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A rapid situation assessment (RSA) study of alcohol and drug use in Lebanon 2010 Department of Psychiatry and Clinical Psychology, School of Medicine, Balamand University, Lebanon. egkaram@idraac.org
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Le Journal medical libanais.The Lebanese medical journal
Periodical, Abbrev.
J.Med.Liban.
Pub Date Free Form
Apr-Jun
Volume
58
Issue
2
Start Page
76
Other Pages
85
Notes
JID: 0375352; ppublish
Place of Publication
Lebanon
ISSN/ISBN
0023-9852; 0023-9852
Accession Number
PMID: 20549893
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
Output Language
Unknown(0)
PMID
20549893
Abstract
BACKGROUND: Research on substance use and misuse in Lebanon is scarce and, when available, focuses on a specific substance or a limited segment of the population. The objective of this Rapid Situation Assessment (RAS) study was to survey the use of multiple substances in diverse segments of the Lebanese population. METHODS: A multi-method and multi-sample survey was conducted to collect quantitative and qualitative data from the academic sector (high school and university students), substance users in treatment or under arrest (prison, detention), and non-institutionalized "street" users. RESULTS: Age of first use of substances started as early as 9 years in the youth sample. Moreover, 12% of the high school students reported smoking one or more packs of cigarettes per day and 9% of the university students met criteria for DSM-IV alcohol abuse. Cannabis represented the most commonly used illicit drug in both high school and university students, and tranquilizers were the most frequently misused medicinal substance. Heroin was responsible for 50% of the treatment admissions, followed by cocaine (20%), and alcohol (20%); heroin was also the most common substance of arrest. Recidivism was almost the rule for heroin users across all treatment settings. Unperceived need for treatment was the most common reason for not seeking treatment in non-institutionalized drug users (47.6%). Injecting drug use was a common behavior noted within substance using populations, in treatment and non-institutionalized (about 50% of them), with a high rate of needle sharing practices. About half of all patients in treatment had a history of police arrests, and about one-third of those in prison ever received prior treatment for substance use. CONCLUSION: The study points towards a growing trend for substance use problems in early adolescence that warrants close monitoring. Further investigation of these patterns is needed since the Lebanese population might have specific pathways of abuse. There is a need to bring together various health, legislative, and academic stakeholders for a continuous appraisal of data from substance abuse studies as evidenced by the recent, although slow, progress in the fields of legislation and treatment that follow such concerted efforts.
Descriptors
Adolescent, Adult, Cross-Sectional Studies, Female, Humans, Institutionalization, Lebanon/epidemiology, Male, Prisoners/statistics & numerical data, Sampling Studies, Students/statistics & numerical data, Substance-Related Disorders/epidemiology, Young Adult
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Publisher
Data Source
Authors
Karam,E. G., Ghandour,L. A., Maalouf,W. E., Yamout,K., Salamoun,M. M.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
A Randomized Trial of the Effect of E-cigarette TV Advertisements on Intentions to Use E-cigarettes 2015 RTI International, Research Triangle Park, North Carolina. Electronic address: mcf@rti.org.; RTI International, Research Triangle Park, North Carolina.; RTI International, Research Triangle Park, North Carolina.; RTI International, Research Triangle Park,
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Preventive Medicine
Periodical, Abbrev.
Am.J.Prev.Med.
Pub Date Free Form
Nov
Volume
49
Issue
5
Start Page
686
Other Pages
693
Notes
CI: Copyright (c) 2015; JID: 8704773; 2014/10/15 [received]; 2015/04/08 [revised]; 2015/05/08 [accepted]; 2015/07/07 [aheadofprint]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1873-2607; 0749-3797
Accession Number
PMID: 26163170
Language
eng
SubFile
Journal Article; Randomized Controlled Trial; IM
DOI
10.1016/j.amepre.2015.05.010 [doi]
Output Language
Unknown(0)
PMID
26163170
Abstract
INTRODUCTION: Adolescents' use of electronic cigarettes (e-cigarettes) and exposure to e-cigarette TV advertising have increased in recent years, despite questions about their safety. The current study tests whether exposure to e-cigarette TV advertisements influences intentions to use e-cigarettes in the future and related attitudes. METHODS: A parallel-group randomized controlled experiment was conducted and analyzed in 2014 using an online survey with a convenience sample of 3,655 U.S. adolescents aged 13-17 years who had never tried e-cigarettes. Adolescents in the treatment group viewed four e-cigarette TV advertisements. RESULTS: Adolescents in the treatment group reported a greater likelihood of future e-cigarette use compared with the control group. ORs for the treatment group were 1.54 (p=0.001) for trying an e-cigarette soon; 1.43 (p=0.003) for trying an e-cigarette within the next year; and 1.29 (p=0.02) for trying an e-cigarette if a best friend offered one. Adolescents in the treatment group had higher odds of agreeing that e-cigarettes can be used in places where cigarettes are not allowed (OR=1.71, p
Descriptors
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Book Title
Database
Publisher
American Journal of Preventive Medicine. Published by Elsevier Inc
Data Source
Authors
Farrelly,M.C., Duke,J.C., Crankshaw,E.C., Eggers,M.E., Lee,Y.O., Nonnemaker,J.M., Kim,A.E., Porter,L.
Original/Translated Title
URL
Date of Electronic
20150707
PMCID
Editors
A Randomized Controlled Trial of a Theory-Informed School-Based Intervention to Prevent Waterpipe Tobacco Smoking: Changes in Knowledge, Attitude, and Behaviors in 6th and 7th Graders in Lebanon 2018
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International journal of environmental research and public health
Periodical, Abbrev.
Pub Date Free Form
Volume
15
Issue
9
Start Page
1839
Other Pages
Notes
Place of Publication
ISSN/ISBN
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
Links
Book Title
Database
Publisher
Multidisciplinary Digital Publishing Institute
Data Source
google
Authors
Nakkash, Rima, Lotfi, Tamara, Bteddini, Dima, Haddad, Pascale, Najm, Hala, Jbara, Lina, Alaouie, Hala, Al Aridi, Lama, Al Mulla, Ahmad, Mahfoud, Ziyad
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
A Randomized Controlled Trial of a Theory-Informed School-Based Intervention to Prevent Waterpipe Tobacco Smoking: Changes in Knowledge, Attitude, and Behaviors in 6th and 7th Graders in Lebanon 2018
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International journal of environmental research and public health
Periodical, Abbrev.
Pub Date Free Form
Volume
15
Issue
9
Start Page
1839
Other Pages
Notes
Place of Publication
ISSN/ISBN
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
Links
Book Title
Database
Publisher
Multidisciplinary Digital Publishing Institute
Data Source
google
Authors
Nakkash, Rima, Lotfi, Tamara, Bteddini, Dima, Haddad, Pascale, Najm, Hala, Jbara, Lina, Alaouie, Hala, Al Aridi, Lama, Al Mulla, Ahmad, Mahfoud, Ziyad
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
A qualitative exploration of young adult smokers' responses to novel tobacco warnings 2013 University of Otago, P O Box 56, Dunedin, New Zealand. janet.hoek@otago.ac.nz
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
25-Jun
Volume
13
Issue
Start Page
609
Other Pages
2458-13-609
Notes
LR: 20150423; JID: 100968562; OID: NLM: PMC3694466; 2013/02/01 [received]; 2013/06/18 [accepted]; 2013/06/25 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 23800292
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1186/1471-2458-13-609 [doi]
Output Language
Unknown(0)
PMID
23800292
Abstract
BACKGROUND: Despite reduced smoking among adolescents, smoking prevalence peaks among young adults aged 18-30, many of whom believe themselves exempt from the health risks of smoking shown in warning labels. We explored how young adult smokers perceived warnings featuring proximal risks, and whether these encouraged cessation more effectively than traditional health messages. METHODS: We conducted in-depth interviews with 17 young adult smokers and explored their perceptions of current warnings as well as novel warnings representing short-term health consequences; immediate social risks, and tobacco's toxicity (denormalizing tobacco as an everyday product). We used a thematic analysis approach to explore how participants rationalized existing warnings and interpreted the novel messages. RESULTS: Participants considered the immediate social and physiological benefits they gained from smoking outweighed the distal risks shown in health warnings, which they regarded as improbable and irrelevant. Of the novel warnings, those presenting immediate social risks altered the balance of gains and losses young adults associated with smoking; however, those presenting short-term health risks or depicting tobacco as a toxin were less effective. CONCLUSIONS: Participants regarded warnings featuring proximal social risks as more salient and they were less likely to rationalise these as irrelevant. Social risk messages merit further investigation to examine their potential as a complement to traditional health warnings.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Hoek,J., Hoek-Sims,A., Gendall,P.
Original/Translated Title
URL
Date of Electronic
20130625
PMCID
PMC3694466
Editors
A Qualitative Evidence of the Breeding Sites of Anopheles arabiensis Patton (Diptera: Culicidae) in and Around Kassala Town, Eastern Sudan 2016 Department of Biology, Faculty of Education, University of Kassala, Kassala State, Sudan.; Department of Zoology, Faculty of Science, University of Khartoum, Khartoum, Sudan.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International journal of insect science
Periodical, Abbrev.
Int.J.Insect Sci.
Pub Date Free Form
11-Aug
Volume
8
Issue
Start Page
65
Other Pages
70
Notes
JID: 101668982; OTO: NOTNLM; 2016 [ecollection]; 2016/05/02 [received]; 2016/07/14 [revised]; 2016/07/16 [accepted]; 2016/08/11 [epublish]; epublish
Place of Publication
New Zealand
ISSN/ISBN
1179-5433; 1179-5433
Accession Number
PMID: 27547039
Language
eng
SubFile
Journal Article
DOI
10.4137/IJIS.S40071 [doi]
Output Language
Unknown(0)
PMID
27547039
Abstract
Anopheles arabiensis Patton (Diptera: Culicidae) is considered the most efficient malaria vector in eastern Sudan. This study aims to characterize the breeding sites of An. arabiensis throughout the year in and around Kassala town, eastern Sudan. Diverse larval habitat types were visited and characterized based on the habitat type and chemical composition. Mosquito larvae were found in many diverse habitats. During the rainy season, rain pools and water bodies created by the seasonal Gash River serve as the main breeding sites. In the dry season, irrigation canals, seepage from water pipes, neglected wells, artificial containers, and man-made ditches serve as the main breeding sites. Breeding water showed a pH of 7.9 and a low concentration of the total dissolved salts. The results of this study may be considered in planning and implementing larval control programs in the area.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Hamza,A.M., El Rayah el,A.
Original/Translated Title
URL
Date of Electronic
20160811
PMCID
PMC4982522
Editors
A qualitative assessment of the perceived risks of electronic cigarette and hookah use in pregnancy 2015 Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX, 77030, USA. maike.sachs@bcm.edu.; Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Baylor C
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
21-Dec
Volume
15
Issue
Start Page
1273
Other Pages
015-2586-4
Notes
LR: 20151224; GR: P30ES023512/ES/NIEHS NIH HHS/United States; JID: 100968562; OID: NLM: PMC4687310; 2015/06/04 [received]; 2015/12/08 [accepted]; 2015/12/21 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 26692352
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1186/s12889-015-2586-4 [doi]
Output Language
Unknown(0)
PMID
26692352
Abstract
BACKGROUND: Studies reveal that electronic cigarette (e-cigarette) and hookah use are increasing among adolescents and young adults. However, the long-term health effects are unknown, especially with regards to pregnancy. Because of the increased use in women of reproductive age, and the unknown long-term health risks, our primary objectives were to determine the perceived risks of e-cigarette and hookah use in pregnancy, and learn common colloquial terms associated with e-cigarettes. Furthermore, we sought to determine if there is a stigma associated with e-cigarette use in pregnancy. METHODS: Eleven focus groups including 87 participants were conducted immediately following regularly scheduled CenteringPregnancy(R) prenatal care with women at three different clinics in the greater Houston area. A minimum of two facilitators led the groups, using ten lead-in prompts, with Spanish translation as necessary. Facilitators took notes which were compared immediately following each group discussion and each group was audio recorded and transcribed. Three facilitators utilized NVivo 9.0 software to organize the transcribed data into nodes to identify major themes. To increase rigor, transcripts were further analyzed by two obstetricians who were instructed to find the major themes. RESULTS: Analyses revealed contradicting themes concerning e-cigarette use. In general, e-cigarettes were perceived as safer alternatives to regular tobacco cigarettes, especially if used as smoking cessation devices. A major theme is that use in pregnancy is harmful to the fetus. However, it was perceived that use for smoking cessation in pregnancy may have fewer side effects. We found that a common term for e-cigarettes is "Blu." In our discussion of hookah use, participants perceived use as popular among teenagers and that use in pregnancy is dangerous for the fetus. CONCLUSIONS: Although a strong theme emerged against hookah use, we found contradicting themes in our discussions on e-cigarette use in pregnancy. It is possible that e-cigarette use will not carry the same stigma as regular cigarette smoking in pregnancy. In addition, the impression of e-cigarettes as a healthier alternative to smoking may influence use in pregnancy. Clinicians need to be prepared for questions of e-cigarette safety and efficacy as smoking cessation devices from their pregnant patients who smoke, and women who smoke and are planning to become pregnant.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Kahr,M.K., Padgett,S., Shope,C.D., Griffin,E.N., Xie,S.S., Gonzalez,P.J., Levison,J., Mastrobattista,J., Abramovici,A.R., Northrup,T.F., Stotts,A.L., Aagaard,K.M., Suter,M.A.
Original/Translated Title
URL
Date of Electronic
20151221
PMCID
PMC4687310
Editors
A qualitative analysis of factors impacting resilience among youth in post-conflict Liberia 2016 The Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, 5 Longfellow Place, Boston, MA 02114 USA ; Harvard Medical School, 25 Shattuck St., Boston, MA 02115 USA ; University of Illinois College of Medicine, 1853 West Polk
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Child and adolescent psychiatry and mental health
Periodical, Abbrev.
Child.Adolesc.Psychiatry.Ment.Health.
Pub Date Free Form
12-Aug
Volume
10
Issue
Start Page
26
Other Pages
016-0114-7. eCollection 2016
Notes
LR: 20160817; JID: 101297974; OID: NLM: PMC4983000; OTO: NOTNLM; 2016 [ecollection]; 2016/05/03 [received]; 2016/08/02 [accepted]; 2016/08/12 [epublish]; epublish
Place of Publication
England
ISSN/ISBN
1753-2000; 1753-2000
Accession Number
PMID: 27525038
Language
eng
SubFile
Journal Article
DOI
10.1186/s13034-016-0114-7 [doi]
Output Language
Unknown(0)
PMID
27525038
Abstract
BACKGROUND: In 2008, 5 years after the Liberian civil war ended, there were an estimated 340,000 orphans in Liberia, 18 % of the total child population of the country. Given that children make up half the population and that these children experienced significant trauma and loss both through direct exposure to the war and then to the Ebola epidemic, and indirectly as a result of the trauma experienced by their parents, the recovery of these children is essential to the recovery of the nation as a whole. The goal of this research was to identify factors contributing to resilience among youth in post-conflict Liberia. Resilience was defined as evidence of adaptive functioning and psychological health. METHODS: Seventy-five young people (age 13-18) in the capital city of Monrovia, Liberia were recruited in 2012. Semi-structured interviews were conducted, and demographic data were collected. Interviews were then transcribed and coded thematically. RESULTS: Forty-six of the participants were attending school, and 29 were not enrolled in school. Youth enrolled in school demonstrated greater adaptive functioning. This was particularly true for boys in any school setting and girls attending private school. Youth not attending school were more likely to have lost family members or become estranged from them, and many were also engaging in substance use. Emotion regulation, cognitive flexibility, agency, social intelligence and, in some cases, meaning-making were found in participants who showed resilient outcomes. CONCLUSIONS: Caregiver relationships mediate the development of psychological capacities that impact resilience. These findings suggest that youth who have lost a caregiver, many of whom are not attending school, are experiencing a significant ongoing burden in terms of their daily functioning and psychological health in the post-war period and should be the focus of further study and intervention targeting substance use and community reintegration. Trial registration Partners Healthcare IRB Protocol# 2012P000367.
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Data Source
Authors
Levey,E.J., Oppenheim,C.E., Lange,B.C., Plasky,N.S., Harris,B.L., Lekpeh,G.G., Kekulah,I., Henderson,D.C., Borba,C.P.
Original/Translated Title
URL
Date of Electronic
20160812
PMCID
PMC4983000
Editors
A qualitative analysis among regular waterpipe tobacco smokers in London universities 2013
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
17
Issue
10
Start Page
1364
Other Pages
9
Notes
ID: 24025391
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
BACKGROUND: Waterpipe smoking is popular in the West despite the significant harm associated with its use. Little is known about the habits and practices of British smokers. DESIGN: A total of 32 regular waterpipe smokers attended focus groups, where trained facilitators explored knowledge, belief and attitudes to waterpipes. Transcripts were thematically analysed and grouped into seven broad categories. RESULTS: Waterpipes played a clearly defined social role, accentuated by reduced harm perception and greater social acceptance than cigarettes. Knowledge about waterpipes was lacking, partly due to the lack of media attention. Addiction was described as a 'social addiction', although this may mask true nicotine addiction. Waterpipe smokers were less interested in quitting due to intermittent smoking patterns, reinforcing the belief of reduced exposure to harm. Legislative issues were explored, including the need to legislate on waterpipes on a par with cigarettes. CONCLUSION: Waterpipe smokers exhibited specific habits and attitudes not traditionally seen in cigarette smokers. It is important to encourage education to dispel the myths surrounding reduced harm perception and addiction to tackle its strong social acceptance. Legislation should play a more active role in prevention and education, and more emphasis should be placed on gathering nationwide epidemiological data to gauge the potential for escalation.
Descriptors
Links
http://dx.doi.org/10.5588/ijtld.12.0923
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Jawad,M., Jawad,S., Mehdi,A., Sardar,A., Jawad,A M., Hamilton,F L.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
A prospective study of tobacco smoking and mortality in Bangladesh 2013
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
PLoS One
Periodical, Abbrev.
Pub Date Free Form
Volume
8
Issue
3
Start Page
e58516
Other Pages
e58516
Notes
ID: 23505526
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
BACKGROUND: Limited data are available on smoking-related mortality in low-income countries, where both chronic disease burden and prevalence of smoking are increasing. METHODS: Using data on 20,033 individuals in the Health Effects of Arsenic Longitudinal Study (HEALS) in Bangladesh, we prospectively evaluated the association between tobacco smoking and all-cause, cancer, and cardiovascular disease mortality during ∼7.6 years of follow-up. Cox proportional hazards models were used to estimate hazard ratios (HRs) and their 95% confidence intervals (CIs) for deaths from all-cause, cancer, CVD, ischemic heart disease (IHD), and stroke, in relation to status, duration, and intensity of cigarette/bidi and hookah smoking. RESULTS: Among men, cigarette/bidi smoking was positively associated with all-cause (HR 1.40, 95% CI 1.06 1.86) and cancer mortality (HR 2.91, 1.24 6.80), and there was a dose-response relationship between increasing intensity of cigarette/bidi consumption and increasing mortality. An elevated risk of death from ischemic heart disease (HR 1.87, 1.08 3.24) was associated with current cigarette/bidi smoking. Among women, the corresponding HRs were 1.65 (95% CI 1.16 2.36) for all-cause mortality and 2.69 (95% CI 1.20 6.01) for ischemic heart disease mortality. Similar associations were observed for hookah smoking. There was a trend towards reduced risk for the mortality outcomes with older age at onset of cigarette/bidi smoking and increasing years since quitting cigarette/bibi smoking among men. We estimated that cigarette/bidi smoking accounted for about 25.0% of deaths in men and 7.6% in women. CONCLUSIONS: Tobacco smoking was responsible for substantial proportion of premature deaths in the Bangladeshi population, especially among men. Stringent measures of tobacco control and cessation are needed to reduce tobacco-related deaths in Bangladesh.
Descriptors
Links
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Wu,Fen, Chen,Yu, Parvez,Faruque, Segers,Stephanie, Argos,Maria, Islam,Tariqul, Ahmed,Alauddin, Rakibuz-Zaman, Muhammad, Hasan,Rabiul, Sarwar,Golam, Ahsan,Habibul
Original/Translated Title
URL
Date of Electronic
PMCID
Editors