Secondhand smoke in waterpipe tobacco venues in Istanbul Moscow and Cairo

Loading...
Thumbnail Image

Date

2019

Authors

Magid, Hoda
Torrey, Christine
Rule, Ana M.
Ferguson, Jacqueline
Susan, Jolie
Sun, Zhuolu
Abubaker, Salahaddin
Levshin, Vladimir
Çarkoğlu, Aslı

Journal Title

Journal ISSN

Volume Title

Publisher

Academic Press Inc Elsevier Science

Open Access Color

OpenAIRE Downloads

OpenAIRE Views

Research Projects

Organizational Units

Journal Issue

Abstract

Objective: The prevalence of waterpipe tobacco smoking has risen in recent decades. Controlled studies suggest that waterpipe secondhand smoke (SHS) contains similar or greater quantities of toxicants than cigarette SHS which causes significant morbidity and mortality. Few studies have examined SHS from waterpipe tobacco in real-world settings. The purpose of this study was to quantify SHS exposure levels and describe the characteristics of waterpipe tobacco venues. Methods: In 2012-2014 we conducted cross-sectional surveys of 46 waterpipe tobacco venues (9 in Istanbul 17 in Moscow and 20 in Cairo). We administered venue questionnaires conducted venue observations and sampled indoor air particulate matter (PM2.5) (N=35) carbon monoxide (CO) (N=23) particle-bound polycyclic aromatic hydrocarbons (p-PAHs) (N=31) 4-methylnitrosamino)-1-(3-pyridy1)-1-butanone (NNK) (N-43) and air nicotine (N=46). Results: Venue characteristics and SHS concentrations were highly variable within and between cities. Overall we observed a mean (standard deviation (SD)) of 5 (5) waterpipe smokers and 5 (3) cigarette smokers per venue. The overall median (25th percentile 75th percentile) of venue mean air concentrations was 136 (82 213) mu/m(3) for PM2.5 3.9 (1.7 22) ppm for CO 68 (33 121) ng/m(3) for p-PAHs 1.0 (0.5 1.9) ng/m(3) for NNK and 5.3 (0.7 14) mu g/m(3) for nicotine. PM2.5 CO and p-PAHs concentrations were generally higher in venues with more waterpipe smokers and cigarette smokers although associations were not statistically significant. Conclusion: High concentrations of SHS constituents known to cause health effects indicate that indoor air quality in waterpipe tobacco venues may adversely affect the health of employees and customers. (C) 2015 Elsevier Inc. All rights reserved.

Description

Keywords

Secondhand smoke, Waterpipe smoking, Indoor air pollution, Tobacco smoke pollution

Turkish CoHE Thesis Center URL

Fields of Science

Citation

21

WoS Q

Q1

Scopus Q

Q1

Source

Volume

142

Issue

Start Page

568

End Page

574