Please use this identifier to cite or link to this item: https://doi.org/10.1371/journal.pone.0093097
Title: The relationship between waterpipe and cigarette smoking in low and middle income countries: Cross-sectional analysis of the global adult tobacco survey
Authors: Jawad M.
Lee J.T. 
Millett C.
Keywords: adult
age
article
cross-sectional study
demography
education
Egypt
female
human
India
linear regression analysis
lowest income group
male
middle income group
miscellaneous named groups
multivariate logistic regression analysis
occupation
Russian Federation
sex difference
smokeless tobacco
smoking
tobacco use
Viet Nam
waterpipe smoking
clinical trial
comparative study
epidemiology
multicenter study
retrospective study
smoking
smoking cessation
socioeconomics
Adult
Age Factors
Cross-Sectional Studies
Female
Humans
Male
Retrospective Studies
Sex Factors
Smoking
Smoking Cessation
Socioeconomic Factors
Issue Date: 2014
Citation: Jawad M., Lee J.T., Millett C. (2014). The relationship between waterpipe and cigarette smoking in low and middle income countries: Cross-sectional analysis of the global adult tobacco survey. PLoS ONE 9 (3) : e93097. ScholarBank@NUS Repository. https://doi.org/10.1371/journal.pone.0093097
Rights: Attribution 4.0 International
Abstract: Introduction: Waterpipe tobacco smoking is receiving growing attention due to accumulating evidence suggesting increasing prevalence in some populations and deleterious health effects. Nevertheless, the relationship between waterpipe and cigarette smoking remain unknown, particularly in low and middle income countries. Materials and Methods: We analysed waterpipe and cigarette smoking using data from Global Adult Tobacco Survey, a household survey of adults aged ?15 years conducted between 2008-2010 in LMICs. Factors associated with waterpipe and cigarette use were assessed using multiple logistic regression. Factors associated with the quantity of waterpipe and cigarette smoking were assessed using log-linear regression models. Results: After adjusting for age, gender, residence, education, occupation and smokeless tobacco use, waterpipe smoking was significantly higher among cigarette users than in non-cigarette users in India (5.6% vs. 0.6%, AOR 13.12, 95% CI 7.41-23.23) and Russia (6.7% vs. 0.2%, AOR 27.73, 95% CI 11.41-67.43), but inversely associated in Egypt (2.6% vs. 3.4%, AOR 0.21, 95% CI 0.15-0.30) and not associated in Vietnam (13.3% vs. 4.7%, AOR 0.96, 95% CI 0.74-1.23). Compared to non-cigarette smokers, waterpipe smokers who also used cigarettes had more waterpipe smoking sessions per week in Russia (1.3 vs. 2.9, beta coefficient 0.31, 95% CI 0.06, 0.57), but less in Egypt (18.2 vs. 10.7, beta coefficient -0.45, 95% CI -0.73, -0.17) and Vietnam (102.0 vs. 79.3, beta coefficient -0.31, 95% CI -0.56, -0.06) and similar amounts in India (29.4 vs. 32.6, beta coefficient -0.12, 95% CI -0.46, 0.22). Conclusions: Waterpipe smoking is low in most LMICs but important country-level differences in use, including concurrent cigarette smoking, should be taken into account when designing and evaluating tobacco control interventions. © 2014 Jawad et al.
Source Title: PLoS ONE
URI: https://scholarbank.nus.edu.sg/handle/10635/161423
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0093097
Rights: Attribution 4.0 International
Appears in Collections:Staff Publications
Elements

Show full item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
10_1371_journal_pone_0093097.pdf158.45 kBAdobe PDF

OPEN

PublishedView/Download

SCOPUSTM   
Citations

23
checked on Jun 20, 2022

Page view(s)

209
checked on Jun 23, 2022

Download(s)

1
checked on Jun 23, 2022

Google ScholarTM

Check

Altmetric


This item is licensed under a Creative Commons License Creative Commons