The prevalence of waterpipe tobacco smoking among the general and specific populations: a systematic review.

The prevalence of waterpipe tobacco smoking among the general and specific populations: a systematic review.
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DOI:
10.1186/1471-2458-11-244
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发表时间:
2011-04-19
期刊:
影响因子:
4.5
通讯作者:
Irani J
Irani J
中科院分区:
医学2区
文献类型:
--
作者:
Akl EA;Gunukula SK;Aleem S;Obeid R;Jaoude PA;Honeine R;Irani J

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本研究的目的是系统地回顾关于一般和特定人群中水烟烟草使用流行率的医学文献。我们通过电子方式检索了 MEDLINE、EMBASE 和 ISI the Web of Science。我们使用两阶段重复和独立筛选过程来选择研究。我们纳入了队列研究和横断面研究,评估一般人群或特定感兴趣人群中水烟使用的流行程度。两名评审员使用标准化和试点测试的表格,通过重复且独立的筛选过程从每项符合条件的研究中收集数据。我们按国家和年龄组对数据进行分层分析。这项研究并不局限于特定的背景。在总共 38 项研究中,只有 4 项是全国性调查;其余的则评估特定人群。目前,各国学生中水烟吸食率最高:美国,尤其是阿拉伯裔美国人(12%-15%)、阿拉伯海湾地区(9%-16%)、爱沙尼亚(21%)和黎巴嫩(25%)。同样,阿拉伯湾地区(6%)、英国(8%)、美国(10%)、叙利亚(15%)、黎巴嫩(28%)和巴基斯坦(33%)的大学生目前吸水烟的流行率很高。目前成年人吸水烟的流行率如下:巴基斯坦(6%)、阿拉伯湾地区(4%-12%)、澳大利亚(阿拉伯语成年人为11%)、叙利亚(9%-12%)和黎巴嫩(15%)。黎巴嫩(5%)和埃及(11%-15%)的群体吸水烟比例较高。在黎巴嫩,5%-6%的孕妇表示在怀孕期间吸过水烟。这些研究都是横断面的,并且因报告水烟的方式而异。虽然很少进行全国性调查,但在中东国家的中学生和大学生以及西方国家的中东裔群体中,吸水烟的流行率似乎高得惊人。
The objective of this study was to systematically review the medical literature for the prevalence of waterpipe tobacco use among the general and specific populations. We electronically searched MEDLINE, EMBASE, and the ISI the Web of Science. We selected studies using a two-stage duplicate and independent screening process. We included cohort studies and cross sectional studies assessing the prevalence of use of waterpipe in either the general population or a specific population of interest. Two reviewers used a standardized and pilot tested form to collect data from each eligible study using a duplicate and independent screening process. We stratified the data analysis by country and by age group. The study was not restricted to a specific context. Of a total of 38 studies, only 4 were national surveys; the rest assessed specific populations. The highest prevalence of current waterpipe smoking was among school students across countries: the United States, especially among Arab Americans (12%-15%) the Arabic Gulf region (9%-16%), Estonia (21%), and Lebanon (25%). Similarly, the prevalence of current waterpipe smoking among university students was high in the Arabic Gulf region (6%), the United Kingdom (8%), the United States (10%), Syria (15%), Lebanon (28%), and Pakistan (33%). The prevalence of current waterpipe smoking among adults was the following: Pakistan (6%), Arabic Gulf region (4%-12%), Australia (11% in Arab speaking adults), Syria (9%-12%), and Lebanon (15%). Group waterpipe smoking was high in Lebanon (5%), and Egypt (11%-15%). In Lebanon, 5%-6% pregnant women reported smoking waterpipe during pregnancy. The studies were all cross-sectional and varied by how they reported waterpipe smoking. While very few national surveys have been conducted, the prevalence of waterpipe smoking appears to be alarmingly high among school students and university students in Middle Eastern countries and among groups of Middle Eastern descent in Western countries.
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