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Tobacco Use Insights

Synopsis: An open access, peer reviewed electronic journal that covers smoking cessation and health impacts of tobacco use.


Indexing: Pubmed indexing for NIH-funded research.

Processing time: Decision in 2 weeks for 90% of papers.

Visibility: Most popular article read 350+ times.

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About this journal

Aims and scope:

Tobacco Use Insights is an open access, peer reviewed journal which covers all aspects of the health impacts of tobacco use, as well as smoking cessation. ‘Tobacco Use Insights’ is interested in submissions on the short and long term effects of both tobacco (including smokeless and spitless products) and marijuana use, and tobacco-related cancer and other chronic disorders. Another focus is the health and economic benefits of smoking cessation; challenges surrounding nicotine addiction and the opportunities of medical treatment and harm reduction strategies.

The main focus of this journal is multidisplinary (including research from the social, psychological, epidemiological, prevention, economics, and treatment arenas). Tobacco control and advocacy topics from developing countries and for vulnerable groups are specifically encouraged.

Editorial standards and procedures:

Submissions, excluding editorials, letters to the editor and dedications, will be peer reviewed by two reviewers.  Reviewers are required to provide fair, balanced and constructive reports.  

Under our Fairness in Peer Review Policy authors may appeal against reviewers' recommendations which are ill-founded, unobjective or unfair.  Appeals are considered by the Editor in Chief or Associate Editor.

Papers are not sent to peer reviewers following submission of a revised manuscript. Editorial decisions on re-submitted papers are based on the author's response to the initial peer review report.

National Institutes of Health Public Access Policy compliant:

As of April 7 2008, the US NIH Public Access Policy requires that all peer reviewed articles resulting from research carried out with NIH funding be deposited in the Pubmed Central archive.

If you are an NIH employee or grantee Libertas Academica will ensure that you comply with the policy by depositing your paper at Pubmed Central on your behalf. 

ISSN: 1179-173X


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Saliva Cotinine and Exhaled Carbon Monoxide in Real Life Waterpipe Smokers: A Post Hoc Analysis

Authors: Salameh Pascale, Aoun Bacha Zeina and Waked Mirna
Publication Date: 23 Mar 2009
Tobacco Use Insights 2009:2 1-10

Salameh Pascale1, Aoun Bacha Zeina2 and Waked Mirna3

1Pharmacist and Epidemiologist, Lebanese University, Beirut, Lebanon. 2Chest physician, HOTEL DIEU hospital, Beirut, Lebanon. 3Chest physician, St. George Hospital, Beirut, Lebanon.

Abstract

Introduction:  We have already suggested that waterpipe (WP) smoking is associated with an increase in saliva cotinine and carbon monoxide in a small number of smokers.

Objective: The primary objective of this study was to confirm the increase in exhaled carbon monoxide (CO) and saliva cotinine equivalents levels in waterpipe smokers in a real smoking environment, compared with cigarettes smokers and never smokers. The secondary objective was to assess the factors associated with WP dependence according to the Lebanese Waterpipe Dependence Scale —11 (LWDS-11).

Methods:  Three groups were included in the study: never smokers (n = 43), waterpipe smokers (n = 103), and cigarette smokers (n = 42). A questionnaire was completed for each participant, exhaled CO measured before and after waterpipe or cigarette smoking, and saliva cotinine equivalents dosed one hour after WP smoking or after one cigarette.

Results:  Waterpipe smokers, like cigarette smokers, are exposed to nicotine and to CO. We found that levels of saliva cotinine equivalents were lower in waterpipe compared with cigarette smokers, but significantly higher than never smokers. In waterpipe smokers, saliva cotinine equivalents was mainly affected by the number of waterpipes per week and the size of the waterpipe. High levels were again found for expired CO, which increased by 500% in waterpipe smokers, in com- parison with 100% in cigarette smokers; in waterpipe smokers, the relative increase in CO was affected by the number of waterpipes smoked before measurements, while it was inversely associated to the number of persons with whom they were sharing the WP and to the WP size. WP dependence was significantly correlated with the number of smokers at home, at work, and the body mass index.

Conclusion:  This is a confirmation of real life waterpipe tobacco smoking characteristics in Lebanon. It indicates that nicotine is only marginally retained in the bowl water where smoke passes, and that waterpipe smokers could be exposed to harmful substances, such as CO that was found to be quite high. The level of expired CO and salivary cotinine could be good tools to detect exposure to waterpipe tobacco smoking. In addition, obesity and surrounding smokers could increase the risk of WP dependence.

Categories: Substance abuse


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