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Hazards of cigarettes, smokeless tobacco and waterpipe in a Middle Eastern Population: a Cohort Study of 50 000 individuals from Iran 2017 Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Bethesda, Maryland, USA.; Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, I(TRUNCATED
Source Type
Print(0)
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Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Nov
Volume
26
Issue
6
Start Page
674
Other Pages
682
Notes
LR: 20181113; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.; GR: ZIA CP000185-12/NULL/International; GR
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27872345
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Intramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1136/tobaccocontrol-2016-053245 [doi]
Output Language
Unknown(0)
PMID
27872345
Abstract
BACKGROUND: There is limited information about the hazards of cigarettes, smokeless tobacco and waterpipe in the Middle East. The aim of this study was to determine the association between different types of tobacco use and earlier death in the Golestan Cohort Study. METHODS: The Study includes 50 045 adults (aged 40-75 years) from north eastern Iran. The baseline questionnaire (2004-2008) assessed information about use of cigarettes, chewing tobacco (nass) and waterpipe. To assess the use of each type of tobacco compared with never tobacco users, we used Cox regression models adjusted for age, socioeconomic status, area of residence, education and other tobacco used, and stratified by sex, ethnicity and opium use. RESULTS: 17% of participants reported a history of cigarette smoking, 7.5% chewing tobacco (nass) and 1.1% smoking waterpipe, and these figures declined in the later birth cohorts. During a median follow-up of 8 years, 4524 deaths occurred (mean age 64.8+9.9 years). Current (HR=1.44; 95% CI 1.28 to 1.61) and former (HR=1.35; 95% CI 1.16 to 1.56) cigarette smokers had higher overall mortality relative to never tobacco users. The highest cigarette-associated risk was for cancer death among current heavy smokers (HR=2.32; 95% CI 1.66 to 3.24). Current nass chewing was associated with overall mortality (HR=1.16; 95% CI 1.01 to 1.34), and there was a 61% higher risk of cancer death in people chewing nass more than five times a day. We observed an association between the cumulative lifetime waterpipe use (waterpipe-years>/=28) and both overall (HR=1.66; 95% CI 1.11 to 2.47), and cancer mortality (HR=2.82; 95% CI 1.30 to 6.11). CONCLUSIONS: Regular use of cigarettes, smokeless tobacco and waterpipe were associated with the risk of earlier death (particularly from cancer) in our cohort.
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Book Title
Database
Publisher
Data Source
Authors
Etemadi,A., Khademi,H., Kamangar,F., Freedman,N.D., Abnet,C.C., Brennan,P., Malekzadeh,R., Golestan Cohort Study Team
Original/Translated Title
URL
Date of Electronic
20161121
PMCID
PMC5767941
Editors
Beliefs and Attitudes Associated With Hookah Smoking Among a United States College Population 2017 Department of Health Sciences and Human Performance, University of Tampa, Tampa, Florida. MMartinasek@ut.edu.; College of Nursing, University of Florida, Gainesville, Florida 32610.; Department of Community and Family Health, University of South(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Respiratory care
Periodical, Abbrev.
Respir.Care
Pub Date Free Form
Mar
Volume
62
Issue
3
Start Page
370
Other Pages
379
Notes
LR: 20171011; CI: Copyright (c) 2017; JID: 7510357; OTO: NOTNLM; 2016/12/29 06:00 [pubmed]; 2017/10/12 06:00 [medline]; 2016/12/29 06:00 [entrez]; ppublish
Place of Publication
United States
ISSN/ISBN
1943-3654; 0020-1324
Accession Number
PMID: 28028190
Language
eng
SubFile
Journal Article; IM
DOI
10.4187/respcare.05069 [doi]
Output Language
Unknown(0)
PMID
28028190
Abstract
BACKGROUND: This study explores the differences among smokers of waterpipe tobacco in a college population to better inform campaigns to curb waterpipe use. METHODS: Participants included undergraduate and graduate students attending a liberal arts university in Florida. E-mail-based, cross-sectional surveys were collected in 2 sequential years. RESULTS: The majority of respondents (64%) reported having ever smoked a hookah, even if just 1-2 puffs. Of those who had ever smoked a hookah, 34% reported smoking a hookah within the previous 30 d. Constructs from the theory of reasoned action were all correlated with smoking behavior. The range of beliefs endorsed by smokers were more strongly associated with hookah-related attitudes compared with subjective norms. Concerns about health were stronger among never-smokers. CONCLUSIONS: Young adult college students continue to engage in waterpipe tobacco smoking at high rates. Campaigns need to focus on subsets of smokers and nonsmokers, independently.
Descriptors
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Database
Publisher
by Daedalus Enterprises
Data Source
Authors
Martinasek,M.P., Haddad,L.G., Wheldon,C.W., Barnett,T.E.
Original/Translated Title
URL
Date of Electronic
20161227
PMCID
Editors
Initiation, Progression, and Sustained Waterpipe Use: A Nationally Representative Longitudinal Study of U.S. Young Adults 2017 Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, UPMC Montefiore Hospital, Pittsburgh, Pennsylvania. sidanije@upmc.edu.; Center for Research on Media, Technology, and Health, University (TRUNCATED
Source Type
Print(0)
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Journal Article
Periodical, Full
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
Periodical, Abbrev.
Cancer Epidemiol.Biomarkers Prev.
Pub Date Free Form
May
Volume
26
Issue
5
Start Page
748
Other Pages
755
Notes
LR: 20181113; CI: (c)2017; GR: R01 CA140150/CA/NCI NIH HHS/United States; JID: 9200608; NIHMS842715; 2016/08/29 00:00 [received]; 2016/11/28 00:00 [revised]; 2016/12/13 00:00 [accepted]; 2017/01/14 06:00 [pubmed]; 2018/03/06 06:00 [medline]; 2017/01/14 06
Place of Publication
United States
ISSN/ISBN
1538-7755; 1055-9965
Accession Number
PMID: 28082346
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1158/1055-9965.EPI-16-0687-T [doi]
Output Language
Unknown(0)
PMID
28082346
Abstract
Background: Waterpipe tobacco smoking (WTS) is increasing in popularity despite evidence of harm and potential for dependence. Intervention development has been hampered by a lack of longitudinal, nationally representative data on usage patterns and factors independently associated with WTS initiation. Therefore, we aimed to characterize key transitions between WTS states in a nationally representative group of young adults, with particular attention to factors independently associated with initiation.Methods: Participants were randomly selected from a national probability-based panel representing 97% of the United States. A total of 1,785 adults ages 18 to 30 at baseline completed two Web-based surveys 18 months apart in 2013 and 2014. Assessments included knowledge of waterpipe tobacco smoke composition, positive and negative attitudes toward WTS, normative beliefs, intention to use waterpipe, and WTS behavior. We used multivariable logistic regression to assess the association between predictive factors and subsequent WTS initiation.Results: In fully adjusted models, overall knowledge about toxicants associated with WTS was not associated with subsequent WTS initiation. Similarly, negative attitudes and normative beliefs were not associated with WTS uptake. However, baseline positive attitudes were strongly and significantly associated with WTS initiation [adjusted OR (AOR) = 1.7; 95% confidence interval (CI), 1.2-2.3]. Similarly, baseline intention to use WTS was strongly associated with subsequent initiation (AOR = 7.0; 95% CI, 3.5-13.7).Conclusions: Prevention efforts may be most successful if they target individuals with clear intentions to use WTS and challenge positive attitudes surrounding WTS.Impact: Surveillance of WTS trajectories will help inform health care and policy surrounding this emerging risk behavior among U.S. young adults. Cancer Epidemiol Biomarkers Prev; 26(5); 748-55. (c)2017 AACR.
Descriptors
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Book Title
Database
Publisher
American Association for Cancer Research
Data Source
Authors
Sidani,J.E., Shensa,A., Naidu,M.R., Yabes,J.G., Primack,B.A.
Original/Translated Title
URL
Date of Electronic
20170112
PMCID
PMC5413431
Editors
Electronic nicotine delivery systems and/or electronic non-nicotine delivery systems for tobacco smoking cessation or reduction: a systematic review and meta-analysis 2017 Department of Anaesthesiology, Botucatu Medical School, UNESP-Univ Estadual Paulista, Sao Paulo, Brazil.; McMaster Institute of Urology, McMaster University, Hamilton, Ontario, Canada.; Institute of Science and Technology, Department of Bioscien(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMJ open
Periodical, Abbrev.
BMJ Open
Pub Date Free Form
23-Feb
Volume
7
Issue
2
Start Page
e012680
Other Pages
2016-012680
Notes
LR: 20190202; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.; JID: 101552874; 0 (Nicotinic Agonists); OT
Place of Publication
England
ISSN/ISBN
2044-6055; 2044-6055
Accession Number
PMID: 28235965
Language
eng
SubFile
Journal Article; Meta-Analysis; Review; Systematic Review; IM
DOI
10.1136/bmjopen-2016-012680 [doi]
Output Language
Unknown(0)
PMID
28235965
Abstract
OBJECTIVE: A systematic review and meta-analysis to investigate the impact of electronic nicotine delivery systems (ENDS) and/or electronic non-nicotine delivery systems (ENNDS) versus no smoking cessation aid, or alternative smoking cessation aids, in cigarette smokers on long-term tobacco use. DATA SOURCES: Searches of MEDLINE, EMBASE, PsycInfo, CINAHL, CENTRAL and Web of Science up to December 2015. STUDY SELECTION: Randomised controlled trials (RCTs) and prospective cohort studies. DATA EXTRACTION: Three pairs of reviewers independently screened potentially eligible articles, extracted data from included studies on populations, interventions and outcomes and assessed their risk of bias. We used the Grading of Recommendations Assessment, Development and Evaluation approach to rate overall certainty of the evidence by outcome. DATA SYNTHESIS: Three randomised trials including 1007 participants and nine cohorts including 13 115 participants proved eligible. Results provided by only two RCTs suggest a possible increase in tobacco smoking cessation with ENDS in comparison with ENNDS (RR 2.03, 95% CI 0.94 to 4.38; p=0.07; I(2)=0%, risk difference (RD) 64/1000 over 6 to 12 months, low-certainty evidence). Results from cohort studies suggested a possible reduction in quit rates with use of ENDS compared with no use of ENDS (OR 0.74, 95% CI 0.55 to 1.00; p=0.051; I(2)=56%, very low certainty). CONCLUSIONS: There is very limited evidence regarding the impact of ENDS or ENNDS on tobacco smoking cessation, reduction or adverse effects: data from RCTs are of low certainty and observational studies of very low certainty. The limitations of the cohort studies led us to a rating of very low-certainty evidence from which no credible inferences can be drawn. Lack of usefulness with regard to address the question of e-cigarettes' efficacy on smoking reduction and cessation was largely due to poor reporting. This review underlines the need to conduct well-designed trials measuring biochemically validated outcomes and adverse effects.
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Data Source
Authors
El Dib,R., Suzumura,E.A., Akl,E.A., Gomaa,H., Agarwal,A., Chang,Y., Prasad,M., Ashoorion,V., Heels-Ansdell,D., Maziak,W., Guyatt,G.
Original/Translated Title
URL
Date of Electronic
20170223
PMCID
PMC5337697
Editors
Assessing the Effect of Waterpipe Smoking on Cancer Outcome - a Systematic Review of Current Evidence 2017 College of Dental Medicine, Roseman University of Health Sciences, South Jordan, Utah 84095, United States. Email:kamranhabibawan@gmail.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Asian Pacific journal of cancer prevention : APJCP
Periodical, Abbrev.
Asian Pac.J.Cancer.Prev.
Pub Date Free Form
1-Feb
Volume
18
Issue
2
Start Page
495
Other Pages
502
Notes
LR: 20181113; CI: Creative Commons Attribution License; JID: 101130625; OTO: NOTNLM; 2017/03/28 06:00 [pubmed]; 2017/03/28 06:00 [medline]; 2017/03/28 06:00 [entrez]; epublish
Place of Publication
Thailand
ISSN/ISBN
2476-762X; 1513-7368
Accession Number
PMID: 28345836
Language
eng
SubFile
Journal Article
DOI
10.22034/APJCP.2017.18.2.495 [doi]
Output Language
Unknown(0)
PMID
28345836
Abstract
Background: Waterpipe smoking (WPS) is widely believed to be a safe and hazard-free tobacco habit. However, a number of studies have indicated that exposure to several toxicants and carcinogens through WPS is strongly related to serious health hazards. The current paper presents a narrative review on the effects of WPS on cancer outcome. Methods: The addressed focused question was "Is there an association between waterpipe smoking and cancer outcome?" PubMed, Medline, EMBASE, ISI Web of Science and the Cochrane databases were searched until June 2015 using the key words "Waterpipe", "Hookah", "Narghileh", "Shisha", "Hubbly Bubbly" "cancer" in various combinations. Letters to the Editor, review articles, case-reports and unpublished articles were excluded. Results: A total of 16 studies were included: six on lung cancer, three on oesophageal cancer, two on gastric cancer, two on bladder cancer, and one each on nasopharyngeal, pancreatic and prostate cancers. Our search did not yield any study that evaluated the risk of oral cancer in WPS users. The available evidence showed a significant association of WPS with lung cancer (UOR 6.0, 95% CI 1.78-20.26); however, no association was observed with bladder, nasopharyngeal, pancreatic and prostate cancers. Gastric (OR 3.4, 95% CI 1.7-7.1) and oesophageal cancers (OR 1.85, 95% CI 1.41-2.44) were observed to have weak associations with WPS. Conclusion: Regardless of the limitations, there is sufficient evidence to suggest associations of WPS with cancer, particularly in the lung. Future well-designed studies are required to identify and quantify with confidence all the health effects of this form of smoking.
Descriptors
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Database
Publisher
Data Source
Authors
Awan,K.H., Siddiqi,K., Patil,Sh, Hussain,Q.A.
Original/Translated Title
URL
Date of Electronic
20170201
PMCID
PMC5454749
Editors
Comparison of a preferred versus non-preferred waterpipe tobacco flavour: subjective experience, smoking behaviour and toxicant exposure 2018 Oklahoma Tobacco Research Center, Oklahoma City, Oklahoma, USA.; Department of Psychology, Oklahoma State University, Stillwater, Oklahoma, USA.; Oklahoma Tobacco Research Center, Oklahoma City, Oklahoma, USA.; Department of Pediatrics, Universi(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
May
Volume
27
Issue
3
Start Page
319
Other Pages
324
Notes
LR: 20190114; CI: (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018; GR: R03 DA041928/DA/NIDA NIH HHS/United States; GR: P50 DA036105/DA/NIDA NIH HHS/United States; JID: 9209612; 0 (Flavoring Agents); 6M3
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 28381414
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.; IM
DOI
10.1136/tobaccocontrol-2016-053344 [doi]
Output Language
Unknown(0)
PMID
28381414
Abstract
INTRODUCTION: One possible reason for the rapid proliferation of waterpipe (WP) smoking is the pervasive use of flavoured WP tobacco. To begin to understand the impact of WP tobacco flavours, the current study examined the impact of a preferred WP tobacco flavour compared with a non-preferred tobacco flavoured control on user's smoking behaviour, toxicant exposure and subjective smoking experience. METHOD: Thirty-six current WP smokers completed two, 45-minute ad libitum smoking sessions (preferred flavour vs non-preferred tobacco flavour control) in a randomised cross-over design. Participants completed survey questionnaires assessing subjective smoking experience, exhaled carbon monoxide (eCO) testing, and provided blood samples for monitoring plasma nicotine. WP smoking topography was measured continuously throughout the smoking session. RESULTS: While participants reported an enhanced subjective smoking experience including greater interest in continued use, greater pleasure derived from smoking, increased liking and enjoyment, and willingness to continue use after smoking their preferred WP tobacco flavour (p values
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Leavens,E.L., Driskill,L.M., Molina,N., Eissenberg,T., Shihadeh,A., Brett,E.I., Floyd,E., Wagener,T.L.
Original/Translated Title
URL
Date of Electronic
20170405
PMCID
Editors
Patterns, Beliefs, Norms and Perceived Harms of Hookah Smoking in North Iran 2017 Health Management and Social Development Research Center, Golbarg Aval St, South Motahhari Av, Karimi Sq, Gorgan, Iran. Email: Charkazi@goums.ac.ir
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Asian Pacific journal of cancer prevention : APJCP
Periodical, Abbrev.
Asian Pac.J.Cancer.Prev.
Pub Date Free Form
1-Mar
Volume
18
Issue
3
Start Page
823
Other Pages
830
Notes
LR: 20181113; CI: Creative Commons Attribution License; JID: 101130625; OTO: NOTNLM; 2017/04/27 06:00 [pubmed]; 2017/04/27 06:00 [medline]; 2017/04/27 06:00 [entrez]; epublish
Place of Publication
Thailand
ISSN/ISBN
2476-762X; 1513-7368
Accession Number
PMID: 28441793
Language
eng
SubFile
Journal Article
DOI
10.22034/APJCP.2017.18.3.823 [doi]
Output Language
Unknown(0)
PMID
28441793
Abstract
Introduction: Hookah smoking is considered as a public health threat around the globe. The aim of this study was to investigatethe hookah smoking patterns, beliefs, norms and perceived harms in Golestan province of Iran. Methods: A cross-sectional study was conducted on 395 hookah smokers using convenience sampling method in 2015. To collect data, Heinz's hookah patternwas utilized. Ordinal regression models were used to exploring of covariates related to the odds of life time, last-30-day, and current hookah use. Results: In general, 357 (90.4%) subjects were male smokers. Most of subjects smoked hookah in cafe (62.2%) and with friends (75.6%). The majority of them (71.1%) did not consider themselves as a hooked person. Cigarette smoking (OR =.65, 95 % CI .42-.98), low perceived addictiveness of hookah than cigarettes (OR =2.33, 95 % CI 1.45-3.73), Social context of hookah smoking with friends in cafe (OR =1.14, 95 % CI 1.08-1.2), and number of close friends who smoked hookah (OR =1.38, 95 % CI 1.18-1.61) were effective variables affected the past month use of hookah. Conclusion:Development, implementation and assessment of interventions particularly adapted to hookah smoking regarding increase of perceived harm of hookah than cigarette and its probable addiction focusing on close friends appeared to be beneficial.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Ozouni Davaji,R.B., Dadban Shahamat,Y., Hajili Davaji,F., Mirkarimi,K., Charkazi,A., Pahlavanzadeh,B., Seydghasemi,N.S., Sharifirad,G., Moodi,M., Elahi,A.
Original/Translated Title
URL
Date of Electronic
20170301
PMCID
PMC5464506
Editors
Volatile sulphur compounds in exhaled air of dental students smoking the waterpipe: a nested case control study 2017 Taibah University Dental College and Hospital, Medina, Saudi Arabia.; Taibah University Dental College and Hospital, Medina, Saudi Arabia.; Faculty of Dentistry, University of Jordan, Amman, Jordan.; Taibah University Dental College and Hospital(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Minerva stomatologica
Periodical, Abbrev.
Minerva Stomatol.
Pub Date Free Form
Aug
Volume
66
Issue
4
Start Page
157
Other Pages
162
Notes
LR: 20180530; JID: 0421071; 0 (Sulfur Compounds); 2017/05/13 06:00 [pubmed]; 2018/05/31 06:00 [medline]; 2017/05/13 06:00 [entrez]; ppublish
Place of Publication
Italy
ISSN/ISBN
1827-174X; 0026-4970
Accession Number
PMID: 28497662
Language
eng
SubFile
Journal Article; D; IM
DOI
10.23736/S0026-4970.17.04061-4 [doi]
Output Language
Unknown(0)
PMID
28497662
Abstract
BACKGROUND: This study aims at investigating a potential adverse effect that waterpipe tobacco smoking may cause by comparing levels of volatile sulphur compounds in exhaled air of male dental students who smoke the waterpipe with those who do not smoke. METHODS: Dental students were categorized into waterpipe smokers and non-smokers. Volatile sulphur compounds were measured using a halimeter following the completion of questionnaire on smoking and oral hygiene habits and self-perceived halitosis. Statistics were carried out using ANOVA and relevant post hoc tests, associations were investigated using cross tabulation with the chi2 test. RESULTS: Results showed significantly higher levels of volatile sulphur compounds in: waterpipe smokers who smoke at least once a month when compared with non-smokers regardless their oral hygiene habits; subjects who do not brush their teeth; and subjects who self-perceive halitosis. There were no significant differences in these levels for similar groups on the basis of: use of floss, or use of mouth wash. CONCLUSIONS: It seems that waterpipe tobacco smoking results in increased volatile sulphur compounds levels in exhaled air. Oral hygiene practices like the use of tooth brush, dental floss, and mouth wash also seem to result in lower levels.
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Authors
Al-Humaidi,S.F., Dar-Odeh,N.S., Alnazzawi,A., Kutkut,A., Hudieb,M., Abu-Hammad,O.
Original/Translated Title
URL
Date of Electronic
20170510
PMCID
Editors
Implications and challenges for implementation of the FDA's final deeming rule for waterpipe tobacco 2018 Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA.; Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.; Center for Tobacco Control Research and Education, Universi(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
May
Volume
27
Issue
3
Start Page
347
Other Pages
351
Notes
LR: 20190114; CI: (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018; GR: T32 CA113710/CA/NCI NIH HHS/United States; GR: P50 DA036105/DA/NIDA NIH HHS/United States; JID: 9209612; NIHMS898411; OTO: NOTNLM;
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 28667092
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; IM
DOI
10.1136/tobaccocontrol-2017-053634 [doi]
Output Language
Unknown(0)
PMID
28667092
Abstract
For the first time, the Food and Drug Administration's (FDAs) Center for Tobacco Products now has regulatory authority over all tobacco products, including waterpipe tobacco. In the rule expanding its authority to cover all tobacco products, the FDA uses largely a one-size-fits-all approach. However, several aspects of waterpipe tobacco smoking make it unique from other tobacco products, which may require more specific, tailored rules. This paper describes the distinct features of waterpipe tobacco products and accessories, and identifies unique challenges to the current regulation posed by this form of tobacco use. Additionally, we highlight the need for further research-generated evidence to support additional rulemaking.
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Database
Publisher
Data Source
Authors
Sutfin,E.L., Soule,E.K., McKelvey,K., Jenson,D.
Original/Translated Title
URL
Date of Electronic
20170630
PMCID
PMC5748017
Editors
Policy-Relevant Context of Waterpipe Tobacco Smoking among University Students in Six Countries Across the Eastern Mediterranean Region: A Qualitative Study 2017 Department of Health Outcomes and Policy, College of Medicine, University of Florida, Gainesville, FL, USA. Email: rn06@aub.edu.lb
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Asian Pacific journal of cancer prevention : APJCP
Periodical, Abbrev.
Asian Pac.J.Cancer.Prev.
Pub Date Free Form
27-Sep
Volume
18
Issue
9
Start Page
2533
Other Pages
2540
Notes
LR: 20181113; CI: Creative Commons Attribution License; JID: 101130625; OTO: NOTNLM; 2017/09/28 06:00 [pubmed]; 2017/09/28 06:01 [medline]; 2017/09/28 06:00 [entrez]; epublish
Place of Publication
Thailand
ISSN/ISBN
2476-762X; 1513-7368
Accession Number
PMID: 28952296
Language
eng
SubFile
Journal Article
DOI
10.22034/APJCP.2017.18.9.2533 [doi]
Output Language
Unknown(0)
PMID
28952296
Abstract
Background: Waterpipe tobacco smoking rates in the Eastern Mediterranean region are some of the highest worldwide, especially among young people. This study aimed to improve our knowledge of the policy-relevant context of waterpipe smoking among six countries in the Eastern Mediterranean region. Methods: In-depth interviews were conducted in Bahrain, Egypt, Jordan, Lebanon, Palestine, and the United Arab Emirates. Participants were young adult university students (18-29 years) from both genders who had ever smoked the waterpipe, recruited from universities participating in this study. Directed content analysis was used to analyze the transcripts. Results: A total of 53 in-depth interviews were conducted in Arabic in 2016. Findings were organized around 5 themes: waterpipe product characteristics; patterns of waterpipe smoking; the waterpipe cafe setting; perceived health consequences; and health warning labels. Waterpipe smoking was commonly perceived as a safe alternative to cigarettes. Waterpipe tobacco was reported to be widely accessible and affordable to young participants. There is a lack of knowledge among waterpipe smokers about the associated health effects. Warning labels are effective at communicating health risks associated with waterpipe smoking. Conclusions: Regulatory frameworks for waterpipe tobacco smoking should be developed and enforced, including waterpipe-specific health warning labels that elucidate the harmful effects of waterpipe smoking.
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Authors
Salloum,R.G., Abu-Rmeileh,N., Hamadeh,R., Thomas,J., Mostafa,A., Yusufali,A., Kheirallah,K.A., Macauda,M.M., Theis,R.P., El Kadi,L., Johnson,E.J., Darawad,M.W., Nakkash,R.
Original/Translated Title
URL
Date of Electronic
20170927
PMCID
PMC5720662
Editors