Biomarkers of Secondhand Smoke Exposure in Waterpipe Tobacco Venue Employees in Istanbul Moscow and Cairo

dc.contributor.authorMoon, Katherine A.
dc.contributor.authorRule, Ana M.
dc.contributor.authorMagid, Hoda
dc.contributor.authorFerguson, Jacqueline
dc.contributor.authorSusan, Jolie
dc.contributor.authorSun, Zhuolu
dc.contributor.authorTorrey, Christine
dc.contributor.authorAbubaker, Salahaddin
dc.contributor.authorLevshin, Vladimir
dc.contributor.authorÇarkoğlu, Aslı
dc.contributor.authorRadwan, Ghada Nasr
dc.contributor.authorEl-Rabbat, Maha
dc.contributor.authorCohen, Joanna E.
dc.contributor.authorStrickland, Paul
dc.contributor.authorBreysse, Patrick N.
dc.contributor.authorNavas-Acien, Ana
dc.date.accessioned2019-06-27T08:05:57Z
dc.date.available2019-06-27T08:05:57Z
dc.date.issued2018
dc.departmentFakülteler, İktisadi, İdari ve Sosyal Bilimler Fakültesi, Psikoloji Bölümüen_US
dc.description.abstractBackground: Most smoke-free legislation to reduce secondhand smoke (SHS) exposure exempts waterpipe (hookah) smoking venues. Few studies have examined SHS exposure in waterpipe venues and their employees. Methods: We surveyed 276 employees of 46 waterpipe tobacco venues in Istanbul Moscow and Cairo. We interviewed venue managers and employees and collected biological samples from employees to measure exhaled carbon monoxide (CO) hair nicotine saliva cotinine urine cotinine urine 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) and urine 1-hydroxypyrene glucuronide (1-OHPG). We estimated adjusted geometric mean ratios (GMR) of each SHS biomarker by employee characteristics and indoor air SHS measures. Results: There were 73 nonsmoking employees and 203 current smokers of cigarettes or waterpipe. In nonsmokers the median (interquartile) range concentrations of SHS biomarkers were 1.1 (0.2 40.9) mu g/g creatinine urine cotinine 5.5 (2 15) ng/mL saliva cotinine 0.95 (0.36 5.02) ng/mg hair nicotine 1.48 (0.98 3.97) pg/mg creatinine urine NNAL 0.54 (0.25 0.97) pmol/mg creatinine urine 1-OHPG and 1.67 (1.33 2.33) ppm exhaled CO. An 8-hour increase in work hours was associated with higher urine cotinine (GMR: 1.68 95% CI: 1.20 2.37) and hair nicotine (GMR: 1.22 95% CI: 1.05 1.43). Lighting waterpipes was associated with higher saliva cotinine (GMR: 2.83 95% CI: 1.05 7.62). Conclusions: Nonsmoking employees of waterpipe tobacco venues were exposed to high levels of SHS including measurable levels of carcinogenic biomarkers (tobacco-specific nitrosamines and PAHs).en_US]
dc.identifier.citation15
dc.identifier.doi10.1093/ntr/ntx125en_US
dc.identifier.endpage491
dc.identifier.issn1462-2203en_US
dc.identifier.issn1469-994Xen_US
dc.identifier.issn1462-2203
dc.identifier.issn1469-994X
dc.identifier.issue4
dc.identifier.pmid28582531en_US
dc.identifier.scopus2-s2.0-85043588685en_US
dc.identifier.scopusqualityQ1
dc.identifier.startpage482en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12469/1137
dc.identifier.urihttps://doi.org/10.1093/ntr/ntx125
dc.identifier.volume20en_US
dc.identifier.wosWOS:000427180200011en_US
dc.identifier.wosqualityQ1
dc.institutionauthorÇarkoğlu, Aslı
dc.institutionauthorEl-Rabbat, Mahaen_US
dc.language.isoenen_US
dc.publisherOxford University Pressen_US
dc.relation.journalNicotine & Tobacco Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleBiomarkers of Secondhand Smoke Exposure in Waterpipe Tobacco Venue Employees in Istanbul Moscow and Cairoen_US
dc.typeArticleen_US
dspace.entity.typePublication
relation.isAuthorOfPublication211ed1cb-2559-4c2e-b1b5-9001ccd7c139
relation.isAuthorOfPublication.latestForDiscovery211ed1cb-2559-4c2e-b1b5-9001ccd7c139

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