Waterpipe Tobacco Smoking: An Emerging Health Crisis in the United States

Cobb, Caroline O.; Ward, Kenneth D.; Maziak, Wasim; Shihadeh, Alan; Eissenberg, Thomas

doi:10.5993/ajhb.34.3.3

Cited by 338 publications

(294 citation statements)

References 66 publications

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“…WPS poses risks to health because of the smoker's prolonged exposure to toxins while smoking 7 . 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 .…”

Section: Introductionmentioning

confidence: 80%

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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Section: Introductionmentioning

confidence: 80%

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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“…A recent article suggests that hookah use may be the next global tobacco epidemic, after the cigarette 7 . A small but increasing research literature suggests that hookah use may be asaddictive 8 and more harmful 9,10 than cigarettes. Hookah smoking has been associated with an increased risk of many diseases, ranging from lung cancer to periodontal disease 11 .…”

Section: Introductionmentioning

confidence: 99%

Increasing hookah use among adolescent females in the US: analyses from the 2011-2014 National Youth Tobacco Survey (NYTS)

Shearston¹,

Park²,

Lee³

et al. 2016

Tob. Prev. Cessation

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INTRODUCTION The use of hookah (waterpipe) is increasing rapidly among US adolescents, nearly doubling from2011-2014. Further information is needed about characteristics of those who use hookahs and how key characteristics associated with use may be changing. METHODS Data from the nationally representative 2014 National Youth Tobacco Survey (NYTS), n=22,007, were analyzed to determine adolescents' characteristics independently associated with use of hookahs, using bivariate and multivariate analyses. Additionally, NYTS 2011-2014 data were analyzed to investigate changes in prevalence of hookah use over time, by sex. RESULTS Among adolescents in 2014, female sexand past 30-day use of cigarettes or e-cigarettes were each independently associated with higher odds of past 30-day use of hookahs (AOR=1.41, 95% CI1.15-1.72; AOR=4.01, 95% CI3.19-5.05; AOR=6.85, 95% CI 5.29-8.88, respectively). Hispanic adolescents (AOR=1.91, 95% CI 1.51-2.42) and adolescents who live with someone who uses hookah (AOR=8.56, 95% CI 6.02-12.18) had greater odds of past 30-day use. From 2011 to 2014, use among males and females increased, with a percent change of 87% for males (1.60% to 2.99%) and 175% for females (1.21% to 3.33%). CONCLUSIONS These data demonstrate the magnitude of adolescent hookah use, particularly among adolescents who use electronic or traditional cigarettes. Most strikingly, rates of female adolescent use have increased much more rapidly than has male use, and adolescent females are for the first time more likely to smoke hookahs than adolescent males in the US nationwide. These findings urgently call for better understanding of the changing correlates of hookah use, including polytobacco use.

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“…Hookah tobacco smoking is on the rise globally (Cobb, Ward, Maziak, Shihadeh, & Eissenberg, 2010;Maziak, 2011). In the United States, in 2013, 26.6% of male and 23.2% of female college students nationally reported ever hookah use (American College Health Association, 2013).…”

mentioning

confidence: 99%

Children’s Exposure to Secondhand and Thirdhand Smoke Carcinogens and Toxicants in Homes of Hookah Smokers

Daffa

Liles

Jackson

et al. 2014

Nicotine &Amp; Tobacco Research

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We examined homes of hookah-only smokers and nonsmokers for levels of indoor air nicotine (a marker of secondhand smoke) and indoor surface nicotine (a marker of thirdhand smoke), child uptake of nicotine, the carcinogen 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK), and the toxicant acrolein by analyzing their corresponding metabolites cotinine, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) and NNAL-glucuronides (total NNAL) and 3-hydroxypropylmercapturic acid.

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Waterpipe Tobacco Smoking: An Emerging Health Crisis in the United States

Cited by 338 publications

References 66 publications

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

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

Increasing hookah use among adolescent females in the US: analyses from the 2011-2014 National Youth Tobacco Survey (NYTS)

Children’s Exposure to Secondhand and Thirdhand Smoke Carcinogens and Toxicants in Homes of Hookah Smokers

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