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The determinants of intention to smoke waterpipe among adolescents in Lebanon: a national household survey 2016 Ludwig Maximilian Universitat, Munchen, Germany.; Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon.; Department of Epidemiology and Populat
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
Mar
Volume
38
Issue
1
Start Page
84
Other Pages
91
Notes
CI: (c) The Author 2015; JID: 101188638; OTO: NOTNLM; 2015/02/09 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1741-3850; 1741-3842
Accession Number
PMID: 25665877
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/pubmed/fdv004 [doi]
Output Language
Unknown(0)
PMID
25665877
Abstract
BACKGROUND: The phenomenon of waterpipe smoking (WPS) among adolescents has become eminent, and it is especially prevalent in Lebanon. Unlike cigarette smoking, WPS is parentally and socially acceptable. This study aims at examining the association between intention to smoke waterpipe in the next 6 months, and knowledge, attitudes and parental and social influences. METHODS: This is a secondary data analysis from a national survey in 2007 on 1028 households. This study addresses 258 non-smoking adolescents and their parents. Consent was sought and the study was approved by the Institutional Review Board at the American University of Beirut. Face-to-face interviews were conducted. Descriptive analysis, crude and adjusted odds ratios (ORs) were generated. RESULTS: At the bivariate level, late adolescence, mothers without university education, prior adolescents' WPS experiences, best friends' and parents' WPS habits and adolescents' and parents' lower attitude scores were associated with smoking intention. In the adjusted model, adolescents' beliefs about positive effects, best friends' similar habits and prior smoking remained significant (respective ORs [95% confidence interval ]: 1.81 [1.33-2.45], 2.51 [1.24-5.10], 4.91 [2.35-10.36]). Parents' perceived attitude against smoking was protective (OR: 0.57 [0.39-0.83]). CONCLUSIONS: Adolescents' intention to smoke is highly influenced by parents' permissive attitudes and peer pressure. Interventions targeting these two groups and limiting access to smoking by adolescents should be instigated.
Descriptors
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Book Title
Database
Publisher
. Published by Oxford University Press on behalf of Faculty of Public Health
Data Source
Authors
Schroder,C., Chaaya,M., Saab,D., Mahfoud,Z.
Original/Translated Title
URL
Date of Electronic
20150209
PMCID
Editors
US is to regulate all tobacco products, including e-cigarettes and hookah tobacco 2016 Seattle.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMJ (Clinical research ed.)
Periodical, Abbrev.
BMJ
Pub Date Free Form
6-May
Volume
353
Issue
Start Page
i2594
Other Pages
Notes
JID: 8900488; epublish
Place of Publication
England
ISSN/ISBN
1756-1833; 0959-535X
Accession Number
PMID: 27154555
Language
eng
SubFile
Journal Article; AIM; IM
DOI
10.1136/bmj.i2594 [doi]
Output Language
Unknown(0)
PMID
27154555
Abstract
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
McCarthy,M.
Original/Translated Title
URL
Date of Electronic
20160506
PMCID
Editors
Waterpipe smoking and cancer: systematic review and meta-analysis 2016 School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.; School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Ontario, Canada.; School of Epidemiology, Public He
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
10-May
Volume
Issue
Start Page
Other Pages
Notes
LR: 20160512; 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: 9209612; OTO: NOTNLM; 2015/10/16 [rece
Place of Publication
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27165994
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
tobaccocontrol-2015-052758 [pii]
Output Language
Unknown(0)
PMID
27165994
Abstract
OBJECTIVE: Although accumulating evidence suggests harmful effects of waterpipe smoking, there is limited information about its direct association with chronic diseases, notably cancer. We provide an up-to-date systematic review and meta-analysis of the association between waterpipe smoking and cancer. DATA SOURCES: Systematic search of articles indexed in main biomedical databases: Pubmed, EmBase, Google Scholar and Web of Science, published between 1962 and September 2014. Search keywords included a combination of waterpipe or hookah, sheesha, nargile, hubble-bubble, goza or gaylan, and cancer. STUDY SELECTION: Focus on observational studies (cohort, case-control, cross-sectional) that evaluated the association between waterpipe smoking and cancer. Studies with mixed exposures excluded. DATA EXTRACTION: Two investigators independently extracted data and reached consensus on all items. DATA SYNTHESIS: 13 case-control studies met the inclusion criteria and were considered for meta-analysis. The methodological quality of included studies was assessed using the Newcastle-Ottawa Scale (NOS). Meta-analysis revealed a positive association between waterpipe smoking and lung cancer (OR=4.58 (2.61 to 8.03); I2=44.67%), and oesophageal cancer (OR=3.63 (1.39 to 9.44); I2 =94.49%). The majority of studies had a NOS score of 5-6 or 7, indicating 'fair' or 'good' quality, respectively. CONCLUSIONS: Our findings support a positive association between waterpipe smoking and cancer risk. However, high-quality studies with standardised exposure measurements are needed to clarify the contribution of waterpipe smoking to chronic diseases. More investments in initiatives for surveillance, intervention and regulatory policy for waterpipe smoking are urgently warranted.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Montazeri,Z., Nyiraneza,C., El-Katerji,H., Little,J.
Original/Translated Title
URL
Date of Electronic
20160510
PMCID
Editors
Consensus statement on assessment of waterpipe smoking in epidemiological studies 2016 Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA Syrian Center for Tobacco Studies, Aleppo, Syria.; Department of Epidemiology, Florida International University, Mia
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
10-May
Volume
Issue
Start Page
Other Pages
Notes
LR: 20160520; 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 DA035160/DA/NIDA NIH HHS/United Sta
Place of Publication
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 27165995
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
tobaccocontrol-2016-052958 [pii]
Output Language
Unknown(0)
PMID
27165995
Abstract
Numerous epidemiological accounts suggest that waterpipe smoking (aka hookah, shisha, narghile) has become a global phenomenon, especially among youth. The alarming spread of waterpipe and accumulating evidence of its addictive and harmful effects represent a new threat in the global fight to limit tobacco-related morbidity and mortality. In response to waterpipe's alarming trends, major public health and tobacco control organisations have started or are considering systematic collection of data about waterpipe smoking to monitor its trends and assess its harmful effects in different societies. Such plans require coordination and agreement on epidemiological measurement tools that reflect the uniqueness of this tobacco use method, and at the same time allow comparison of waterpipe trends across time and place, and with other tobacco use methods. We started a decade ago our work to develop standardised measures and definitions for the assessment of waterpipe smoking in epidemiological studies. In this communication, we try to expand and update these assessment tools in light of our increased knowledge and understanding of waterpipe use patterns, its context and marketing, as well as the need for evidence-guided policies and regulations to curb its spread. We have assembled for this purpose a group of leading waterpipe researchers worldwide, and worked through an iterative process to develop the suggested instruments and definitions based on what we know currently about the waterpipe epidemic. While the suggested measures are by no means comprehensive, we hope that they can provide the building blocks for standard and comparable surveillance of waterpipe smoking globally.
Descriptors
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Data Source
Authors
Maziak,W., Ben Taleb,Z., Jawad,M., Afifi,R., Nakkash,R., Akl,E.A., Ward,K.D., Salloum,R.G., Barnett,T.E., Primack,B.A., Sherman,S., Cobb,C.O., Sutfin,E.L., Eissenberg,T., Expert Panel on Waterpipe Assessment in Epidemiological Studies
Original/Translated Title
URL
Date of Electronic
20160510
PMCID
Editors
Interventions for waterpipe tobacco smoking prevention and cessation: a systematic review 2016 Department of Primary Care and Public Health, Imperial College London, London, United Kingdom.; Academic Unit of Primary Care and Population Sciences, University of Southampton, Southampton, United Kingdom.; Nuffied Department of Primary Care Health Scien
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Scientific reports
Periodical, Abbrev.
Sci.Rep.
Pub Date Free Form
11-May
Volume
6
Issue
Start Page
25872
Other Pages
Notes
LR: 20160524; JID: 101563288; OID: NLM: PMC4863147; 2015/12/07 [received]; 2016/04/22 [accepted]; epublish
Place of Publication
England
ISSN/ISBN
2045-2322; 2045-2322
Accession Number
PMID: 27167891
Language
eng
SubFile
Journal Article; IM
DOI
10.1038/srep25872 [doi]
Output Language
Unknown(0)
PMID
27167891
Abstract
Waterpipe tobacco smoking is growing in popularity despite adverse health effects among users. We systematically reviewed the literature, searching MEDLINE, EMBASE and Web of Science, for interventions targeting prevention and cessation of waterpipe tobacco smoking. We assessed the evidence quality using the Cochrane (randomised studies), GRADE (non-randomised studies) and CASP (qualitative studies) frameworks. Data were synthesised narratively due to heterogeneity. We included four individual-level, five group-level, and six legislative interventions. Of five randomised controlled studies, two showed significantly higher quit rates in intervention groups (bupropion/behavioural support versus placebo in Pakistan; 6 month abstinence relative risk (RR): 2.3, 95% CI 1.4-3.8); group behavioural support versus no intervention in Egypt, 12 month abstinence RR 3.3, 95% CI 1.4-8.9). Non-randomised studies showed mixed results for cessation, behavioural, and knowledge outcomes. One high quality modelling study from Lebanon calculated that a 10% increase in waterpipe tobacco taxation would reduce waterpipe tobacco demand by 14.5% (price elasticity of demand -1.45). In conclusion, there is a lack of evidence of effectiveness for most waterpipe interventions. While few show promising results, higher quality interventions are needed. Meanwhile, tobacco policies should place waterpipe on par with cigarettes.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Jawad,S., Waziry,R.K., Ballout,R.A., Akl,E.A.
Original/Translated Title
URL
Date of Electronic
20160511
PMCID
PMC4863147
Editors
Epidemiology of Lung Cancer 2016 Department of Oncology, Karmanos Cancer Institute, Wayne State University School of Medicine, Detroit, MI, USA. schwarta@karmanos.org.; Department of Oncology, Karmanos Cancer Institute, Wayne State University School of Medicine, Detroit, MI, USA. cotem@k
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Advances in Experimental Medicine and Biology
Periodical, Abbrev.
Adv.Exp.Med.Biol.
Pub Date Free Form
Volume
893
Issue
Start Page
21
Other Pages
41
Notes
JID: 0121103; OTO: NOTNLM; ppublish
Place of Publication
United States
ISSN/ISBN
0065-2598; 0065-2598
Accession Number
PMID: 26667337
Language
eng
SubFile
Journal Article; Review; IM
DOI
10.1007/978-3-319-24223-1_2 [doi]
Output Language
Unknown(0)
PMID
26667337
Abstract
Lung cancer continues to be one of the most common causes of cancer death despite understanding the major cause of the disease: cigarette smoking. Smoking increases lung cancer risk 5- to 10-fold with a clear dose-response relationship. Exposure to environmental tobacco smoke among nonsmokers increases lung cancer risk about 20%. Risks for marijuana and hookah use, and the new e-cigarettes, are yet to be consistently defined and will be important areas for continued research as use of these products increases. Other known environmental risk factors include exposures to radon, asbestos, diesel, and ionizing radiation. Host factors have also been associated with lung cancer risk, including family history of lung cancer, history of chronic obstructive pulmonary disease and infections. Studies to identify genes associated with lung cancer susceptibility have consistently identified chromosomal regions on 15q25, 6p21 and 5p15 associated with lung cancer risk. Risk prediction models for lung cancer typically include age, sex, cigarette smoking intensity and/or duration, medical history, and occupational exposures, however there is not yet a risk prediction model currently recommended for general use. As lung cancer screening becomes more widespread, a validated model will be needed to better define risk groups to inform screening guidelines.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Schwartz,A.G., Cote,M.L.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
E-cigarette Dual Users, Exclusive Users and Perceptions of Tobacco Products 2016 University of Texas Health Science Center at Houston, School of Public Health, Austin Regional Campus, Austin, TX, USA.; University of Texas Health Science Center at Houston, School of Public Health, Austin Regional Campus, Austin, TX, USA.; University of
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Health Behavior
Periodical, Abbrev.
Am.J.Health Behav.
Pub Date Free Form
Jan
Volume
40
Issue
1
Start Page
108
Other Pages
116
Notes
LR: 20160518; GR: 1 P50 CA180906-01/CA/NCI NIH HHS/United States; GR: P50 CA180906/CA/NCI NIH HHS/United States; JID: 9602338; NIHMS785757; OID: NLM: NIHMS785757 [Available on 01/01/17]; OID: NLM: PMC4869518 [Available on 01/01/17]; PMCR: 2017/01/01 00:00
Place of Publication
United States
ISSN/ISBN
1945-7359; 1087-3244
Accession Number
PMID: 26685819
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.; IM
DOI
10.5993/AJHB.40.1.12 [doi]
Output Language
Unknown(0)
PMID
26685819
Abstract
OBJECTIVES: We examined differences in the characteristics of youth non-users, cigarette-only, e-cigarette-only, and dual e-cigarette and cigarette users. METHODS: Using weighted, representative data, logistic regression analyses were conducted to examine differences in demographic characteristics and tobacco use behaviors across tobacco usage groups. Multiple linear regression analyses were conducted to examine differences in harm perceptions of various tobacco products and perceived peer use of e-cigarettes by tobacco usage group. RESULTS: Compared to non-users, dual users were more likely to be white, male, and high school students. Dual users had significantly higher prevalence of current use of all products (except hookah) than e-cigarette-only users, and higher prevalence of current use of snus and hookah than the cigarette-only group. Dual users had significantly lower harm perceptions for all tobacco products except for e-cigarettes and hookah as compared to e-cigarette-only users. Dual users reported higher peer use of cigarettes as compared to both exclusive user groups. CONCLUSION: Findings highlight dual users' higher prevalence of use of most other tobacco products, their lower harm perceptions of most tobacco products compared to e-cigarette-only users, and their higher perceived peer use of cigarettes compared to exclusive users.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Cooper,M., Case,K.R., Loukas,A., Creamer,M.R., Perry,C.L.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC4869518
Editors
Group Waterpipe Tobacco Smoking Increases Smoke Toxicant Concentration 2016 Center for the Study of Tobacco Products, Department of Psychology, Virginia Commonwealth University, Richmond, VA;; Center for the Study of Tobacco Products, Department of Psychology, Virginia Commonwealth University, Richmond, VA; Department of Mechanic
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
May
Volume
18
Issue
5
Start Page
770
Other Pages
776
Notes
LR: 20160701; CI: (c) The Author 2015; GR: P50 DA036105/DA/NIDA NIH HHS/United States; GR: P50DA036105/DA/NIDA NIH HHS/United States; GR: R01 CA120142/CA/NCI NIH HHS/United States; GR: R01CA120142/CA/NCI NIH HHS/United States; JID: 9815751; 2015/07/24 [re
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 26659913
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.; IM
DOI
10.1093/ntr/ntv271 [doi]
Output Language
Unknown(0)
PMID
26659913
Abstract
INTRODUCTION: Waterpipe tobacco smoking is a global health concern. Laboratory research has focused on individual waterpipe users while group use is common. This study examined user toxicant exposure and smoke toxicant yield associated with individual and group waterpipe smoking. METHODS: Twenty-two pairs of waterpipe smokers used a waterpipe individually and as a dyad. Before and after smoking, blood was sampled and expired carbon monoxide (CO) measured; puff topography was recorded throughout. One participant from each pair was selected randomly and their plasma nicotine and expired air CO concentrations were compared when smoking alone to when smoking as part of a dyad. Recorded puff topography was used to machine-produce smoke that was analyzed for toxicant content. RESULTS: There was no difference in mean plasma nicotine concentration when an individual smoked as part of a dyad (mean = 14.9 ng/ml; standard error of the mean [SEM] = 3.0) compared to when smoking alone (mean = 10.0 ng/ml; SEM = 1.5). An individual smoking as part of as a dyad had, on average, lower CO (mean = 15.8 ppm; SEM = 2.0) compared to when smoking alone (mean= 21.3 ppm; SEM = 2.7). When two participants smoked as a dyad they took, on average, more puffs (mean = 109.8; SEM = 7.6) than a singleton smoker (mean = 77.7; SEM = 8.1) and a shorter interpuff interval (IPI; dyad mean = 23.8 seconds; SEM = 1.9; singleton mean = 40.8 seconds; SEM = 4.8). Higher concentrations of several toxicants were observed in dyad-produced smoke. DISCUSSION: Dyad smoking may increase smoke toxicant content, likely due to the dyad's shorter IPIs and greater puff number. More work is needed to understand if group waterpipe smoking alters the health risks of waterpipe tobacco smoking. IMPLICATIONS: This study is the first to measure toxicants in smoke generated from a waterpipe when used by a dyad. Relative to smoke generated by a singleton, dyad smoke had higher concentration of some toxicants. These differences may be attributed to differences in puffing behavior, specifically the shorter IPI and greater puff number observed in the dyad condition. Relative to singleton smokers, dyad smokers were exposed to less CO, but nicotine exposure did not differ. More work is needed to assess the health effects of inhalation of more toxicant-laden smoke during group waterpipe use.
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
Ramoa,C.P., Shihadeh,A., Salman,R., Eissenberg,T.
Original/Translated Title
URL
Date of Electronic
20151211
PMCID
Editors
Geographic Proximity of Waterpipe Smoking Establishments to Colleges in the U.S 2016 Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, Florida.; Department of Health Outcomes and Policy, Institute for Child Health Policy, University of Florid
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Preventive Medicine
Periodical, Abbrev.
Am.J.Prev.Med.
Pub Date Free Form
Jan
Volume
50
Issue
1
Start Page
e9
Other Pages
e14
Notes
LR: 20160406; CI: Copyright (c) 2016; GR: R01 DA035160/DA/NIDA NIH HHS/United States; JID: 8704773; NIHMS721380; OID: NLM: NIHMS721380 [Available on 01/01/17]; OID: NLM: PMC4821570 [Available on 01/01/17]; PMCR: 2017/01/01 00:00; 2015/03/26 [received]; 20
Place of Publication
Netherlands
ISSN/ISBN
1873-2607; 0749-3797
Accession Number
PMID: 26346294
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.amepre.2015.07.006 [doi]
Output Language
Unknown(0)
PMID
26346294
Abstract
INTRODUCTION: Waterpipe tobacco smoking is prevalent among college students in the U.S. and increasing in popularity. Waterpipe smoking establishments are almost completely unregulated, and limited information exists documenting the expansion of this industry. The objective of this study was to identify U.S.-based waterpipe establishments and measure their proximity to colleges/universities. METHODS: Waterpipe establishments and their addresses were compiled using five Internet-based directories during 2014 and analyzed in 2015. Addresses were geocoded and overlaid on a U.S. map of accredited colleges/universities. Proximity of colleges/universities to the nearest waterpipe establishment was measured in 3-mile increments. Multinomial logistic regression was used to model the factors associated with proximity of waterpipe establishments to colleges/universities. RESULTS: A total of 1,690 waterpipe establishments and 1,454 colleges/universities were included in the study. Overall, 554 colleges/universities (38.1%) were within 3 miles of a waterpipe establishment. Proximity of waterpipe establishments to colleges/universities was associated with higher full-time student enrollment. Public colleges/universities and those with a smoke-free campus policy were at lower odds of having waterpipe establishments within 3 miles of their campuses. CONCLUSIONS: Waterpipe smoking establishments are more likely to be located near large colleges/universities. This study should inform initiatives aimed at reducing retail tobacco establishment exemptions.
Descriptors
Links
Book Title
Database
Publisher
American Journal of Preventive Medicine. Published by Elsevier Inc
Data Source
Authors
Kates,F.R., Salloum,R.G., Thrasher,J.F., Islam,F., Fleischer,N.L., Maziak,W.
Original/Translated Title
URL
Date of Electronic
20150904
PMCID
PMC4821570
Editors
Health care providers' adherence to tobacco treatment for waterpipe, cigarette and dual users in Vietnam 2016 Department of Population Health, New York University School of Medicine, New York, NY, USA. Electronic address: donna.shelley@nyumc.org.; Department of Population Health, New York University School of Medicine, New York, NY, USA.; Institute of Social and
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addictive Behaviors
Periodical, Abbrev.
Addict.Behav.
Pub Date Free Form
10-Aug
Volume
64
Issue
Start Page
49
Other Pages
53
Notes
LR: 20160820; CI: Copyright (c) 2016; JID: 7603486; OTO: NOTNLM; 2016/03/18 [received]; 2016/08/07 [revised]; 2016/08/09 [accepted]; aheadofprint
Place of Publication
ISSN/ISBN
1873-6327; 0306-4603
Accession Number
PMID: 27543834
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
S0306-4603(16)30281-7 [pii]
Output Language
Unknown(0)
PMID
27543834
Abstract
BACKGROUND: Almost half of adult men in Vietnam are current cigarette smokers. Recent surveys also suggest a high prevalence of water pipe use, particularly in rural areas. Yet services to treat tobacco dependence are not readily available. The purpose of this study was to characterize current tobacco use treatment patterns among Vietnamese health care providers and factors influencing adherence to recommended guidelines for tobacco use screening and cessation interventions for water pipe, cigarette and dual users. METHODS: We conducted cross sectional surveys of 929 male current tobacco users immediately after they completed a primary care visit at one of 18 community health centers. RESULTS: Thirty-four percent of smokers used cigarettes only, 24% water pipe only, and 42% were dual users. Overall 12% of patients reported that a provider asked them if they used tobacco products during the visit. Providers were significantly more likely to screen cigarette smokers compared with water pipe or dual users (16%, 9% and 11% respectively). Similarly, 9% of current cigarette smokers received advice to quit compared to 6% of water pipe and 5% of dual users. No patients reported that their health care provider offered them assistance to quit (e.g., self-help materials, referral). CONCLUSION: Despite ratifying the Framework Convention on Tobacco Control, Vietnam has not made progress in implementing policies and systems to ensure smokers are receiving evidence-based treatment. High rates of water pipe and dual use indicate a need for health care provider training and policy changes to facilitate treatment for both cigarette and water pipe use.
Descriptors
Links
Book Title
Database
Publisher
The Authors. Published by Elsevier Ltd.
Data Source
Authors
Shelley,D., Kumar,P., Lee,L., Nguyen,L., Nguyen,T.T., VanDevanter,N., Cleland,C.M., Nguyen,N.T.
Original/Translated Title
URL
Date of Electronic
20160810
PMCID
Editors