Evidence map›Paper›PMID 28624697›Full record

ArticleAddictive behaviors2017

Waterpipe smoking patterns and symptoms of nicotine dependence: The Waterpipe Dependence in Lebanese Youth Study.

Raed Bahelah, Joseph R DiFranza, Kenneth D Ward, Thomas Eissenberg, Fouad M Fouad, Ziyad Ben Taleb, Rana Jaber, Wasim Maziak

Abstract read
In one paragraph

Article in Addictive behaviors, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

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

  1. Interventions for waterpipe smoking cessation.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Trial
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  4. Article
  5. Review
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  7. Article
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  9. Article
  10. Article
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  12. Observational
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  15. Latent class analysis of initial nicotine dependence among adult waterpipe smokers.Journal of environmental health science & engineering · 2021
    Article
  16. Article
  17. Waterpipe smoking: a review of pulmonary and health effects.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  18. Article
  19. Observational
  20. 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

8 authors.

Raed BahelahDepartment of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA; Faculty of Medicine and Health Sciences, Aden University, Yemen.
Joseph R DiFranzaDepartment of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA, USA.
Kenneth D WardSyrian Center for Tobacco Studies, Aleppo, Syria; University of Memphis School of Public Health, Memphis, TN, USA.
Thomas EissenbergDepartment of Psychology, Center for the Study of Tobacco Products, Virginia Commonwealth University, Richmond, VA, USA.
Fouad M FouadSyrian Center for Tobacco Studies, Aleppo, Syria; American University of Beirut, Lebanon.
Ziyad Ben TalebDepartment of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA.
Rana JaberDepartment of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA.
Wasim MaziakDepartment of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA; Syrian Center for Tobacco Studies, Aleppo, Syria. Electronic address: wmaziak@fiu.edu.

Funding

Training and Education Core p270-287P50DA036105 · NIDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI EISSENBERG, THOMAS EVAN · 2013 to 2017
$19.2M
Advancing addiction research and capacity to guide tobacco control in the EasternR01DA035160 · NIDA · FLORIDA INTERNATIONAL UNIVERSITY · PI MAZIAK, WASIM · 2012 to 2017
$1.5M
NIDA NIH HHS P50 DA036105NIDA NIH HHS R01 DA035160
6 · The paper itself

Abstract

introductionWaterpipe typically is smoked intermittently over long smoking sessions. Waterpipe is addictive and its users show symptoms of nicotine dependence (ND). This study examined the risk of developing ND symptoms across waterpipe use patterns among Lebanese youth.

methodsWaterpipe use patterns (length of smoking session, smoking a whole waterpipe without sharing, past-30day use frequency, number of waterpipes smoked) were assessed. Symptoms of ND were assessed using the 10-item Hooked on Nicotine Checklist (HONC; endorsement of ≥1 symptom) and the 6 criteria of the International Classification of Diseases-10th revision (ICD-10 ND; presence of ≥3 criteria during 12months).

resultsBoth the proportion of participants endorsing ND symptoms and the average number of endorsed ND symptoms increased with increasing waterpipe use frequency, number of waterpipes smoked, and length of smoking session. The risk of endorsing≥1 HONC symptom increased with increasing number of waterpipes smoked in the past 30-days (≥10 vs. <4 waterpipes; Hazard ratio (HR)=2.05, 95% CI: 1.52-2.58, p=0.007), and session length (>60min vs. <30min; HR=2.87, 95% CI: 2.83-2.91, p=0.001). The risk of attaining ICD-10 ND increased with increasing number of waterpipes used in the past 30-days (≥10 vs. <4 waterpipes; HR=2.56, 95% CI: 1.89-3.22, p=0.006), and smoking every day/almost every day vs. less than once weekly (HR=2.86, 95% CI: 2.12-3.60, p=0.007).

conclusionsIncreasing use frequency, number of waterpipes smoked, and longer smoking sessions were associated with higher risk of ND. The length of smoking session emerged as a novel indicator of ND among waterpipe smokers.

Indexed as

Adolescent BehaviorAdolescentComorbidityFemaleHumansLebanonMaleTobacco Use DisorderWater Pipe SmokingLebanonLength of smoking sessionNicotine dependenceSmoking patternsSurvival analysisWaterpipe

Identifiers

PMID28624697
PMCPMC5524198

What OpenQuestion holds

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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.