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dc.contributor.authorKaplan, Bekir
dc.contributor.authorSussan, Thomas
dc.contributor.authorRule, Ana M.
dc.contributor.authorMoon, Katherine A.
dc.contributor.authorGrau-Perez, Maria
dc.contributor.authorOlmedo, Pablo
dc.contributor.authorChen, Rui
dc.contributor.authorÇarkoğlu, Aslı
dc.contributor.authorLevshin, Vladimir
dc.contributor.authorWang, Lanqing
dc.contributor.authorWatson, Clifford
dc.contributor.authorBlount, Benjamin
dc.contributor.authorCalafat, Antonia M.
dc.contributor.authorJarrett, Jeffery
dc.contributor.authorCaldwell, Kathleen
dc.contributor.authorWang, Yuesong
dc.contributor.authorBreysse, Patrick N.
dc.contributor.authorStrickland, Paul
dc.contributor.authorCohen, Joanna E.
dc.contributor.authorBiswal, Shyam
dc.contributor.authorNavas-Acien, Ana
dc.date.accessioned2019-06-27T08:03:32Z
dc.date.available2019-06-27T08:03:32Z
dc.date.issued2019
dc.identifier.issn0160-4120
dc.identifier.issn1873-6750
dc.identifier.urihttps://hdl.handle.net/20.500.12469/803
dc.identifier.urihttps://doi.org/10.1016/j.envint.2019.03.074
dc.description.abstractIntroduction: Few studies have comprehensively characterized toxic chemicals related to waterpipe use and secondhand waterpipe exposure. This cross-sectional study investigated biomarkers of toxicants associated with waterpipe use and passive waterpipe exposure among employees at waterpipe venues. Method: We collected urine specimens from employees in waterpipe venues from Istanbul Turkey and Moscow Russia and identified waterpipe and cigarette smoking status based on self-report. The final sample included 110 employees. Biomarkers of exposure to sixty chemicals (metals volatile organic compounds (VOCs) polycyclic aromatic hydrocarbons (PAHs) nicotine and heterocyclic aromatic amines (HCAAs)) were quantified in the participants' urine. Results: Participants who reported using waterpipe had higher urinary manganese (geometric mean ratio (GMR): 2.42 95% confidence interval (CI): 1.16 5.07) than never/former waterpipe or cigarette smokers. Being exposed to more hours of secondhand smoke from waterpipes was associated with higher concentrations of cobalt (GMR: 1.38 95% CI: 1.10 1.75). Participants involved in lighting waterpipes had higher urinary cobalt (GMR: 1.43 95% CI: 1.10 1.86) cesium (GMR: 1.21 95% CI: 1.00 1.48) molybdenum (GMR: 1.45 95% CI: 1.08 1.93) 1-hydroxypyrene (GMR: 1.36 95% CI: 1.03 1.80) and several VOC metabolites. Conclusion: Waterpipe tobacco users and nonsmoking employees of waterpipe venues had higher urinary concentrations of several toxic metals including manganese and cobalt as well as of VOCs in a distinct signature compared to cigarette smoke. Employees involved in lighting waterpipes may have higher exposure to multiple toxic chemicals compared to other employees.
dc.language.isoEnglish
dc.publisherPergamon-Elsevier Science Ltd
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectWaterpipe
dc.subjectSecondhand smoke
dc.subjectToxicants
dc.subjectCarcinogen
dc.titleWaterpipe tobacco smoke: Characterization of toxicants and exposure biomarkers in a cross-sectional study of waterpipe employees
dc.typeArticle
dc.identifier.startpage495
dc.identifier.endpage502
dc.relation.journalEnvironment International
dc.identifier.volume127
dc.identifier.wosWOS:000467383500049
dc.identifier.doi10.1016/j.envint.2019.03.074
dc.contributor.khasauthorÇarkoğlu, Aslı


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