MTH Annual Report, 2016 1

ANNUAL REPORT 2016

MTH Annual Report, 2016 2

Twenty-first century society exposes us to

media and technology the majority of our

waking hours. Social media, Internet,

television, film, music, video games, and

advertisements abound.

Studies suggest that some of these exposures negatively influence key health behaviors such as

substance use and diet and exercise patterns. However, other media messages—such as those

from public service announcements or health-promoting smartphone applications—may improve

health outcomes. Better understanding of how media, technology, and health outcomes interact

will empower us to develop educational and policy-related interventions which encourage the

positive and lessen the negative.

With this in mind, the first focus of the Center for Research on Media, Technology, and Health

(MTH) is to investigate associations between media messages, technological innovations, and

health outcomes. In particular, we focus our interest on topics relating to substance use (such as

tobacco and alcohol), mental health, and communications

between patients and healthcare providers.

Second, we aim to improve health outcomes via developing,

implementing, and evaluating interventions related to media

messages and technological advances. Interventions may

involve policy implementation, education, or other

organizational or procedural change.

We also provide research mentoring and experience to

trainees throughout the University of Pittsburgh.

MISSION STATEMENT

DIRECTOR‘S MESSAGE

THE PEOPLE OF MTH

SPOTLIGHTS

STUDENTS

AFFILIATED FACULTY

PUBLICATIONS

BY THE NUMBERS

GRANTS

CENTER NEWS

IN THE HEADLINES

CONTACT US

TABLE OF CONTENTS

MTH MISSION

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7

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12

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19

MTH Annual Report, 2016 3

DIRECTOR S MESSAGE

Brian Primack is the Director of the Center for Research

on Media, Technology, and Health and the Assistant Vice

Chancellor for Research on Health and Society.

After graduating Yale University with degrees in English

and Mathematics, Brian spent four years teaching

adolescents and studying human development for his

master's degree, which he received from Harvard

University. He subsequently graduated first in his class

from Emory Medical School and trained in Family

Medicine in Pittsburgh.

What is the relationship between social media and mental health?

MTH has been actively researching the association between social

media use and mental health. We thought that there might be a sort of

U-shaped relationship, where moderate uses of social media might be

associated with reductions in mental health outcomes such as

depression and anxiety.

However, this year we published in journals such as Depression and Anxiety, the Journal of Community

Health, and the American Journal of Preventive Medicine that, in a nationally representative sample, there

seems to be more of a dose-response association between social media use and mental health problems.

For this reason, it is heartening that, over the past year, social media platforms have begun to take

responsibility for this potential negative impact. Twitter recently added features where users can mute

certain words so that unwanted content is blocked from showing up. Instagram has added support measures

for when a user‘s posts are reported, or for when the user searches terms related to self harm or eating

disorders. Facebook is taking steps to reduce cyberbullying by providing a Bullying Prevention Hub full of

resources for teens, parents, and educators.

We certainly don‘t want our message to be to avoid social media. In today‘s world, that is neither feasible

nor desirable. There are many potential benefits of social media.

We at MTH hope to use the coming years to delve deeper into relationships between social media and

mental health. The goal is that we will be able to develop evidence-based best practices for social media use.

WELCOME

’

MEET BRIAN PRIMACK, MD, PHD

Social media addresses mental health

MTH Annual Report, 2016 4

THE PEOPLE OF MTH

Jason Colditz, MEd

Program Coordinator

Kar-Hai Chu, PhD

Assistant Professor of Medicine

Kar-Hai Chu joined MTH in 2016 after being a Research Scientist at the University

of Southern California for several years, studying various public health issues,

including tobacco control, community health coalitions, and social media based

health surveillance. He received his BS in Computer Science from Johns Hopkins

University, MS in Computer Science from Columbia University, and PhD in

Communication and Information Sciences from the University of Hawaii. His

current research is focused on innovative methods of using online technologies to

support health science.

Jason Colditz joined the MTH team in 2012 and is responsible for overseeing day-to

-day operations and research staff. He received a BS in Psychology and

Communications, and an MEd in Social and Comparative Analysis, both from the

University of Pittsburgh. Jason is currently a PhD student in the Clinical and

Translational Science program at the University of Pittsburgh. His primary research

interests include social media use typologies, early-intervention models and social

support for behavioral health conditions using online technologies, and

econometrics of research.

César G. Escobar-Viera, PhD, MD

Postdoctoral Associate

César G. Escobar-Viera joined MTH in 2016 and is currently working on several

projects related to the impact of social media on mental health outcomes, the

integration of mental health services into primary care, as well as the qualitative

component of the ongoing Pennsylvania Community Health Choices Evaluation

Project. He received his PhD in Health Services Research from the University of

Florida. César completed his medical education and clinical training in Psychiatry in

Paraguay, where he also served as CMO of the only public psychiatric hospital

during the Psychiatric Reform in the country. His main research interests include

social media and consumer information technology as potential tools to improve

access to mental health services.

MTH Annual Report, 2016 5

THE PEOPLE OF MTH

Ariel Shensa, MA

Statistician and Data Manager

Ariel Shensa has been with MTH since 2010. She received her BA in Psychology from

Chatham University and MA in Psychology in Education with a concentration in

research methodology from the University of Pittsburgh. She is currently enrolled in the

University of Pittsburgh‘s Clinical and Translational Science PhD program. Her current

research focuses on social media-derived emotional support, classification of social

media use patterns, and developing longitudinal models of social media use and

mental health outcomes. Ariel‘s analysis interests include decision analysis and

structural equation modeling. Her future research goals include developing a clinical

assessment tool to address problematic social media use among adolescent and young

adult populations.

Michelle Woods, BA

Communications Officer

Michelle Woods joined the Center in 2016, contributing her editing and social

media knowledge to the team. She received a BA in Writing from Grand Valley

State University and a copy editing certificate from the University of Chicago.

Previously, she managed social media responses and analyzed trends for Target.

Beth Hoffman joined MTH in 2014 as a medical student and has since become an

integral staff member. She received a degree in Human Biology from Brown

University. Her current research focuses on portrayals of health topics in

primetime television shows.

Jaime E. Sidani, PhD, MPH, CHES

Assistant Director

Jaime Sidani joined the Center in 2011 after practicing as a university health

educator for five years. After graduating from the University of Rochester with a BA

in Health & Society, she received a Master of Public Health Degree from the

Northwest Ohio Consortium for Public Health and a PhD in Health Education from

the University of Toledo. Her main research interests include adolescent health

behavior and tobacco use prevention, with a specific focus on media and

technology.

Beth Hoffman, BSc

Research Assistant

MTH Annual Report, 2016 6

Ravi Choudhuri, MPH Advocacy Manager for Orange County, American Lung Association

MTH mentee, 2014-2015

Jacquelynn Jones joined MTH as a Master of Public Health student in the Behavioral & Community Health Sciences

Department. After successfully defending her thesis, her first-author manuscript ―Associations between Internet-Based

Professional Social Networking and Emotional Distress‖ was accepted to Cyberpsychology, Behavior, and Social

Networking.

Working with MTH gave Jacquelynn the confidence to pursue global internships exploring the mental health field. At

Medic Mobile, she assisted with the evaluation of a pilot project using mobile health tools with the goal of improving

mental health in rural India. As a visiting research assistant at Dr. Ram Manohar Lohia Hospital in New Delhi, India, she

contributed to research on the effect of yoga on cognitive function in patients suffering from schizophrenia and

investigated parental perceptions of children with mental retardation and/or autism. Just like with her MTH work, she

performed literature reviews to understand the situation and context for each population.

Her advice to future students is to get the most out of their MTH experiences by asking questions and offering ideas.

Jones found the MTH team to be ―incredibly organized, detail oriented, and excellent at communicating,‖ skills she has

carried with her in her current search for work within youth mental health research.

Jacquelynn Jones, MPH Master of Public Health student, University of Pittsburgh

MTH mentee, 2015-2016

CURRENT STUDENT SPOTLIGHT

PAST STUDENT SPOTLIGHT

How can I make the biggest impact in the shortest amount of time? For Ravi

Choudhuri, the answer was health policy and nicotine research. MTH helped him

understand current trends in tobacco control, which led to his Master of Public

Health thesis, ―Assessment of Electronic Cigarette Policy from the Perspective of

Policy Makers.‖

After graduating, Ravi‘s continued interest in nicotine research led him to California, where he became the Advocacy

Manager of Orange County for The American Lung Association. He helped to convince California to change the tobacco

purchasing age to 21 and increase the tobacco tax by two dollars. In addition to his state-wide influence, he works to

protect local communities against secondhand smoke. He has helped to introduce municipal e-cigarette and vape bans

in certain cities, influenced by his previous research for his master‘s thesis. Ravi‘s current goals are to organize

communities and pass policy within specific municipalities to reduce tobacco exposure. Examples of those policies could

be passing a smoke-free multi-unit housing policy or a smoke-free outdoor dining policy.

Reflecting on his experiences, Ravi notes that it‘s important to know what you‘re curious about and ―from there

brainstorm different pathways or perspectives on how to combat that issue.‖ Looking forward, he hopes to further

tobacco control on a larger scale, perhaps through the FDA or CDC.

MTH Annual Report, 2016 7

Priam Chakrabouti

Analysis of Twitter data on HPV vaccines

Jacquelynn Jones

Social media and mental health

Mara Leff

Using social marketing to increase hand washing

in India

Daniel Rzewnicki

Attitudes toward technology and emotional

University of Pittsburgh students thrive at MTH. The center offers students guidance and direction, work experience, and

insight into the world of academic research. The following showcases our students in 2016 and their research topics.

Erica Barrett and Daria Williams

Waterpipe tobacco smoking establishments on Yelp

Chandler Larkin

Computer and programming support

Maharsi Naidu

Data visualization, social media data

STUDENTS

MEDICAL STUDENTS

MASTER OF PUBLIC HEALTH STUDENTS

UNDERGRADUATE STUDENTS

Christine Stanley

Project coordination assistance

Eva Rosen

Portrayal of alcohol brand names on YouTube

Meghan Bisbey

Type of social media use and emotional health

Bethany Corbin

Prescription education for medical students

Erin Whaite

Social media and mental health,

Facebook ‗likes‘

Sabrina Karim

Social media content and social isolation

MTH Annual Report, 2016 8

AFFILIATED FACULTY

MTH is positioned across the health sciences, which includes the University of Pittsburgh schools of

medicine, public health, nursing, pharmacy, rehabilitation sciences, and dental medicine. We also

work with many researchers outside of health sciences, including the schools of social work and arts

and sciences. The following are some of our key collaborators within Pitt and beyond.

Nicholas Bowman, PhD

Communications, Social Media

Carl Fertman, PhD, MBA, CHES

Education, Adolescent Development

Michael Fine, MD, MSc

Medicine, Clinical and Translational Research,

Health Disparities

Renee Hobbs, EdD

Media Literacy Education, Communications

A. Everette James, JD, MBA

Health Policy and Government

Kevin Kraemer, MD, MSc

Alcohol Use, Clinical Medicine

Jessica Levenson, PhD

Clinical Psychology, Sleep

Steven Martino, PhD

Health Psychology

Elizabeth Miller, MD, PhD

Pediatrics, Adolescent Medicine,

Community-Based Research

Brooke Molina, PhD

Psychiatry, Psychology, Youth Development,

Substance Use

Ana Radovic, MD

Adolescent Medicine

Daniel Rosen, PhD

Social Work, Substance Use, Aging, Technology,

Business

William Shadel, PhD

Health Psychology, Media Messages, Substance Use

Galen Switzer, PhD

Medicine, Psychiatry, and Psychometrics

Charles Wessel, MLIS

Library Science, Systematic Reviews

MTH Annual Report, 2016 9

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Sidani JE, Shensa A, Naidu MR, Yabes J, Primack BA. Initiation, progression, and sustained waterpipe use: A

nationally-representative longitudinal study of U.S. young adults. Cancer Epidemiology, Biomarkers, &

Prevention.

Hoffman BL, Hoffman RM, Wessel C, Shensa A, Woods MS, Primack BA. The use of fictional medical television

in medical education: A systematic review. Advances in Health Sciences Education.

Primack BA, Shensa A, Escobar-Viera CG, Barrett EL, Sidani JE, Colditz JB, James AE. Use of multiple social

media platforms and symptoms of depression and anxiety: A nationally-representative study among U.S.

young adults. Computers in Health Behavior.

Primack BA, Shensa A, Sidani JE, Whaite EO, Lin L, Rosen D, Colditz JB, Radovic A, Miller E. Social media use

and social isolation among young adults in the United States. American Journal of Preventive Medicine.

Jones JR, Colditz JB, Shensa A, Sidani JE, Lin L, Terry MA, Primack BA. Associations between internet-based

professional social networking and emotional distress. Cyberpsychology, Behavior, and Social Networking.

Maziak W, Taleb ZB, Jawad M, Afifi R, Nakkash R, Akl E, Ward KD, Salloum RG, Barnett TE, Primack BA,

Sherman S, Cobb CO, Sutfin EL, Eissenberg T. Consensus statement on assessment of waterpipe smoking in

epidemiological studies. Tobacco Control.

Sidani JE, Shensa A, Hoffman B, Hanmer J, Primack BA. Association between social media use and eating

concerns among U.S. young adults. Journal of the Academy of Nutrition and Dietetics.

Brook JS, Zhang C, Rubenstone E, Primack BA, Brook DW. Trajectories of substance use as predictors of

antisocial personality disorder, major depressive episode, and generalized anxiety disorder. Addictive

Behaviors.

Lin LY, Sidani JE, Shensa A, Radovic A, Miller E, Colditz JB, Hoffman BL, Giles LM, Primack BA. Association

between social media use and depression among US young adults. Depression and Anxiety.

Levenson JC, Shensa A, Sidani JE, Colditz JB, Primack BA. The association between social media use and sleep

disturbance among young adults. Preventive Medicine.

Primack BA, Carroll MV, Davis W, Shensa A, Levine MD. Sex differences in Hookah-related images posted on

Tumblr. Journal of Health Communication.

Sidani JE, Shiffman S, Shensa A, Switzer GE, Primack BA. Behavioral associations with waterpipe tobacco

smoking dependence among U.S. young adults. Addiction.

Primack BA, Carroll MV, Weiss PM, Shihadeh AL, Shensa A, Farley ST, Fine MJ, Eissenberg T, Nayak S.

Systematic review and meta-analysis of inhaled toxicants from waterpipe and cigarette smoking. Public Health

Reports.

Shensa A, Sidani JE, Lin L, Bowman ND, Primack BA. Social media use and perceived emotional support among

US young adults. Journal of Community Health.

Shensa A, Phelps-Tschang JS, Miller E, Primack BA. A randomized crossover study of Web-based media literacy

to prevent smoking. Health Education Research.

Colditz JB, Ton J, James AE, Primack BA. Waterpipe tobacco policy: Qualitative synthesis of national, state, and

local policy texts. American Journal of Health Promotion.

2016 PUBLICATIONS

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Primack BA, Freedman-Doan P, Sidani JE, Rosen D, Shensa A, James AE, Wallace J. Sustained waterpipe

tobacco smoking and trends over time. American Journal of Preventive Medicine.

Primack BA, Soneji S, Stoolmiller M, Fine MJ, Sargent JD. Progression to traditional cigarette smoking after

electronic cigarette use among US adolescents and young adults. JAMA Pediatrics.

Primack BA, Colditz JB, Pang K, Jackson KM. Portrayal of alcohol intoxication on YouTube. Alcoholism: Clinical

and Experimental Research.

Phelps-Tschang J, Miller E, Rice K, Primack BA. Web-based media literacy to prevent tobacco use among high

school students. Journal of Media Literacy Education.

Soneji S, Sargent JD, Tansky SE, Primack BA. Associations between initial waterpipe tobacco smoking and snus

and subsequent cigarette smoking: Results from a longitudinal study of US adolescents and young adults.

JAMA Pediatrics.

Sidani JE, Shensa A, Primack BA. Waterpipe steam stones: Familiarity with and use among US young adults.

Nicotine & Tobacco Research.

2015 PUBLICATIONS

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Rubio DM, Robinson GFWB, Gilliam VA, Primack BA, Switzer GE, Seltzer DL, Kapoor WN. Characterization of

investigators‘ approach to translational research: A qualitative study. Clinical and Translational Science.

Carroll MV, Chang J, Sidani JE, Barnett TE, Soule E, Balbach E, Primack BA. Reigniting tobacco ritual: Waterpipe

tobacco smoking establishment culture in the United States. Nicotine & Tobacco Research.

Primack BA, McClure A, Li Z, Sargent JD. Receptivity to and recall of alcohol brand appearances in US popular

music and alcohol‐related behaviors. Alcoholism: Clinical and Experimental Research.

Primack BA, Khabour OF, Alzoubi KH, Switzer GE, Shensa A, Carroll MV, Azab M, Eissenberg T. The LWDS‐10J:

Reliability and validity of the Lebanon Waterpipe Dependence Scale among university students in Jordan.

Nicotine & Tobacco Research.

Sidani JE, Shensa A, Barnett TE, Cook RL, Primack BA. Knowledge, attitudes, and normative beliefs as

predictors of hookah tobacco smoking initiation: A longitudinal study of University students. Nicotine &

Tobacco Research.

Robinson GFWB, Switzer GE, Cohen ED, Primack BA, Kapoor WN, Seltzer DL, Bakken LL, Rubio DM. A

shortened version of the Clinical Research Appraisal Inventory: CRAI-12. Academic Medicine.

Primack BA, Mah J, Shensa A, Rosen D, Yonas MA, Fine MJ. Associations between race, ethnicity, religion, and

waterpipe tobacco smoking. Journal of Ethnicity in Substance Abuse.

Primack BA, Colditz JB, Cohen E, Switzer GE, Robinson G, Seltzer DL, Rubio DM, Kapoor WN. Measurement of

social capital among clinical research trainees. Clinical and Translational Science.

2014 PUBLICATIONS

MTH Annual Report, 2016 12

BY THE NUMBERS

MTH‘s Top Five Most Cited Publications Citations

Prevalence of and associations with waterpipe tobacco smoking among US university students

Annals of Behavioral Medicine, 2008 254

Role of video games in improving health-related outcomes: A systematic review

American Journal of Preventive Medicine, 2012 169

Association between media use in adolescence and depression in young adulthood: A longitudinal study

Archives of General Psychiatry, 2009 130

College students and use of K2: an emerging drug of abuse in young persons

Substance Abuse Treatment, Prevention, and Policy, 2011 128

Water-pipe tobacco smoking among middle and high school students in Arizona

Pediatrics, 2009 100

Publications since 2010: 64

Total audience reached

in 2016: 69,100,000†

Citations since 2010: 2,776*

News articles on MTH

in 2016: 1,596†

* Google Scholar estimate

† Estimates provided by University of Pittsburgh Medical Center Media Relations Office

MTH Annual Report, 2016 13

Cessation in Non-Daily Smokers: An RCT of NRT with Ecological Momentary Assessment

National Institute on Drug Abuse (NIDA R01)

2014–2018

Waterpipe Tobacco Smoking among Adolescents and Young Adults in the United States

National Cancer Institute (NCI R01)

2010–2018

Alcohol Marketing and Underage Drinking

National Institute of Alcohol Abuse and Alcoholism (NIAAA R01)

2014–2017

Improving US Health Policy Regarding Water-pipe Tobacco Smoking

National Cancer Institute (NCI R21)

2014–2017

Sponsored Health Information Technology and Evidence-Based Prescribing among Medical Residents

Agency for Healthcare Research and Quality (AHQR R21)

2014–2017

Exploring Sex Differences in Waterpipe Tobacco Smoking

NIH Office of Women‘s Health (NIH R01 supplement)

2014–2016

Alcohol-Related Messages in Social Media

ABMRF Alcohol Research Foundation (ABMRF)

2013–2016

Emergence of Gender Inequitable Practice in Adolescence

National Institute of Child Health and Human Development (NICHD R24)

2013–2016

CURRENT GRANTS

MTH Annual Report, 2016 14

The faculty and staff of the Center for Research on Media, Technology, and Health represented the University

of Pittsburgh with seven poster and four oral presentations on a variety of topics at the Society of Behavioral

Medicine‘s annual conference in Washington D.C. this April:

Brian Primack:

Alcohol Brands Represented on YouTube.

Initiation of Cigarette Smoking after E-cigarette Use: A Nationally-Representative Study.*

Adherence to a Telehealth Protocol Designed to Prevent Readmission for Patients with Congestive

Heart Failure.

The SMARxT Media Literacy Program: A Pilot Study to Improve Evidence-Based Prescribing Among

Medical Residents.*

Jaime Sidani:

Initiation of Waterpipe Tobacco Smoking: A Nationally-Representative Longitudinal Study of U.S.

Young Adults.

Jason Colditz:

Use of Twitter to Assess Sentiment Toward Waterpipe Tobacco Smoking.

Prevalence of Waterpipe Tobacco Smoking Establishments Near Large Universities: Utility of Public

Data from the Yelp! Platform.

Ariel Shensa:

Social Media Addiction as a Contributing Factor to the Association Between Social Media Use and

Depression Among U.S. Young Adults.**

Jessica Levenson:

Social Media Use and Sleep Disturbance Among Young Adults.

Beth Hoffman:

Electronic Nicotine Delivery Systems: The State of State Policy

Use of Twitter to Assess Viewer Reactions to the Medical Drama Code Black

* Chosen by the reviewers and program committee as an excellent submission and recognized as a

citation abstract

** Featured in an article by Reuters UK

THE SOCIETY OF BEHAVIORAL MEDICINE

ANNUAL MEETING

CENTER NEWS

MTH Annual Report, 2016 15

In May, MTH sponsored a talk by Dr. Ryan

McGarry, a graduate of The University of

Pittsburgh School of Medicine and executive

producer of the hit show on CBS Code Black.

Ryan delivered a presentation titled ―Code Black

and the Television Doctor Paradox: Popular and

Powerless in the 21st Century.‖

The event, which was co-sponsored by the

Health Policy Institute and the University of

Pittsburgh Cancer Institute, was well attended by

students, faculty, and members of the

community.

CENTER NEWS

MTH PRESENTS A TALK BY DR. RYAN MCGARRY

During his presentation, Ryan used clips, behind-

the-scenes material, and recent research to

discuss the popularity of fictional medical shows

and how the medical community can leverage this

popularity to influence public health. He also

discussed the importance of leveraging new

media tools, such as blogs and podcasts, to

communicate with patients.

During the Q&A that followed Ryan presentation,

MTH director Brian Primack discussed some of the

ways that MTH is collaborating with the show to

study viewer discourse and related opportunities

for health education.

Dr. Ryan McGarry takes questions from the audience.

Ryan poses with center director Brian Primack and

research assistant Beth Hoffman (right) following his

engaging presentation.

MTH Annual Report, 2016 16

In 2016, multiple MTH studies related to social media use and mental health were well received

and made a significant media mark. Specifically, ―The association between social media use and

sleep disturbance among young adults,‖ published in April in Preventative Medicine, was

featured on NBC News, Fortune, Tech Crunch, and World Tech Today.

IN THE HEADLINES

SOCIAL MEDIA AND MENTAL HEALTH

MTH research was the top story in the Reddit health forum.

Also published in April, ―The association between social media use and depression among U.S.

young adults‖ in the journal Depression & Anxiety, reached an audience of over 8 million, and

was featured in news outlets such as U.S. News & World Report, Cosmopolitan Magazine, and

The Tribune Review.

MTH Annual Report, 2016 17

SOCIAL MEDIA AND MENTAL HEALTH, CONTINUED

The above is the eating concerns and

social media publication‘s Altmetric

score. This graphic quantifies the

amount of public exposure the article

has received. A score of 904 ranks in the

top 5% of all Altmetrics, and the top

score for all articles in The Journal of the

Academy of Nutrition and Dietetics.

Similarly, ―The association between social

media use and eating concerns among U.S.

young adults,‖ published in May in The

Journal of the Academy of Nutrition and

Dietetics, reached an audience of over 4

million and was featured in news outlets

such as Yahoo! News and Medical Daily.

The multiple social media platforms article topped Reddit’s Science page, receiving more than 24,000 up votes from users.

In December, ―Use of multiple social media platforms and symptoms of depression and

anxiety: A nationally-representative study among U.S. young adults,‖ published in Computers

in Health Behavior was featured on NPR Pittsburgh, PsychCentral, and Daily Mail UK.

MTH Annual Report, 2016 18

Other news sources sought to add the expertise of MTH to their articles by featuring commentary by Dr. Brian Primack.

Pittsburgh Tribune Review:

Instagram takes steps to identify troubling posts, an-

swer users‘ cries for help

More work for mom: Technology, social media present

new challenges

CNN:

Smoking gun: Kids overexposed to ‗cool‘ cigarettes in

their video games

MORE HEADLINES

Systematic review and meta-analysis of inhaled toxicants from waterpipe and cigarette smoking. Public Health Reports.

Financial Prospect:

Smokers inhale large amount of

toxicants

Tech Times:

Single hookah smoking session

packs in 25 times the tar of one

cigarette

Health

One hookah session has 25 times

more tar than a cigarette

MTH Annual Report, 2016 19

For more information visit:

www.mth.pitt.edu

University of Pittsburgh

Center for Research on

Media, Technology, & Health

230 McKee Place, Suite 600

Pittsburgh, PA 15213

E-mail:

crmth@pitt.edu

Twitter: @MTH_Pitt

Facebook.com/MTH.Pitt

CONTACT US

MTH Annual Report, 2016 20 Copyright 2016, MTH