Estimating the beginning of the waterpipe epidemic in Syria

Rastam, Samer; Ward, Kenneth D.; Eissenberg, Thomas; Maziak, Wasim

doi:10.1186/1471-2458-4-32

Cited by 118 publications

(90 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another feature found across populations is the preference for sweetened and flavored tobacco (i.e., maassel), which is a relatively new phenomenon. Manufactured maassel, introduced in the early 1990s, has been hypothesized as a contributor to the recent global spread of waterpipe tobacco smoking (Rastam et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

“…Using a waterpipe to smoke tobacco is often associated with the Eastern Mediterranean Region (EMR) but in recent years, its use has spread internationally (WHO, 2005). This spread is related, in part, to the use of sweetened and flavored tobacco such as apple or mint (Rastam, Ward, Eissenberg, & Maziak, 2004) and the perception that the waterpipe "filters" the smoke, rendering it less harmful than cigarette smoke (Kandela, 2000;Kiter et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Waterpipe tobacco smoking: Knowledge, attitudes, beliefs, and behavior in two U.S. samples

Smith-Simone¹,

Maziak

Ward

et al. 2008

CNTR

Self Cite

299

293

View full text Add to dashboard Cite

Despite evidence of increasing waterpipe tobacco smoking prevalence among U.S. young adults, little is known about the knowledge, attitudes, beliefs, and smoking patterns of waterpipe users in this population. To address this lack of knowledge, two convenience samples of U.S. waterpipe users were surveyed-one from a Richmond, Virginia, waterpipe café (n=101), the other from an Internet forum called HookahForum.com (n=100). Sixty percent reported first-time waterpipe use at or before age 18. Daily waterpipe use was reported by 19%, weekly use by 41%, and monthly use by 29%. Waterpipe use was more common during the weekend (75%) than during weekdays (43%). Forty-four percent reported spending ≥60 min smoking tobacco during a waterpipe session. The majority of waterpipe users owned a waterpipe (57%) and purchased it on the Internet (71%). Many waterpipe users smoked the sweetened and flavored tobacco (i.e., maassel), and fruit flavors were the most popular (54%). Past month use of cigarettes, tobacco products other than cigarettes or waterpipe, and alcohol was 54%, 33%, and 80% respectively, and 36% reported pastmonth marijuana use. Most waterpipe users were confident about their ability to quit (96%), but only a minority (32%) intended to quit. Most waterpipe users believed waterpipe tobacco smoking was less harmful and addictive than cigarettes. These results are from small convenience samples; more detailed study of a larger group of randomly sampled U.S. waterpipe tobacco smokers will be valuable in understanding this behavior and developing effective strategies to prevent it.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Waterpipe tobacco smoking: Knowledge, attitudes, beliefs, and behavior in two U.S. samples

Smith-Simone¹,

Maziak

Ward

et al. 2008

CNTR

Self Cite

299

293

View full text Add to dashboard Cite

show abstract

“…9 The recent trend of increased narghile use was illustrated in another Syrian study of 268 waterpipe smokers: most of them, regardless of age, had begun smoking in the 1990s. 10 A survey of 4000 Kuwaiti government employees found that 57% of men and 69% of women had ever used a narghile. 11 In Israel, where there is a natural merging of Jew-ish and Arab cultures, WPS has recently become a common and growing phenomenon among Jewish youth.…”

Section: Epidemiologymentioning

confidence: 99%

Water-Pipe (Narghile) Smoking: An Emerging Health Risk Behavior

2005

View full text Add to dashboard Cite

ABSTRACT. Narghile, or water-pipe smoking (WPS), has been practiced extensively for ϳ400 years. It is common in the Arabian Peninsula, Turkey, India, Pakistan, and other countries. In recent years, there has been a revival of WPS, notably among youth. Most US health professionals are unfamiliar with the practice and health consequences of WPS. Therefore, this trend presents a new challenge for adolescent health care providers. The composition of the tobacco used in WPS is variable and not well standardized. Studies that have examined narghile smokers and the aerosol of narghile smoke have reported high concentrations of carbon monoxide, nicotine, "tar," and heavy metals. These concentrations were as high or higher than those among cigarette smokers. The few scientific data regarding the adverse health consequences of WPS point to dangers that are similar to those associated with cigarette smoking: malignancy, impaired pulmonary function, low birth weight, and others. Additional dangers not encountered with cigarette smoking are infectious diseases resulting from pipe sharing and the frequent addition of alcohol or psychoactive drugs to the tobacco. Public health strategies for controlling the emerging epidemic of WPS include carrying out epidemiologic and toxicologic research; implementation of laws to limit acquisition and use; and health education, targeting adolescents in particular.

show abstract

“…1 Tobacco is used in different forms and among these hookah smoking is gaining immense popularity mainly because of youth appeal. [2][3][4] While most of research has focused on cigarettes, the increasing popularity of hookah has received much less attention. Hookah smoking has become to be fashionable and is widely used in developing country like India.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitude and practices of hookah smoking among medical students in Gujarat, India: a cross sectional study

Rami¹,

Makvana

Thakor

2015

Int J Adv Med

View full text Add to dashboard Cite

Estimating the beginning of the waterpipe epidemic in Syria

Abstract: Background: Waterpipe smoking is becoming a global public health problem, especially in the Eastern Mediterranean region (EMR).

Cited by 118 publications

References 12 publications

Waterpipe tobacco smoking: Knowledge, attitudes, beliefs, and behavior in two U.S. samples

Waterpipe tobacco smoking: Knowledge, attitudes, beliefs, and behavior in two U.S. samples

Water-Pipe (Narghile) Smoking: An Emerging Health Risk Behavior

Knowledge, attitude and practices of hookah smoking among medical students in Gujarat, India: a cross sectional study

Contact Info

Product

Resources

About