Does switching to a tobacco-free waterpipe product reduce toxicant intake? A crossover study comparing CO, NO, PAH, volatile aldehydes, “tar” and nicotine yields

Shihadeh, Alan; Salman, Rola; Jaroudi, Ezzat; Saliba, Najat A.; Sepetdjian, Elizabeth; Blank, Melissa D.; Cobb, Caroline O.; Eissenberg, Thomas

doi:10.1016/j.fct.2012.02.041

Cited by 110 publications

(99 citation statements)

References 24 publications

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“…The popularity of the narghile waterpipe, also referred to as hookah, shisha or hubble-bubble has increased tremendously during the past few decades (Tamim et al, 2003;Akl, 2011) and has spread beyond the bounds of Arab countries to other parts of the world, including Europe and America Jarrett et al, 2012;Shihadeh et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Fallacies about Water Pipe Use in Turksih University Students - What Might Be the Consequences?

Alvur¹,

Çınar²,

Akduran³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: The popularity of the narghile waterpipe, also referred to as hookah, shisha or hubble-bubble has increased tremendously during the past few decades. The aim of this study was to expose perception of narghile among a representative sample of university students in Sakarya University campus. Materials and Methods: Written approval was taken from the local education authority. An anonymous questionnaire which was prepared by the investigators and contained 17 questions was administered. Nine of the questions were related to socio-demographic characteristics and eight were related to the students harm perceptions about waterpipe. A total of 1,320 questionnaries were received and after preliminary evaluation 1,255 (95.7%) were found to be suitable for evaluation. The data was evaluated in SPSS program by using percentages and averages. Results: The mean±SD age of the students was 20.8±2.29 years (min 18, max 32). There were 864 (68.8%) females and 391 (31.2%) males. A total of 6.3 % of the students (n=79) believed that waterpipe is not harmful because its smoke does not burn the lungs. Almost one-third (n=318) think that the carcinogenic chemicals are filtered while waterpipe smoke passes from the water; 12.1 % of the students (n=152) checked "true" for the statement of "waterpipe smoke contains no nicotine". It is seen that 14.0 % of the students (n=176) think waterpipe with fruit/ aroma is healthier than plain waterpipe. Conclusions: As a result of this study, it is found out that a substantial number of university students have false beliefs on harmful effects of waterpipe smoking.

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Section: Introductionmentioning

confidence: 99%

Fallacies about Water Pipe Use in Turksih University Students - What Might Be the Consequences?

Alvur¹,

Çınar²,

Akduran³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…The adverse health effects are similar to those of cigarette smoking 7 , and include respiratory illnesses, various cancers, mouth and throat diseases, cardiovascular disease, and low birth weight [10][11][12] . Some waterpipe smokers use herbal products instead of tobacco 13,14 . Irrespective of what is smoked, harmful chemicals, such as carbon monoxide, toxic trace metals, polyaromatic hydrocarbons, and carcinogens are released posing health risks like heart and lung diseases 7,11,13,15 .…”

Section: Introductionmentioning

confidence: 99%

Graphic health warnings and their best position on waterpipes: A cross-sectional survey of expert and public opinion

Mostafa¹,

Mohammed²

2017

Tob. Prev. Cessation

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INTRODUCTION Our aim was to assess the visibility and efficiency of graphic health warnings (GHWs) on waterpipe tobacco packs (WTPs) and to explore other more effective places to display them for better impact. We also evaluated the visibility of GHWs when placed on the waterpipe device. METHODS We conducted 3 cross-sectional study phases using face-to-face survey questionnaires in 2014-2015. Phase I surveyed 31 tobacco control experts, while Phase II surveyed 700 participants and Phase III surveyed 348 from the public in Cairo, Egypt. RESULTS Approximately half of the experts and participants in Phases II and III thought that GHWs on WTPs are not adequately visible, and 68.9% and 79.6% in Phases II and III, respectively, suggested posting warnings also in other places. About one-third of experts and 69.1% of Phase II participants suggested posting GHWs inside cafés or in public places, while 46.9% of Phase III participants favored placing them on waterpipes. After viewing our suggested positions on a waterpipe, all experts, 80.6% of participants in Phase II, and 81.6% in Phase III acknowledged that GHWs would be more visible there. The mouthpiece was the location selected most often across all phases (31.1% in Phase I, 35.6% in Phase II and 36.3% in Phase III). Lung and throat cancers were similarly effective in raising participants' concern about waterpipe smoking health risks (24.7%). CONCLUSIONS This is the first population-based study to explore the best location to place GHWs on waterpipes. Policymakers should consider enacting a regulatory framework for placing GHWs on waterpipe devices.

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“…However, the use of charcoal to heat the steam stones will still expose users to carbon monoxide and PAH. 17,18 Further research is needed to determine what WSS and their associated vapor are composed of, as well as potential health effects.…”

Section: Discussionmentioning

confidence: 99%

“…[14][15][16] For example, because WSS are activated with heated charcoal in the water pipe, users may be exposed to harmful components of charcoal smoke, such as carbon monoxide and polyaromatic hydrocarbons (PAH). 17,18 One WSS manufacturer suggests using "electric coal" to mitigate this risk. 13 Additionally, some members of an online WTS discussion board have discussed adding liquid nicotine, used in e-cigarette cartridges, to the WSS.…”

Section: Introductionmentioning

confidence: 99%

Water Pipe Steam Stones: Familiarity and Use Among US Young Adults

Sidani

Shensa

Primack

2014

Nicotine & Tobacco Research

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Introduction: Water pipe tobacco smoking (WTS) is associated with substantial toxicant exposure. Water pipe steam stones (WSS) are marketed as a healthier alternative. The purpose of this study was to determine, in a nationally representative sample, young adults' familiarity with, perceptions regarding, and use of WSS. Methods: A survey about WTS was completed by 3,253 members of an online nonvolunteer access panel. Four items specifically addressed WSS. Results: Of the 228 individuals who had heard of WSS, 17% (n = 41) reported using them. Use was associated with ever (adjusted odds ratio [AOR] = 7.7, 95% confidence interval [CI] = 2.7-21.8) and current (AOR = 16.1, 95% CI = 5.1-51.5) WTS. Compared with those who thought that WSS had about the same harm as WTS, those who thought that WSS was "a lot less harmful" to a person's health had substantially higher odds of having tried WSS (AOR = 6.8, 95% CI = 2.0-23.1).Conclusions: Approximately 1 in 6 young adults who have heard of WSS used them. WSS use is associated with the perception of reduced harm.

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Does switching to a tobacco-free waterpipe product reduce toxicant intake? A crossover study comparing CO, NO, PAH, volatile aldehydes, “tar” and nicotine yields

Cited by 110 publications

References 24 publications

Fallacies about Water Pipe Use in Turksih University Students - What Might Be the Consequences?

Fallacies about Water Pipe Use in Turksih University Students - What Might Be the Consequences?

Graphic health warnings and their best position on waterpipes: A cross-sectional survey of expert and public opinion

Water Pipe Steam Stones: Familiarity and Use Among US Young Adults

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