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. Hayes & 6 others Ravichandran 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.",
    author = "Mohammed Al-Houqani and Andrea Leinberger-Jabari and Naeemi, {Abdullah Al} and Junaibi, {Abdullah Al} and Zaabi, {Eiman Al} and Naima Oumeziane and Marina Kazim and Maskari, {Fatima Al} and Dhaheri, {Ayesha Al} and Wareth, {Leila Abdel} and Mahmeed, {Wael Al} and Habiba Alsafar and Anouti, {Fatme Al} and Abdishakur Abdulle and Inman, {Claire K.} and Hamiz, {Aisha Al} and Muna Haji and Jiyoung Ahn and Tomas Kirchhoff and Hayes, {Richard B.} and Ravichandran Ramasamy and Schmidt, {Ann Marie} and Shahawy, {Omar El} and Michael Weitzman and Raghib Ali and Scott Sherman",
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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

    PY - 2018/5/1

    Y1 - 2018/5/1

    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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