ArticleTobacco control2020
Waterpipe (hookah) tobacco use in pregnancy: use, preferences and perceptions of flavours.
Article in Tobacco control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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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.
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Who cites it
9 citing papers in PubMed.
- High Rates of Hookah Use in Pregnancy and Preconception: Prevalence and Correlates of an Often-Overlooked Tobacco Product.Journal of women's health (2002) · 2026Article
- Trends and Correlates of Cigarette, Electronic Cigarette, and Hookah Use Among Women of Childbearing Age in the U.S. Health and Human Services Regions: Insights from PRAMS Phase 8 (2016‒2022) Data.Maternal and child health journal · 2026Article
- Bioaccumulation of polycyclic aromatic hydrocarbons from leachates of waterpipe tobacco wastes on Peronia peronii species from the Persian Gulf region.Scientific reports · 2025Article
- Waterpipe Tobacco (Hookah) Use in Pregnancy: Associations with Nausea and Vomiting of Pregnancy.American journal of perinatology · 2023Article
- Flavored waterpipe tobacco preferences, perceptions, and use in pregnant women: A latent factor mapping approach.Addictive behaviors · 2022Article
- Waterpipe Smoking in Pregnant Women of Zahedan City in 2020: Prevalence and Associated Factors.International journal of preventive medicine · 2022Article
- High Rates of Menthol Cigarette Use Among Pregnant Smokers: Preliminary Findings and Call for Future Research.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020Article
- Characterizing the use, preferences, and perceptions of flavors in cigars in pregnant women.Journal of addictive diseasesArticle
- Use and perceptions of menthol versus non-menthol cigarettes among pregnant women.Journal of addictive diseasesArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveWaterpipe tobacco (WPT; hookah) use is common in pregnant and reproductive-age women. Sweet flavours contribute to the appeal of WPT and are a potential regulatory target. This study investigated use, preferences and perceptions of WPT flavours in pregnant WPT users, and the impact of flavour preferences on preconception/prenatal WPT use and exposure biomarkers.
methods58 pregnant WPT users (mean age=27 years) completed a detailed interview regarding their WPT flavours use, preferences and perceptions. Biomarkers of nicotine and carcinogen exposure (eg, cotinine, benzene, butadiene) were also collected.
results55% of participants were dual/poly WPT users (ie, reported use of one or more other tobacco products in addition to WPT). Pregnant WPT users reported nearly exclusive use of flavoured WPT, with greater use of menthol/mint (68%) followed by fruit flavours (48%) (p<0.001), and greater preferences for fruit followed by menthol/mint flavours (ps<0.05). Harm perceptions did not differ among flavours. Compared with dual/poly WPT users, WPT-only users reported more total WPT use events, greater use of and preference for menthol/mint flavoured WPT (ps<0.001), and decreased exposure biomarkers (ps≤0.040). Preference for menthol/mint and fruit flavours predicted more flavoured WPT use events during preconception and pregnancy; preference for menthol/mint predicted detectable cotinine and benzene levels but not butadiene.
conclusionsThis is the first study of WPT flavour use, preferences and perceptions in pregnant women. Use of and preference for menthol/mint and fruit WPT flavours in this vulnerable population could be considered in regulating WPT flavours to protect the health of women and children.
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