IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i17p6403-d408013.html
   My bibliography  Save this article

Biomarkers of Exposure among USA Adult Hookah Users: Results from Wave 1 of the Population Assessment of Tobacco and Health (PATH) Study (2013–2014)

Author

Listed:
  • Mark J. Travers

    (Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14203, USA)

  • Cheryl Rivard

    (Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14203, USA)

  • Eva Sharma

    (Westat, Rockville, MD 20850, USA)

  • Sandra Retzky

    (Food and Drug Administration, Center for Tobacco Products, Calverton, MD 20705, USA)

  • Berran Yucesoy

    (Food and Drug Administration, Center for Tobacco Products, Calverton, MD 20705, USA)

  • Maciej L. Goniewicz

    (Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14203, USA)

  • Cassandra A. Stanton

    (Westat, Rockville, MD 20850, USA)

  • Jiping Chen

    (Food and Drug Administration, Center for Tobacco Products, Calverton, MD 20705, USA)

  • Priscilla Callahan-Lyon

    (Food and Drug Administration, Center for Tobacco Products, Calverton, MD 20705, USA)

  • Heather L. Kimmel

    (National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD 20892, USA)

  • Baoyun Xia

    (Division of Laboratory Sciences, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA)

  • Yuesong Wang

    (Division of Laboratory Sciences, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA)

  • Connie S. Sosnoff

    (Division of Laboratory Sciences, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA)

  • Víctor R. De Jesús

    (Division of Laboratory Sciences, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA)

  • Benjamin C. Blount

    (Division of Laboratory Sciences, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA)

  • Stephen S. Hecht

    (Masonic Cancer Center, University of Minnesota, Minneapolis, MN 55455, USA)

  • Andrew Hyland

    (Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14203, USA)

Abstract

Hookah smoking has become common in the USA, especially among young adults. This study measured biomarkers of exposure to known tobacco product toxicants in a population-based sample of exclusive, established hookah users. Urinary biomarker data from 1753 adults in Wave 1 of the Population Assessment of Tobacco and Health (PATH) Study were used to compare geometric mean concentrations of biomarkers of exposure in exclusive, established past 30-day hookah users to never users of tobacco. Geometric mean ratios were calculated comparing hookah user groups with never users adjusting for age, sex, race/ethnicity, education, past 30-day marijuana use, secondhand smoke exposure and creatinine. Past 30-day hookah users ( n = 98) had 10.6 times the urinary cotinine level of never tobacco users. Compared to never tobacco users, past 30-day hookah users had 2.3 times the level of the carcinogen 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL), a metabolite of the tobacco-specific nitrosamine (TSNA) 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK), 1.3 times higher polycyclic aromatic hydrocarbons (PAHs) 3-hydroxyfluorene and 1-hydroxypyrene, 1.8 times higher levels of acrylonitrile, 1.3 times higher levels of acrylamide, and 1.2 times higher levels of acrolein exposure. These data indicate that hookah use is a significant source of exposure to nicotine, carcinogens, and respiratory toxicants.

Suggested Citation

  • Mark J. Travers & Cheryl Rivard & Eva Sharma & Sandra Retzky & Berran Yucesoy & Maciej L. Goniewicz & Cassandra A. Stanton & Jiping Chen & Priscilla Callahan-Lyon & Heather L. Kimmel & Baoyun Xia & Yu, 2020. "Biomarkers of Exposure among USA Adult Hookah Users: Results from Wave 1 of the Population Assessment of Tobacco and Health (PATH) Study (2013–2014)," IJERPH, MDPI, vol. 17(17), pages 1-16, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6403-:d:408013
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/17/6403/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/17/6403/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Primack, B.A. & Hopkins, M. & Hallett, C. & Carroll, M.V. & Zeller, M. & Dachille, K. & Kim, K.H. & Fine, M.J. & Donohue, J.M., 2012. "US health policy related to hookah tobacco smoking," American Journal of Public Health, American Public Health Association, vol. 102(9), pages 47-51.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Lilianna Phan & Andrea C. Villanti & Glenn Leshner & Theodore L. Wagener & Elise M. Stevens & Andrea C. Johnson & Darren Mays, 2020. "Development and Pretesting of Hookah Tobacco Public Education Messages for Young Adults," IJERPH, MDPI, vol. 17(23), pages 1-14, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mohammed Jawad & John Tayu Lee & Christopher Millett, 2014. "The Relationship between Waterpipe and Cigarette Smoking in Low and Middle Income Countries: Cross-Sectional Analysis of the Global Adult Tobacco Survey," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-8, March.
    2. Midhat Z. Jafry & Sean M. Reuven & Maggie Britton & Tzuan A. Chen & Isabel Martinez Leal & Anastasia Rogova & Bryce Kyburz & Teresa Williams & Mayuri Patel & Lorraine R. Reitzel, 2022. "Providers’ Non-Cigarette Tobacco Use Intervention Practices in Relation to Beliefs about Patients, Prioritization of and Skills for Intervention, and Referral Knowledge in Texas Healthcare Centers Pro," IJERPH, MDPI, vol. 19(21), pages 1-12, November.
    3. Linda Haddad & Omar El-Shahawy & Roula Ghadban & Tracey E. Barnett & Emily Johnson, 2015. "Waterpipe Smoking and Regulation in the United States: A Comprehensive Review of the Literature," IJERPH, MDPI, vol. 12(6), pages 1-21, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6403-:d:408013. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.