Editors
Tobacco-specific nitrosamine exposures in smokers and nonsmokers exposed to cigarette or waterpipe tobacco smoke 2013 Department of Public Health, Cairo University, Cairo, Egypt. gnasr@theunion.org
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
Jan
Volume
15
Issue
1
Start Page
130
Other Pages
138
Notes
LR: 20150225; JID: 9815751; 0 (4-((methylnitrosoamino)-1-(3-pyridyl)but-1-yl)beta-omega-glucosiduronic acid); 0 (4-(methylnitrosamino)-1-(3-pyridyl)-1-butan-1-ol); 0 (Carcinogens); 0 (Glucuronates); 0 (Nitrosamines); 0 (Pyridines); 0 (Tobacco Smoke Pollut
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 22573723
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1093/ntr/nts099 [doi]
Output Language
Unknown(0)
PMID
22573723
Abstract
INTRODUCTION: The causal relationship between tobacco smoking and a variety of cancers is attributable to the carcinogens that smokers inhale, including tobacco-specific nitrosamines (TSNAs). We aimed to assess the exposure to TSNAs in waterpipe smokers (WPS), cigarette smokers (CS), and nonsmoking females exposed to tobacco smoke. METHODS: We measured 2 metabolites, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) and its glucuronides (NNAl-Gluc) in the urine of males who were either current CS or WPS, and their wives exposed to either cigarette or waterpipe smoke in a sample of 46 subjects from rural Egypt. RESULTS: Of the 24 current male smokers, 54.2% were exclusive CS and 45.8% were exclusive WPS. Among wives, 59.1% reported exposure to cigarette smoke and 40.9% to waterpipe smoke. The geometric mean of urinary NNAL was 0.19 +/- 0.60 pmol/ml urine (range 0.005-2.58) in the total sample. Significantly higher levels of NNAL were observed among male smokers of either cigarettes or waterpipe (0.89 +/- 0.53 pmol/ml, range 0.78-2.58 in CS and 0.21-1.71 in WPS) compared with nonsmoking wives (0.04 +/- 0.18 pmol/ml, range 0.01-0.60 in CS wives, 0.05-0.23 in WPS wives, p = .000). Among males, CS had significantly higher levels of NNAL compared with WPS (1.22 vs. 0.62; p = .007). However, no significant difference was detected in NNAL levels between wives exposed to cigarette smoke or waterpipe smoke. CONCLUSIONS: Cigarette smokers levels of NNAL were higher than WPS levels in males. Exposure to tobacco smoke was evident in wives of both CS and WPS. Among WPS, NNAL tended to increase with increasing numbers of hagars smoked/day.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Radwan,G., Hecht,S.S., Carmella,S.G., Loffredo,C.A.
Original/Translated Title
URL
Date of Electronic
20120509
PMCID
PMC3524061
Editors
Tobacco: Its historical, cultural, oral, and periodontal health association 2013
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
J Int Soc Prev Community Dent
Periodical, Abbrev.
Pub Date Free Form
Volume
3
Issue
1
Start Page
12
Other Pages
8
Notes
ID: 24478974
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
This article provides information on the origin of tobacco and its subsequent spread throughout the world. In the era of the migration of communities, tobacco use gradually gained access and subsequently migrated along with the migrants, establishing in different locations. Probably at that time people were unaware of the health hazards and were using tobacco in treating certain ailments. Much has been known and written about tobacco in the context of oral and general health hazards but little has been explored and is known to many about where from and how this plant, which is now used in various forms, and speading widely. In what form, where, and how it had been served in religious rituals and considered for treatment or remedy of certain ailments in those days could not certainly be known. In the 21(st) century, people are considering hazardous tobacco as beneficial for their teeth, good for concentration of mind, and something which keeps them engaged. Even many professionals, though knowing the deleterious effects, are still using tobacco and gutkha in one or the other form. This article has been designed to revive the awareness for health hazards of tobacco and similar products. A pilot project questionnaire survey comprising this subject involving the educated mass has already been started and will be produced after analysis of data in part II of this paper.
Descriptors
Links
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Mishra,Shanu, Mishra,M B.
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
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 ≥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
Tools of monitor corrosion of cement-containing water mains 2004 Slaats, P.G.G., Kiwa Water Research, 3430 BB Nieuwegein, Netherlands
Source Type
Print(0)
Ref Type
Generic
Periodical, Full
Water Science and Technology
Periodical, Abbrev.
Water Sci. Technol.
Pub Date Free Form
2004/
Volume
49
Issue
2
Start Page
33
Other Pages
39
Notes
Place of Publication
ISSN/ISBN
0273-1223
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Approximately 40,000 km of the drinking water network in The Netherlands consists of asbestos cement water pipes. The number of fractures in these pipes has increased greatly in recent years. This is due to corrosion of the asbestos cement (AC) which affects the condition of the pipe. Every time a fracture occurs, the question is raised of whether the pipe in question has to be replaced or repaired. A relatively simple destructive technique and non-destructive tests are used on a large scale to assess the condition of the AC pipes in use. Not only is corrosion detrimental to the pipes themselves, it also influences the water quality. Corrosion of the inner walls of cement-containing pipes involves the leaching of hydroxides. This causes pH changes resulting in scaling in water mains and domestic installations. Monitoring techniques have been developed to determine the effects of leaching on water quality. The large-scale use of the relatively simple techniques at water companies increases insight into the condition of the drinking water network, the life expectancy of the pipes and the effects of corrosion on the water quality. Applying these techniques enables those involved to make decisions on pipe replacement and to provide solutions for reducing the effects of leaching.
Descriptors
asbestos, cement, drinking water, hydroxide, conference paper, corrosion, decision making, leaching, Netherlands, pH, pipeline, process monitoring, procedures, water contamination, water management, water quality
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Slaats,P. G. G., Mesman,G. A. M., Rosenthal,L. P. M., Brink,H.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors