Waterpipe Tobacco Cessation

Background: Waterpipe smoking contains carcinogens and toxicants such as tobacco nitrosamines and heavy metals. To date, few smoking cessation interventions targeting waterpipe tobacco smoking have been reported worldwide. The most recent Cochrane review emphasized the need for evidence on hookah tobacco use interventions since only a few trials of sufficient quality have been published. Aim: The objective of this randomized clinical trial was to examine the efficacy of contingency management (CM) for promoting initial waterpipe smoking abstinence. Methods: Thirty-nine adults completed the study. Participants were adults 18 years of age and older who smoked tobacco using a waterpipe three times or more per week for the past one year, did not smoke cigarettes, and were not planning on quitting waterpipe tobacco smoking. A two-group, repeated measures (10 study visits on Mondays and Thursdays) design was used. Participants were randomly assigned to either the contingent (n = 19) or noncontingent (n = 20) study arms. The primary study outcomes were biochemically verified prolonged abstinence and 7-day point prevalence. Results: The prolonged abstinence rate in the contingent and noncontingent groups were 42.1% and 5.0%, respectively, ( P = 0.008). The 7-day point prevalence in the contingent and noncontingent were 47.4% and 5.0%, respectively, ( P = 0.003). Conclusion: Rewards contingent on biochemically verified abstinence promote initial waterpipe tobacco cessation. This is useful information for consideration in future cessation programs for waterpipe smokers.

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Characteristics, reasons, behavior and knowledge towards waterpipe smoking in Saudi Arabia

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2017-0090 ◽

2017 ◽

Vol 0 (0) ◽

Cited By ~ 5

Author(s):

Elluru Venkatesh ◽

Mohammad Yousef Al Jemal ◽

Abdullah Saleh Al Samani

Keyword(s):

Tobacco Smoking ◽

Mediterranean Region ◽

Eastern Mediterranean ◽

Eastern Mediterranean Region ◽

Waterpipe Smoking ◽

Waterpipe Tobacco Smoking ◽

The Mean ◽

Amount Of Knowledge ◽

Self Administered Questionnaire ◽

Harmful Effects

AbstractBackgroundThe present scenario shows that waterpipe smoking, one of tobacco smoking methods, the practice off which dates back at least 400 year is appealing to the youth. Waterpipe tobacco smoking is frequently linked with nations of the Eastern Mediterranean Region (EMR) comprising Egypt, Kuwait, Lebanon and Syria. The present study shows the socio-demographic characteristics, behavior and knowledge of youth towards waterpipe smoking. Recognizing these features may help emphasize intervention methods.MethodsA self-administered questionnaire was used to collect the data about waterpipe smoking comprising sociodemographic, behavior, reasons and knowledge from 230 university students.Results230 questionnaires were distributed from which only 199 were included in the study as 31 were excluded because of incompleteness of the survey. The mean age for starting smoking was 19.49 ± 3.75 years with 32.5% of family members and the majority of their friends engaged with waterpipe smoking. Pleasure and happiness (76%), helps me to deal with pressure (78%) and acceptance by society (91%), were the major reasons cited for waterpipe smoking. It being less harmful and less addictive (55%) compared to cigarettes and no objection from the parents (58%) were the other cited reasons. Furthermore, less than 50% of the participants had correct knowledge of its harmful effects.ConclusionIt is clearly evident from our findings that there is a meagre amount of knowledge regarding the harmful effects of waterpipe smoking. It is essential that programs to impart knowledge regarding the harmful effects of waterpipe smoking and dependence should be of the utmost importance.

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Perceptions of Waterpipe Smoking among Young Adults: A Phenomenological Study

Dentistry Journal ◽

10.3390/dj8040134 ◽

2020 ◽

Vol 8 (4) ◽

pp. 134

Author(s):

Amraj. Dhillon ◽

Tim Doran ◽

Vishal. Aggarwal

Keyword(s):

Young Adults ◽

Focus Groups ◽

Tobacco Smoking ◽

Perceived Risk ◽

Phenomenological Study ◽

Public Health Problem ◽

Waterpipe Smoking ◽

Structured Interviews ◽

Face To Face ◽

Waterpipe Tobacco Smoking

Background: Waterpipe tobacco smoking is becoming increasingly popular in the West among young people. Given the associated health risks of this behaviour, we aimed to investigate why young adults take up waterpipe tobacco smoking and their attitudes to the associated risks. Methods: This was a qualitative study, with a phenomenological perspective. Focus groups and face-to-face semi-structured interviews were conducted among waterpipe smokers aged 20–30 years living in London, UK. Transcripts were analysed using constant comparison and cycling between the data and analysis. Data collection continued until thematic saturation was achieved. Results: Sixteen smokers attended focus groups and face-to-face interviews. Seven main themes emerged encompassing four main dimensions relating to: lack of knowledge, perceived risk, affordability, and social addiction. Waterpipe was perceived to be safer than cigarette smoking due to the pleasant odour, fruity flavours, and belief that water filtered the toxins. The waterpipe had become a “social addiction” enhancing group atmosphere, was cheap and did not have the dangers of violence or hallucinations associated with other addictions like alcohol and drugs. Because of their intermittent smoking patterns and the lack of statutory warnings, none felt they were not at risk of any adverse side effects. Conclusions: Waterpipe smoking is a growing public health problem; the social environment associated with its use is perceived to be a positive outlet by smokers who do not consider it harmful to their health. These perceptions need to be addressed urgently by anti-smoking policies.

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Waterpipe Tobacco Smoking among Dental Practitioners: Prevalence and Health Perceptions

Tobacco Use Insights ◽

10.4137/tui.s40568 ◽

2016 ◽

Vol 9 ◽

pp. TUI.S40568 ◽

Cited By ~ 2

Author(s):

Najla Dar-Odeh ◽

Ahmad Alnazzawi ◽

Noora Shoqair ◽

Mohammad H. Al-Shayyab ◽

Osama Abu-Hammad

Keyword(s):

Tobacco Smoking ◽

Statistical Significance ◽

Health Hazard ◽

Demographic Data ◽

Health Hazards ◽

Health Perceptions ◽

Waterpipe Smoking ◽

Cross Sectional ◽

Dental Practitioners ◽

Waterpipe Tobacco Smoking

Background Waterpipe tobacco smoking prevalence, practice, and the associated health perceptions among dental practitioners have not been previously reported. This study aims to determine the prevalence of waterpipe smoking among dental practitioners and to evaluate their awareness of health hazards of waterpipe smoking, particularly the adverse effects on oral health. Methods This was a cross-sectional questionnaire-based survey among dental practitioners. Surveyed dental practitioners practiced dentistry in the holy city of Al-Madinah Al-Munawarah, a city in the Central-Western Region of Saudi Arabia, and the study was conducted during March 2015. The questionnaire consisted of questions on demographic data, history and practices of tobacco use, and perceptions toward the health hazards of smoking. Dentists were approached at their work places and invited to participate. Descriptive statistics were used to describe the sample's demographic and smoking characteristics, while cross-tabulation and chi-square test were used to determine the statistical significance of association between the groups ( P ≤ 0.05). Results One hundred dental practitioners participated in the survey, with 55 males and 45 females. Twenty-six percent indicated that they were water-pipe smokers. Male gender and cigarette smoking were the only factors to be significantly associated with waterpipe smoking ( P = 0.008 and P = 0.000, respectively). Most participants stated that waterpipe smoking is harmful to health, and the most commonly reported health hazard was respiratory disease, which was reported by 81% of participants. Conclusions Prevalence of waterpipe smoking among dental practitioners is comparable to adult populations but lower than younger populations of university students. Health awareness of dental practitioners regarding waterpipe smoking was judged to be insufficient.

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Objective assessment of nasal resistance among electronic cigarette users

The Journal of Laryngology & Otology ◽

10.1017/s0022215121001432 ◽

2021 ◽

pp. 1-4

Author(s):

S W Lim ◽

AB Zulkiflee

Keyword(s):

Tobacco Smoking ◽

Repeated Measures ◽

Airway Resistance ◽

Electronic Cigarettes ◽

Objective Assessment ◽

Control Group ◽

Nasal Airway ◽

Nasal Resistance ◽

Short Term ◽

Nasal Airway Resistance

Abstract Background Electronic cigarettes have been a popular alternative to tobacco smoking. The effect of tobacco smoking on nasal airway resistance has been investigated before; however, the effect of the aerosol generated by electronic cigarettes is still unknown. This study aimed to evaluate the short-term effects of e-cigarettes on nasal airway resistance. Methods Sixty-one participants were recruited into a vapers group and a control group. The vapers group was instructed to smoke for 5 minutes, and their nasal resistance was measured pre-procedure and at 1 and 5 minutes post-procedure. The results were compared between both groups. Results Repeated measures analysis of variance demonstrated that vaping has no statistically significant effect on total nasal airway resistance. Conclusion Although the differences between both groups were not statistically significant overall, the vapers group showed a reduction in nasal airway resistance in the short term.

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Waterpipe tobacco smoking prevalence and illegal underage use in waterpipe-serving premises: a cross-sectional analysis among schoolchildren in Stoke-on-Trent

Public Health ◽

10.1016/j.puhe.2016.12.028 ◽

2017 ◽

Vol 146 ◽

pp. 32-38 ◽

Cited By ~ 7

Author(s):

M. Jawad ◽

C. McIver

Keyword(s):

Tobacco Smoking ◽

Smoking Prevalence ◽

Cross Sectional ◽

Cross Sectional Analysis ◽

Waterpipe Tobacco Smoking ◽

Sectional Analysis

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The use of the theory of planned behavior variables in predicting the intention of waterpipe tobacco smoking cessation among Iranian consumers

Journal of Substance Use ◽

10.1080/14659891.2021.1967475 ◽

2021 ◽

pp. 1-5

Author(s):

Tahereh Dehdari ◽

Nasim Mirzaei ◽

Mohamad Hossein Taghdisi ◽

Najaf Zare

Keyword(s):

Smoking Cessation ◽

Theory Of Planned Behavior ◽

Planned Behavior ◽

Tobacco Smoking ◽

Waterpipe Tobacco Smoking

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The Ethics of e-Cigarettes for Smoking Cessation: A Global Challenge

Studia Universitatis Babeş-Bolyai Bioethica ◽

10.24193/subbbioethica.2021.spiss.81 ◽

2021 ◽

Vol 66 (Special Issue) ◽

pp. 123-124

Author(s):

Cristian I. Meghea ◽

◽

Oana Blaga ◽

Marina Dascal ◽

Teodora Fratila ◽

...

Keyword(s):

Smoking Cessation ◽

Focus Group ◽

Tobacco Control ◽

Tobacco Smoking ◽

Tobacco Cessation ◽

Control Policy ◽

Tobacco Control Policy ◽

Cigarette Use ◽

Ethical Concerns ◽

Attitudes And Perceptions

"Tobacco smoking is especially harmful for women because, in addition to its effects on mortality and morbidity, it negatively impacts pregnancy, reproductive, and health of the offspring. Data from our work in Romania revealed that pregnant tobacco smokers are seeking information and clinical advice related to e-cigarette use as a tobacco cessation approach. E-cigarette use increased rapidly in the recent years in the US and in other countries, including LMICs. The tobacco control field is deeply divided on how to respond to the increase in e-cigarette use. Additional evidence on the ethical issues related to e-cigarette use and tobacco cessation will inform our mHealth and other pregnancy tobacco cessation interventions and will guide future tobacco control policy direction. The objective of this study is to identify ethical concerns and associated attitudes and perceptions related to e-cigarette use for tobacco cessation during pregnancy among pregnant smokers, their life partners, medical professionals, and other stakeholders. We will interview (N=20) and conduct two focus groups with women who smoke (one focus group, N=10) and women who quit during pregnancy (one focus group, N=10); interview life partners (N=10) of such women; interview ObGyn physicians (N=10) and nurses (N=10); and interview (N=10) and conduct one focus group (N=10) with perinatal educators. Other relevant stakeholders will be also interviewed including the leadership of 2035 Tobacco Free Romania, the national Stop Smoking program, the Pure Air consortium, the Romanian Pneumology Society, the SAMAS NGO focused on maternal and child health and rights, and others. With respect to expected outcomes, the proposed application is anticipated to advance understanding of the smokers’ and other stakeholders’ ethical concerns and associated attitudes and perceptions related to e-cigarettes use for tobacco smoking cessation. The in-depth new knowledge will have a positive impact on the cessation of prenatal and postnatal tobacco smoking and will inform future tobacco control policy directions. Results will be available and will be presented at the time of the conference. This work is based on research partly funded through six NIH-funded projects (grant no. K01TW009654, R21TW010896, 5R21TW010896-02S1, 5R21TW010896-02S2, 1R21HD103039-0, 1R25TW010518-01A1). "

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