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Michael P Carey - One of the best experts on this subject based on the ideXlab platform.

  • Hookah cigarette and marijuana use a prospective study of smoking behaviors among first year college women
    Addictive Behaviors, 2013
    Co-Authors: Robyn L Fielder, Kate B Carey, Michael P Carey
    Abstract:

    Better understanding of the temporal sequence of Hookah, cigarette, and marijuana use will help to inform smoking prevention efforts. To address this gap in the literature, we assessed all three of these smoking behaviors in a sample of 424 first-year college women. Using a longitudinal design, we investigated whether Hookah use predicts initiating/resuming cigarette and/or initiating marijuana use, and whether cigarette and/or marijuana use predicts initiating Hookah use. Participants (67% White, M age = 18.1 years) completed nine monthly surveys. The initial (i.e., baseline) survey assessed demographics, sensation-seeking, impulsivity, and pre-college substance use. Follow-up surveys assessed past-month substance use; outcomes were initiating/resuming cigarette use, initiating marijuana use, and initiating Hookah use during the first year of college. We controlled for sensation-seeking, impulsivity, binge drinking, and other smoking behaviors in our multivariate logistic regression models. The results showed that (a) pre-college Hookah use predicted initiating/resuming cigarette use; (b) pre-college marijuana use predicted initiation of Hookah tobacco smoking; and (c) pre-college cigarette use predicted neither Hookah nor marijuana initiation. The findings highlight the co-occurrence of smoking behaviors as well as the need for bundling preventive interventions so that they address Hookah, cigarette, and marijuana use.

  • predictors of initiation of Hookah tobacco smoking a one year prospective study of first year college women
    Psychology of Addictive Behaviors, 2012
    Co-Authors: Robyn L Fielder, Kate B Carey, Michael P Carey
    Abstract:

    Hookah tobacco smoking has become increasingly prevalent among American college students over the past decade. Hookah smoking is associated with poor health outcomes and exposes users to high levels of nicotine, carbon monoxide, and smoke. Research on the correlates of Hookah use has begun to emerge, but all studies thus far have been cross-sectional. Little is known about Hookah use during the transition to college, psychosocial factors related to Hookah smoking, or prospective predictors of Hookah initiation and frequency of use. This longitudinal cohort study examined risk and protective factors predicting initiation of Hookah tobacco smoking during the first year of college. First-year female college students (N = 483; 64% White) provided data on demographic, behavioral, and psychosocial variables and pre-college Hookah use at baseline; they then completed 12 monthly online surveys about their Hookah use from September 2009 to August 2010. Among the 343 participants who did not report pre-college use, 79 (23%) initiated Hookah tobacco smoking during the year after college entry. Zero-inflated negative binomial regression showed that alcohol use predicted the likelihood of initiating Hookah use; impulsivity, social comparison orientation, and marijuana use predicted the frequency of Hookah use. These findings suggest that Hookah prevention and intervention efforts may need to address other forms of substance use as well as Hookah use.

  • prevalence frequency and initiation of Hookah tobacco smoking among first year female college students a one year longitudinal study
    Addictive Behaviors, 2012
    Co-Authors: Robyn L Fielder, Kate B Carey, Michael P Carey
    Abstract:

    Hookah tobacco smoking has become increasingly prevalent among college students, but little is known about frequency of use or patterns of use over time, including during the transition to college. The goals of this longitudinal cohort study were to assess the: (a) lifetime prevalence, (b) current prevalence, (c) frequency of use, and (d) pattern of initiation of Hookah tobacco smoking among female students during the first year of college. First-year female college students (N = 483) at a large private university in upstate New York completed 13 monthly online surveys about their Hookah tobacco use from August 2009 to August 2010. Lifetime prevalence of Hookah use increased from 29% at college entry to 45% at one-year follow-up. The highest rates of Hookah initiation occurred in the first two months of students' first semester of college. Current (past 30 days) Hookah use ranged from 5% to 13% during the year after college entry. On average, Hookah users reported smoking Hookah two days per month. Hookah tobacco use is common among female college students. The transition to college is a vulnerable time for Hookah initiation. Preventive efforts should begin in high school and continue through college, with a focus on students' first few months on campus.

Melbourne F. Hovell - One of the best experts on this subject based on the ideXlab platform.

  • College Student Beliefs and Behavior Regarding Sharing When Smoking Hookahs.
    American journal of health behavior, 2019
    Co-Authors: Nada O.f. Kassem, Noura O. Kassem, Sandy Liles, Sheila R. Jackson, Alexander Ivan B Posis, Melbourne F. Hovell
    Abstract:

    Objectives: We examined college students' beliefs and behavior regarding sharing when smoking a Hookah, a practice that may involve substantial risk of disease transmission. Methods: We carried out a cross-sectional Web-based survey of undergraduate ever users of Hookah (N = 970) at a US university in 2007. Results: Hookah sharing started at initiation of Hookah use. The first-time participants smoked Hookah, 96.9% shared it, and 97.5% were with friends either in a Hookah lounge (59.5%) or at a friend's home (30%). Participants shared a Hookah when they first smoked it because sharing was acceptable with friends, family, or trusted others, normative etiquette, not problematic/harmful, cheaper, or the only smoking option. Participants did not use a mouth tip when they first smoked a Hookah because it is not necessary with friends/family, there was no tip available, they were unaware of tips, or did not want to use one. Conclusions: Overwhelmingly, Hookah sharing started at smoking initiation. Efforts are needed to create an environment in which sharing Hookah practices are less acceptable such as increasing awareness of potential health risks of sharing, particularly among youth, and providing disposable hoses, disposable mouth tips, and proper Hookah device cleaning practices in private and public Hookah venues settings.

  • Levels of Urine Cotinine from Hookah Smoking and Exposure to Hookah Tobacco Secondhand Smoke in Hookah Lounges and Homes.
    International journal of high risk behaviors & addiction, 2018
    Co-Authors: Nada O.f. Kassem, Noura O. Kassem, Sandy Liles, Sheila R. Jackson, Alexander Ivan B Posis, Dale A. Chatfield, Melbourne F. Hovell
    Abstract:

    Background Nicotine, an addictive drug, is present in all forms of tobacco products, including Hookah tobacco, which is not yet regulated in the United States. Objectives This study aimed to investigate the uptake of nicotine in Hookah smokers and non-smokers exposed to secondhand smoke (SHS) at indoor Hookah social events in natural settings where Hookah tobacco was smoked exclusively. Patients and Methods We quantified cotinine, a metabolite of nicotine, in the urine of 105 Hookah smokers and 103 non-smokers. Participants provided spot urine samples the morning of and the morning after attending an indoor Hookah-only smoking social event at a Hookah lounge or in a private home. Results Following a social event where exclusively Hookah tobacco was smoked, urinary cotinine levels increased significantly 8.5 times (geometric mean (GM): 16.0 ng/mg to 136.1 ng/mg) among Hookah smokers, and 2.5 times (GM: 0.4 ng/mg to 1.0 ng/mg) among non-smokers exposed exclusively to Hookah tobacco SHS. Among Hookah smokers, the highest increase in urinary cotinine levels post a Hookah event was found in occasional Hookah smokers in which GM levels increased significantly 31.2 times post smoking (from 2.0 ng/mg to 62.3 ng/mg). Reported reasons for preference to smoke Hookah at home by Hookah smokers who attended a Hookah social event in a private home included recreational purposes, socializing with friends and family, 'Me' time and relaxing at home, more comfortable to smoke Hookah at home, owning a Hookah and Hookah tobacco, eating and drinking while smoking Hookah, and saving money by smoking at home and not going to Hookah lounges. Conclusions Hookah tobacco smoke is a source of substantial nicotine exposure. Our results call for protecting Hookah smokers' and non-smokers' health by requiring accurate Hookah tobacco labels, raising taxes on Hookah tobacco, reducing the spread of Hookah lounges, and encouraging voluntary bans on smoking Hookah tobacco in private homes.

  • urinary nnal in Hookah smokers and non smokers after attending a Hookah social event in a Hookah lounge or a private home
    Regulatory Toxicology and Pharmacology, 2017
    Co-Authors: Nada O.f. Kassem, Neal L Benowitz, Noura O. Kassem, Sandy Liles, Sheila R. Jackson, Dale A. Chatfield, Peyton Jacob, Melbourne F. Hovell
    Abstract:

    Tobacco smoking and exposure to tobacco secondhand smoke (SHS) can cause lung cancer. We determined uptake of NNK (4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanone), a tobacco specific potent pulmonary carcinogen, in Hookah smokers and non-smokers exposed to Hookah tobacco SHS. We analyzed data from a community-based convenience sample of 201 of adult (aged ≥18 years) exclusive Hookah smokers (n = 99) and non-smokers (n = 102) residing in San Diego County, California. Participants spent an average of three consecutive hours indoors, in Hookah lounges or private homes, where Hookah tobacco was smoked exclusively. Total NNAL [the sum of 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) and its glucuronides], the major metabolites of NNK, were quantified in spot urine samples provided the morning of and the morning after attending a Hookah event. Among Hookah smokers urinary NNAL increased significantly (p<0.001) following a Hookah social event; the geometric mean doubled, from 1.97 to 4.16 pg/mg. Among non-smokers the increase was not significant (p = 0.059). Post Hookah event urinary NNAL levels were highest in daily Hookah smokers, and significantly higher than in non-daily smokers or non-smokers (GM: 14.96 pg/mg vs. 3.13 pg/mg and 0.67 pg/mg, respectively). For both Hookah smokers and non-smokers, pre-to-post event change in urinary NNAL was not significantly different between Hookah lounges and homes. We suggest posting health warning signs inside Hookah lounges, and encouraging voluntary bans of smoking Hookah tobacco in private homes.

  • Acrolein Exposure in Hookah Smokers and Non-Smokers Exposed to Hookah Tobacco Secondhand Smoke: Implications for Regulating Hookah Tobacco Products.
    Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2017
    Co-Authors: Nada O.f. Kassem, Noura O. Kassem, Sandy Liles, Sheila R. Jackson, Dale A. Chatfield, Adam T. Zarth, Reem M. Daffa, Steven G. Carmella, Stephen S. Hecht, Melbourne F. Hovell
    Abstract:

    Introduction Acrolein is a highly ciliatoxic agent, a toxic respiratory irritant, a cardiotoxicant, and a possible carcinogen present in tobacco smoke including Hookah tobacco. Methods 105 Hookah smokers and 103 non-smokers attended exclusively Hookah smoking social events at either a Hookah lounge or private home, and provided urine samples the morning of and the morning after the event. Samples were analyzed for 3-hydroxypropylmercapturic acid (3-HPMA), a metabolite of acrolein. Results Geometric mean (GM) urinary 3-HPMA levels in Hookah smokers and non-smokers exposed to secondhand smoke (SHS) increased significantly, 1.41 times, 95% CI = 1.15 to 1.74 and 1.39 times, 95% CI = 1.16 to 1.67, respectively, following a Hookah social event. The highest increase (1.68 times, 95% CI = 1.15 to 2.45; p = 0.007) in 3-HPMA post a Hookah social event was among daily Hookah smokers (GM, from 1991 pmol/mg to 3348 pmol/mg). Pre-to-post event change in urinary 3-HPMA was significantly positively correlated with pre-to-post event change in urinary cotinine among Hookah smokers at either location of Hookah event, (ρ = 0.359, p = 0.001), and among non-smokers in Hookah lounges (ρ = 0.369, p = 0.012). Conclusions Hookah tobacco smoke is a source of acrolein exposure. Findings support regulating Hookah tobacco products including reducing humectants and sugar additives, which are precursors of acrolein under certain pyrolysis conditions. We suggest posting health warning signs for indoor smoking in Hookah lounges, and encouraging voluntary bans of smoking Hookah tobacco in private homes. Implications Our study is the first to quantify the increase in acrolein exposure in Hookah smokers and non-smokers exposed to exclusively Hookah tobacco SHS at Hookah social events in homes or Hookah lounges. Our findings provide additional support for regulating Hookah tobacco product content, protecting non-smokers' health by posting health warning signs for indoor smoking in Hookah lounges, and encouraging home bans on Hookah tobacco smoking to safeguard vulnerable residents.

  • Urinary NNAL in Hookah smokers and non-smokers after attending a Hookah social event in a Hookah lounge or a private home.
    Regulatory toxicology and pharmacology : RTP, 2017
    Co-Authors: Nada O.f. Kassem, Neal L Benowitz, Noura O. Kassem, Sandy Liles, Sheila R. Jackson, Dale A. Chatfield, Peyton Jacob, Melbourne F. Hovell
    Abstract:

    Tobacco smoking and exposure to tobacco secondhand smoke (SHS) can cause lung cancer. We determined uptake of NNK (4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanone), a tobacco specific potent pulmonary carcinogen, in Hookah smokers and non-smokers exposed to Hookah tobacco SHS. We analyzed data from a community-based convenience sample of 201 of adult (aged ≥18 years) exclusive Hookah smokers (n = 99) and non-smokers (n = 102) residing in San Diego County, California. Participants spent an average of three consecutive hours indoors, in Hookah lounges or private homes, where Hookah tobacco was smoked exclusively. Total NNAL [the sum of 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) and its glucuronides], the major metabolites of NNK, were quantified in spot urine samples provided the morning of and the morning after attending a Hookah event. Among Hookah smokers urinary NNAL increased significantly (p

Robyn L Fielder - One of the best experts on this subject based on the ideXlab platform.

  • Hookah cigarette and marijuana use a prospective study of smoking behaviors among first year college women
    Addictive Behaviors, 2013
    Co-Authors: Robyn L Fielder, Kate B Carey, Michael P Carey
    Abstract:

    Better understanding of the temporal sequence of Hookah, cigarette, and marijuana use will help to inform smoking prevention efforts. To address this gap in the literature, we assessed all three of these smoking behaviors in a sample of 424 first-year college women. Using a longitudinal design, we investigated whether Hookah use predicts initiating/resuming cigarette and/or initiating marijuana use, and whether cigarette and/or marijuana use predicts initiating Hookah use. Participants (67% White, M age = 18.1 years) completed nine monthly surveys. The initial (i.e., baseline) survey assessed demographics, sensation-seeking, impulsivity, and pre-college substance use. Follow-up surveys assessed past-month substance use; outcomes were initiating/resuming cigarette use, initiating marijuana use, and initiating Hookah use during the first year of college. We controlled for sensation-seeking, impulsivity, binge drinking, and other smoking behaviors in our multivariate logistic regression models. The results showed that (a) pre-college Hookah use predicted initiating/resuming cigarette use; (b) pre-college marijuana use predicted initiation of Hookah tobacco smoking; and (c) pre-college cigarette use predicted neither Hookah nor marijuana initiation. The findings highlight the co-occurrence of smoking behaviors as well as the need for bundling preventive interventions so that they address Hookah, cigarette, and marijuana use.

  • predictors of initiation of Hookah tobacco smoking a one year prospective study of first year college women
    Psychology of Addictive Behaviors, 2012
    Co-Authors: Robyn L Fielder, Kate B Carey, Michael P Carey
    Abstract:

    Hookah tobacco smoking has become increasingly prevalent among American college students over the past decade. Hookah smoking is associated with poor health outcomes and exposes users to high levels of nicotine, carbon monoxide, and smoke. Research on the correlates of Hookah use has begun to emerge, but all studies thus far have been cross-sectional. Little is known about Hookah use during the transition to college, psychosocial factors related to Hookah smoking, or prospective predictors of Hookah initiation and frequency of use. This longitudinal cohort study examined risk and protective factors predicting initiation of Hookah tobacco smoking during the first year of college. First-year female college students (N = 483; 64% White) provided data on demographic, behavioral, and psychosocial variables and pre-college Hookah use at baseline; they then completed 12 monthly online surveys about their Hookah use from September 2009 to August 2010. Among the 343 participants who did not report pre-college use, 79 (23%) initiated Hookah tobacco smoking during the year after college entry. Zero-inflated negative binomial regression showed that alcohol use predicted the likelihood of initiating Hookah use; impulsivity, social comparison orientation, and marijuana use predicted the frequency of Hookah use. These findings suggest that Hookah prevention and intervention efforts may need to address other forms of substance use as well as Hookah use.

  • prevalence frequency and initiation of Hookah tobacco smoking among first year female college students a one year longitudinal study
    Addictive Behaviors, 2012
    Co-Authors: Robyn L Fielder, Kate B Carey, Michael P Carey
    Abstract:

    Hookah tobacco smoking has become increasingly prevalent among college students, but little is known about frequency of use or patterns of use over time, including during the transition to college. The goals of this longitudinal cohort study were to assess the: (a) lifetime prevalence, (b) current prevalence, (c) frequency of use, and (d) pattern of initiation of Hookah tobacco smoking among female students during the first year of college. First-year female college students (N = 483) at a large private university in upstate New York completed 13 monthly online surveys about their Hookah tobacco use from August 2009 to August 2010. Lifetime prevalence of Hookah use increased from 29% at college entry to 45% at one-year follow-up. The highest rates of Hookah initiation occurred in the first two months of students' first semester of college. Current (past 30 days) Hookah use ranged from 5% to 13% during the year after college entry. On average, Hookah users reported smoking Hookah two days per month. Hookah tobacco use is common among female college students. The transition to college is a vulnerable time for Hookah initiation. Preventive efforts should begin in high school and continue through college, with a focus on students' first few months on campus.

Neal L Benowitz - One of the best experts on this subject based on the ideXlab platform.

  • peripheral blood flow changes to cutaneous and muscular beds in response to acute Hookah smoking
    American Journal of Cardiology, 2020
    Co-Authors: Mary Rezkhanna, Neal L Benowitz, Michael D. Nelson, Florian Rader, Ryan Rosenberry, Cindy L Chang, Donald P. Tashkin
    Abstract:

    Hookah (waterpipe) smoking is a growing tobacco epidemic. Though perceived as a safer tobacco alternative, Hookah smoke contains, in addition to tobacco combustion products, large amounts of charcoal combustion products—implicated in cardiovascular disease—from the burning charcoal used to heat the flavored tobacco. To date, little is known on the vascular effects of Hookah smoking. The aim of this study was to characterize the peripheral circulatory response to acute Hookah smoking in cutaneous and muscular beds. In 21 healthy young adult habitual Hookah smokers who did not smoke cigarettes (age 24 ± 1 years, mean ± SE), we measured plasma nicotine, exhaled carbon monoxide, skin blood flow (laser Doppler velocimetry) and calf muscle blood flow (strain-gauge plethysmography) before and for up to 60 minutes after ad lib Hookah smoking. In nine subjects, nonsmoking time-control studies were performed. Hookah smoking, which increased plasma nicotine by 5.8 ng/ml (from 0.6 ± 0.1 to 6.4 ± 1.3, p

  • e Hookah versus e cigarettes findings from wave 2 of the path study 2014 2015
    American Journal of Preventive Medicine, 2019
    Co-Authors: Mary Rezkhanna, Joy Toyama, Ebahi Ikharo, Marylynn Brecht, Neal L Benowitz
    Abstract:

    Introduction ENDS are evolving quickly with increasing use in the U.S. More recently, e-Hookahs have been introduced as healthier alternatives to the traditional Hookah-flavored tobacco smoking. To date, virtually all studies of ENDS have focused on e-cigarettes; consequently, little is known about e-Hookah use. Methods Data were drawn from the 2014–2015 Wave 2 Population Assessment of Tobacco and Health study, a nationally representative sample of adults aged ≥18 years (n=28,362) and youth aged 12–17 years (n=12,172). Weighted analyses, conducted in 2018–2019, estimated the prevalence of e-Hookah versus e-cigarette and examined comparisons among users and sociodemographics, patterns of use, and co-use of tobacco products and substances. Results Overall, 4.6% of adults reported ever e-Hookah use; of these, more than a quarter (26.8%) reported current use. For e-cigarettes, 22.5% reported ever use with 24.8% reporting current use. Among youth, 7.7% reported ever e-Hookah use versus 14.3% for e-cigarette use. Comparing e-Hookah versus e-cigarette only users, the majority were young adults aged 18–24 years versus ≥25 years (60.5% vs 17.3%, p Conclusions Although e-Hookahs are used less commonly than e-cigarettes, e-Hookah use is not rare. Compared with e-cigarette users, e-Hookah users have a different profile in terms of user demographics and co-use of substances. Given the rapid uptake of ENDS by young adults, these findings suggest the need to understand e-Hookah products’ distinct characteristics and users’ smoking patterns and behaviors to help inform tobacco regulation specific to Hookah.

  • Cardiovascular Effects of Hookah Smoking: Potential Implications for Cardiovascular Risk
    Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2018
    Co-Authors: Mary Rezk-hanna, Neal L Benowitz
    Abstract:

    INTRODUCTION Smoking is a major cause of cardiovascular morbidity and mortality worldwide. Hookah (ie, waterpipe) smoking is a centuries-old revived yet understudied global epidemic of tobacco use. Because of the traditional set-up of a Hookah-pipe, in addition to inhaling tobacco-combustion products, smokers are also exposed to large amounts of charcoal combustion products from the burning charcoal briquettes used to heat the Hookah flavored tobacco. Despite being heavily advertised and actively glamorized in the mass media as a healthier tobacco alternative, the toxicological constituents of Hookah smoke-including nicotine, carbon monoxide, particulates, oxidants, heavy metals, phenols and flavorants-indicate the potential to cause adverse cardiovascular events. METHODS Herein, we review evidence on Hookah smoke toxicological constituents, cardiovascular effects and potential mechanisms by which Hookah smoke aerosol could cause cardiovascular disease. RESULTS The evidence reviewed here indicates that contrary to the widespread popular belief that Hookah is a healthier tobacco alternative, the constituents of Hookah smoke aerosol contains similar chemicals compared to cigarette smoke, many of which are known to be harmful to cardiovascular health and mediated by similar pathophysiologic processes. Because the burning charcoal briquettes are a unique source of toxicant emissions specific to Hookah smoking, some constituents differ in their quantities from cigarettes with some of their cardiovascular effects unknown. CONCLUSIONS To date, much more is known about the constituents and their toxicology than about the effects of Hookah smoking on human cardiovascular health. Further research on long-term consequences of Hookah use is needed. IMPLICATIONS This review provides an overview on the potential impact of Hookah smoking on cardiovascular health. Readers will gain an insight into evidence on its toxicological constituents, human health effects, and pathophysiological mechanisms by which Hookah smoking might cause cardiovascular disease. The review also highlights current research gaps regarding the cardiovascular consequences of Hookah smoking, specifically the long-term consequences in the United States and Europe among flavored-Hookah tobacco users.

  • urinary nnal in Hookah smokers and non smokers after attending a Hookah social event in a Hookah lounge or a private home
    Regulatory Toxicology and Pharmacology, 2017
    Co-Authors: Nada O.f. Kassem, Neal L Benowitz, Noura O. Kassem, Sandy Liles, Sheila R. Jackson, Dale A. Chatfield, Peyton Jacob, Melbourne F. Hovell
    Abstract:

    Tobacco smoking and exposure to tobacco secondhand smoke (SHS) can cause lung cancer. We determined uptake of NNK (4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanone), a tobacco specific potent pulmonary carcinogen, in Hookah smokers and non-smokers exposed to Hookah tobacco SHS. We analyzed data from a community-based convenience sample of 201 of adult (aged ≥18 years) exclusive Hookah smokers (n = 99) and non-smokers (n = 102) residing in San Diego County, California. Participants spent an average of three consecutive hours indoors, in Hookah lounges or private homes, where Hookah tobacco was smoked exclusively. Total NNAL [the sum of 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) and its glucuronides], the major metabolites of NNK, were quantified in spot urine samples provided the morning of and the morning after attending a Hookah event. Among Hookah smokers urinary NNAL increased significantly (p<0.001) following a Hookah social event; the geometric mean doubled, from 1.97 to 4.16 pg/mg. Among non-smokers the increase was not significant (p = 0.059). Post Hookah event urinary NNAL levels were highest in daily Hookah smokers, and significantly higher than in non-daily smokers or non-smokers (GM: 14.96 pg/mg vs. 3.13 pg/mg and 0.67 pg/mg, respectively). For both Hookah smokers and non-smokers, pre-to-post event change in urinary NNAL was not significantly different between Hookah lounges and homes. We suggest posting health warning signs inside Hookah lounges, and encouraging voluntary bans of smoking Hookah tobacco in private homes.

  • Urinary NNAL in Hookah smokers and non-smokers after attending a Hookah social event in a Hookah lounge or a private home.
    Regulatory toxicology and pharmacology : RTP, 2017
    Co-Authors: Nada O.f. Kassem, Neal L Benowitz, Noura O. Kassem, Sandy Liles, Sheila R. Jackson, Dale A. Chatfield, Peyton Jacob, Melbourne F. Hovell
    Abstract:

    Tobacco smoking and exposure to tobacco secondhand smoke (SHS) can cause lung cancer. We determined uptake of NNK (4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanone), a tobacco specific potent pulmonary carcinogen, in Hookah smokers and non-smokers exposed to Hookah tobacco SHS. We analyzed data from a community-based convenience sample of 201 of adult (aged ≥18 years) exclusive Hookah smokers (n = 99) and non-smokers (n = 102) residing in San Diego County, California. Participants spent an average of three consecutive hours indoors, in Hookah lounges or private homes, where Hookah tobacco was smoked exclusively. Total NNAL [the sum of 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) and its glucuronides], the major metabolites of NNK, were quantified in spot urine samples provided the morning of and the morning after attending a Hookah event. Among Hookah smokers urinary NNAL increased significantly (p

Cheryl L. Perry - One of the best experts on this subject based on the ideXlab platform.

  • Hookah Use and Perceptions among Young Adult Hookah Users.
    Journal of addictive behaviors therapy & rehabilitation, 2018
    Co-Authors: Nicole E. Nicksic, Alexandra Loukas, Cheryl L. Perry
    Abstract:

    Background: Despite declining cigarette use, Hookah use has increased substantially among youth and young adults. This is alarming, as Hookah can lead to the same health risks as cigarettes and expose users to a high amount of smoke, nicotine, and toxicants. Determining patterns of Hookah use and perceptions in young adults is important in prevention efforts. Methods: Structured in-person interviews were conducted for this qualitative study in June 2016. Twenty-three Hookah users between the ages of 18 and 29 years living in Austin, TX who were not currently enrolled in a college or university completed the interview. NVivo 11 Pro was utilized to code transcribed transcripts for common themes among participants. Results: When trying Hookah for the first time, all participants had used flavored tobacco, with fruit flavors being most popular at initiation and for current use. Many participants initiated Hookah use under the age of 18 years old. While only one participant initiated Hookah use alone, one-third of participants had smoked Hookah alone, not in the company of others. The majority of participants owned or previously owned their own Hookah device. Common motivational factors for Hookah use involved being social, taste, and the calming/relaxation effect. Participants perceived Hookah use to be both harmful and addictive; however, many participants were unsure if Hookah was more harmful to health than cigarettes. Conclusion: Young adults who are not currently enrolled in college may have similar Hookah use behaviors and risk perceptions as do college students, yet non-college students in this sample are using Hookah alone and report owning a Hookah device. This study supports the need for research on the effect of policy changes on Hookah use, receptivity to warning labels, and programs to correct misperceptions.

  • Receptivity of Young Adult Hookah Users to Health Warning Labels.
    Tobacco regulatory science, 2018
    Co-Authors: Nicole E. Nicksic, Alexandra Loukas, Alexander V. Prokhorov, Cheryl L. Perry
    Abstract:

    Objectives We examined the receptivity of non-college young adult Hookah users to health warning labels. Methods We conducted in-person qualitative interviews with 23 Hookah users, aged 18-29 in Austin, Texas, who were not currently enrolled in college/university. Data were transcribed, coded, and thematically analyzed using NVivo Pro, version 11. Results Gaps in knowledge were evident regarding the level of chemical exposure, cancer risks, and negative health consequences of Hookah use. Respondents preferred warning labels that factually listed health consequences rather than labels that used "sensationalistic" wording (eg, "kills") or technical terms. Participants thought placement of Hookah warning labels would be most effective on product packaging or on the door of establishments selling Hookah. Respondents thought most of the warning labels would be effective in deterring Hookah use; however, the majority stated they would likely continue to use Hookah over the next year. Conclusions Non-college-attending young adult Hookah users preferred Hookah health warning labels that are simple, factual, informative, and non-sensationalistic. These results may inform regulations regarding the packaging of tobacco products, specifically in the design and placement of warning labels, which may result in better user message receptivity.

  • College students’ perceptions and knowledge of Hookah use
    Drug and alcohol dependence, 2016
    Co-Authors: Melisa R Creamer, Alexandra Loukas, Keryn E. Pasch, Kathleen R. Case, Brittani Crook, Cheryl L. Perry
    Abstract:

    Abstract Purpose Hookah is an increasingly popular tobacco product among college students. The purpose of this study was to determine if college students are aware of tobacco and nicotine content in Hookah, and examine associations between college students’ knowledge and perceptions of Hookah and their past 30-day Hookah use. Methods Participants were 5451 young adults attending one of 24 2- and 4-year colleges. Analyses examined if Hookah knowledge was uniquely associated with current Hookah use, over and above perceptions of harm and addictiveness, number of other tobacco products currently used, and socio-demographic factors. Analyses were first conducted for the entire sample and then only for current Hookah users. Results 26.9% of all students believed Hookah did not contain tobacco and 38% believed that Hookah did not contain nicotine. Students who believed that Hookah contained tobacco were at increased odds of Hookah use, and those with increased perceptions of harm were at decreased odds of Hookah use. However, Hookah knowledge was not associated with Hookah users’ intensity of use. Moreover, although increased perceptions of harm were associated with lower intensity of use among current users, increased perceptions of addictiveness were associated with higher intensity of use. Conclusions This study shows gaps in knowledge of Hookah contents, and adds to the body of literature, which provides evidence for mandating warning labels as well as tobacco interventions for college students.