Day 1 :
- Tobacco and Smoking Cessation
Session Introduction
Elahe Ezati
Department of PublicHealth, Iran
Title: Prevalence of shisha smoking and risk factors among female adolescents in Iran
Biography:
Elahe.ezati is PhD student health promotion,, who has been researching tobacco prevention in the field for more than 3 years
Abstract:
shisha smoking is on the increase in Iarn, but there are limited data on its use among adolescents. This research purpose is to the survey prevalence of shisha smoking and risk factors among female in Iran
This was a cross-sectional study . The study participants was 1302. The sampling was multistage random. 12 schools from three sectors of Kermanshah in the western city in Iran( 4 schools from each sector), were selected. Students were in grades 7 to 12. data were collected using questionnaire and analyzed by descriptive statistical methods and Logistic regression test by using SPSS 22 software.
The mean (SD) ages of the students and the ages when the participants started SS were 15.22 ± 1.85 and 13.64 (1.64) respectively. 32.4% of the participants ever having used a shisha and 20.4% mentioned they used shisha the last 30 days. Most of the subjects smoked shishas in friends’ houses (45.8%) and with their friends (47.4%). The significantly important factors that affect SS in these age groups were the father's and mother's occupation, family size, living with others, father's education, having a friend who smokes shishas, friends’ encouragement to smoke shisha, and being in a family that smoke shishas.
Saeed Bashirian
Social Determinants of Health Research Center, Iran
Title: Water pipe smoking among female in Iran : a survey Pattern of use, risk perception and environmental factors.
Biography:
Saeed Bashirian is a health promotion specialist, who has been researching tobacco prevention in the field for more than 5 years. bashirian has trained many Ph.D students in the field and has published numerous articles on tobacco prevention.
Abstract:
Considering the prevalence of WPS among female adolescents and the need to identify the components and dimensions of such behaviors, this study was conducted to investigate determinants of water pipe smoking, use pattern, risk perception and environmental factors among female in Iran. This was a cross-sectional study. The study participants was 1302. The sampling was multistage random. 12 schools from three sectors of Kermanshah in the western city in Iran[ 4 schools from each sector], were selected. Students were in grades 7 to 12. data were collected using questionnaire and analyzed by descriptive statistical methods and Logistic regression test byusing spss 22 software
Baurzhan Zhussupov
Kazakhstan Academy of Preventive Medicine (KAPM), Kazakhstan
Title: Risk factors of COPD and metabolic syndrome among IQOS and conventional cigarette users recruited to a 5-year cohort study
Biography:
Dr. Sharman has 30 years experience in the fields of biomedical science, clinical research, and healthcare management. As a researcher Dr. Sharman designed a methodology for integrated population-based HIV testing which was implemented in several developing countries and has become a standard methodology for the international demographic and health surveys. HIV testing data generated by using this methodology was used by UNAIDS to lower the estimate of the number of people afflicted by HIV in the world by 7 million cases. During the last several years, Dr. Sharman concentrated on healthcare management and academic medicine in Kazakhstan. He was founding CEO of the National Medical Holding (NMH) and member of Executive Board of Nazarbayev University. Dr. Sharman is current member of the American Public Health Association and President of Kazakhstan Academy of Preventive Medicine. He also co-founded HealthCity, a network of private centers for personal medicine
Abstract:
a. Statement of the Problem
To establish whether smokers who pass from cigarettes to IQOS, "heat-not-burn" tobacco product, reduce the risk for health, KAPM is conducting a 5-year prospective cohort study among IQOS and traditional cigarette users. After baseline information was collected, we compare two cohorts on baseline health status measurements namely spirometry and metabolic syndrome.
b. Methodology & Theoretical Orientation
Two cohorts of participants were recruited: men and women age 40 – 59 residing in Almaty City of Kazakhstan: 800 smokers of conventional cigarettes and 400 users of IQOS matched by gender, age, education and pack-year smoking history. The baseline clinical assessments included spirometry, metabolic syndrome and anthropometry. FEV1/FVC ratio less than 0.7 was used to define COPD. We utilized IDF clinical criteria for the metabolic syndrome. Logistic regression is used for estimating the adjusted prevalence odds ratio (aPOR). Age, gender, pack-year, education, current tobacco product use status were used as independent variables.
c. Findings
COPD was more prevalent in males than in females (4.5% vs 1.3%, aPOR=3.88, 95%CI, 1.59-9.51), among 50-59 than among 40-49-year-old (4.7% vs 1.3%, aPOR=4.39, 95%CI, 1.94-9.97), without college degree than with college degree (7.0% vs 2.2%, aPOR=3.57, 95%CI, 1.66-7.70). Metabolic syndrome was more common in males than in females (40.4% vs 26.8%, aPOR=1.54, 95%CI, 1.18-2.02), among 50-59 than among 40-49-year-old (38.0% vs 29.7%, aPOR=1.36, 95%CI, 1.06-1.75), having 20+ pack-year than 10-19.9 pack-year smoking history (40.7% vs 25.0%, aPOR=1.76, 95%CI, 1.33-2.33).
d. Conclusion & Significance
Older age and male gender were positively associated with both COPD and metabolic syndrome in persons with smoking history. No statistically significant differences in COPD and metabolic syndrome were observed between conventional cigarette and IQOS users at the baseline.