Journal Article

Print(0)

Tobacco control

Tob.Control

16-May

LR: 20180518; CI: (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018; JID: 9209612; OTO: NOTNLM; 2017/12/23 00:00 [received]; 2018/03/08 00:00 [revised]; 2018/03/21 00:00 [accepted]; 2018/05/19 06:00 [entr

England

1468-3318; 0964-4563

PMID: 29773707

eng

Journal Article

tobaccocontrol-2017-054226 [pii]

Unknown(0)

29773707

OBJECTIVES: To form population-level comparisons of total smoke volume, tar, carbon monoxide and nicotine consumed from waterpipe tobacco smoking (WTS) and cigarette smoking using data from a nationally representative sample of smokers and non-smokers aged 18-30 years. METHODS: In March and April 2013, we surveyed a nationally representative sample of 3254 US young adults to assess the frequency and volume of WTS and cigarette smoking. We used Monte Carlo analyses with 5000 repetitions to estimate the proportions of toxicants originating from WTS and cigarette smoking. Analyses incorporated survey weights and used recent meta-analytic data to estimate toxicant exposures associated with WTS and cigarette smoking. RESULTS: Compared with the additive estimates of WTS and cigarette smoking combined, 54.9% (95% CI 37.5% to 72.2%) of smoke volume was attributed to WTS. The proportions of tar attributable to WTS was 20.8% (95% CI 6.5% to 35.2%), carbon monoxide 10.3% (95% CI 3.3% to 17.3%) and nicotine 2.4% (95% CI 0.9% to 3.8%). CONCLUSIONS: WTS accounted for over half of the tobacco smoke volume consumed among young US adult waterpipe and cigarette smokers. Toxicant exposures to tar, carbon monoxide and nicotine were lower, but still substantial, for WTS alone compared with WTS and cigarette smoking. Public health and policy interventions to reduce harm from tobacco smoking in young US adults should explicitly address WTS toxicant exposures.

Primack,B.A., Shensa,A., Sidani,J.E., Tulikangas,M.C., Roberts,M.S., Colditz,J.B., Mor,M.K., James,A.E., Fine,M.J.

Center for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.; Division of (TRUNCATED

20180516

http://vp9py7xf3h.search.serialssolutions.com/?charset=utf-8&pmid=29773707

2018