Waterpipe smoking: a review of pulmonary and health effects

Darawshy, Fares; Rmeileh, Ayman Abu; Kuint, Rottem; Berkman, Neville

doi:10.1183/16000617.0374-2020

Cited by 31 publications

(23 citation statements)

References 60 publications

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“…A systematic review and meta-analysis found that waterpipe smoking was associated with a heightened odds of certain types of cancer ( 11 ). Another review suggested that regular waterpipe smoking was positively associated with respiratory symptoms, lung disease, and reduced pulmonary function ( 12 ). Münzel et al also found that waterpipe and other tobacco product (tobacco cigarettes and e-cigarettes) use might increase the burden of symptoms in patients with coronavirus disease 2019 and cause more serious health consequences ( 13 ).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of waterpipe smoking and its associated factors among adolescents aged 12–16 years in 73 countries/territories

Yang

Zhao

et al. 2022

Front. Public Health

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IntroductionTo describe the recent prevalence of, and trends in, waterpipe smoking and to examine its associated factors among adolescents aged 12–16 years in 73 countries/territories (hereafter “countries”).MethodsData from 72 countries that had conducted a Global Youth Tobacco Survey (GYTS) in 2010–2019 and from the National Youth Tobacco Survey in the United States in 2019 were used to assess the recent prevalence of waterpipe smoking and to examine its associated factors among adolescents aged 12–16 years. Data from 38 countries that had carried out at least 2 surveys from 2000 to 2019 were used to determine trends in the prevalence of waterpipe smoking among adolescents.ResultsThe recent prevalence of current waterpipe smoking (on 1 day during the past 30 days) among adolescents was 6.9% (95%CI 6.4–7.5). The prevalence was highest in the European region (10.9%, 9.9–11.8) and Eastern Mediterranean region (10.7%, 9.5–11.9), but lowest in the Western Pacific region (1.9%, 1.4–2.4). The prevalence of current waterpipe smoking increased or remained unchanged in 19 (50%) of 38 countries, but decreased in the remaining 19 countries (50%). Parental smoking, closest friends' smoking, secondhand smoke exposure, tobacco advertisement exposure, not being taught the dangers of smoking, particularly cigarette smoking, were positively associated with adolescent waterpipe smoking.DiscussionWaterpipe smoking among adolescents remains a major public health issue worldwide, especially in the regions of Europe and the Eastern Mediterranean. Effective prevention and control strategies and measures are needed to curb the epidemic of adolescent waterpipe smoking.

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Section: Introductionmentioning

confidence: 99%

Prevalence of waterpipe smoking and its associated factors among adolescents aged 12–16 years in 73 countries/territories

Yang

Zhao

et al. 2022

Front. Public Health

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“…Its short-term health issues may include headache, nausea, and dizziness, among others1. Long-term health effects include respiratory and pulmonary diseases as well as cardiovascular complications [45][46][47] . As seen in our findings, cough was the third most prevalent health symptom among males and older age categories specifically 35-44 years and 45-54 years.…”

Section: Discussionmentioning

confidence: 99%

Waterpipe smoking: Results from a population-based study in Qatar

AlMulla¹,

Kouyoumjian²,

Maisonneuve³

et al. 2022

Tob. Induc. Dis.

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INTRODUCTION Waterpipe smoking is common in the Eastern Mediterranean Region and is becoming more prevalent in Qatar. To better plan waterpipe smoking control strategies we aimed to: 1) determine the prevalence of waterpipe smoking and explore its patterns in Qatar; 2) describe the knowledge, attitudes, and practices related to smoking behaviors; 3) recognize locations of waterpipe smoking and symptoms experienced during waterpipe sessions; and 4) evaluate the frequency of waterpipe smoking and the initiation age. METHODS We analyzed the data of a 7921 population-based survey of adults aged ≥18 years (nationals and expatriates), conducted in Qatar between March and December 2019. Out of 7105 surveys collected, 6904 were complete and included in the analysis. RESULTS Of the 6904, 570 (8.3%; 95% CI: 7.7-9.0) were waterpipe tobacco smokers, 425 (10.6%) males and 145 (5.1%) females. The highest prevalence of waterpipe smoking was reported among people aged 18-24 years (10.6%). Of the 575 waterpipe smokers, 56.3% (n=324) were exclusive waterpipe smokers. Use of other tobacco products among waterpipe smokers was higher among Qataris (52.3%) than expatriates (37.7%). Waterpipe cafés were the most common location for waterpipe smoking, however, females preferred restaurants; 83.3% reported that waterpipe smoking is harmful, while 39.3% considered that it is less harmful than cigarette smoking. CONCLUSIONS Waterpipe smoking prevalence is considerably high in Qatar, the second form of tobacco used. The formulation of new policies and enforcement of regulatory restrictions on waterpipe smoking are essential to reduce its uptake. Expansion in tobacco cessation services for women and poly-tobacco users is needed.

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“…Increased incidence of tobacco smoking was associated with psychophysical and behavioral factors [ 35 ]. WP smoking is being used increasingly amongst young adults in the Middle East [ 36 ]. This increase could be explained by the enhanced commercial sector of WP devices, accessories, and Muassel in Egypt and Syria.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Knowledge, Attitude, and Predictors of Waterpipe Smoking among School Adolescents in Saudi Arabia

Alsanosy

2022

Global Health

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This cross-sectional study was designed to investigate the prevalence, knowledge, attitude, and predictors of waterpipe (WP) smoking among intermediate and secondary school adolescents in the Kingdom of Saudi Arabia (KSA). A self-administered anonymous questionnaire was used to collect data on demography, WP smoking status and patterns, the Arabic version of the Global Youth Tobacco Survey tool, and instruments to assess knowledge and attitude towards WP smoking. The Patient Health Questionnaire (PHQ-9) was also used. Descriptive and inferential statistical techniques were used. Modeling of WP smoking behavior was conducted using logistic regression. A total of 639 male students participated in this study. The prevalence of current WP and cigarette smokers were 17.7% and 14.6%, respectively. Out of the total population, 47.8% of students have the misconception that WP smoking is less harmful than cigarettes. A significant association ( P < 0.05) of some demographic factors (age, school stage, residence, and parents’ educational level) on WP smoking status was observed. Pleasure, socializing, and happiness represented the primary motives for initiating WP smoking. The majority of students had misconceptions about WP’s health effects. More than 50% believed that smoking WP could ease anxiety, cause less harm, and has less addictive properties compared to cigarettes. Modeling suggested that the most significant predictors of WP smoking were cigarette smoking, depression, and the attitude index. Current findings warrant further research and official health programs to promote educational initiatives regarding WP smoking.

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Waterpipe smoking: a review of pulmonary and health effects

Cited by 31 publications

References 60 publications

Prevalence of waterpipe smoking and its associated factors among adolescents aged 12–16 years in 73 countries/territories

Prevalence of waterpipe smoking and its associated factors among adolescents aged 12–16 years in 73 countries/territories

Waterpipe smoking: Results from a population-based study in Qatar

Prevalence, Knowledge, Attitude, and Predictors of Waterpipe Smoking among School Adolescents in Saudi Arabia

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