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Heterogeneity of alcohol, tobacco, and other substance use behaviors in U.S. college students: A latent class analysis 2016
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Journal Article
Periodical, Full
Addict Behav
Periodical, Abbrev.
Addict.Behav.
Pub Date Free Form
Volume
53
Issue
Start Page
80
Other Pages
5
Notes
ID: 26476004
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
PURPOSE: To identify subgroups of college students with distinct profiles of traditional and alternative types of tobacco, alcohol, and other substance use and to examine how demographic characteristics and academic and social activities are associated with subgroup membership. METHODS: We used latent class analysis to characterize subgroups of individuals in their fourth-year of college based on their patterns of seven substance use behaviors: extreme heavy episodic drinking (HED), cigarette use, cigar/cigarillo/little cigar use, smokeless tobacco use, hookah use, marijuana use, and non-medical prescription drug use. Demographic characteristics and academic and social activities were then incorporated as predictors of these latent classes. RESULTS: We identified five classes defined by unique behavior patterns: (1) Non/Low Users, (2) Non-Hookah Tobacco Users, (3) Extreme HED & Marijuana Users, (4) Hookah and Marijuana Users, and (5) Poly-Substance Users. Being male, older, and involved in sports were associated with greater odds of being in the Poly-Substance User class compared to the Low/No User class, and participating in an honors society and reporting more positive peer relationships were associated with being in the Hookah and Marijuana User class compared to the Low/No User class. CONCLUSION: Our findings of unique characteristics in the subgroups identified suggest that college substance users are a heterogeneous population requiring different targeted interventions. Of particular concern are subgroups with high rates of alternative tobacco products, as perceived risks of use may be inaccurate and this is not currently a focus of college substance use prevention interventions.
Descriptors
Links
http://dx.doi.org/10.1016/j.addbeh.2015.10.010
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Evans-Polce, Rebecca, Lanza,Stephanie, Maggs,Jennifer
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Validation of the Waterpipe Tolerance Questionnaire Among Jordanian School-Going Adolescent Waterpipe Users 2016
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Print(0)
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Journal Article
Periodical, Full
Glob J Health Sci
Periodical, Abbrev.
Pub Date Free Form
Volume
8
Issue
2
Start Page
198
Other Pages
208
Notes
ID: 26383198
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
INTRODUCTION: Waterpipe use among adolescents has been increasing progressively. Yet no studies were reported to assess the validity and reliability of nicotine dependence scale. The current study aims to assess the validity and reliability of an Arabic version of the modified Waterpipe Tolerance Questionnaire WTQ among school-going adolescent waterpipe users. METHODS: In a cross-sectional study conducted in Jordan, information on waterpipe use among 333 school-going adolescents aged 11-18 years was obtained using the Arabic version of the WTQ. An exploratory factor analysis and correlation matrices were conducted to assess validity and reliability of the WTQ. RESULTS: The WTQ had a 0.73 alpha of internal consistency indicating moderate level of reliability. The scale showed multidimensionality with items loading on two factors, namely waterpipe consumption and morning smoking. CONCLUSION: This study report nicotine dependence level among school-going adolescents who identify themselves as waterpipe users using the WTQ.
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Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Alzyoud,Sukaina, Veeranki,Sreenivas P., Kheirallah,Khalid A., Shotar,Ali M., Pbert,Lori
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Synthetic Cannabinoid Use and Descriptive Norms among Collegiate Student-Athletes 2016
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Print(0)
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Journal Article
Periodical, Full
J Psychoactive Drugs
Periodical, Abbrev.
J.Psychoactive Drugs
Pub Date Free Form
Volume
48
Issue
3
Start Page
166
Other Pages
72
Notes
ID: 27224428
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Synthetic cannabinoids have gained popularity over the past decade, especially among young adults, due to sharing similar psychoactive properties with Tetrahydrocannabinol (THC). A limited number of studies have examined synthetic cannabinoid use among college students but none have examined use exclusively by collegiate student-athletes. The objective of this study was to examine synthetic cannabinoid use among collegiate student-athletes. In the spring of 2013, 3,276 freshmen and transfer collegiate student-athletes from 47 NCAA Division I, II, and III institutions participated in a web-based survey on substance use. Bivariate logistic regression was used to analyze the relationship between collegiate student-athlete characteristics, substance use, and descriptive norms with lifetime use of synthetic cannabinoids. Sixty-two individuals (1.9%) reported lifetime use of synthetic cannabinoids, and 3 (0.1%) reported past-30-day use. Males, current drinkers, and athletes who used hookah and marijuana in the past 30 days were more likely to use synthetic cannabinoids. Peer use of synthetic cannabinoids was estimated to be higher than actual use, and such overestimation was positively associated with personal use of synthetic cannabinoids. Our findings suggest that campaigns addressing normative beliefs should be implemented on college campuses to prevent synthetic cannabinoid use among college students and collegiate student-athletes.
Descriptors
Links
http://dx.doi.org/10.1080/02791072.2016.1186305
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Egan,Kathleen L., Erausquin,Jennifer Toller, Milroy,Jeffrey J., Wyrick,David L.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Patterns of Alternative Tobacco Product Use: Emergence of Hookah and E-cigarettes as Preferred Products Amongst Youth 2016
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Print(0)
Ref Type
Journal Article
Periodical, Full
J Adolesc Health
Periodical, Abbrev.
J.Adolesc.Health
Pub Date Free Form
Volume
58
Issue
2
Start Page
181
Other Pages
5
Notes
ID: 26598059
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
PURPOSE: There is a growing public health concern related to the rapid increase in the use of multiple tobacco products among adolescents. This study examined patterns of adolescent use of cigarettes, e-cigarettes, cigars/cigarillo, hookah/waterpipe, and smokeless/dip/chewing tobacco in a population of southern California adolescents. METHODS: Data from 2,097 11th- and 12th-grade participants in the Southern California Children's Health Study were collected via self-report in 2014. Study participants were asked about lifetime and current (past 30 days) use of cigarettes, cigars/cigarillos/little cigars, e-cigarettes, hookah/waterpipe, and smokeless/dip/chewing tobacco. Latent class analysis (LCA) was used to identify patterns of tobacco use. RESULTS: Hookah/waterpipe tobacco use had the highest current prevalence (10.7%) followed by e-cigarettes (9.6%). The prevalence of use of smokeless/dip/chewing tobacco was lowest, with 2.2% of adolescents reporting current use. The LCA suggested four distinct classes, comprising nonusers (72.3% of the sample), polytobacco experimenters (13.9%), e-cigarette/hookah users (8.2%), and polytobacco users (5.6%). Multinomial logistic regression based on these four classes found that males had double the odds to be polytobacco users relative to nonusers compared to females (odds ratio, 2.3; 95% confidence interval, 1.26-4.25). CONCLUSIONS: By identifying naturally occurring configurations of tobacco product use in teens, these findings may be useful to practitioners and policymakers to identify the need for tobacco control interventions that address specific tobacco products and particular combinations of polytobacco use. LCA can be used to identify segments of the population overrepresented among certain tobacco use classes (e.g., boys) that may benefit most from targeted polyproduct intervention approaches.
Descriptors
Links
http://dx.doi.org/10.1016/j.jadohealth.2015.10.001
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Gilreath,Tamika D., Leventhal,Adam, Barrington-Trimis, Jessica, Unger,Jennifer B., Cruz,Tess Boley, Berhane,Kiros, Huh,Jimi, Urman,Robert, Wang,Kejia, Howland,Steve, Pentz,Mary Ann, Chou,Chih Ping, McConnell,Rob
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Latent class analysis of current e-cigarette and other substance use in high school students 2016
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Print(0)
Ref Type
Journal Article
Periodical, Full
Drug Alcohol Depend
Periodical, Abbrev.
Drug Alcohol Depend.
Pub Date Free Form
Volume
161
Issue
Start Page
292
Other Pages
7
Notes
ID: 26922282
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
OBJECTIVE: There is limited research on adolescents' use of e-cigarettes and other substances. MATERIALS AND METHODS: 2241 Connecticut high school students completed anonymous, cross-sectional surveys assessing e-cigarette and other substance use. We used latent class analysis (LCA) to: (1) classify students based on their past-month use of e-cigarettes, cigarettes, cigars, smokeless tobacco, hookah, blunts, marijuana, and alcohol, and (2) determine if age, sex, or race predicted class membership. RESULTS: Past-month e-cigarette use was 11.6%, and use rates for the remaining substances ranged from 2.8% (smokeless tobacco) to 20.7% (alcohol). The optimal latent class solution comprised four classes: (1) primarily abstainers (81.6%; abstainers), (2) primarily e-cigarette and alcohol users (4.6%; E-cigarette-Alcohol), (3) primarily marijuana and alcohol users (6.9%; Marijuana-Alcohol), and (4) primarily users of all products (6.9%; All Products). Compared to abstainers, (1) all substance-using classes comprised older students, (2) the All Products and E-cigarette-Alcohol classes were more likely to comprise males and less likely to comprise Blacks, and (3) the Marijuana-Alcohol class was more likely to comprise Blacks and Latinos. Relative to the All Products and E-cigarette-Alcohol classes, the Marijuana-Alcohol class was more likely to comprise females, Blacks, and Latinos. CONCLUSIONS: LCA identified four substance use classes, two of which included elevated e-cigarette use. Class membership differed by age, sex, and race. Additional research should evaluate characteristics that may explain the different product use profiles identified in the current study including cultural differences, peer group norms, and differing perceptions of the harmfulness of each substance.
Descriptors
Links
http://dx.doi.org/10.1016/j.drugalcdep.2016.02.018
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Morean,Meghan E., Kong,Grace, Camenga,Deepa R., Cavallo,Dana A., Simon,Patricia, Krishnan-Sarin, Suchitra
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Systematic Review and Meta-Analysis of Inhaled Toxicants from Waterpipe and Cigarette Smoking 2016
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Ref Type
Journal Article
Periodical, Full
Public Health Rep
Periodical, Abbrev.
Public Health Rep.
Pub Date Free Form
Volume
131
Issue
1
Start Page
76
Other Pages
85
Notes
ID: 26843673
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
OBJECTIVE: Waterpipe tobacco smoking (WTS) is an emerging trend worldwide. To inform public health policy and educational programming, we systematically reviewed the biomedical literature to compute the inhaled smoke volume, nicotine, tar, and carbon monoxide (CO) associated with a single WTS session and a single cigarette. METHODS: We searched seven biomedical bibliographic databases for controlled laboratory or natural environment studies designed to mimic human tobacco consumption. Included studies quantified the mainstream smoke of a single cigarette and/or single WTS session for smoke volume, nicotine, tar, and/or CO. We conducted meta-analyses to calculate summary estimates for the inhalation of each unique substance for each mode of tobacco consumption. We assessed between-study heterogeneity using chi-squared and I-squared statistics. RESULTS: Sufficient data from 17 studies were available to derive pooled estimates for inhalation of each exposure via each smoking method. Two researchers working independently abstracted measurement of smoke volume in liters, and nicotine, tar, and CO in milligrams. All numbers included in meta-analyses matched precisely between the two researchers (100% agreement, Cohen's k=1.00). Whereas one WTS session was associated with 74.1 liters of smoke inhalation (95% confidence interval CI] 38.2, 110.0), one cigarette was associated with 0.6 liters of smoke (95% CI 0.5, 0.7). One WTS session was also associated with higher levels of nicotine, tar, and CO. CONCLUSIONS: One WTS session consistently exposed users to larger smoke volumes and higher levels of tobacco toxicants compared with one cigarette. These computed estimates may be valuable to emphasize in prevention programming.
Descriptors
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-26843673
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Primack,Brian A., Carroll,Mary V., Weiss,Patricia M., Shihadeh,Alan L., Shensa,Ariel, Farley,Steven T., Fine,Michael J., Eissenberg,Thomas, Nayak,Smita
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Características do uso de produtos derivados do tabaco entre universitários do curso de Odontologia em uma Universidade de Curitiba 2016
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Print(0)
Ref Type
Journal Article
Periodical, Full
Periodical, Abbrev.
Rev.odontol.UNESP (Online)
Pub Date Free Form
Volume
45
Issue
1
Start Page
7
Other Pages
14
Notes
ID: 774580
Place of Publication
ISSN/ISBN
Accession Number
Language
pt
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Abstract Introduction Health care professionals, including dentists, are role models and have great influence on the population they serve. Objective This purpose of this study was two-fold: (1) to examine the prevalence of tobacco use among dental students, and (2) to examine factors associated with use as well as which products were being used by this population. Material and method This was a cross-sectional descriptive study in which the data was collected through an online questionnaire in 2012. Descriptive statistics were used to characterize the sample, chi-square to examine association among variables of interest, and multivariate logistic regression to examine factors associated with tobacco use. Result The prevalence of tobacco use was 24.92%. Waterpipe was the most frequent tobacco product used by participants who endorsed using tobacco products (66.23%) followed by industrialized cigarettes (54.55%). Factors associated with tobacco use included: living alone (p=0.012; OR=2.13; CI=1.17-3.85), socializing with other smokers (p=0.000; OR=3.22; CI=1.75-5.91), and being close to these smokers when they were smoking (p=0.000; OR=6.96; IC=2.37-20.45). Conclusion This study provides relevant information to the development of awareness and capacity building programs tailored to health care professional in higher education with regard to tobacco use.(AU)
Descriptors
Links
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772016000100007
Book Title
Database
LILACS; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
BECKERT,Naiara, MOYSÉS, Simone, CRUZ,Regina, GUTOSKI,Laísa, SCARINCI,Isabel
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Effects of shisha smoking on carbon monoxide and PM2.5 concentrations in the indoor and outdoor microenvironment of shisha premises 2016
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Sci Total Environ
Periodical, Abbrev.
Sci.Total Environ.
Pub Date Free Form
Volume
548-549
Issue
Start Page
340
Other Pages
6
Notes
ID: 26803732
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
There has been significant rise in shisha premises in the United Kingdom with an unsubstantiated belief that shisha smoking is harmless and relatively safe. This study aimed to assess the public health situation by evaluating the extent of shisha environmental tobacco smoke (ETS) exposure among those that work in, and are customers of shisha businesses. Concentrations of several ETS pollutants such as carbon monoxide (CO) and particulate matter with a diameter of less than 2.5µm (PM2.5) in shisha premises were measured using real-time sensors inside and outside twelve shisha premises and at 5 pubs/restaurants where smoking is prohibited. Mean concentration of CO (7.3±2.4mg/m(3)) and PM2.5 (287±233µg/m(3)) inside active shisha premises was higher than concentrations measured within the vicinity of the shisha premises (CO: 0.9±0.7mg/m(3) and PM2.5: 34±14µg/m(3)) and strongly correlated (PM2.5 R=0.957). Concentrations were higher than indoor concentrations in pubs and restaurants where smoking is not permitted under UK law. The number of shisha pipes was a strong predictor of the PM2.5 concentrations. The study also assessed the risk perception within patrons and managers, with only 25% being aware of the risks associated to shisha smoking. The study identifies owners, employees and consumers within active shisha premises being exposed to concentrations of CO and PM2.5 at levels considered hazardous to human health. The results and outcome of this research serve as a basis to influence a discussion around the need of developing specific policies to protect consumers and employees of such premises.
Descriptors
Links
http://dx.doi.org/10.1016/j.scitotenv.2015.12.093
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Gurung,Gam, Bradley,Janet, Delgado-Saborit, Juana
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
The Protective Effect of Selenium on Oxidative Stress Induced by Waterpipe (Narghile) Smoke in Lungs and Liver of Mice 2016
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Periodical, Abbrev.
Pub Date Free Form
Volume
Issue
Start Page
Other Pages
Notes
ID: 27178166
Place of Publication
ISSN/ISBN
Accession Number
Language
ENG
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Waterpipe smoking is common in the Middle East populations and results in health problems. In this study, we investigated the effects of exposure of mice to waterpipe smoke on oxidative stress in lungs and liver and the effects of selenium administration before smoke exposure on the oxidative stress. Twenty-four mice were divided equally into four groups: (i) the control mice received no exposure or treatment; (ii) mice exposed to waterpipe smoke; (iii) mice received intraperitoneal injection of 0.59 µg selenium/kg body weight as sodium selenite 15 min before the exposure to waterpipe smoke; and (iv) mice received intraperitoneal injection of 1.78 µg selenium/kg body weight as sodium selenite 15 min before the exposure to waterpipe smoke. Mice were exposed to waterpipe smoke every other day for four times within 8 successive days. Malondialdehyde and nitric oxide levels were significantly higher in the lungs and liver, while the activities of superoxide dismutase, glutathione peroxidase-1, and catalase were significantly lower in the waterpipe smoke group when compared to control mice. Treating mice with 1.78 µg selenium/kg body weight significantly restored the normal levels of these parameters. Histological examinations of lungs and liver confirmed the protective actions of selenium against the effects of exposure to waterpipe smoke. In conclusion, exposure of mice to waterpipe smoke-induced oxidative stress in lungs and liver. Administration of low level of selenium, 1.78 µg selenium/kg body weight as sodium selenite, exerted protective effects against oxidative stress induced by exposure to waterpipe smoke.
Descriptors
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-27178166
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Charab,Mohamad A., Abouzeinab,Noura S., Moustafa,Mohamed E.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Acute Effect of Hookah Smoking on the Human Coronary Microcirculation 2016
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Am J Cardiol
Periodical, Abbrev.
Am.J.Cardiol.
Pub Date Free Form
Volume
117
Issue
11
Start Page
1747
Other Pages
54
Notes
ID: 27067622
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Hookah (water pipe) smoking is a major new understudied epidemic affecting youth. Because burning charcoal is used to heat the tobacco product, hookah smoke delivers not only nicotine but also large amounts of charcoal combustion products, including carbon-rich nanoparticles that constitute putative coronary vasoconstrictor stimuli and carbon monoxide, a known coronary vasodilator. We used myocardial contrast echocardiography perfusion imaging with intravenous lipid shelled microbubbles in young adult hookah smokers to determine the net effect of smoking hookah on myocardial blood flow. In 9 hookah smokers (age 27 ± 5 years, mean ± SD), we measured myocardial blood flow velocity (ß), myocardial blood volume (A), myocardial blood flow (A × ß) as well as myocardial oxygen consumption (MVO2) before and immediately after 30 minutes of ad lib hookah smoking. Myocardial blood flow did not decrease with hookah smoking but rather increased acutely (88 ± 10 to 120 ± 19 a.u./s, mean ± SE, p = 0.02), matching a mild increase in MVO2 (6.5 ± 0.3 to 7.6 ± 0.4 ml·minute(-1), p
Descriptors
Links
http://dx.doi.org/10.1016/j.amjcard.2016.03.007
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Nelson,Michael D., Rezk-Hanna, Mary, Rader,Florian, Mason,O'N, Tang,Xiu, Shidban,Sarah, Rosenberry,Ryan, Benowitz,Neal L., Tashkin,Donald P., Elashoff,Robert M., Lindner,Jonathan R., Victor,Ronald G.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors