Skip to main content
Title Pub Year Author SearchLink Sort descending
Comparison of toxicant load from waterpipe and cigarette tobacco smoking among young adults in the USA 2018 Center for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.; Division of (TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
16-May
Volume
Issue
Start Page
Other Pages
Notes
LR: 20180518; CI: (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018; JID: 9209612; OTO: NOTNLM; 2017/12/23 00:00 [received]; 2018/03/08 00:00 [revised]; 2018/03/21 00:00 [accepted]; 2018/05/19 06:00 [entr
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 29773707
Language
eng
SubFile
Journal Article
DOI
tobaccocontrol-2017-054226 [pii]
Output Language
Unknown(0)
PMID
29773707
Abstract
OBJECTIVES: To form population-level comparisons of total smoke volume, tar, carbon monoxide and nicotine consumed from waterpipe tobacco smoking (WTS) and cigarette smoking using data from a nationally representative sample of smokers and non-smokers aged 18-30 years. METHODS: In March and April 2013, we surveyed a nationally representative sample of 3254 US young adults to assess the frequency and volume of WTS and cigarette smoking. We used Monte Carlo analyses with 5000 repetitions to estimate the proportions of toxicants originating from WTS and cigarette smoking. Analyses incorporated survey weights and used recent meta-analytic data to estimate toxicant exposures associated with WTS and cigarette smoking. RESULTS: Compared with the additive estimates of WTS and cigarette smoking combined, 54.9% (95% CI 37.5% to 72.2%) of smoke volume was attributed to WTS. The proportions of tar attributable to WTS was 20.8% (95% CI 6.5% to 35.2%), carbon monoxide 10.3% (95% CI 3.3% to 17.3%) and nicotine 2.4% (95% CI 0.9% to 3.8%). CONCLUSIONS: WTS accounted for over half of the tobacco smoke volume consumed among young US adult waterpipe and cigarette smokers. Toxicant exposures to tar, carbon monoxide and nicotine were lower, but still substantial, for WTS alone compared with WTS and cigarette smoking. Public health and policy interventions to reduce harm from tobacco smoking in young US adults should explicitly address WTS toxicant exposures.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Primack,B.A., Shensa,A., Sidani,J.E., Tulikangas,M.C., Roberts,M.S., Colditz,J.B., Mor,M.K., James,A.E., Fine,M.J.
Original/Translated Title
URL
Date of Electronic
20180516
PMCID
Editors
Comparison of toxicant load from waterpipe and cigarette tobacco smoking among young adults in the USA 2018 Center for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.; Division of (TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
16-May
Volume
Issue
Start Page
Other Pages
Notes
LR: 20180518; CI: (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018; JID: 9209612; OTO: NOTNLM; 2017/12/23 00:00 [received]; 2018/03/08 00:00 [revised]; 2018/03/21 00:00 [accepted]; 2018/05/19 06:00 [entr
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 29773707
Language
eng
SubFile
Journal Article
DOI
tobaccocontrol-2017-054226 [pii]
Output Language
Unknown(0)
PMID
29773707
Abstract
OBJECTIVES: To form population-level comparisons of total smoke volume, tar, carbon monoxide and nicotine consumed from waterpipe tobacco smoking (WTS) and cigarette smoking using data from a nationally representative sample of smokers and non-smokers aged 18-30 years. METHODS: In March and April 2013, we surveyed a nationally representative sample of 3254 US young adults to assess the frequency and volume of WTS and cigarette smoking. We used Monte Carlo analyses with 5000 repetitions to estimate the proportions of toxicants originating from WTS and cigarette smoking. Analyses incorporated survey weights and used recent meta-analytic data to estimate toxicant exposures associated with WTS and cigarette smoking. RESULTS: Compared with the additive estimates of WTS and cigarette smoking combined, 54.9% (95% CI 37.5% to 72.2%) of smoke volume was attributed to WTS. The proportions of tar attributable to WTS was 20.8% (95% CI 6.5% to 35.2%), carbon monoxide 10.3% (95% CI 3.3% to 17.3%) and nicotine 2.4% (95% CI 0.9% to 3.8%). CONCLUSIONS: WTS accounted for over half of the tobacco smoke volume consumed among young US adult waterpipe and cigarette smokers. Toxicant exposures to tar, carbon monoxide and nicotine were lower, but still substantial, for WTS alone compared with WTS and cigarette smoking. Public health and policy interventions to reduce harm from tobacco smoking in young US adults should explicitly address WTS toxicant exposures.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Primack,B.A., Shensa,A., Sidani,J.E., Tulikangas,M.C., Roberts,M.S., Colditz,J.B., Mor,M.K., James,A.E., Fine,M.J.
Original/Translated Title
URL
Date of Electronic
20180516
PMCID
Editors
Comparison of toxicant load from waterpipe and cigarette tobacco smoking among young adults in the USA 2018 Center for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.; Division of (TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
16-May
Volume
Issue
Start Page
Other Pages
Notes
LR: 20180518; CI: (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018; JID: 9209612; OTO: NOTNLM; 2017/12/23 00:00 [received]; 2018/03/08 00:00 [revised]; 2018/03/21 00:00 [accepted]; 2018/05/19 06:00 [entr
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 29773707
Language
eng
SubFile
Journal Article
DOI
tobaccocontrol-2017-054226 [pii]
Output Language
Unknown(0)
PMID
29773707
Abstract
OBJECTIVES: To form population-level comparisons of total smoke volume, tar, carbon monoxide and nicotine consumed from waterpipe tobacco smoking (WTS) and cigarette smoking using data from a nationally representative sample of smokers and non-smokers aged 18-30 years. METHODS: In March and April 2013, we surveyed a nationally representative sample of 3254 US young adults to assess the frequency and volume of WTS and cigarette smoking. We used Monte Carlo analyses with 5000 repetitions to estimate the proportions of toxicants originating from WTS and cigarette smoking. Analyses incorporated survey weights and used recent meta-analytic data to estimate toxicant exposures associated with WTS and cigarette smoking. RESULTS: Compared with the additive estimates of WTS and cigarette smoking combined, 54.9% (95% CI 37.5% to 72.2%) of smoke volume was attributed to WTS. The proportions of tar attributable to WTS was 20.8% (95% CI 6.5% to 35.2%), carbon monoxide 10.3% (95% CI 3.3% to 17.3%) and nicotine 2.4% (95% CI 0.9% to 3.8%). CONCLUSIONS: WTS accounted for over half of the tobacco smoke volume consumed among young US adult waterpipe and cigarette smokers. Toxicant exposures to tar, carbon monoxide and nicotine were lower, but still substantial, for WTS alone compared with WTS and cigarette smoking. Public health and policy interventions to reduce harm from tobacco smoking in young US adults should explicitly address WTS toxicant exposures.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Primack,B.A., Shensa,A., Sidani,J.E., Tulikangas,M.C., Roberts,M.S., Colditz,J.B., Mor,M.K., James,A.E., Fine,M.J.
Original/Translated Title
URL
Date of Electronic
20180516
PMCID
Editors
Levels of Urine Cotinine from Hookah Smoking and Exposure to Hookah Tobacco Secondhand Smoke in Hookah Lounges and Homes 2018 Center for Behavioral Epidemiology and Community Health (CBEACH), Graduate School of Public Health, Division of Health Promotion, San Diego State University, San Diego, California, U.S.A.; Center for Behavioral Epidemiology and Community Health (TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International journal of high risk behaviors & addiction
Periodical, Abbrev.
Int.J.High.Risk Behav.Addict.
Pub Date Free Form
Mar
Volume
7
Issue
1
Start Page
10.5812/ijhrba.67601. Epub 2018 Feb 19
Other Pages
Notes
LR: 20181114; GR: R01 CA138192/CA/NCI NIH HHS/United States; GR: R01 HL103684/HL/NHLBI NIH HHS/United States; JID: 101589648; NIHMS966762; OTO: NOTNLM; 2018/05/29 06:00 [entrez]; 2018/05/29 06:00 [pubmed]; 2018/05/29 06:01 [medline]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
2251-8711; 2251-8711
Accession Number
PMID: 29805963
Language
eng
SubFile
Journal Article
DOI
e67601 [pii]
Output Language
Unknown(0)
PMID
29805963
Abstract
Background: Nicotine, an addictive drug, is present in all forms of tobacco products, including hookah tobacco, which is not yet regulated in the United States. Objectives: This study aimed to investigate the uptake of nicotine in hookah smokers and non-smokers exposed to secondhand smoke (SHS) at indoor hookah social events in natural settings where hookah tobacco was smoked exclusively. Patients and Methods: We quantified cotinine, a metabolite of nicotine, in the urine of 105 hookah smokers and 103 non-smokers. Participants provided spot urine samples the morning of and the morning after attending an indoor hookah-only smoking social event at a hookah lounge or in a private home. Results: Following a social event where exclusively hookah tobacco was smoked, urinary cotinine levels increased significantly 8.5 times (geometric mean (GM): 16.0 ng/mg to 136.1 ng/mg) among hookah smokers, and 2.5 times (GM: 0.4 ng/mg to 1.0 ng/mg) among non-smokers exposed exclusively to hookah tobacco SHS. Among hookah smokers, the highest increase in urinary cotinine levels post a hookah event was found in occasional hookah smokers in which GM levels increased significantly 31.2 times post smoking (from 2.0 ng/mg to 62.3 ng/mg). Reported reasons for preference to smoke hookah at home by hookah smokers who attended a hookah social event in a private home included recreational purposes, socializing with friends and family, 'Me' time and relaxing at home, more comfortable to smoke hookah at home, owning a hookah and hookah tobacco, eating and drinking while smoking hookah, and saving money by smoking at home and not going to hookah lounges. Conclusions: Hookah tobacco smoke is a source of substantial nicotine exposure. Our results call for protecting hookah smokers' and non-smokers' health by requiring accurate hookah tobacco labels, raising taxes on hookah tobacco, reducing the spread of hookah lounges, and encouraging voluntary bans on smoking hookah tobacco in private homes.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Kassem,N.O.F., Kassem,N.O., Liles,S., Jackson,S.R., Posis,A.I.B., Chatfield,D.A., Hovell,M.F.
Original/Translated Title
URL
Date of Electronic
20180219
PMCID
PMC5967845
Editors
Toxicant inhalation among singleton waterpipe tobacco users in natural settings 2019 Public Health Policy Evaluation Unit, Imperial College London, Hammersmith, UK.; Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.; Center for the Study of Tobacco Products, Virginia Commonwealth University, Ri(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Mar
Volume
28
Issue
2
Start Page
181
Other Pages
188
Notes
LR: 20190614; CI: (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2019; GR: P50 DA036105/DA/NIDA NIH HHS/United States; GR: R01 DA025659/DA/NIDA NIH HHS/United States; JID: 9209612; NIHMS971077; OTO: NOTNLM;
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 29807946
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.
DOI
10.1136/tobaccocontrol-2017-054230 [doi]
Output Language
Unknown(0)
PMID
29807946
Abstract
BACKGROUND: Studies that assess waterpipe tobacco smoking behaviour and toxicant exposure generally use controlled laboratory environments with small samples that may not fully capture real-world variability in human behaviour and waterpipe products. This study aimed to conduct real-time sampling of waterpipe tobacco use in natural environments using an in situ device. METHODS: We used the REALTIME sampling instrument: a validated, portable, self-powered device designed to sample automatically a fixed percentage of the aerosol flowing through the waterpipe mouthpiece during every puff. We recruited participants at cafe and home settings in Jordan and measured puffing behaviour in addition to inhalation exposure of total particulate matter (TPM), carbon monoxide (CO), nicotine, polycyclic aromatic hydrocarbons and volatile aldehydes. We correlated total inhaled volume with five selected toxicants and calculated the regression line of this relationship. RESULTS: Averaged across 79 singleton sessions (52% male, mean age 27.0, 95% home sessions), sessions lasted 46.9 min and participants drew 290 puffs and inhaled 214 L per session. Mean quantities of inhaled toxicants per session were 1910 mg TPM, 259 mg CO, 5.0 mg nicotine, 117 ng benzo[a]pyrene and 198 ng formaldehyde. We found positive correlations between total inhaled volume and TPM (r=0.472; p
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Eissenberg,T., Salman,R., Soule,E., Alzoubi,K.H., Khabour,O.F., Karaoghlanian,N., Baalbaki,R., El Hage,R., Saliba,N.A., Shihadeh,A.
Original/Translated Title
URL
Date of Electronic
20180528
PMCID
PMC6563915
Editors
Toxicant inhalation among singleton waterpipe tobacco users in natural settings 2019 Public Health Policy Evaluation Unit, Imperial College London, Hammersmith, UK.; Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.; Center for the Study of Tobacco Products, Virginia Commonwealth University, Ri(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Mar
Volume
28
Issue
2
Start Page
181
Other Pages
188
Notes
LR: 20190614; CI: (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2019; GR: P50 DA036105/DA/NIDA NIH HHS/United States; GR: R01 DA025659/DA/NIDA NIH HHS/United States; JID: 9209612; NIHMS971077; OTO: NOTNLM;
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 29807946
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.
DOI
10.1136/tobaccocontrol-2017-054230 [doi]
Output Language
Unknown(0)
PMID
29807946
Abstract
BACKGROUND: Studies that assess waterpipe tobacco smoking behaviour and toxicant exposure generally use controlled laboratory environments with small samples that may not fully capture real-world variability in human behaviour and waterpipe products. This study aimed to conduct real-time sampling of waterpipe tobacco use in natural environments using an in situ device. METHODS: We used the REALTIME sampling instrument: a validated, portable, self-powered device designed to sample automatically a fixed percentage of the aerosol flowing through the waterpipe mouthpiece during every puff. We recruited participants at cafe and home settings in Jordan and measured puffing behaviour in addition to inhalation exposure of total particulate matter (TPM), carbon monoxide (CO), nicotine, polycyclic aromatic hydrocarbons and volatile aldehydes. We correlated total inhaled volume with five selected toxicants and calculated the regression line of this relationship. RESULTS: Averaged across 79 singleton sessions (52% male, mean age 27.0, 95% home sessions), sessions lasted 46.9 min and participants drew 290 puffs and inhaled 214 L per session. Mean quantities of inhaled toxicants per session were 1910 mg TPM, 259 mg CO, 5.0 mg nicotine, 117 ng benzo[a]pyrene and 198 ng formaldehyde. We found positive correlations between total inhaled volume and TPM (r=0.472; p
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Eissenberg,T., Salman,R., Soule,E., Alzoubi,K.H., Khabour,O.F., Karaoghlanian,N., Baalbaki,R., El Hage,R., Saliba,N.A., Shihadeh,A.
Original/Translated Title
URL
Date of Electronic
20180528
PMCID
PMC6563915
Editors
Toxicant inhalation among singleton waterpipe tobacco users in natural settings 2019 Public Health Policy Evaluation Unit, Imperial College London, Hammersmith, UK.; Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.; Center for the Study of Tobacco Products, Virginia Commonwealth University, Ri(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Mar
Volume
28
Issue
2
Start Page
181
Other Pages
188
Notes
LR: 20190425; CI: (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2019; GR: P50 DA036105/DA/NIDA NIH HHS/United States; GR: R01 DA025659/DA/NIDA NIH HHS/United States; JID: 9209612; OTO: NOTNLM; 2017/12/29 0
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 29807946
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.
DOI
10.1136/tobaccocontrol-2017-054230 [doi]
Output Language
Unknown(0)
PMID
29807946
Abstract
BACKGROUND: Studies that assess waterpipe tobacco smoking behaviour and toxicant exposure generally use controlled laboratory environments with small samples that may not fully capture real-world variability in human behaviour and waterpipe products. This study aimed to conduct real-time sampling of waterpipe tobacco use in natural environments using an in situ device. METHODS: We used the REALTIME sampling instrument: a validated, portable, self-powered device designed to sample automatically a fixed percentage of the aerosol flowing through the waterpipe mouthpiece during every puff. We recruited participants at cafe and home settings in Jordan and measured puffing behaviour in addition to inhalation exposure of total particulate matter (TPM), carbon monoxide (CO), nicotine, polycyclic aromatic hydrocarbons and volatile aldehydes. We correlated total inhaled volume with five selected toxicants and calculated the regression line of this relationship. RESULTS: Averaged across 79 singleton sessions (52% male, mean age 27.0, 95% home sessions), sessions lasted 46.9 min and participants drew 290 puffs and inhaled 214 L per session. Mean quantities of inhaled toxicants per session were 1910 mg TPM, 259 mg CO, 5.0 mg nicotine, 117 ng benzo[a]pyrene and 198 ng formaldehyde. We found positive correlations between total inhaled volume and TPM (r=0.472; p
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jawad,M., Eissenberg,T., Salman,R., Soule,E., Alzoubi,K.H., Khabour,O.F., Karaoghlanian,N., Baalbaki,R., El Hage,R., Saliba,N.A., Shihadeh,A.
Original/Translated Title
URL
Date of Electronic
20180528
PMCID
Editors
Would placing pictorial health warnings on waterpipe devices reduce waterpipe tobacco smoking? A qualitative exploration of Egyptian waterpipe smokers' and non-smokers' responses 2019 Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.; Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Jul
Volume
28
Issue
4
Start Page
475
Other Pages
478
Notes
LR: 20190712; CI: (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2019; JID: 9209612; OTO: NOTNLM; 2018/05/09 00:00 [received]; 2018/05/31 00:00 [revised]; 2018/06/11 00:00 [accepted]; 2018/07/08 06:00 [pubm
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 29980654
Language
eng
SubFile
Journal Article
DOI
10.1136/tobaccocontrol-2018-054494 [doi]
Output Language
Unknown(0)
PMID
29980654
Abstract
BACKGROUND: Although Egypt places four generic pictorial health warnings (PHWs) on the front and back half of waterpipe tobacco packs (WTPs), waterpipe tobacco smoking (WTS) rates have continued to rise. It has been suggested that PHWs would be more salient if placed on the waterpipe device itself. This qualitative study explored how participants perceived the effects placing PHWs on waterpipe devices would have on warning salience and uptake or quitting of WTS. METHODS: We conducted 10 focus groups and 10 in-depth interviews with 90 adult waterpipe smokers and non-smokers, men and women, who lived in rural, semi-urban and urban regions of Egypt. We presented participants with four novel PHWs of different sizes positioned randomly at four locations on a waterpipe device (the glass body, metal holder, mouthpiece or hose), one at a time. At each session, participants viewed a PHW on all four locations. Novel warnings were shown on plain labels with a dark uniform background and featured pictures, text and the quitline number. Transcripts were analysed using thematic analysis. RESULTS: Participants thought placing PHWs on waterpipe devices might increase salience, prevent WTS initiation or trigger quit attempts; they favoured placing PHWs on the glass body, mouthpiece or waterpipe hose. Both waterpipe smoker and non-smoker participants thought these potential effects would affect non-smokers or non-established smokers more than established waterpipe users. CONCLUSIONS: Our exploratory study suggests that PHWs featured prominently on waterpipe devices could potentially deter experimentation with waterpipe tobacco products and promote cessation, especially among non-established users.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Mostafa,A., Mohammed,H.T., Hussein,W.M., Elhabiby,M., Safwat,W., Labib,S., Aboul Fotouh,A., Hoek,J.
Original/Translated Title
URL
Date of Electronic
20180706
PMCID
PMC6589487
Editors
Would placing pictorial health warnings on waterpipe devices reduce waterpipe tobacco smoking? A qualitative exploration of Egyptian waterpipe smokers' and non-smokers' responses 2019 Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.; Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Jul
Volume
28
Issue
4
Start Page
475
Other Pages
478
Notes
LR: 20190712; CI: (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2019; JID: 9209612; OTO: NOTNLM; 2018/05/09 00:00 [received]; 2018/05/31 00:00 [revised]; 2018/06/11 00:00 [accepted]; 2018/07/08 06:00 [pubm
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 29980654
Language
eng
SubFile
Journal Article
DOI
10.1136/tobaccocontrol-2018-054494 [doi]
Output Language
Unknown(0)
PMID
29980654
Abstract
BACKGROUND: Although Egypt places four generic pictorial health warnings (PHWs) on the front and back half of waterpipe tobacco packs (WTPs), waterpipe tobacco smoking (WTS) rates have continued to rise. It has been suggested that PHWs would be more salient if placed on the waterpipe device itself. This qualitative study explored how participants perceived the effects placing PHWs on waterpipe devices would have on warning salience and uptake or quitting of WTS. METHODS: We conducted 10 focus groups and 10 in-depth interviews with 90 adult waterpipe smokers and non-smokers, men and women, who lived in rural, semi-urban and urban regions of Egypt. We presented participants with four novel PHWs of different sizes positioned randomly at four locations on a waterpipe device (the glass body, metal holder, mouthpiece or hose), one at a time. At each session, participants viewed a PHW on all four locations. Novel warnings were shown on plain labels with a dark uniform background and featured pictures, text and the quitline number. Transcripts were analysed using thematic analysis. RESULTS: Participants thought placing PHWs on waterpipe devices might increase salience, prevent WTS initiation or trigger quit attempts; they favoured placing PHWs on the glass body, mouthpiece or waterpipe hose. Both waterpipe smoker and non-smoker participants thought these potential effects would affect non-smokers or non-established smokers more than established waterpipe users. CONCLUSIONS: Our exploratory study suggests that PHWs featured prominently on waterpipe devices could potentially deter experimentation with waterpipe tobacco products and promote cessation, especially among non-established users.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Mostafa,A., Mohammed,H.T., Hussein,W.M., Elhabiby,M., Safwat,W., Labib,S., Aboul Fotouh,A., Hoek,J.
Original/Translated Title
URL
Date of Electronic
20180706
PMCID
PMC6589487
Editors
Types of tobacco consumption and the oral microbiome in the United Arab Emirates Healthy Future (UAEHFS) Pilot Study 2018 Public Health Research Center, New York University Abu Dhabi, Abu Dhabi, UAE.; Public Health Research Center, New York University Abu Dhabi, Abu Dhabi, UAE.; Department of Population Health, New York University School of Medicine, New York, USA.(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Scientific reports
Periodical, Abbrev.
Sci.Rep.
Pub Date Free Form
27-Jul
Volume
8
Issue
1
Start Page
11327
Other Pages
018-29730-x
Notes
LR: 20181114; JID: 101563288; 2017/11/23 00:00 [received]; 2018/06/27 00:00 [accepted]; 2018/07/29 06:00 [entrez]; 2018/07/29 06:00 [pubmed]; 2018/07/29 06:00 [medline]; epublish
Place of Publication
England
ISSN/ISBN
2045-2322; 2045-2322
Accession Number
PMID: 30054546
Language
eng
SubFile
Journal Article
DOI
10.1038/s41598-018-29730-x [doi]
Output Language
Unknown(0)
PMID
30054546
Abstract
Cigarette smoking alters the oral microbiome; however, the effect of alternative tobacco products remains unclear. Middle Eastern tobacco products like dokha and shisha, are becoming globally widespread. We tested for the first time in a Middle Eastern population the hypothesis that different tobacco products impact the oral microbiome. The oral microbiome of 330 subjects from the United Arab Emirates Healthy Future Study was assessed by amplifying the bacterial 16S rRNA gene from mouthwash samples. Tobacco consumption was assessed using a structured questionnaire and further validated by urine cotinine levels. Oral microbiome overall structure and specific taxon abundances were compared, using PERMANOVA and DESeq analyses respectively. Our results show that overall microbial composition differs between smokers and nonsmokers (p = 0.0001). Use of cigarettes (p = 0.001) and dokha (p = 0.042) were associated with overall microbiome structure, while shisha use was not (p = 0.62). The abundance of multiple genera were significantly altered (enriched/depleted) in cigarette smokers; however, only Actinobacillus, Porphyromonas, Lautropia and Bifidobacterium abundances were significantly changed in dokha users whereas no genera were significantly altered in shisha smokers. For the first time, we show that smoking dokha is associated to oral microbiome dysbiosis, suggesting that it could have similar effects as smoking cigarettes on oral health.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Valles,Y., Inman,C.K., Peters,B.A., Ali,R., Wareth,L.A., Abdulle,A., Alsafar,H., Anouti,F.A., Dhaheri,A.A., Galani,D., Haji,M., Hamiz,A.A., Hosani,A.A., Houqani,M.A., Junaibi,A.A., Kazim,M., Kirchhoff,T., Mahmeed,W.A., Maskari,F.A., Alnaeemi,A., Oumeziane,N., Ramasamy,R., Schmidt,A.M., Weitzman,M., Zaabi,E.A., Sherman,S., Hayes,R.B., Ahn,J.
Original/Translated Title
URL
Date of Electronic
20180727
PMCID
PMC6063860
Editors