Evidence map›Paper›PMID 26298558›Full record

ArticleEnvironmental research2015

Secondhand smoke in waterpipe tobacco venues in Istanbul, Moscow, and Cairo.

Katherine A Moon, Hoda Magid, Christine Torrey, Ana M Rule, Jacqueline Ferguson, Jolie Susan, Zhuolu Sun, Salahaddin Abubaker, Vladimir Levshin, Aslı Çarkoğlu and 6 more

Abstract read
In one paragraph

Article in Environmental research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Cancer risk in waterpipe smokers: a meta-analysis.International journal of public health · 2017
    Pooled it
  2. Indoor Air Pollutants of PM2.5, Carbon Monoxide, Nicotine, and Carcinogens in Waterpipe Bars.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Biomarkers of Secondhand Smoke Exposure in Waterpipe Tobacco Venue Employees in Istanbul, Moscow, and Cairo.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Katherine A MoonJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: kmoon9@jhu.edu.
Hoda MagidJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Christine TorreyJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Ana M RuleJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Jacqueline FergusonJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Jolie SusanJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Zhuolu SunJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Salahaddin AbubakerJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Vladimir LevshinRussian Cancer Research Center, Moscow, Russian Federation.
Aslı ÇarkoğluKadir Has University, Istanbul, Turkey.
Ghada Nasr RadwanCairo University, Cairo, Egypt.
Maha El-RabbatCairo University, Cairo, Egypt.
Joanna CohenJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Paul StricklandJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Ana Navas-AcienJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Patrick N BreysseJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.

Funding

CARDIOVASCULAR EPIDEMIOLOGY INSTITUTIONAL TRAININGT32HL007024 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Elizabeth Selvin · 1985 to 2026
$17.5M
NHLBI NIH HHS 5T32HL007024NHLBI NIH HHS T32 HL007024
6 · The paper itself

Abstract

objectiveThe prevalence of waterpipe tobacco smoking has risen in recent decades. Controlled studies suggest that waterpipe secondhand smoke (SHS) contains similar or greater quantities of toxicants than cigarette SHS, which causes significant morbidity and mortality. Few studies have examined SHS from waterpipe tobacco in real-world settings. The purpose of this study was to quantify SHS exposure levels and describe the characteristics of waterpipe tobacco venues.

methodsIn 2012-2014, we conducted cross-sectional surveys of 46 waterpipe tobacco venues (9 in Istanbul, 17 in Moscow, and 20 in Cairo). We administered venue questionnaires, conducted venue observations, and sampled indoor air particulate matter (PM2.5) (N=35), carbon monoxide (CO) (N=23), particle-bound polycyclic aromatic hydrocarbons (p-PAHs) (N=31), 4-methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) (N=43), and air nicotine (N=46).

resultsVenue characteristics and SHS concentrations were highly variable within and between cities. Overall, we observed a mean (standard deviation (SD)) of 5 (5) waterpipe smokers and 5 (3) cigarette smokers per venue. The overall median (25th percentile, 75th percentile) of venue mean air concentrations was 136 (82, 213) µg/m(3) for PM2.5, 3.9 (1.7, 22) ppm for CO, 68 (33, 121) ng/m(3) for p-PAHs, 1.0 (0.5, 1.9) ng/m(3) for NNK, and 5.3 (0.7, 14) µg/m(3) for nicotine. PM2.5, CO, and p-PAHs concentrations were generally higher in venues with more waterpipe smokers and cigarette smokers, although associations were not statistically significant.

conclusionHigh concentrations of SHS constituents known to cause health effects indicate that indoor air quality in waterpipe tobacco venues may adversely affect the health of employees and customers.

Indexed as

CommerceChromatography, GasEgyptMoscowNicotianaTobacco Smoke PollutionTurkeyTobacco Smoke PollutionIndoor air pollutionSecondhand smokeTobacco smoke pollutionWaterpipe smoking

Identifiers

PMID26298558
PMCPMC4609287

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.