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Factors that Contribute in the First Hookah Smoking Trial by Women: A Qualitative Study from Iran 2015 1. Community-Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences , Tehran, Iran.; 2. Dept. of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical
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Print(0)
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Journal Article
Periodical, Full
Iranian journal of public health
Periodical, Abbrev.
Iran.J.Public.Health.
Pub Date Free Form
Jan
Volume
44
Issue
1
Start Page
100
Other Pages
110
Notes
LR: 20150613; JID: 7505531; OID: NLM: PMC4449996; OTO: NOTNLM; 2014/05/24 [received]; 2014/09/15 [accepted]; ppublish
Place of Publication
Iran
ISSN/ISBN
2251-6085; 2251-6085
Accession Number
PMID: 26060781
Language
eng
SubFile
Journal Article
DOI
Output Language
Unknown(0)
PMID
26060781
Abstract
BACKGROUND: Hookah smoking is growing in popularity especially among women but little is known about the determinants influencing on hookah smoking initiation. In order to address this emerging health risk, a qualitative study was conducted to explore the factors that contribute in the first hookah smoking trial by women. METHODS: This qualitative study was conducted during 2012 to 2013 in Tehran, Iran. Participants were recruited to represent diversity in smoking status, ethnicity, age groups and residence. Data was collected through in-depth individual interviews and was analyzed through content analysis. RESULTS: Four main themes were identified from the qualitative data including: Positive attitude toward hookah smoking; Social and family facilitators; Psychosocial needs and gaps and Sensory characteristic of hookah. CONCLUSION: From this study, a variety of factors which contribute to the initiation of hookah smoking among women have been identified. Since one of the major causes of increased hookah smoking may be its ordinary use, all factors causing the ordinary use should be eliminated, and efforts should be made in opposition to hookah smoking promotions.
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Data Source
Authors
Baheiraei,A., Shahbazi Sighaldeh,S., Ebadi,A., Kelishadi,R., Majdzadeh,R.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC4449996
Editors
Endoscopic screening for precancerous lesions of the esophagus in a high risk area in Northern Iran 2014 1)Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2)Golestan Research Center of Gastroenterology and Hepatology, Golestan University of Medical Sciences, Gor
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Archives of Iranian medicine
Periodical, Abbrev.
Arch.Iran.Med.
Pub Date Free Form
Apr
Volume
17
Issue
4
Start Page
246
Other Pages
252
Notes
LR: 20151119; GR: Intramural NIH HHS/United States; JID: 100889644; 0 (Coloring Agents); 0 (Iodides); 0 (Tea); T66M6Y3KSA (Lugol's solution); ppublish
Place of Publication
Iran
ISSN/ISBN
1735-3947; 1029-2977
Accession Number
PMID: 24724600
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Intramural; Research Support, Non-U.S. Gov't; IM
DOI
014174/AIM.006 [doi]
Output Language
Unknown(0)
PMID
24724600
Abstract
BACKGROUND: Esophageal squamous cell carcinoma (ESCC) is a major health problem in many developing countries including Iran. ESCC has a very poor prognosis, largely due to late diagnosis. As a first step in developing an early detection and treatment program, we conducted a population-based endoscopic screening for ESCC and its precursor lesion, esophageal squamous dysplasia (ESD) in asymptomatic adults from Golestan Province, northern Iran, a high-risk area for ESCC, to evaluate the feasibility of such a program and to document the prevalence and risk factor correlates of ESD. METHODS: This cross-sectional study was conducted among participants of the Golestan Cohort Study (GCS), a population-based cohort of 50,000 adults in eastern Golestan Province. Randomly selected GCS participants were invited by telephone. Those who accepted were referred to a central endoscopy clinic. Eligible subjects were consented and then asked to fill in a brief questionnaire. Detailed information about selected risk factors was obtained from the GCS main database. Endoscopic examination with Lugol's iodine staining was performed, biopsies were taken from unstained lesions as well as the normally stained mucosa of the esophagus, and the biopsies were diagnosed by expert pathologists according to previously described criteria. RESULTS: In total, 1906 GCS subjects were invited, of whom only 302 subjects (15.8%) were successfully enrolled. Esophagitis (29.5%) and ESD (6.0%) were the most common pathological diagnoses. Turkmen ethnicity (adjusted OR = 8.61; 95%CI: 2.48-29.83), being older than the median age (OR = 7.7; 95% CI: 1.99-29.87), and using deep frying cooking methods (OR = 4.65; 95%CI: 1.19-18.22) were the strongest predictors for ESD. There were significant relationships between esophagitis and smoking (p-value
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Database
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Data Source
Authors
Roshandel,G., Khoshnia,M., Sotoudeh,M., Merat,S., Etemadi,A., Nickmanesh,A., Norouzi,A., Pourshams,A., Poustchi,H., Semnani,S., Ghasemi-Kebria,F., Noorbakhsh,R., Abnet,C., Dawsey,S.M., Malekzadeh,R.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
MicroRNA Expression can be a Promising Strategy for the Detection of Barrett's Esophagus: A Pilot Study 2014 1] Division of Gastroenterology and Hepatology, Veterans Affairs Medical Center, Kansas City, Missouri, USA [2] University of Kansas Medical Center, Kansas City, Kansas, USA [3] Kansas Cancer Institute, Kansas City, Kansas, USA.; Department of Molecular a
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Clinical and translational gastroenterology
Periodical, Abbrev.
Clin.Transl.Gastroenterol.
Pub Date Free Form
11-Dec
Volume
5
Issue
Start Page
e65
Other Pages
Notes
LR: 20141231; JID: 101532142; OID: NLM: PMC4274369; 2014/08/15 [received]; 2014/11/10 [accepted]; epublish
Place of Publication
United States
ISSN/ISBN
2155-384X
Accession Number
PMID: 25502391
Language
eng
SubFile
Journal Article
DOI
10.1038/ctg.2014.17 [doi]
Output Language
Unknown(0)
PMID
25502391
Abstract
OBJECTIVES: Patient outcomes for esophageal adenocarcinoma (EAC) have not improved despite huge advances in endoscopic therapy because cancers are being diagnosed late. Barrett's esophagus (BE) is the primary precursor lesion for EAC, and thus the non-endoscopic molecular diagnosis of BE can be an important approach to improve EAC outcomes if robust biomarkers for timely diagnosis are identified. MicroRNAs (miRNAs) are tissue-specific novel biomarkers that regulate gene expression and may satisfy this requirement. METHODS: Patients with gastroesophageal reflux disease (GERD) and BE were selected from an ongoing tissue and serum repository. BE was defined by the presence of intestinal metaplasia. Previously published miRNA sequencing profiles of GERD and BE patients allowed us to select three miRNAs, miR-192-5p, -215-5p, and -194-5p, for further testing in a discovery cohort and an independent validation cohort. Receiver operating curves were generated to calculate the diagnostic accuracy of these miRNAs for BE diagnosis. To test specificity, the miRNA signature was compared with those of the gastric cardia epithelium and the non-intestinal-type columnar epithelium (another definition of BE). In addition, to gain insights into BE origin (intestinal vs non-intestinal), global BE miRNA profiles were compared with the published miRNA profiles of other columnar epithelia in the gastrointestinal tract, that is, normal stomach and small and large intestine. RESULTS: The discovery cohort included 67 white male patients (40 with GERD and 27 with BE). The validation cohort included 28 patients (19 with GERD and 11 with BE). In the discovery cohort, the sensitivity, specificity and area under the curve (AUC) of the three mRNAs for BE diagnosis were 92-100%, 94-95%, and 0.96-0.97, respectively. During validation, the sensitivity and specificity of miRNAs for BE diagnosis were as follows: miR-192-5p, 92% and 94%, AUC 0.94 (0.80-0.99, P=0.0004); miR-215-5p, 100% and 94%, AUC 0.98 (0.84-1, P=0.0004); and miR-194-5p, 91% and 94%, AUC 0.96 (0.80-0.99, P=0.0001), respectively. The tested miRNAs identified all BE patients in both the discovery and the validation cohorts. When compared with non intestinal-type columnar and gastric cardia epithelia, the miRNA signature was specific to the intestinal-type columnar epithelium. Comparisons of BE miRNA sequencing data to published data sets for the normal stomach, small intestine and large intestine confirmed that two of the three miRNAs (miR-215-5p and -194-5p) were specific to the intestinal-type epithelium. CONCLUSIONS: MicroRNAs are highly accurate for detecting intestinal-type BE epithelia and should be tested further for the non-endoscopic molecular diagnosis of BE.
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Authors
Bansal,A., Hong,X., Lee,I.H., Krishnadath,K.K., Mathur,S.C., Gunewardena,S., Rastogi,A., Sharma,P., Christenson,L.K.
Original/Translated Title
URL
Date of Electronic
20141211
PMCID
PMC4274369
Editors
Risk factors on the development of new-onset gastroesophageal reflux symptoms. A population-based prospective cohort study: the HUNT study 2015 1] Institute of Clinical Research, University of Southern Denmark, Odense, Denmark [2] Department of Medical Gastroenterology S, Odense University Hospital, Odense, Denmark [3] Medical Department, Levanger Hospital, Nord-Trondelag Hospital Trust, Levanger
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The American Journal of Gastroenterology
Periodical, Abbrev.
Am.J.Gastroenterol.
Pub Date Free Form
Mar
Volume
110
Issue
3
Start Page
393
Other Pages
400; quiz 401
Notes
JID: 0421030; 2014/09/01 [received]; 2014/12/02 [revised]; 2015/01/07 [accepted]; 2015/02/10 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1572-0241; 0002-9270
Accession Number
PMID: 25665934
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1038/ajg.2015.18 [doi]
Output Language
Unknown(0)
PMID
25665934
Abstract
OBJECTIVES: Gastroesophageal reflux disease (GERD) is a highly prevalent disorder. This study assessed the risk factors of new-onset gastroesophageal reflux symptoms (GERS). METHODS: The study was based on the HUNT study, a prospective population-based cohort study conducted in 1995-1997 and 2006-2009 in Nord-Trondelag County, Norway. All inhabitants from 20 years of age were invited. Risk factors of new-onset heartburn or acid regurgitation were examined using logistic regression, providing odds ratios (OR) and 95% confidence intervals (CI). RESULTS: A total of 29,610 individuals were included (61% response rate). Participants reporting no GERS at baseline and severe GERS at follow-up (new-onset GERS; n=510) were compared with participants reporting no complaints at both times (n=14,406). Increasing age (OR 1.01 per year, 95% CI 1.00-1.02) was positively associated, whereas male sex (OR 0.81, 95% CI 0.66-0.98) and higher education (OR 0.69, 95% CI 0.56-0.86) were negatively associated with new-onset GERS. Gain in body mass index (BMI) was dose-dependently associated with new-onset GERS (OR 1.30 per unit increase in BMI, 95% CI 1.25-1.35), irrespective of baseline BMI. Previous and current tobacco smoking were associated with new-onset GERS (OR 1.37, 95% CI 1.07-1.76 and OR 1.29, 95% CI 1.00-1.67, respectively). Tobacco smoking cessation was associated with new-onset GERS among those with gain in BMI upon quitting (OR 2.03, 95% CI 1.31-3.16, with >3.5 BMI units increase). CONCLUSIONS: New-onset GERS were associated with increasing age, female sex, lower education, gain in BMI, and ever tobacco smoking. Tobacco smoking cessation was associated with new-onset GERS among those who gained weight upon quitting.
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Data Source
Authors
Hallan,A., Bomme,M., Hveem,K., Moller-Hansen,J., Ness-Jensen,E.
Original/Translated Title
URL
Date of Electronic
20150210
PMCID
Editors
Determinants of childhood lead exposure in the postleaded petrol era: The Tooth Fairy cohort from Newcastle upon Tyne 2015 1] Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK [2] MRC-PHE Centre for Environment and Health, Department of Epidemiology and Biostatistics, Imperial College London, London, UK.; 1] Institute of Health and Society, Newcas
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of exposure science & environmental epidemiology
Periodical, Abbrev.
J.Expo.Sci.Environ.Epidemiol.
Pub Date Free Form
Jul-Aug
Volume
25
Issue
4
Start Page
420
Other Pages
426
Notes
JID: 101262796; 0 (Environmental Pollutants); 0 (Gasoline); 2P299V784P (Lead); 2014/06/06 [received]; 2014/09/15 [accepted]; 2014/11/19 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1559-064X; 1559-0631
Accession Number
PMID: 25407346
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1038/jes.2014.79 [doi]
Output Language
Unknown(0)
PMID
25407346
Abstract
Lead is an environmental contaminant causing irreversible health effects in children. We used dentine lead levels as a measure of early-life lead exposure and explored determinants of lead exposure in children living in Newcastle upon Tyne, a historically industrialised UK city, in a cohort born since legislation was introduced to remove lead from petrol, paint and water pipes. The "Tooth Fairy study" cohort comprised 69 children aged 5-8 years. We collected upper deciduous incisors from children and questionnaire data from their parents in 2005. We measured lead levels in pre- and postnatal enamel and dentine using laser ablation inductively coupled plasma mass spectrometry, and assessed associations between dentine lead levels and residential, dietary, lifestyle and socio-economic characteristics. Dentine lead levels were low (mean 0.26 mug/g, range 0.06-0.77); however, we observed considerable variability in dentine lead levels within and between children suggestive of differing exposure levels and/or exposure sources across this population. Variables earlier documented to be associated with childhood lead levels were not found to be significant determinants of dentine lead levels in this study. Exposure pathways should continue to be investigated to enable targeted interventions and prevention of lead-induced health impacts in vulnerable populations.
Descriptors
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Database
Publisher
Data Source
Authors
Hodgson,S., Manmee,C., Dirks,W., Shepherd,T., Pless-Mulloli,T.
Original/Translated Title
URL
Date of Electronic
20141119
PMCID
Editors
Alcohol and the risk of Barrett's esophagus: a pooled analysis from the International BEACON Consortium 2014 1] Program in Epidemiology, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA [2] Cancer Control Group, QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia.; Division of Cancer Epid
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The American Journal of Gastroenterology
Periodical, Abbrev.
Am.J.Gastroenterol.
Pub Date Free Form
Oct
Volume
109
Issue
10
Start Page
1586
Other Pages
1594
Notes
LR: 20160610; GR: 1R21DK077742/DK/NIDDK NIH HHS/United States; GR: K05 CA124911/CA/NCI NIH HHS/United States; GR: K05 CA124911/CA/NCI NIH HHS/United States; GR: K23DK59311/DK/NIDDK NIH HHS/United States; GR: R01 CA 001833/CA/NCI NIH HHS/United States; GR:
Place of Publication
United States
ISSN/ISBN
1572-0241; 0002-9270
Accession Number
PMID: 25047401
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, N.I.H., Intramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1038/ajg.2014.206 [doi]
Output Language
Unknown(0)
PMID
25047401
Abstract
OBJECTIVES: Results from studies examining the association between alcohol consumption and the risk of Barrett's esophagus have been inconsistent. We assessed the risk of Barrett's esophagus associated with total and beverage-specific alcohol consumption by pooling individual participant data from five case-control studies participating in the international Barrett's and Esophageal Adenocarcinoma Consortium. METHODS: For analysis, there were 1,282 population-based controls, 1,418 controls with gastroesophageal reflux disease (GERD), and 1,169 patients with Barrett's esophagus (cases). We estimated study-specific odds ratios (ORs) and 95% confidence intervals (95% CI) using multivariable logistic regression models adjusted for age, sex, body mass index (BMI), education, smoking status, and GERD symptoms. Summary risk estimates were obtained by random-effects models. We also examined potential effect modification by sex, BMI, GERD symptoms, and cigarette smoking. RESULTS: For comparisons with population-based controls, although there was a borderline statistically significant inverse association between any alcohol consumption and the risk of Barrett's esophagus (any vs. none, summary OR=0.77, 95% CI=0.60-1.00), risk did not decrease in a dose-response manner (Ptrend=0.72). Among alcohol types, wine was associated with a moderately reduced risk of Barrett's esophagus (any vs. none, OR=0.71, 95% CI=0.52-0.98); however, there was no consistent dose-response relationship (Ptrend=0.21). We found no association with alcohol consumption when cases were compared with GERD controls. Similar associations were observed across all strata of BMI, GERD symptoms, and cigarette smoking. CONCLUSIONS: Consistent with findings for esophageal adenocarcinoma, we found no evidence that alcohol consumption increases the risk of Barrett's esophagus.
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Publisher
Data Source
Authors
Thrift,A.P., Cook,M.B., Vaughan,T.L., Anderson,L.A., Murray,L.J., Whiteman,D.C., Shaheen,N.J., Corley,D.A.
Original/Translated Title
URL
Date of Electronic
20140722
PMCID
PMC4189971
Editors
Water Pipe Smoking Among Young Arabic High School Girls: 218 Board #55 June 1, 9: 30 AM - 11: 00 AM 2016 1Ariel University, Ariel and Washington College of Education, Israel. 2Ariel University, Ariel, Israel.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Medicine and science in sports and exercise
Periodical, Abbrev.
Med.Sci.Sports Exerc.
Pub Date Free Form
May
Volume
48
Issue
5 Suppl 1
Start Page
46
Other Pages
Notes
JID: 8005433; ppublish
Place of Publication
United States
ISSN/ISBN
1530-0315; 0195-9131
Accession Number
PMID: 27359473
Language
eng
SubFile
Journal Article; IM
DOI
10.1249/01.mss.0000485149.30572.53 [doi]
Output Language
Unknown(0)
PMID
27359473
Abstract
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Moran,D.S., Essa,M., Badir,H.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Perceived harm, addictiveness, and social acceptability of tobacco products and marijuana among young adults: marijuana, hookah, and electronic cigarettes win 2015 1Department of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, Georgia, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Substance use & misuse
Periodical, Abbrev.
Subst.Use Misuse
Pub Date Free Form
Jan
Volume
50
Issue
1
Start Page
79
Other Pages
89
Notes
LR: 20151029; GR: 1K07CA139114-01A1/CA/NCI NIH HHS/United States; GR: 1R43TR000358-01/TR/NCATS NIH HHS/United States; GR: K05 AA021143/AA/NIAAA NIH HHS/United States; GR: K05-AA021143/AA/NIAAA NIH HHS/United States; GR: K07 CA139114/CA/NCI NIH HHS/United
Place of Publication
England
ISSN/ISBN
1532-2491; 1082-6084
Accession Number
PMID: 25268294
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.3109/10826084.2014.958857 [doi]
Output Language
Unknown(0)
PMID
25268294
Abstract
BACKGROUND: There has been an increase in non-daily smoking, alternative tobacco product and marijuana use among young adults in recent years. OBJECTIVES: This study examined perceptions of health risks, addictiveness, and social acceptability of cigarettes, cigar products, smokeless tobacco, hookah, electronic cigarettes, and marijuana among young adults and correlates of such perceptions. METHODS: In Spring 2013, 10,000 students at two universities in the Southeastern United States were recruited to complete an online survey (2,002 respondents), assessing personal, parental, and peer use of each product; and perceptions of health risks, addictiveness, and social acceptability of each of these products. RESULTS: Marijuana was the most commonly used product in the past month (19.2%), with hookah being the second most commonly used (16.4%). The least commonly used were smokeless tobacco products (2.6%) and electronic cigarettes (4.5%). There were high rates of concurrent product use, particularly among electronic cigarette users. The most positively perceived was marijuana, with hookah and electronic cigarettes being second. While tobacco use and related social factors, related positively, influenced perceptions of marijuana, marijuana use and related social factors were not associated with perceptions of any tobacco product. Conclusions/Importance: Marketing efforts to promote electronic cigarettes and hookah to be safe and socially acceptable seem to be effective, while policy changes seem to be altering perceptions of marijuana and related social norms. Research is needed to document the health risks and addictive nature of emerging tobacco products and marijuana and evaluate efforts to communicate such risks to youth.
Descriptors
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Database
Publisher
Data Source
Authors
Berg,C.J., Stratton,E., Schauer,G.L., Lewis,M., Wang,Y., Windle,M., Kegler,M.
Original/Translated Title
URL
Date of Electronic
20140930
PMCID
PMC4302728
Editors
Predictors of adherence to behavioral counseling and medication among female prisoners enrolled in a smoking cessation trial 2013 1Department of Behavioral Sciences and Health Education, Emory University School of Public Health, Atlanta, GA, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of correctional health care : the official journal of the National Commission on Correctional Health Care
Periodical, Abbrev.
J.Correct.Health.Care.
Pub Date Free Form
Oct
Volume
19
Issue
4
Start Page
236
Other Pages
247
Notes
GR: K23DA15774/DA/NIDA NIH HHS/United States; JID: 9503759; OTO: NOTNLM; 2013/08/15 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1940-5200; 1078-3458
Accession Number
PMID: 23955055
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1177/1078345813499307 [doi]
Output Language
Unknown(0)
PMID
23955055
Abstract
Smoking is highly prevalent among prison populations. Adherence to counseling and nicotine replacement therapy predicts successful cessation. The authors examined predictors of >/= 80% adherence to counseling and nicotine patch in a cessation trial targeting female prisoners. Of the 202 participants included in these analyses, 66.8% were adherent to the patch, 51.2% were adherent to counseling, 16.3% were nonadherent to both, and 45.0% were adherent to both. Older age of smoking initiation (p = .01), higher baseline smoking (p = .03), and prior substance abuse treatment (p = .04) predicted counseling adherence. Predictors of patch adherence included greater prior smoking level (p = .07) and more quit attempts (p = .09). The predictors of adherence to both was more prior quit attempts (p = .04). Understanding adherence-related factors may increase effectiveness of cessation interventions.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Berg,C.J., Ahluwalia,J.S., Cropsey,K.
Original/Translated Title
URL
Date of Electronic
20130815
PMCID
Editors
Knowledge, attitudes and beliefs towards waterpipe tobacco smoking and electronic shisha (e-shisha) among young adults in London: a qualitative analysis 2016 1Department of Primary Care and Population Health,University College London,London,UK.; 2Department of Primary Care and Public Health,Imperial College London,Hammersmith,London,UK.; 1Department of Primary Care and Population Health,University College Lond
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Primary health care research & development
Periodical, Abbrev.
Prim.Health.Care.Res.Dev.
Pub Date Free Form
Mar
Volume
17
Issue
2
Start Page
166
Other Pages
174
Notes
JID: 100897390; OTO: NOTNLM; 2015/04/13 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1477-1128; 1463-4236
Accession Number
PMID: 25864374
Language
eng
SubFile
Journal Article; IM
DOI
10.1017/S1463423615000237 [doi]
Output Language
Unknown(0)
PMID
25864374
Abstract
Introduction Waterpipe tobacco smoking (WTS), known in the United Kingdom as shisha, is popular among adolescents worldwide. Some electronic cigarettes are marketed in the United Kingdom as 'electronic shisha' (e-shisha). This study aimed to understand how WTS users view e-shisha and whether it could be used as a harm-reduction or cessation aid. METHOD: In-depth face-to-face interviews were conducted with 16 young adults recruited by snowball sampling in London, UK. Recurrent themes were derived iteratively through thematic analysis. RESULTS: WTS is a socially acceptable activity, carried out at home or in a cafe. Peer influence and flavour play a key role in its use. Participants were aware of some health risks of WTS, although many accepted this risk and reported a need for more health-related WTS information. Although participants were familiar with e-shisha, there was no evidence of its use as a harm-reduction or cessation product. E-shisha tasted different to flavoured waterpipe tobacco and removed the positive social attributes typically ascribed to WTS. Waterpipe users felt e-shisha may encourage non-users to initiate cigarettes or WTS. CONCLUSION: Opinions of reduced risk in using WTS may be due to the lack of available information, misconceptions and its easy accessibility. E-shisha does not appear to play a role in WTS harm reduction or cessation. On-going research efforts should test educational interventions addressing the adverse health impacts of WTS in this population group.
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Data Source
Authors
Kotecha,S., Jawad,M., Iliffe,S.
Original/Translated Title
URL
Date of Electronic
20150413
PMCID
Editors