Are Narguile Smokers Different From Cigarette Smokers?

Riachy, Moussa; Rohayem, Celine; Khoury, Carlos El; Safi, Joelle; Khayat, Georges; Saadé-Riachy, Carole; Couche, Nourredine; Taan, Ghazi; Geahchan, Negib

doi:10.1378/chest.132.4_meetingabstracts.527

Cited by 4 publications

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“…The later finding shows that women are often affected by the others’ smoking behaviors. Contrary to our finding, Riachy et al in a study, recruited 37,579 participants during 2003 to 2005 in Lebanon, showed that females consumed more waterpipe than males [54]. While the likelihood of cigarette smoking increased with age, reversely, the probability of being waterpipe smoker increased in young adults (20 to 29 years old).…”

Section: Discussioncontrasting

confidence: 99%

Lifetime prevalence and correlates of smoking behavior in Iranian adults’ population; a cross-sectional study

2019

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Abstact Background There are few if any reports concerning the joint use of waterpipe, cigarette and exposure to second-hand smoking in Tehran, Iran. Here, we simultaneously investigated the prevalence and predictors of smoking habits in Iranian adults. Methods In this population-based cross-sectional study, we recruited 1057 Iranian adults between August 2013 and February 2015, in Tehran, a multi-ethnic city. Participants were selected using random digit dialing. Three separate logistic regression models were applied to estimate the adjusted odds ratios (95% CI). Results Exposure to second-hand smoking was the most prevalent smoking type (37, 95% CI: 35–41%) followed by cigarette (23.9% (95% CI: 21–27%)) and water-pipe smoking (20.25% (95% CI: 18–23%)) in adults in Tehran. Almost 3.3 and 4.5% of adults reported three and two types of lifetime smoking behaviors, respectively. Age, sex, history of depression along with lifetime alcohol intake was the important predictors of all three types of smoking. Lifetime alcohol consumption was associated with increased prevalence of all three types of smoking (p for trend < 0.009). Lifetime drug abuse was also associated with increased prevalence of cigarette smoking (OR = 2.04, 95% CI: 1.61–2.59, p < 0.001). Conclusions Lifetime prevalence of waterpipe, cigarette and exposure to second-hand smoking is moderately high. Dual smoking behaviors are increasing in Iranian adults. An apparent age-related difference in pattern of waterpipe and cigarette smoking was observed. These findings highlight the need for further educational and preventive programs especially for dual smoking in Iranian young adults. This could provide practical information for evaluating and reforming the tobacco control programs and policies in Iran.

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Section: Discussioncontrasting

confidence: 99%

Lifetime prevalence and correlates of smoking behavior in Iranian adults’ population; a cross-sectional study

2019

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“…For example, in a study performed in Lebanon, the cigarette consumption rate was eight times that of waterpipe use. 31 Nevertheless, compared with previous reports, waterpipe consumption rates in our study appear low. For example, two studies from Syria reported rates of waterpipe smoking ranging from 9% to 12%.…”

Section: Discussioncontrasting

confidence: 85%

Smoking habits in the Middle East and North Africa: Results of the BREATHE study

Khattab

Javaid

Iraqi³

et al. 2012

Respiratory Medicine

150

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Few recent comparative data exist on smoking habits in the Middle East and North Africa (MENA) region. The objective of this analysis was to evaluate smoking patterns in a large general population sample of individuals aged ≥ 40 years in ten countries in the region (Algeria, Egypt, Jordan, Lebanon, Morocco, Saudi Arabia, Syria, Tunisia, Turkey and United Arab Emirates), together with Pakistan, using a standardised methodology. A random sample of 457,258 telephone numbers was generated and called. This identified 65,154 eligible subjects, of whom 62,086 agreed to participate. A screening questionnaire was administered to each participant, which included six questions relating to cigarette consumption and waterpipe use. The age- and gender-adjusted proportion of respondents reporting current or past smoking of cigarettes or waterpipes was 31.2% [95% CI: 30.9-31.6%]. This proportion was significantly higher (p < 0.001) in men (48.0%) than in women (13.8%), but no relevant differences were observed between age groups. Smoking rates were in general lowest in the Maghreb countries and Pakistan and highest in the Eastern Mediterranean countries, ranging from 15.3% in Morocco to 53.9% in Lebanon. Consumption rates were 28.8% [28.4-29.2%] for cigarette smoking and 3.5% [3.4-3.6%] for waterpipe use. Use of waterpipes was most frequent in Saudi Arabia (8.5% of respondents) but remained low in the Maghreb countries (< 1.5%). Cumulative cigarette exposure was high, with a mean number of pack · years smoked of 18.5 ± 20.5 for women and 29.1 ± 26.2 for men. In conclusion, smoking is a major health issue in the MENA region.

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“…In this region, tobacco smoking, water pipes (narghile, hookah), use of hashish, and the lack of laws and regulations banning smoking and water pipes in coffee houses and other public places are major contributors to first and second-hand smoke. 28 Water pipe smoking is prevalent among women and young generation because there is less of a cultural stigma attached to it than to cigarette smoking.…”

Section: Current Status Of Copd In Uaementioning

confidence: 99%

Chronic Obstructive Pulmonary Disease in Middle East and UAE: An Unrecognized Underestimated Epidemic

Vats¹

2016

JLPRR

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Abbreviations: COPD, chronic obstructive pulmonary disease; GOLD, global initiative for chronic obstructive lung disease; α1-AT, αlpha1-antitrypsin deficiency; CAT, COPD assessment test IntroductionChronic Obstructive Pulmonary Disease (COPD) is defined by the Global initiative for chronic Obstructive Lung Disease (GOLD) as "a common preventable and treatable disease characterized by persistent airflow limitation that is usually progressive and associated with an enhanced chronic inflammatory response in the airways and the lung to noxious particles or gases". 1COPD is a leading cause of morbidity and mortality worldwide. In 2001, the Global Burden of Disease project identified COPD as the sixth leading cause of mortality in middle-or low income countries accounting for 4.9% of total deaths. 2 According to the latest WHO estimates (2004), currently 64million people have COPD and 3million people died of COPD 3 WHO predicts that COPD will become the third leading cause of death worldwide by 2030.Another study in USA, identified COPD as the fourth leading cause of chronic morbidity and mortality 4 and continue to rise steadily, Although around 90% of deaths due to COPD occur in low-or middleincome countries, scarce data are available in these countries on the prevalence of COPD .Although COPD is not a curable disease, elimination or reduction of risk factors can prevent the development or slow down the progression of the disease. The main risk factors for the development of COPD are cigarette smoking, exposure to air pollutants resulting from the burning of wood or other biomass fuels, tuberculosis, occupational exposures and increasing age. 5 The increase in prevalence of COPD is directly related to the increase in prevalence of smoking worldwide, particularly among women and adolescents.Purpose of this review article is to present the current status of smoking and prevalence of COPD and its consequences in UAE along with comparison with GCC countries. Discussion Tobacco smokingA global pandemic: Smoking is a major risk factor for development of COPD than other types of tobacco, and may be predictive of COPD morbidity and mortality with all the adverse consequences.As per WHO (2008) tobacco caused one in ten deaths in adults worldwide, corresponding to a total of fivemillion deaths per year. 6In 2000, the estimated rate of mortality attributable to smoking in the adult population (aged >30years) was 19% in industrialized countries and 9% in developing countries. 7 Moreover, it has been estimated that the tobacco epidemic may kill one in six adults corresponding to 10million people annually in the next 20-30years, with 70-80% of these deaths occurring in developing countries. primarily focus on cigarettes, many people in developing regions smoke tobacco using water-pipes 9 which also increases the risk of COPD, lung cancer & other respiratory problems.10 The nicotine exposure from daily water-pipe use was estimated to be equivalent to smoking 20 cigarettes/day 11 and water pipe smokers report features of depe...

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Are Narguile Smokers Different From Cigarette Smokers?

Cited by 4 publications

References 0 publications

Lifetime prevalence and correlates of smoking behavior in Iranian adults’ population; a cross-sectional study

Lifetime prevalence and correlates of smoking behavior in Iranian adults’ population; a cross-sectional study

Smoking habits in the Middle East and North Africa: Results of the BREATHE study

Chronic Obstructive Pulmonary Disease in Middle East and UAE: An Unrecognized Underestimated Epidemic

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