The prevalence and trends of waterpipe tobacco smoking: A systematic review

Waterpipe tobacco smoking is harmful to health however its prevalence estimates remain uncertain. We aimed to systematically review the medical literature on waterpipe tobacco prevalence and trends. We searched Medline, Embase and ISI Web of Science for 'waterpipe' and its synonyms, withou...

Full description

Saved in:
Bibliographic Details
Published in:PloS one 2018-02, Vol.13 (2), p.e0192191-e0192191
Main Authors: Jawad, Mohammed, Charide, Rana, Waziry, Reem, Darzi, Andrea, Ballout, Rami A, Akl, Elie A
Format: Article
Language:English
Subjects:
Adults
Biology and Life Sciences
Cancer
Cigarettes
College students
Colleges & universities
Demography
Disease
Epidemiology
Estimates
Jurisdiction
Librarians
Literature reviews
Medical libraries
Medicine and Health Sciences
People and Places
Population
Public health
Research and Analysis Methods
Smoking
Social Sciences
Student athletes
Students
Studies
Systematic review
Teenagers
Tobacco
Tobacco smoking
Trends
Water pipes
Youth
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Waterpipe tobacco smoking is harmful to health however its prevalence estimates remain uncertain. We aimed to systematically review the medical literature on waterpipe tobacco prevalence and trends. We searched Medline, Embase and ISI Web of Science for 'waterpipe' and its synonyms, without using language or date restrictions. We included any measure of waterpipe tobacco smoking prevalence in jurisdictionally representative populations. We stratified findings by prevalence measure (past 30 day, ever, regular or occasional, daily, other or unspecified) and age (adults or youth). We included 129 studies reporting 355 estimates for 68 countries. In general, prevalence estimates among adults were highest in the Eastern Mediterranean, and among youth were about equal between Eastern Mediterranean and European regions. Past 30 day use was highest among Lebanese youth (37.2% in 2008), ever use was highest among Lebanese youth in 2002 and Lebanese university students in 2005 (both 65.3%), regular or occasional use was highest in among Iranian university students (16.3% in 2005), and daily use was highest among Egyptian youth (10.4% in 2005). Trend data were limited but most studies reported increased use over time, ranging from 0.3-1.0% per year among youth in the US to 2.9% per year among youth in Jordan (both for past 30 day use). Results were similar for ever use trends. Turkey (2.3% in 2008 to 0.8% in 2010) and Iraq (6.3% in 2008 and 4.8% in 2012) both witnessed decreased waterpipe use. Waterpipe tobacco smoking is most prevalent in Eastern Mediterranean and European countries, and appears higher among youth than adults. Continued surveillance will be important to assess and inform policy measures to control waterpipe tobacco use.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0192191