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Waterpipe smoking

Eric K Soule, Carolina Ramôa, Thomas Eissenberg, Caroline O Cobb
Waterpipe tobacco smoking (WTS) exposes users to toxicants in much greater amounts than a cigarette. Little is known about how gender affects WTS toxicant exposure and subjective response. Data from three WTS clinical laboratory studies were combined for analysis. Participants ( N = 99; 38 women) completed a 45-min WTS session where they smoked a waterpipe ad libitum. Puff topography was measured throughout, and plasma nicotine concentration, expired air carbon monoxide (CO), and subjective responses were measured pre- and post-WTS...
August 13, 2018: Experimental and Clinical Psychopharmacology
Ghazi S Zaatari, Asma Bazzi
INTRODUCTION: This paper investigates to what extent Framework Convention on Tobacco Control (FCTC) parties have successfully implemented regulatory measures against non-cigarette tobacco product (NCTP) use, considers the challenges and peculiarities in applying such regulations and proposes effective means. DATA AND METHODS: This review was based on many sources mainly: International Legal Consortium, International Tobacco Control, Campaign for Tobacco-Free Kids, FCTC, expert group visits and published literature...
July 31, 2018: Tobacco Control
Bhavita Kumari, Syeda Kanwal Aslam, Sidra Zaheer, Syed Omair Adil, Kashif Shafique
OBJECTIVE: To determine the levels of neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) among exclusive groups of waterpipe (WP) smokers, cigarette smokers, and nonsmokers. METHODS: This cross-sectional study was conducted among adults, apparently healthy individuals, aged between 18 and 40 years of either gender. NLR and PLR as measures of systemic inflammation were studied in association with individuals' sociodemographic, health, and tobacco use related characteristics...
July 30, 2018: Journal of Addiction Medicine
Mary Rezk-Hanna, Lynn Doering, Wendie Robbins, Linda Sarna, Robert M Elashoff, Ronald G Victor
Hookah (waterpipe) smoking is rapidly increasing in popularity worldwide. Despite being heavily advertised in the media as a healthier alternative to cigarettes, the toxicology of hookah smoke suggest otherwise. Cigarette smoking unequivocally causes an acute increase in arterial stiffness, but whether hookah does the same is unknown. In 48 young healthy habitual hookah but not cigarette smokers, we measured heart rate, peripheral and central blood pressure, carotid-femoral pulse wave velocity (measure of arterial stiffness), aortic augmentation index (measure of wave reflection), plasma nicotine, and exhaled carbon monoxide before and after ad lib hookah smoking...
June 5, 2018: American Journal of Cardiology
Khaled Zaid, Elie Azar-Maalouf, Charif Barakat, Mansour Chantiri
Introduction: Shisha (waterpipe) smoking is becoming a very prevalent form of tobacco consumption in the Middle east and use is growing over the world. Smoking-related malignancies have a high genome-wide burden of mutations, including examples in the gene encoding p53. Aims: To investigate alterations in p53 immunohistochemical expression in the normal, pre-malignant, malignant oral mucosa in relation to Shisha smoking habits. Materials and Methods: A total of 105 paraffin embedded tissue sections of OSCCs (52 smokers,53 non-smokers), 96 of premalignant lesions (48 smokers,48 non-smokers) and 60 normal oral mucosa...
July 27, 2018: Asian Pacific Journal of Cancer Prevention: APJCP
Andrew B Seidenberg, Elizabeth N Orlan, Mark J Travers, Erin L Sutfin
BACKGROUND: After North Carolina (NC) fire inspectors detected unsafe carbon monoxide (CO) levels inside several waterpipe cafés, the state fire code was amended to include provisions regulating waterpipe cafés, adding a requirement for air ventilation. These regulations apply to new buildings constructed after 1 January 2016, but can be enforced for older buildings where there exists a distinct hazard to life. We measured air quality at a sample of waterpipe cafés before and after the starting date of this regulation and collected information on presence of air ventilation...
July 24, 2018: Tobacco Control
Kasim Ortiz, Adolfo G Cuevas, Ramzi Salloum, Nancy Lopez, Thomas LaVeist-Ramos
BACKGROUND AND OBJECTIVES: This study examined differences in waterpipe smoking (both lifetime and current) by race and ethnicity. More specifically, we evaluated intra-ethnic racial differences among Latinos using a nationally representative sample. METHODS: Pooled data from the National Adult Tobacco Survey (NATS) [2012-2014] was used, in which Log-Poisson multivariable regression models were deployed to determine the prevalence of waterpipe smoking behavior. Models were stratified by gender and we further investigated acculturation, controlling for relevant sociodemographic characteristics...
July 20, 2018: Substance Use & Misuse
Karalyn Dueck, Reed Morrison, Kathie Brown, Deepika Lobo, Lawrence C Loh
SETTING: During a period of regulatory uncertainty, a local public health unit in Ontario was notified of an exhibition for electronic nicotine delivery systems (ENDS) and novel tobacco delivery products (NTDs), specifically e-cigarettes and waterpipes, which have seen increasing use particularly among youth. Relevant statutes creating regulatory uncertainty included a new provincial Electronic Cigarettes Act (ECA) with certain sections awaiting proclamation, and a local waterpipe bylaw awaiting approval, which would have prohibited the use of these products in public spaces if they entered into force ahead of the exhibition date...
April 19, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
Aya Mostafa, Heba Tallah Mohammed, Wafaa Mohamed Hussein, Mahmoud Elhabiby, Wael Safwat, Sahar Labib, Aisha Aboul Fotouh, Janet Hoek
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...
July 6, 2018: Tobacco Control
Ziyad Ben Taleb, Linnea I Laestadius, Taghrid Asfar, Brian A Primack, Wasim Maziak
INTRODUCTION: Hookah smoking is becoming increasingly popular worldwide, especially among young adults. The growth of social media has also enabled sharing of opinions, experiences, and marketing related to hookah via user-generated content. AIM: To evaluate the portrayal and promotion of hookah on Instagram and to highlight public health challenges created by this content. METHOD: A qualitative content analysis was performed on a sample of 301 Instagram posts made with the hashtags #hookah or #shisha in October 2016...
June 1, 2018: Health Education & Behavior: the Official Publication of the Society for Public Health Education
Maruhen A D Silveira, Alan S Antonelli, Bruno O Fiorelli, Luciana P G D'arce
Waterpipe smoking is an ancient method of tobacco smoking practiced worldwide. There is a common belief that waterpipe smoking is a safer alternative to cigarette, but many studies showed that some toxicants were associated with cancer risk, significantly higher in waterpipe smoking. Thus, this study aimed to evaluate the status of waterpipe smoker's buccal cells and its cancer risk using the buccal micronucleus cytome test. Forty waterpipe smokers (noncigarette smokers) were recruited and paired by gender, age and alcoholic habits with 40 control subjects...
June 2018: Journal of Genetics
Mohammed Al Ghobain, Anwar Ahmed, Zynab Abdrabalnabi, Wjdan Mutairi, Ali Al Khathaami
Background: Tobacco smoking kills more than 5 million people annually and it is the most important cause of preventable death. Waterpipe smoking is common in the Middle East and is prevalent among young people. There is a misconception that it is less harmful than cigarette smoking. Physicians are considered role models in the community and their behaviours and attitudes towards smoking can have direct effects on cessation. Aim: The aim of this study was to estimate current prevalence, attitudes and associated factors in regard to waterpipe smoking among Saudi Arabian physicians...
June 10, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
Raed Bahelah, Kenneth D Ward, Ziyad Ben Taleb, Joseph R DiFranza, Thomas Eissenberg, Rana Jaber, Wasim Maziak
INTRODUCTION: Waterpipe smoking continues to pose significant challenges to tobacco control efforts and many adolescent waterpipe smokers experience symptoms of nicotine dependence (ND). This study examined the predictors of progression of ND symptoms in adolescent waterpipe smokers. METHODS: We assembled a cohort of Lebanese adolescents enrolled in eighth and ninth grades at baseline, and surveyed them every 6 months over the next 24 months. Progression of ND symptoms was defined as an increase over time in the number of items endorsed on the Hooked on Nicotine Checklist...
June 12, 2018: Tobacco Control
Isaac M Lipkus, Darren Mays
Introduction: Very little is known about how waterpipe tobacco smokers and nonsmokers compare on harm beliefs about waterpipe tobacco smoking (WTS) and how these beliefs are related to risk appraisals and intentions to engage in WTS. We investigated these issues among young adult waterpipe tobacco smokers, susceptible nonsmokers, and non-susceptible nonsmokers. Methods: Young adults ages 18 to 30 who smoked waterpipe tobacco during the last 30 days or never used waterpipe tobacco were recruited online through Turkprime...
June 2018: Addictive Behaviors Reports
Faraz Mughal, Ahmed Rashid, Mohammed Jawad
BACKGROUND: Little is known around how general practitioners (GP) approach tobacco products beyond traditional cigarettes.AimTo examine GP perceptions of tobacco and electronic cigarette (EC) products, and their attitudes and behaviours towards product cessation. METHOD: A 13-item self-completed anonymous questionnaire measured awareness of waterpipe tobacco smoking (WTS) and smokeless tobacco (ST). Cessation advice provision, referral to cessation services, and the harm perception of these products were asked using five-point Likert scales that were dichotomised on analysis...
June 8, 2018: Primary Health Care Research & Development
Souheil Hallit, Chantal Raherison, Diana Malaeb, Rabih Hallit, Nelly Kheir, Pascale Salameh
OBJECTIVE: To create an allergic disease risk factors scale score that would screen for the risk assessment of asthma, allergic rhinitis and atopic dermatitis in children from 3-17 years. METHODS: This case-control study, conducted between December 2015 and April 2016, enrolled 1274 children. The allergic disease risk factors scale was created by combining environmental, exposure to toxics during pregnancy and breastfeeding and parental history of allergic diseases...
June 7, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
Qiang Zhang, Bin Yu, Xinguang Chen, Deepthi S Varma, Juanjuan Li, Jiang Zhao, Yuan Ruan, Xingmeng Han, Xiangdong Min, Zhitao Liu
OBJECTIVE: This study aims to understand the age patterns of smoking initiation during adolescence and young adulthood in South-West China, where the prevalence of tobacco use is reported as the highest in the country. DESIGN: A cross-sectional study. SETTING: The data were derived from the China National Nutrition and Health Survey in Yunnan Province, South-West China (2010-2012). PARTICIPANTS: A total of 4801 participants aged 15-65 years were included...
May 31, 2018: BMJ Open
Tzu Tsun Luk, Man Ping Wang, Lok Tung Leung, Jianjiu Chen, Yongda Wu, Tai Hing Lam, Sai Yin Ho
BACKGROUND: The role of family relationship in adolescent use of emerging tobacco products, which have become increasingly popular, is unknown. We examined the associations of perceived family relationship quality with current use of poly-tobacco products including cigarettes, electronic cigarettes (e-cigarettes), waterpipe and smokeless tobacco in adolescents. METHODS: Data from a representative sample of 42,250 US grade 7-12 equivalent students (mean ± SD age 14...
October 2018: Addictive Behaviors
Mohammed Jawad, Thomas Eissenberg, Rola Salman, Eric Soule, Karem H Alzoubi, Omar F Khabour, Nareg Karaoghlanian, Rima Baalbaki, Rachel El Hage, Najat A Saliba, Alan Shihadeh
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...
May 28, 2018: Tobacco Control
S A Mokeem, T Abduljabbar, A A Al-Kheraif, M N Alasqah, D Michelogiannakis, L P Samaranayake, F Javed
OBJECTIVE: The aim of this cross-sectional study was to compare oral Candida carriage among cigarette- and waterpipe-smokers, electronic-cigarette (E-Cig) users and never-smokers. METHODS: Demographic data and information regarding smoking and vaping were collected using a questionnaire. Number of missing teeth and unstimulated whole salivary flow rate (UWSFR) were recorded. Oral Candida samples were collected and identified using concentrated oral rinse culture technique and PCR, respectively...
May 25, 2018: Oral Diseases
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