Effect of Cessation Interventions on Hookah Smoking: Post-Hoc Analysis of a Cluster-Randomized Controlled Trial

Dogar, Omara; Jawad, Mohammed; Shah, Sarwat; Newell, James; Kanaan, Mona; Khan, Muhammad Amir; Siddiqi, Kamran

doi:10.1093/ntr/ntt211

Cited by 36 publications

(79 citation statements)

References 26 publications

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“…To date, only one pharmacotherapy evaluation has been conducted, and this study did not show any additional benefit of adding bupropion to behavioural support in achieving cessation (Dogar et al, 2014). However, interpret these results cautiously because they are derived from a secondary analysis of a trial that was not designed specifically for waterpipe smokers.…”

Section: Discussionmentioning

confidence: 76%

“…Based on knowledge from cigarette smoking cessation, and growing knowledge from waterpipe smoking cessation (Asfar et al, 2014;Dogar et al, 2014), offering behavioural support to waterpipe smokers interested in quitting would be a useful starting place. It also is important, however, to consider the unique features of waterpipe, including its highly salient cultural and social functions, intermittent use patterns for most users, and the fact that users are often less aware of its dependence-producing potential, and are less interested in quitting than cigarette smokers are.…”

Section: Discussionmentioning

confidence: 99%

“…A Cochrane review in 2007 was unable to identify any published waterpipe cessation trials (Maziak et al, 2007). Since then, two relevant trials have been published (Asfar et al, 2014;Dogar et al, 2014;Siddiqi et al, 2013). Asfar et al (2014) developed a clinic-based behavioral cessation program for waterpipe users, and evaluated its feasibility and efficacy in a pilot, two-arm, parallel group, randomized, open label trial in Aleppo, Syria.…”

Section: Cessation Interventions For Waterpipe Smokersmentioning

confidence: 99%

“…Better adherence to treatment was predicted by greater readiness to quit, confidence in quitting, and being unemployed (all p-values <0.05). Dogar et al (2014) conducted a secondary analysis of a large cluster randomized smoking cessation trial (Siddiqi et al, 2013) in Pakistan to compare the differential effect of cessation interventions (behavioral support sessions with and without bupropion) among waterpipe, cigarette, and dual smokers. Among 1955 adult smokers with suspected pulmonary TB enrolled in the trial, 1255 patients smoked cigarettes only, 215-smoked waterpipe only, and 485 smoked both cigarettes and waterpipe.…”

Section: Cessation Interventions For Waterpipe Smokersmentioning

confidence: 99%

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Waterpipe tobacco smoking: The critical need for cessation treatment

Ward¹,

Siddiqi²,

Ahluwalia³

et al. 2015

Drug and Alcohol Dependence

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Cessation Interventions For Waterpipe Smokersmentioning

confidence: 99%

Section: Cessation Interventions For Waterpipe Smokersmentioning

confidence: 99%

See 2 more Smart Citations

Waterpipe tobacco smoking: The critical need for cessation treatment

Ward¹,

Siddiqi²,

Ahluwalia³

et al. 2015

Drug and Alcohol Dependence

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“…In Pakistan, university students report a current prevalence of waterpipe smoking of 33% [10]. Adult Pakistani waterpipe smokers are known to be among the most frequent users, smoking a median 10 times per day [11], compared to Russia or Egypt, where a waterpipe is smoked on average 0.5 and 2.5 times a day, respectively [2].…”

Section: Prevalence Of Waterpipe Tobacco Smokingmentioning

confidence: 99%

Waterpipe Tobacco Smoking: A Less Harmful Alternative?

Jawad¹

2015

The Tobacco Epidemic

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Waterpipe smoking is a centuries-old method of inhaling tobacco after it has passed through a body of water. Cultural variations exist in its use; however, the West in particular has witnessed a surge in flavoured waterpipe tobacco use, known as moassel. This is typically shared among peers for 30-45 min, and is now the second most popular form of tobacco consumption after cigarettes in 20 out of 30 European countries. Contrary to the common belief that it is a safer method of tobacco intake than cigarettes, waterpipe tobacco smoke composition is known to contain significant quantities of harmful toxicants akin to cigarette smoke composition. Studies on the longterm health effects of waterpipe tobacco smoking, although of low quality in these early research stages, suggest significant morbidity and mortality is associated with its use. Cessation outcomes are promising although more work is needed to develop and test waterpipe-specific interventions. The waterpipe industry remains largely unregulated and threatens to undermine existing tobacco control policies. Government, policy makers and public health agents should consider waterpipe tobacco smoking as a growing public health concern that warrants attention, particularly in regions of high prevalence.Waterpipe tobacco smoking has been present for several centuries, likely originating in the Middle East or South Asia [1] (see also chapter 1). There are cultural variations in the names given to waterpipe smoking, such as narghile, shisha, qalyan and goza. Although several types of tobacco mixtures can be used in a waterpipe, the recent popularity surge in waterpipe tobacco smoking mainly uses moassel tobacco, which is a fruit-flavoured tobacco mixture laced in honey and treacle. Figure 1 depicts a typical waterpipe apparatus. The user manually packs tobacco in the head of the apparatus, which is covered by pierced aluminium foil and has burning coal placed above it. The coal heats the underlying tobacco, and when the user inhales on the hose, smoke travels through the apparatus and into a water bowl prior to entering the user's lungs. One waterpipe session can last anywhere between several minutes to several hours [2]; however, users usually smoke for at least 30-45 min at a time [3]. Waterpipes are usually shared with peers and smoking is considered a social activity [4]. Waterpipes are manufactured in different shapes and sizes, with slight cultural variations in the type of tobacco and charcoal used. Prevalence of Waterpipe Tobacco SmokingThe prevalence of waterpipe tobacco smoking has surged dramatically in all continents since the late 1990s, despite plateauing or decreasing cigarette prevalence [5]. This is most likely due to increased immigration as well as the mass industrialisation of waterpipe tobacco, resulting in at least 100 million daily smokers [1]. In the US, nationally representative data show that waterpipe smoking is now among the more popular forms of tobacco consumption among young people and college students, where current use is estimated a...

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