ArticleFrontiers in public health2022
Prevalence of waterpipe smoking and its associated factors among adolescents aged 12-16 years in 73 countries/territories.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Smoking prevalence and emerging tobacco product use among Saudi adolescents: a systematic review.Frontiers in public health · 2026Pooled it
- The waterpipe smoking and human health: a systematic review and meta-analysis of 191 observational studies.Systematic reviews · 2025Pooled it
- The effect of an educational program on Hookah smoking among female university students: applying the integrated model of theory of planned behavior and prototype willingness model.BMC medical education · 2025Trial
- The effect of happiness-based education on women's success of water pipe smoking cessation and happiness: a quasi-experimental study.BMC psychology · 2023Trial
- Comparison of effects of charcoal versus electric heating of waterpipe tobacco on carbon monoxide levels: Cardiovascular measures; benzene, pyrene, and nicotine uptake; and subjective reactions.Toxicology reports · 2026Article
- Nicotine-containing products and the cardiovascular system: mechanisms and global health implications.Nature reviews. Cardiology · 2026Review
- Inequalities in lifestyle and metabolic risk factors across wealth and education levels among TUMS employees.BMC public health · 2026Article
- Quitting Shisha Smoking Among Young Adults in Germany: Insights From an Online Survey on Sociodemographic, Perceptual and Behavioural Economic Factors Associated With Quit Attempts.Tobacco use insights · 2026Article
- Waterpipe use in Germany (2018 - 2024): Prevalence and sociodemographic differences in age of initiation.Journal of health monitoring · 2025Article
- Development and validation of a questionnaire to assess women's hookah smoking: insights from a multi-stage study.BMC public health · 2025Article
- Prevalence of Tobacco Use and Secondhand Smoking Among Omani Male Adolescents and the Sociodemographic Correlates: A Cross-sectional Study.Oman medical journal · 2025Article
- Utilisation of waterpipe tobacco imagery in cigarette advertising: a case study of American tobacco company and RJ Reynolds tobacco company.Tobacco control · 2025Article
- Prevalence and determinants of tobacco use among school-going adolescents in 53 African countries: Evidence from the Global Youth Tobacco Survey.Addictive behaviors reports · 2025Article
- Review
- Article
- The effect of smoking and other tobacco product use on perceptions of skin quality and health, approaches to skin care, and minimally invasive cosmetic procedures: A cross-sectional study.Tobacco induced diseases · 2025Article
- Proportions and trends of global adolescent knowledge and attitudes toward tobacco smoking from 1999 to 2019.Frontiers in public health · 2025Article
- Characteristics of nicotine product use, perceptions of dependence, and passive exposure among first-year university students in Brazil.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025Article
- Determining the perceived risk of lung cancer and chronic obstructive pulmonary diseases (COPD) among hookah users in Iran.BMC pulmonary medicine · 2024Article
- Toxicity of waterpipe tobacco smoking: the role of flavors, sweeteners, humectants, and charcoal.Toxicological sciences : an official journal of the Society of Toxicology · 2024Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: To describe the recent prevalence of, and trends in, waterpipe smoking and to examine its associated factors among adolescents aged 12-16 years in 73 countries/territories (hereafter "countries"). Methods: Data from 72 countries that had conducted a Global Youth Tobacco Survey (GYTS) in 2010-2019 and from the National Youth Tobacco Survey in the United States in 2019 were used to assess the recent prevalence of waterpipe smoking and to examine its associated factors among adolescents aged 12-16 years. Data from 38 countries that had carried out at least 2 surveys from 2000 to 2019 were used to determine trends in the prevalence of waterpipe smoking among adolescents. Results: The recent prevalence of current waterpipe smoking (on 1 day during the past 30 days) among adolescents was 6.9% (95%CI 6.4-7.5). The prevalence was highest in the European region (10.9%, 9.9-11.8) and Eastern Mediterranean region (10.7%, 9.5-11.9), but lowest in the Western Pacific region (1.9%, 1.4-2.4). The prevalence of current waterpipe smoking increased or remained unchanged in 19 (50%) of 38 countries, but decreased in the remaining 19 countries (50%). Parental smoking, closest friends' smoking, secondhand smoke exposure, tobacco advertisement exposure, not being taught the dangers of smoking, particularly cigarette smoking, were positively associated with adolescent waterpipe smoking. Discussion: Waterpipe smoking among adolescents remains a major public health issue worldwide, especially in the regions of Europe and the Eastern Mediterranean. Effective prevention and control strategies and measures are needed to curb the epidemic of adolescent waterpipe smoking.
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Registered trials
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.