Please use this identifier to cite or link to this item: https://doi.org/10.1371/journal.pone.0093097
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dc.titleThe relationship between waterpipe and cigarette smoking in low and middle income countries: Cross-sectional analysis of the global adult tobacco survey
dc.contributor.authorJawad M.
dc.contributor.authorLee J.T.
dc.contributor.authorMillett C.
dc.date.accessioned2019-11-05T00:39:08Z
dc.date.available2019-11-05T00:39:08Z
dc.date.issued2014
dc.identifier.citationJawad 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
dc.identifier.issn1932-6203
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/161423
dc.description.abstractIntroduction: 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.
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceUnpaywall 20191101
dc.subjectadult
dc.subjectage
dc.subjectarticle
dc.subjectcross-sectional study
dc.subjectdemography
dc.subjecteducation
dc.subjectEgypt
dc.subjectfemale
dc.subjecthuman
dc.subjectIndia
dc.subjectlinear regression analysis
dc.subjectlowest income group
dc.subjectmale
dc.subjectmiddle income group
dc.subjectmiscellaneous named groups
dc.subjectmultivariate logistic regression analysis
dc.subjectoccupation
dc.subjectRussian Federation
dc.subjectsex difference
dc.subjectsmokeless tobacco
dc.subjectsmoking
dc.subjecttobacco use
dc.subjectViet Nam
dc.subjectwaterpipe smoking
dc.subjectclinical trial
dc.subjectcomparative study
dc.subjectepidemiology
dc.subjectmulticenter study
dc.subjectretrospective study
dc.subjectsmoking
dc.subjectsmoking cessation
dc.subjectsocioeconomics
dc.subjectAdult
dc.subjectAge Factors
dc.subjectCross-Sectional Studies
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectRetrospective Studies
dc.subjectSex Factors
dc.subjectSmoking
dc.subjectSmoking Cessation
dc.subjectSocioeconomic Factors
dc.typeArticle
dc.contributor.departmentSAW SWEE HOCK SCHOOL OF PUBLIC HEALTH
dc.description.doi10.1371/journal.pone.0093097
dc.description.sourcetitlePLoS ONE
dc.description.volume9
dc.description.issue3
dc.description.pagee93097
dc.published.statePublished
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