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Impact of Waterpipe Tobacco Pack Health Warnings on Waterpipe Smoking Attitudes: A Qualitative Analysis among Regular Users in London 2015 Department of Primary Care and Public Health, Imperial College London, Hammersmith W6 8RP, UK ; Academic Unit of Primary Care and Population Sciences, University of Southampton, Southampton, Hampshire SO16 6YD, UK.; School of Medicine and Dentistry, Barts
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BioMed research international
Periodical, Abbrev.
Biomed.Res.Int.
Pub Date Free Form
Volume
2015
Issue
Start Page
745865
Other Pages
Notes
LR: 20150816; JID: 101600173; OID: NLM: PMC4529913; 2014/12/08 [received]; 2015/02/18 [revised]; 2015/02/25 [accepted]; 2015/07/26 [epublish]; ppublish
Place of Publication
United States
ISSN/ISBN
2314-6141
Accession Number
PMID: 26273642
Language
eng
SubFile
Journal Article; IM
DOI
10.1155/2015/745865 [doi]
Output Language
Unknown(0)
PMID
26273642
Abstract
BACKGROUND: Despite the rise in prevalence of waterpipe tobacco smoking, it has received little legislative enforcement from governing bodies, especially in the area of health warning labels. METHODS: Twenty regular waterpipe tobacco smokers from London took part in five focus groups discussing the impact of waterpipe tobacco pack health warnings on their attitudes towards waterpipe smoking. We presented them with existing and mock waterpipe tobacco products, designed to be compliant with current and future UK/EU legislation. Data were analysed using thematic analysis. RESULTS: Participants felt packs were less attractive and health warnings were more impactful as health warnings increased in size and packaging became less branded. However, participants highlighted their lack of exposure to waterpipe tobacco pack health warnings due to the inherent nature of waterpipe smoking, that is, smoking in a cafe with the apparatus already prepacked by staff. Health warnings at the point of consumption had more reported impact than health warnings at the point of sale. CONCLUSIONS: Waterpipe tobacco pack health warnings are likely to be effective if compliant with existing laws and exposed to end-users. Legislations should be reviewed to extend health warning labels to waterpipe accessories, particularly the apparatus, and to waterpipe-serving premises.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Bakir,A., Ali,M., Grant,A.
Original/Translated Title
URL
Date of Electronic
20150726
PMCID
PMC4529913
Editors
Waterpipe tobacco smoking may undermine the progress made in curbing cigarette smoking 2014 Department of Primary Care and Public Health, Imperial College London, Hammersmith, London W6 8RP, UK mohammed.jawad06@imperial.ac.uk.; Department of Primary Care and Public Health, Imperial College London, Hammersmith, London W6 8RP, UK.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMJ (Clinical research ed.)
Periodical, Abbrev.
BMJ
Pub Date Free Form
31-Dec
Volume
349
Issue
Start Page
g7761
Other Pages
Notes
JID: 8900488; epublish
Place of Publication
England
ISSN/ISBN
1756-1833; 0959-535X
Accession Number
PMID: 25552461
Language
eng
SubFile
Letter; AIM; IM
DOI
10.1136/bmj.g7761 [doi]
Output Language
Unknown(0)
PMID
25552461
Abstract
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Millett,C.
Original/Translated Title
URL
Date of Electronic
20141231
PMCID
Editors
Prevalence, correlates and patterns of waterpipe smoking among secondary school students in southeast London: a cross-sectional study 2016 Department of Primary Care and Public Health, Imperial College London, Hammersmith, W6 8RP, UK. mohammed.jawad06@imperial.ac.uk.; Academic Unit of Primary Care and Population Sciences, University of Southampton, Southampton, Hampshire, SO16 6YD, UK. moham
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
1-Feb
Volume
16
Issue
Start Page
108
Other Pages
016-2770-1
Notes
LR: 20160204; JID: 100968562; OID: NLM: PMC4736266; 2015/06/02 [received]; 2016/01/22 [accepted]; 2016/02/01 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 26830194
Language
eng
SubFile
Journal Article; IM
DOI
10.1186/s12889-016-2770-1 [doi]
Output Language
Unknown(0)
PMID
26830194
Abstract
BACKGROUND: Waterpipe smoking is growing worldwide, but little is known of its epidemiology in the UK due to its absence from national health surveys. We sought to address this by calculating the prevalence of waterpipe smoking among secondary school students in southeast London. METHODS: We conducted a pooled secondary analysis of routine health surveillance surveys among 11-17 year olds in convenience-sampled secondary schools from three ethnically-diverse areas of southeast London. We calculated ever (lifetime) waterpipe use, and compared its sociodemographic correlates to ever (lifetime) cigarette use. In one area we collected data on patterns of waterpipe use. RESULTS: Of 2,098 respondents (mean age 14.1 +/- 1.7 years, 55.7 % male, 46.6 % of black ethnicity), ever waterpipe use was 39.6 % (95 % CI 37.6-41.7 %) and was higher than that for ever cigarette use (32.4 %; 95 % CI 30.5-34.4). While waterpipe users were significantly and independently more likely to be male and of non-white ethnicities, at least 30 % of all age, gender and ethnic sub-groups had tried waterpipe smoking. In contrast, cigarette users were more likely to be older and of white ethnicity. In one of the three areas, over a quarter of waterpipe users were occasional or regular waterpipe smokers, and most were introduced to and currently used waterpipe in waterpipe-serving premises or friends' homes. CONCLUSIONS: Waterpipe smoking prevalence was high in southeast London, and users exhibited a different sociodemographic profile to cigarette users. Waterpipe should be included in national health surveys of young people. National surveillance is warranted to help develop suitable interventions to prevent uptake and promote cessation.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Power,G.
Original/Translated Title
URL
Date of Electronic
20160201
PMCID
PMC4736266
Editors
Legislation enforcement of the waterpipe tobacco industry: a qualitative analysis of the London experience 2014 Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK mohammed.jawad06@imperial.ac.uk.
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
Jul
Volume
16
Issue
7
Start Page
1000
Other Pages
1008
Notes
CI: (c) The Author 2014; JID: 9815751; 2014/03/18 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 24642591
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/ntr/ntu022 [doi]
Output Language
Unknown(0)
PMID
24642591
Abstract
INTRODUCTION: Waterpipe tobacco smoking (WTS) is prevalent worldwide and is legislatively enforceable under many countries' existing tobacco laws. Globally, however, the waterpipe tobacco industry anecdotally appears poorly controlled. This study aimed to gather intelligence from local government (known as local authority [LA]) staff in London, United Kingdom, about their WTS enforcement experiences. METHODS: In-depth telephone interviews were conducted among 26 LA staff from 14 London boroughs, exploring industry characteristics and tobacco legislation compliance. Recurrent themes were analyzed and derived deductively. RESULTS: Approximately 400 waterpipe premises operate across London, benefiting from high profit margins. LA staff are resource strained, limiting their surveillance of waterpipe premises, some of which are associated with an underground culture. Noise and nuisance are key features of waterpipe premises. Most waterpipe premises were generally noncompliant with most aspects of existing tobacco legislation, mainly due to disproportionately low fines and unclear legislation enforcement guidance. Successful methods for enforcing legislation included a synchronized, multiagency approach; however, this was inconsistently implemented across boroughs. Many LA staff believe licensing waterpipe premises will improve surveillance and control the industry's proliferation. CONCLUSIONS: The waterpipe tobacco industry is unregulated and places a significant burden on many LAs in London, mainly due to lack of resources. These problems may also occur in other large cities worldwide. Existing tobacco legislation should be amended to accommodate WTS, including consideration of licensing the industry. More research is needed to gain a full understanding of the waterpipe tobacco industry and its impact on other global cities.
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
Jawad,M.
Original/Translated Title
URL
Date of Electronic
20140318
PMCID
Editors
Epidemiological surveys might underestimate waterpipe smoking 2015 Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK mohammed.jawad06@imperial.ac.uk.; Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMJ (Clinical research ed.)
Periodical, Abbrev.
BMJ
Pub Date Free Form
8-Jun
Volume
350
Issue
Start Page
h3086
Other Pages
Notes
JID: 8900488; 0 (Tars); CON: BMJ. 2015;350:h1991. PMID: 25888390; epublish
Place of Publication
England
ISSN/ISBN
1756-1833; 0959-535X
Accession Number
PMID: 26055421
Language
eng
SubFile
Comment; Letter; AIM; IM
DOI
10.1136/bmj.h3086 [doi]
Output Language
Unknown(0)
PMID
26055421
Abstract
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Millett,C.
Original/Translated Title
URL
Date of Electronic
20150608
PMCID
Editors
Impact of EU flavoured tobacco ban on waterpipe smoking 2014 Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMJ (Clinical research ed.)
Periodical, Abbrev.
BMJ
Pub Date Free Form
14-Apr
Volume
348
Issue
Start Page
g2698
Other Pages
Notes
JID: 8900488; 0 (Flavoring Agents); epublish
Place of Publication
England
ISSN/ISBN
1756-1833; 0959-535X
Accession Number
PMID: 24732084
Language
eng
SubFile
Letter; AIM; IM
DOI
10.1136/bmj.g2698 [doi]
Output Language
Unknown(0)
PMID
24732084
Abstract
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Millett,C.
Original/Translated Title
URL
Date of Electronic
20140414
PMCID
Editors
Prevalence and correlates of lifetime waterpipe, cigarette, alcohol and drug use among secondary school students in Stoke-on-Trent, UK: a post hoc cross-sectional analysis 2014 Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK.; Department of Public Health, Stoke-on-Trent City Council, Stoke-on-Trent ST4 1HH, UK.; Department of Public Health, Stoke-on-Trent City Council, Stoke-on-Trent ST4
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of public health (Oxford, England)
Periodical, Abbrev.
J.Public.Health.(Oxf)
Pub Date Free Form
Dec
Volume
36
Issue
4
Start Page
615
Other Pages
621
Notes
LR: 20151119; CI: (c) The Author 2014; JID: 101188638; OTO: NOTNLM; 2014/02/03 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1741-3850; 1741-3842
Accession Number
PMID: 24496555
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/pubmed/fdu002 [doi]
Output Language
Unknown(0)
PMID
24496555
Abstract
INTRODUCTION: Waterpipe smoking is a growing public health concern in the UK. We sought to examine the prevalence and correlates of waterpipe use among young people in Stoke-on-Trent, comparing results with other substances of use. METHODS: We analysed data from the Young People's Lifestyle Survey, conducted among 1252 secondary school students aged 11-16 years in Stoke-on-Trent, UK. Logistic regression models were created to compare correlates of lifetime waterpipe smoking to cigarette, alcohol and drug use. RESULTS: The prevalence of lifetime waterpipe smoking was 12.0%, higher than lifetime drug use (6.5%) but lower than cigarette (22.2%) and alcohol (49.2%) use. All substances of use were significant correlates of each other. Other significant correlates for lifetime waterpipe use included increasing age, male gender and South Asian ethnicity. For lifetime cigarette use, these were increasing age and presence of free school meals. For lifetime alcohol use, these were increasing age, female gender and White ethnicity. Lifetime drug use had no additional significant correlates. CONCLUSIONS: Waterpipe smoking was correlated with different factors compared with other common forms of substance use. Detailed waterpipe questions should be added to routine national health surveys to understand its future epidemiological course in the UK.
Descriptors
Links
Book Title
Database
Publisher
. Published by Oxford University Press on behalf of Faculty of Public Health
Data Source
Authors
Jawad,M., McIver,C., Iqbal,Z.
Original/Translated Title
URL
Date of Electronic
20140203
PMCID
Editors
Social Media Use for Public Health Campaigning in a Low Resource Setting: The Case of Waterpipe Tobacco Smoking 2015 Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK.; Poole, UK.; Faculty of Medicine, Imperial College London, London W6 8RP, UK.; Department of Internal Medicine, American University of Beirut, Beirut 1107 2020, Leba
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BioMed research international
Periodical, Abbrev.
Biomed.Res.Int.
Pub Date Free Form
Volume
2015
Issue
Start Page
562586
Other Pages
Notes
LR: 20150816; JID: 101600173; OID: NLM: PMC4529915; 2014/11/21 [received]; 2015/01/12 [revised]; 2015/01/19 [accepted]; 2015/07/26 [epublish]; ppublish
Place of Publication
United States
ISSN/ISBN
2314-6141
Accession Number
PMID: 26273631
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1155/2015/562586 [doi]
Output Language
Unknown(0)
PMID
26273631
Abstract
INTRODUCTION: Waterpipe tobacco smoking prevalence is increasing worldwide despite its documented health effects. A general belief that it is less harmful than cigarettes may be fuelled by the lack of media campaigns highlighting its health effects. We aimed to create and assess the impact of a social media campaign about dangers of waterpipe smoking. METHODS: The "ShishAware" campaign included three social media (Facebook, Twitter, and YouTube) and a website. Nine months after launch we collected data to assess use of, and reaction to, our media accounts. RESULTS: Requiring limited maintenance resources, Facebook attracted campaign supporters but YouTube attracted opposers. Twitter enabled the most organisation-based contact but Facebook was the most interactive medium. Facebook users were more likely to "like" weekday than weekend statuses and more likely to comment on "shisha fact" than "current affairs" statuses. Follower subscription increased as our posting rate increased. Our YouTube video gained 19,428 views (from all world continents) and 218 comments (86% from pro-waterpipe smokers). CONCLUSIONS: Social media campaigns can be created and maintained relatively easily. They are innovative and have the potential for wide and rapid diffusion, especially towards target audiences. There is a need for more rigorous evaluation of their effects, particularly among the youth.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Abass,J., Hariri,A., Akl,E.A.
Original/Translated Title
URL
Date of Electronic
20150726
PMCID
PMC4529915
Editors
Waterpipe industry products and marketing strategies: analysis of an industry trade exhibition 2015 Department of Primary Care and Public Health, Imperial College London, London, UK Academic Unit of Primary Care and Population Sciences, University of Southampton, Southampton, UK.; Department of Health Promotion and Community Health, Faculty of Health Sc
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Dec
Volume
24
Issue
e4
Start Page
e275
Other Pages
9
Notes
LR: 20160529; 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: R01 CA091021/CA/NCI NIH HHS/United Stat
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 26149455
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1136/tobaccocontrol-2015-052254 [doi]
Output Language
Unknown(0)
PMID
26149455
Abstract
INTRODUCTION: Understanding product development and marketing strategies of transnational tobacco companies (TTCs) has been of vital importance in developing an effective tobacco control policy. However, comparatively little is known of the waterpipe tobacco industry, which TTCs have recently entered. This study aimed to gain an understanding of waterpipe tobacco products and marketing strategies by visiting a waterpipe trade exhibition. METHODS: In April 2014, the first author attended an international waterpipe trade exhibition, recording descriptions of products and collecting all available marketing items. We described the purpose and function of all products, and performed a thematic analysis of messages in marketing material. RESULTS: We classified waterpipe products into four categories and noted product variation within categories. Electronic waterpipe products (which mimic electronic cigarettes) rarely appeared on waterpipe tobacco marketing material, but were displayed just as widely. Claims of reduced harm, safety and quality were paramount on marketing materials, regardless of whether they were promoting consumption products (tobacco, tobacco substitutes), electronic waterpipes or accessories. CONCLUSIONS: Waterpipe products are diverse in nature and are marketed as healthy and safe products. Furthermore, the development of electronic waterpipe products appears to be closely connected with the electronic cigarette industry, rather than the waterpipe tobacco manufacturers. Tobacco control policy must evolve to take account of the vast and expanding array of waterpipe products, and potentially also charcoal products developed for waterpipe smokers. We recommend that tobacco substitutes be classified as tobacco products. Continued surveillance of the waterpipe industry is warranted.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Nakkash,R.T., Hawkins,B., Akl,E.A.
Original/Translated Title
URL
Date of Electronic
20150706
PMCID
PMC4884454
Editors
Key health themes and reporting of numerical cigarette-waterpipe equivalence in online news articles reporting on waterpipe tobacco smoking: a content analysis 2015 Department of Primary Care and Public Health, Imperial College London, London, UK.; Faculty of Medicine, Imperial College London, London, UK.; Faculty of Medicine, Imperial College London, London, UK.; Department of Medical Statistics, London School of Hy
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Jan
Volume
24
Issue
1
Start Page
43
Other Pages
47
Notes
LR: 20151119; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.; JID: 9209612; OTO: NOTNLM; 2013/07/18 [aheadofprint];
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 23868396
Language
eng
SubFile
Journal Article; IM
DOI
10.1136/tobaccocontrol-2013-050981 [doi]
Output Language
Unknown(0)
PMID
23868396
Abstract
INTRODUCTION: There is anecdotal evidence that health messages interpreted from waterpipe tobacco smoking (WTS) research are inconsistent, such as comparing the health effects of one WTS session with that of 100 cigarettes. This study aimed to identify key health themes about WTS discussed by online news media, and how numerical cigarette-waterpipe equivalence (CWE) was being interpreted. METHODS: We identified 1065 online news articles published between March 2011 and September 2012 using the 'Google Alerts' service. We screened for health themes, assessed statements mentioning CWE and reported differences between countries. We used logistic regression to identify factors associated with articles incorrectly reporting a CWE equal to or greater than 100 cigarettes, in the absence of any comparative parameter ('CWE >/=100 cigarettes'). RESULTS: Commonly mentioned health themes were the presence of tobacco (67%) and being as bad as cigarettes (49%), and we report on differences between countries. While 10.8% of all news articles contained at least one positive health theme, 22.9% contained a statement about a CWE. Most of these (18.6% total) were incorrectly a CWE >/=100 cigarettes, a quarter of which were made by healthcare professionals/organisations. Compared with the Middle East, articles from the USA and the UK were the most significant predictors to contain a CWE >/=100 cigarettes statement. CONCLUSIONS: Those wishing to write or publish information related to WTS may wish to avoid comparing WTS to cigarettes using numerical values as this is a major source of confusion. Future research is needed to address the impact of the media on the attitudes, initiation and cessation rates of waterpipe smokers.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Bakir,A.M., Ali,M., Jawad,S., Akl,E.A.
Original/Translated Title
URL
Date of Electronic
20130718
PMCID
Editors