Patterns of tobacco use in the United Arab Emirates healthy future (UAEHFS) pilot study

Mohammed Al-Houqani, Andrea Leinberger-Jabari, Abdullah Al Naeemi, Abdullah Al Junaibi, Eiman Al Zaabi, Naima Oumeziane, Marina Kazim, Fatima Al Maskari, Ayesha Al Dhaheri, Leila Abdel Wareth, Wael Al Mahmeed, Habiba Alsafar, Fatme Al Anouti, Abdishakur Abdulle, Claire K. Inman, Aisha Al Hamiz, Muna Haji, Jiyoung Ahn, Tomas Kirchhoff, Richard B. HayesRavichandran Ramasamy, Ann Marie Schmidt, Omar El Shahawy, Michael Weitzman, Raghib Ali, Scott Sherman

Research output: Contribution to journalArticle

Abstract

Introduction Self-reported tobacco use in the United Arab Emirates is among the highest in the region. Use of tobacco products other than cigarettes is widespread, but little is known about specific behavior use patterns. There have been no studies that have biochemically verified smoking status. Methods The UAE Healthy Future Study (UAEHFS) seeks to understand the causes of non-communicable diseases through a 20,000-person cohort study. During the study pilot, 517 Emirati nationals were recruited to complete a questionnaire, provide clinical measurements and biological samples. Complete smoking data were available for 428 participants. Validation of smoking status via cotinine testing was conducted based on complete questionnaire data and matching urine samples for 399 participants, using a cut-off of 200ng/ml to indicate active smoking status. Results Self-reported tobacco use was 36% among men and 3% among women in the sample. However, biochemical verification of smoking status revealed that 42% men and 9% of women were positive for cotinine indicating possible recent tobacco use. Dual and poly-use of tobacco products was fairly common with 32% and 6% of the sample reporting respectively. Conclusions This is the first study in the region to biochemically verify tobacco use self-report data. Tobacco use in this study population was found to be higher than previously thought, especially among women. Misclassification of smoking status was more common than expected. Poly-tobacco use was also very common. Additional studies are needed to understand tobacco use behaviors and the extent to which people may be exposed to passive tobacco smoke. Implications This study is the first in the region to biochemically verify self-reported smoking status.

Original languageEnglish (US)
Article numbere0198119
JournalPLoS One
Volume13
Issue number5
DOIs
StatePublished - May 1 2018

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tobacco use
United Arab Emirates
Tobacco
Tobacco Use
Smoking
Tobacco Products
Cotinine
questionnaires
noninfectious diseases
sampling
Smoke
Self Report
cigarettes
smoke
Cohort Studies
cohort studies
Urine
tobacco
urine

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Al-Houqani, M., Leinberger-Jabari, A., Naeemi, A. A., Junaibi, A. A., Zaabi, E. A., Oumeziane, N., ... Sherman, S. (2018). Patterns of tobacco use in the United Arab Emirates healthy future (UAEHFS) pilot study. PLoS One, 13(5), [e0198119]. https://doi.org/10.1371/journal.pone.0198119

Patterns of tobacco use in the United Arab Emirates healthy future (UAEHFS) pilot study. / Al-Houqani, Mohammed; Leinberger-Jabari, Andrea; Naeemi, Abdullah Al; Junaibi, Abdullah Al; Zaabi, Eiman Al; Oumeziane, Naima; Kazim, Marina; Maskari, Fatima Al; Dhaheri, Ayesha Al; Wareth, Leila Abdel; Mahmeed, Wael Al; Alsafar, Habiba; Anouti, Fatme Al; Abdulle, Abdishakur; Inman, Claire K.; Hamiz, Aisha Al; Haji, Muna; Ahn, Jiyoung; Kirchhoff, Tomas; Hayes, Richard B.; Ramasamy, Ravichandran; Schmidt, Ann Marie; Shahawy, Omar El; Weitzman, Michael; Ali, Raghib; Sherman, Scott.

In: PLoS One, Vol. 13, No. 5, e0198119, 01.05.2018.

Research output: Contribution to journalArticle

Al-Houqani, M, Leinberger-Jabari, A, Naeemi, AA, Junaibi, AA, Zaabi, EA, Oumeziane, N, Kazim, M, Maskari, FA, Dhaheri, AA, Wareth, LA, Mahmeed, WA, Alsafar, H, Anouti, FA, Abdulle, A, Inman, CK, Hamiz, AA, Haji, M, Ahn, J, Kirchhoff, T, Hayes, RB, Ramasamy, R, Schmidt, AM, Shahawy, OE, Weitzman, M, Ali, R & Sherman, S 2018, 'Patterns of tobacco use in the United Arab Emirates healthy future (UAEHFS) pilot study', PLoS One, vol. 13, no. 5, e0198119. https://doi.org/10.1371/journal.pone.0198119
Al-Houqani M, Leinberger-Jabari A, Naeemi AA, Junaibi AA, Zaabi EA, Oumeziane N et al. Patterns of tobacco use in the United Arab Emirates healthy future (UAEHFS) pilot study. PLoS One. 2018 May 1;13(5). e0198119. https://doi.org/10.1371/journal.pone.0198119
Al-Houqani, Mohammed ; Leinberger-Jabari, Andrea ; Naeemi, Abdullah Al ; Junaibi, Abdullah Al ; Zaabi, Eiman Al ; Oumeziane, Naima ; Kazim, Marina ; Maskari, Fatima Al ; Dhaheri, Ayesha Al ; Wareth, Leila Abdel ; Mahmeed, Wael Al ; Alsafar, Habiba ; Anouti, Fatme Al ; Abdulle, Abdishakur ; Inman, Claire K. ; Hamiz, Aisha Al ; Haji, Muna ; Ahn, Jiyoung ; Kirchhoff, Tomas ; Hayes, Richard B. ; Ramasamy, Ravichandran ; Schmidt, Ann Marie ; Shahawy, Omar El ; Weitzman, Michael ; Ali, Raghib ; Sherman, Scott. / Patterns of tobacco use in the United Arab Emirates healthy future (UAEHFS) pilot study. In: PLoS One. 2018 ; Vol. 13, No. 5.
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abstract = "Introduction Self-reported tobacco use in the United Arab Emirates is among the highest in the region. Use of tobacco products other than cigarettes is widespread, but little is known about specific behavior use patterns. There have been no studies that have biochemically verified smoking status. Methods The UAE Healthy Future Study (UAEHFS) seeks to understand the causes of non-communicable diseases through a 20,000-person cohort study. During the study pilot, 517 Emirati nationals were recruited to complete a questionnaire, provide clinical measurements and biological samples. Complete smoking data were available for 428 participants. Validation of smoking status via cotinine testing was conducted based on complete questionnaire data and matching urine samples for 399 participants, using a cut-off of 200ng/ml to indicate active smoking status. Results Self-reported tobacco use was 36{\%} among men and 3{\%} among women in the sample. However, biochemical verification of smoking status revealed that 42{\%} men and 9{\%} of women were positive for cotinine indicating possible recent tobacco use. Dual and poly-use of tobacco products was fairly common with 32{\%} and 6{\%} of the sample reporting respectively. Conclusions This is the first study in the region to biochemically verify tobacco use self-report data. Tobacco use in this study population was found to be higher than previously thought, especially among women. Misclassification of smoking status was more common than expected. Poly-tobacco use was also very common. Additional studies are needed to understand tobacco use behaviors and the extent to which people may be exposed to passive tobacco smoke. Implications This study is the first in the region to biochemically verify self-reported smoking status.",
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T1 - Patterns of tobacco use in the United Arab Emirates healthy future (UAEHFS) pilot study

AU - Al-Houqani, Mohammed

AU - Leinberger-Jabari, Andrea

AU - Naeemi, Abdullah Al

AU - Junaibi, Abdullah Al

AU - Zaabi, Eiman Al

AU - Oumeziane, Naima

AU - Kazim, Marina

AU - Maskari, Fatima Al

AU - Dhaheri, Ayesha Al

AU - Wareth, Leila Abdel

AU - Mahmeed, Wael Al

AU - Alsafar, Habiba

AU - Anouti, Fatme Al

AU - Abdulle, Abdishakur

AU - Inman, Claire K.

AU - Hamiz, Aisha Al

AU - Haji, Muna

AU - Ahn, Jiyoung

AU - Kirchhoff, Tomas

AU - Hayes, Richard B.

AU - Ramasamy, Ravichandran

AU - Schmidt, Ann Marie

AU - Shahawy, Omar El

AU - Weitzman, Michael

AU - Ali, Raghib

AU - Sherman, Scott

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N2 - Introduction Self-reported tobacco use in the United Arab Emirates is among the highest in the region. Use of tobacco products other than cigarettes is widespread, but little is known about specific behavior use patterns. There have been no studies that have biochemically verified smoking status. Methods The UAE Healthy Future Study (UAEHFS) seeks to understand the causes of non-communicable diseases through a 20,000-person cohort study. During the study pilot, 517 Emirati nationals were recruited to complete a questionnaire, provide clinical measurements and biological samples. Complete smoking data were available for 428 participants. Validation of smoking status via cotinine testing was conducted based on complete questionnaire data and matching urine samples for 399 participants, using a cut-off of 200ng/ml to indicate active smoking status. Results Self-reported tobacco use was 36% among men and 3% among women in the sample. However, biochemical verification of smoking status revealed that 42% men and 9% of women were positive for cotinine indicating possible recent tobacco use. Dual and poly-use of tobacco products was fairly common with 32% and 6% of the sample reporting respectively. Conclusions This is the first study in the region to biochemically verify tobacco use self-report data. Tobacco use in this study population was found to be higher than previously thought, especially among women. Misclassification of smoking status was more common than expected. Poly-tobacco use was also very common. Additional studies are needed to understand tobacco use behaviors and the extent to which people may be exposed to passive tobacco smoke. Implications This study is the first in the region to biochemically verify self-reported smoking status.

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