Arabian nights in Hong Kong: Chinese young adults’ experience of waterpipe smoking

Lee, Jung Jae; Yeung, Karly Cheuk Yin; Wang, Man Ping; Thorne, Sally

doi:10.1136/tobaccocontrol-2020-055699

Cited by 5 publications

(3 citation statements)

References 27 publications

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“…Waterpipe smoke yields pleasure without burning the throat and the aroma is enjoyable, as found in earlier studies (44,45). Moreover, waterpipe is enjoyed because it facilitates socialization, it is shared with friends, and makes conversation more fun (43,46). Similar results are reported in the western countries (waterpipe de ned as a cool and relaxing by adolescents in Sweden (47) and youth in the UK ( 46)).…”

Section: Discussionmentioning

confidence: 60%

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Waterpipe Smoking Among Youth and Socioeconomic Status: A Cross-Sectional Study of Students in Public Versus Private Universities

Caner

Özcebe

2021

Preprint

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Background Waterpipe smoking has become a global public health problem as its popularity increased over time, especially among youth. This study aims to examine waterpipe smoking patterns of university students in Ankara, Turkey, and compare the patterns in public and private universities, which have different economic and social environments. Students in these two types of universities differ, on average, in socioeconomic background and access to financial resources. Methods The survey was conducted among public (n=2685) and private (n=2485) university students via an online questionnaire. Logistic regressions (on the full sample and on the sample that excludes students who initiate before age 18) were used to test the association between ever using waterpipe and respondent characteristics such as age, gender, university type, living arrangements, and source of income. Descriptive statistics on consumption pattern (age at first use, use within last month, location of use, availability of waterpipe venues, whether it is usually shared, reasons for use, and harm perceptions) were also generated. Moreover, never, ever, and current user prevalence rates by age at first use were estimated for waterpipe and cigarettes. Results69% of students in private and 59% of students in public universities (p<0.001) were ever smokers of waterpipe. Being older, male, private university student, living alone or having roommate(s), as well as financial resources such as having access to a car, having income from work or family were associated with ever using waterpipe. Although more than half (68-70%) of ever users tried waterpipe before age 18, risk continued in university and 41-46% of those who tried before 18 were current users in university. For women who had abstained from waterpipe until university age, the risk of waterpipe use was higher in private than in public universities. ConclusionsWaterpipe smoking has increased and is highly common among university students. Students with higher socioeconomic status are at higher risk. There is an urgent need to implement the new creative interventions based on the WHO Framework Convention on Tobacco Control to prevent the young people from waterpipe smoking after 18 years old.

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Section: Discussionmentioning

confidence: 60%

“…In addition, tobacco and waterpipe smoking among women is perceived as a charming behavior (41,42). Waterpipe may also be viewed by females as a sign of social status, since it is viewed as luxurious and available only to those who can afford it (43). In this study, ever use rates among women were 61.4% (private) and 49% (public).…”

Section: Discussionmentioning

confidence: 66%

Waterpipe Smoking Among Youth and Socioeconomic Status: A Cross-Sectional Study of Students in Public Versus Private Universities

Caner

Özcebe

2021

Preprint

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“…Hookah smoking is generally considered a group activity behavior ( 39), yet the observed sex differences could simply be rooted in different underlying motivators in men and women. While men seek joy through hookah smoking in their gatherings, women get acceptance with this social activity (39). In this regard, a large body of evidence emphasized the impacts of women's environmental situation on their attitudes, leading to hookah smoking behavior (29).…”

Section: Discussionmentioning

confidence: 99%

Smoking Habits in Men and Women with Different Perceptions of Social Well-Being: Findings of A Large Population-Based Study

Masihay-Akbar¹,

Mehrabi²,

Mardi³

et al. 2021

Preprint

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Background This study aimed to investigate cigarette and hookah smoking in a population of Eastern-Mediterranean adults in relation to their perceived social well-being (social integration, coherence, acceptance, contribution, and actualization). Methods Data of 2592 adults who participated in the 6th phase (2014–2016) of the Tehran Lipid and Glucose Study (TLGS) was used. After excluding those with missing data (n = 235), 2357 remained for the sex-specific logistic regression to investigate the association between social well-being and current smoking (cigarette and hookah). The final model (model 3) was adjusted for age, marital status, education, occupation, physical activity, and chronic disease history. Results Participants' mean age was 46 ± 14 years (45% men). Compared to cigarette and hookah smokers, the mean scores of social well-being and all its dimensions were higher in non-smokers. While in men, cigarette smoking was significantly related to social well-being and all its dimensions, only women with higher social well-being (OR:0.97, CI:0.95–0.99, P:0.001), social integration (OR:0.93, CI:0.87–0.99, P:0.019), and coherence (OR:0.92, CI:0.87–0.98, P:0.013), were further at risk of cigarette smoking. Unlike men, whose hookah smoking was not at all related to their social well-being, women's hookah consumption was associated with social well-being (OR: 0.97, CI:0.95–0.99, P:0.002), social integration and acceptance; one unit increase in the mean scores of social integration and acceptance in women reduced the risk of hookah use by 8%. Conclusion Social well-being and tobacco smoking are related, and evident sex differences in this relationship should not be ignored in future tobacco control efforts.

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Biomarkers of Waterpipe Tobacco Smoke Exposure: A Systematic Review and Meta-Analysis

Yan,

Ye,

et al. 2023

Nicotine and Tobacco Research

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Introduction The prevalence of waterpipe tobacco smoking is increasing globally. Biomarkers of waterpipe tobacco smoke (WTS) exposure are less studied. Methods To identify the types of biomarkers of WTS exposure and estimate changes in biomarker concentrations pre to post WTS exposure. PubMed, Embase, Web of Science, CINAHL Plus, PsycINFO, and Cochrane Library were searched for studies up to April 24, 2023. The types of biomarkers were identified. Random-effects models were used to estimate changes of biomarker concentrations pre to post WTS exposure. Results Seventy-three studies involving 3,755 participants who exposed to WTS (49% male, mean age: 24.8 years) and 11 types of biomarkers of WTS exposure were identified. The biomarkers included tobacco alkaloids, expired carbon monoxide (eCO), carboxyhemoglobin (COHb), tobacco-specific nitrosamines, volatile organic compounds (VOCs), polycyclic aromatic hydrocarbons (PAHs), heavy metals, unmetabolized VOCs, unmetabolized PAHs, furan metabolites, and heterocyclic aromatic amines. Compared with pre WTS exposure, eCO (breath; mean difference[MD] 27.00 ppm; 95% confidence interval[CI]: 20.91 to 33.08), COHb (blood; MD4.30%; 95%CI: 2.57 to 6.03), COHb (breath; MD7.14%; 95%CI: 4.96 to 9.31), nicotine (blood; MD8.23 ng/mL; 95%CI: 6.27 to 10.19), and cotinine (urine; MD110.40 ng/mL; 95%CI: 46.26 to 174.54) significantly increased post WTS exposure. Conclusions Biomarkers of WTS exposure were systematically identified. The similarity between the biomarkers of WTS exposure and those of cigarette smoke and higher concentrations of some biomarkers post WTS exposure underscore the need for further research on applying biomarkers in surveillance, interventions, and regulations to mitigate the harms of waterpipe tobacco smoking. Implications This study provides the first comprehensive overview of biomarkers investigated and available for assessing WTS exposure and their concentration changes in the human body. Researchers can use biomarkers such as eCO, COHb, nicotine, and cotinine to measure the health risks associated with WTS exposure and objectively evaluate the effectiveness of public health interventions aimed at reducing waterpipe tobacco smoking. Public health policymaking can also be informed through increased biomarker concentrations following WTS exposure, to implement regulations and public health education campaigns on limiting or preventing waterpipe tobacco smoking.

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Arabian nights in Hong Kong: Chinese young adults’ experience of waterpipe smoking

Cited by 5 publications

References 27 publications

Waterpipe Smoking Among Youth and Socioeconomic Status: A Cross-Sectional Study of Students in Public Versus Private Universities

Waterpipe Smoking Among Youth and Socioeconomic Status: A Cross-Sectional Study of Students in Public Versus Private Universities

Smoking Habits in Men and Women with Different Perceptions of Social Well-Being: Findings of A Large Population-Based Study

Biomarkers of Waterpipe Tobacco Smoke Exposure: A Systematic Review and Meta-Analysis

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