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Reigniting tobacco ritual: waterpipe tobacco smoking establishment culture in the United States 2014 Program for Research on Media and Health, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA;; Div
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Dec
Volume
16
Issue
12
Start Page
1549
Other Pages
1558
Notes
LR: 20151201; CI: (c) The Author 2014; GR: R01 CA140150/CA/NCI NIH HHS/United States; GR: R01-CA140150/CA/NCI NIH HHS/United States; JID: 9815751; OID: NLM: PMC4296182; 2014/06/27 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 24972889
Language
eng
SubFile
Journal Article; Observational Study; Research Support, N.I.H., Extramural; IM
DOI
10.1093/ntr/ntu101 [doi]
Output Language
Unknown(0)
PMID
24972889
Abstract
INTRODUCTION: Waterpipe tobacco smoking (WTS) is an increasingly prevalent form of tobacco use in the United States. Its appeal may stem from its social, ritualistic, and aesthetic nature. Our aim in this study was to understand WTS as a social ritual with the goal of informing prevention efforts. METHODS: We conducted a covert observational study consisting of 38 observation sessions in 11 WTS establishments in 3 U.S. cities. Data collection was based on an established conceptual framework describing ritualistic elements of tobacco use. Iterative codebook development and qualitative thematic synthesis were used to analyze data. RESULTS: Atmospheres ranged from quiet coffee shop to boisterous bar party environments. While some children and older adults were present, the majority of clientele were young adults. Men and women were evenly represented. However, there were 19 occurrences of a male smoking by himself, but no women smoked alone. The vast majority (94%) of the clientele were actively smoking waterpipes. All 83 observed groups manifested at least 1 of the ritual elements of our conceptual framework, while 41 of the 83 observed groups (49%) demonstrated all 4 ritual elements. CONCLUSIONS: Despite its heterogeneity, WTS is often characterized by 1 or more established elements of a tobacco-related social ritual. It may be valuable for clinical and public health interventions to acknowledge and address the ritualistic elements and social function of WTS.
Descriptors
Links
Book Title
Database
Publisher
. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco
Data Source
Authors
Carroll,M.V., Chang,J., Sidani,J.E., Barnett,T.E., Soule,E., Balbach,E., Primack,B.A.
Original/Translated Title
URL
Date of Electronic
20140627
PMCID
PMC4296182
Editors
Predictors of adherence to nicotine gum and counseling among African-American light smokers 2010 Program in Health Disparities Research, University of Minnesota Medical School, Minneapolis, MN, USA. kokuyemi@umn.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of general internal medicine
Periodical, Abbrev.
J.Gen.Intern.Med.
Pub Date Free Form
Sep
Volume
25
Issue
9
Start Page
969
Other Pages
976
Notes
LR: 20151119; GR: R01 CA091912/CA/NCI NIH HHS/United States; GR: R01 CA091912/CA/NCI NIH HHS/United States; JID: 8605834; 0 (Chewing Gum); 0 (Nicotinic Agonists); 0 (Placebos); 6M3C89ZY6R (Nicotine); OID: NLM: PMC2917663; 2009/06/23 [received]; 2010/04/07
Place of Publication
United States
ISSN/ISBN
1525-1497; 0884-8734
Accession Number
PMID: 20495885
Language
eng
SubFile
Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; IM
DOI
10.1007/s11606-010-1386-x [doi]
Output Language
Unknown(0)
PMID
20495885
Abstract
BACKGROUND: A high proportion of African-American smokers are light smokers, and they experience low smoking cessation rates and disproportionately high tobacco-related morbidity; yet no studies have examined tobacco treatment adherence in this group. OBJECTIVES: To determine the predictors of adherence to nicotine gum and counseling among African-American light smokers (defined as smoking < or =10 cigarettes/day), and the effects of adherence on smoking cessation. DESIGN: Data were from a 2 x 2 randomized, placebo-controlled smoking cessation trial of nicotine gum (2 mg versus placebo) and counseling (motivational interviewing versus health education). PARTICIPANTS: Seven hundred fifty-five African-American light smokers at a community-based clinic. MEASUREMENTS: Demographic and health-related information, smoking behaviors, psychosocial variables, adherence to nicotine gum and counseling, and cotinine-verified 7-day abstinence from smoking at week-26 follow-up. RESULTS: A logistic regression model showed that having a higher body mass index (OR = 1.03, 95% CI = 1.01 to 1.05), more quit attempts in the past year (OR = 1.04, 95% CI = 1.01 to 1.07), higher baseline exhaled carbon monoxide (OR = 1.22, 95% CI = 1.01 to 1.48), and higher perceived stress (OR = 1.12, 95% CI = 1.03 to 1.22) increased the likelihood of adherence to nicotine gum. Being a high school graduate was a predictor of adherence to counseling (OR = 1.58, 95% CI = 1.02 to 2.44). Surprisingly, being adherent to nicotine gum significantly reduced the odds of smoking cessation (OR = 0.50, CI = 0.28 to 0.87). On the other hand, adherence to counseling dramatically increased the likelihood of smoking cessation (OR = 3.32, CI = 1.36 to 8.08). CONCLUSIONS: Individual risk factors may influence adherence to nicotine gum and counseling. Improving psychological interventions and promoting adherence to counseling may increase overall smoking cessation success among African-American light smokers.
Descriptors
Adult, African Americans, Behavior Therapy, Body Mass Index, Chewing Gum, Double-Blind Method, Female, Humans, Male, Medication Adherence/ethnology, Middle Aged, Nicotine/therapeutic use, Nicotinic Agonists/therapeutic use, Odds Ratio, Placebos, Smoking/ethnology/prevention & control, Smoking Cessation/ethnology/methods/psychology, Treatment Failure
Links
Book Title
Database
Publisher
Data Source
Authors
Okuyemi,K. S., Zheng,H., Guo,H., Ahluwalia,J. S.
Original/Translated Title
URL
Date of Electronic
20100521
PMCID
PMC2917663
Editors
Medical students' tobacco use and attitudes towards tobacco control 2013 Program in Health Services and Systems Research, Duke-NUS Graduate Medical School Singapore, Singapore. young.do@duke-nus.edu.sg
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Medical education
Periodical, Abbrev.
Med.Educ.
Pub Date Free Form
Jun
Volume
47
Issue
6
Start Page
607
Other Pages
616
Notes
CI: (c) 2013; JID: 7605655; 0 (Tobacco Smoke Pollution); 2012/09/20 [received]; 2012/12/21 [accepted]; ppublish
Place of Publication
England
ISSN/ISBN
1365-2923; 0308-0110
Accession Number
PMID: 23662878
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1111/medu.12145 [doi]
Output Language
Unknown(0)
PMID
23662878
Abstract
CONTEXT: Despite their important roles as future doctors in tobacco cessation counselling, the high prevalence of tobacco use among medical students may hinder them from advocating tobacco control policies and providing cessation counselling. Promoting this role among medical students is especially important in low- and middle-income countries with high burdens of tobacco use but limited resources for cessation programmes. This study examined the associations between medical students' tobacco use and their attitudes towards tobacco control policies and the roles of health professionals in the provision of tobacco cessation advice. METHODS: This cross-sectional study included data from the large multi-country dataset generated by the Global Health Professions Student Survey, 2005-2008 (n = 36,533 medical students). Thirteen binary dependent variables related to medical students' attitudes towards tobacco control policies and the health professional's role in cessation counselling were examined using random-effects logistic regression, with tobacco use status as the key explanatory variable. Covariates included gender, receipt of cessation training, country-level and gender-specific smoking prevalence, region, and country income group. RESULTS: Current tobacco use was consistently associated with less favourable attitudes towards tobacco control policy and cessation advice. Compared with never users, daily users were less likely to agree that the sale of tobacco products to adolescents should be banned (odds ratio [OR] 0.45, 95% confidence interval [CI] 0.39-0.58) and that health professionals should routinely advise patients to quit smoking (OR = 0.48, 95% CI 0.41-0.52) or other forms of tobacco use (OR = 0.84, 95% CI 0.72-0.97). Daily users were less likely to agree that health professionals who smoke are less likely to advise patients to stop smoking (OR = 0.44, 95% CI 0.39-0.41). CONCLUSIONS: Medical schools may benefit from a thorough re-evaluation of the scope of tobacco cessation training in their curricula in order to support students in smoking cessation and to shape their attitudes towards tobacco control. Targeting medical students who are current tobacco users in tobacco control efforts may be beneficial, given the cost-effectiveness of providing cessation advice.
Descriptors
Links
Book Title
Database
Publisher
John Wiley & Sons Ltd
Data Source
Authors
Do,Y.K., Bautista,M.A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Young adult waterpipe smokers: Smoking behaviors and associated subjective and physiological effects 2014 Program of Excellence in the Addictions, College of Nursing, Washington State University, WA, USA. Electronic address: Kawkab.shishani@gmail.com.; Program of Excellence in the Addictions, College of Nursing, Washington State University, WA, USA.; Program
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addictive Behaviors
Periodical, Abbrev.
Addict.Behav.
Pub Date Free Form
Jun
Volume
39
Issue
6
Start Page
1113
Other Pages
1119
Notes
LR: 20151119; CI: Copyright (c) 2014; GR: K01 DA037661/DA/NIDA NIH HHS/United States; JID: 7603486; 6M3C89ZY6R (Nicotine); 7U1EE4V452 (Carbon Monoxide); NIHMS610813; OID: NLM: NIHMS610813; OID: NLM: PMC4096831; OTO: NOTNLM; 2013/11/06 [received]; 2014/02/
Place of Publication
England
ISSN/ISBN
1873-6327; 0306-4603
Accession Number
PMID: 24657000
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.addbeh.2014.03.010 [doi]
Output Language
Unknown(0)
PMID
24657000
Abstract
INTRODUCTION: The purpose of this pilot study was to investigate smoking behaviors and subjective and physiological effects of nicotine on young adult occasional waterpipe smokers. METHODS: This study utilized a repeated-measures design that included one repeated factor for condition (nicotine and non-nicotine). For each participant, the sequencing of the repeated factor was assigned using random allocation. The two nicotine conditions were nicotine (0.75 g) and non-nicotine (0 g placebo) tobacco. Over the course of two weeks, twenty-two participants completed subjective (Acute Subjective Effects of Nicotine) and physiological (blood pressure, heart rate, and CO level) measures. Additional measures (QSU and MNWS-R) were used to assess for withdrawal symptoms. SAMPLE: The participants (n=22) were young adults (23 +/- 3.1years); 71% smoked waterpipe once a month in the past year and 29% smoked waterpipe 1-2 times per week. In addition, 60% reported sharing their waterpipe with friends while smoking. None of the participants reported using any other forms of tobacco products. RESULTS: Under the nicotine condition, participants tended to smoke longer (i.e. smoking duration, p=0.004), take more puffs (p=0.03), take shorter puffs (p=0.03), and inhale less volume with each puff (p=0.02). The repeated measures analysis of the factor headrush revealed an effect of the nicotine condition (F=9.69, p
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ltd
Data Source
Authors
Shishani,K., Howell,D., McPherson,S., Roll,J.
Original/Translated Title
URL
Date of Electronic
20140312
PMCID
PMC4096831
Editors
Six-minute walk distance is not related to quality of life in patients with non-cystic fibrosis bronchiectasis 2012 Programa de Pos-Graduacao em Ciencias Pneumologicas, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia
Periodical, Abbrev.
J.Bras.Pneumol.
Pub Date Free Form
May-Jun
Volume
38
Issue
3
Start Page
346
Other Pages
355
Notes
LR: 20130926; JID: 101222274; 2012/01/30 [received]; 2012/03/08 [accepted]; ppublish
Place of Publication
Brazil
ISSN/ISBN
1806-3756; 1806-3713
Accession Number
PMID: 22782605
Language
eng; por
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
S1806-37132012000300010 [pii]
Output Language
Unknown(0)
PMID
22782605
Abstract
OBJECTIVE: To evaluate physical performance on the six-minute walk test (6MWT) in patients with non-cystic fibrosis bronchiectasis and to investigate its relationship with quality of life (QoL). To identify predictors of exercise performance, we also investigated whether six-minute walk distance (6MWD) is associated with clinical and spirometric findings. METHODS: This was a cross-sectional study involving patients with non-cystic fibrosis bronchiectasis (age, > 18 years), with at least one respiratory symptom for > 2 years and an FEV1
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jacques,P.S., Gazzana,M.B., Palombini,D.V., Barreto,S.S., Dalcin Pde,T.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Frequency of the use of hookah among adults and its distribution according to sociodemographic characteristics, urban or rural area and federative units: National Health Survey, 2013 2015 Programa de Pos-Graduacao em Epidemiologia, Universidade Federal de Pelotas, Pelotas, RS, Brazil.; Programa de Pos-Graduacao em Epidemiologia, Universidade Federal de Pelotas, Pelotas, RS, Brazil.; Programa de Pos-Graduacao em Epidemiologia, Universidade
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Revista brasileira de epidemiologia = Brazilian journal of epidemiology
Periodical, Abbrev.
Rev.Bras.Epidemiol.
Pub Date Free Form
Dec
Volume
18 Suppl 2
Issue
Start Page
57
Other Pages
67
Notes
JID: 100954576; EIN: Rev Bras Epidemiol. 2016 Apr-Jun;19(2):469-70. PMID: 27532767; 2015/04/10 [received]; 2015/06/10 [accepted]; ppublish
Place of Publication
Brazil
ISSN/ISBN
1980-5497; 1415-790X
Accession Number
PMID: 27008603
Language
eng; por
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1590/1980-5497201500060006 [doi]
Output Language
Unknown(0)
PMID
27008603
Abstract
OBJECTIVE: To assess the frequency of the use of hookah in the Brazilian adult population aged 18 to 59 years. METHODS: This is a cross-sectional, population-based study using the National Health Survey (PNS), 2013. Sampling was based on three stages: census tract, household, and individual. The frequency and the 95% confidence interval (CI) of the outcome "frequency of use of hookah," among those who reported tobacco use, were described according to demographic and socioeconomic variables, urban or rural area of the country, and macroregions; the frequency of hookah use according to the age and education was also investigated; all analyzes were weighted. RESULTS: Of the 60,225 adults surveyed, 15% reported the use of some tobacco product; the frequency of use of hookah among them was 1.2% (95%CI 0.8 - 1.6) and higher in male subjects, in white individuals, in the youngest age group, with average to high education and residents of urban areas and the south and midwest. Among those who have used the hookah, 50% used it occasionally, 12.8% monthly, 27.3% weekly, and 6.8% daily. CONCLUSIONS: The relevance of the findings is because this is the first nationally representative study that evaluated the frequency of use of hookah in adults in the country. The results point to the need to implement surveillance regarding its use, as has occurred in relation to tobacco.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Menezes,A.M., Wehrmeister,F.C., Horta,B.L., Szwarcwald,C.L., Vieira,M.L., Malta,D.C.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Prevalence of smokeless tobacco use among Canadian youth between 2004 and 2008: findings from the Youth Smoking Survey 2011 Propel Centre for Population Health Impact, Canadian Cancer Society/University of Waterloo, Waterloo, ON.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Canadian journal of public health = Revue canadienne de sante publique
Periodical, Abbrev.
Can.J.Public Health
Pub Date Free Form
Sep-Oct
Volume
102
Issue
5
Start Page
358
Other Pages
363
Notes
LR: 20130605; JID: 0372714; ppublish
Place of Publication
Canada
ISSN/ISBN
0008-4263; 0008-4263
Accession Number
PMID: 22032102
Language
eng
SubFile
Journal Article; IM
DOI
Output Language
Unknown(0)
PMID
22032102
Abstract
OBJECTIVES: The current study team sought to understand smokeless tobacco (SLT) usage trends among youth, using nationally representative data collected as part of the Canadian Youth Smoking Survey (YSS) between 2004 and 2008. METHODS: Descriptive analyses of SLT ever use among respondents in grades 6 to 9 were examined according to year of data collection (2008, n = 31,249; 2006, n = 34,050; and 2004, n = 23,362). Using the 2008 data from respondents in grades 6 to 12 (n = 51,922), logistic regression models were used to examine characteristics associated with SLT ever use and current use. RESULTS: Between 2004 and 2008, the prevalence of youth in grades 6 to 9 reporting they have ever tried SLT significantly decreased by 30.8%. In 2008, male students were more likely than females to have tried SLT (OR 4.87, 95% CI 4.34-5.45) or to currently use SLT (OR 4.96, 95% CI 4.12-5.96). There are regional differences in prevalence of SLT use across Canada, with the highest rates in western provinces and the lowest in Quebec. Current smokers were also more likely to use SLT (OR 11.86, 95% CI 10.22-13.76) compared to non-smokers. Older students are more likely to report ever use or current use of SLT. CONCLUSION: The findings from this study demonstrate that in Canada, adolescent SLT use is primarily an issue with males and there are significant regional differences. Ongoing monitoring of SLT is encouraged considering the tobacco industry's recent investments and product development and increased use in countries like the United States.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Kennedy,R.D., Leatherdale,S.T., Burkhalter,R., Ahmed,R.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Flavored tobacco use among Canadian students in grades 9 through 12: prevalence and patterns from the 2010-2011 youth smoking survey 2014 Propel Centre for Population Health Impact, Faculty of Applied Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, Ontario, Canada N2L 3G1. E-mail: lminaker@uwaterloo.ca.; University of Waterloo, Waterloo, Ontario, and Cancer Care
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Preventing chronic disease
Periodical, Abbrev.
Prev.Chronic Dis.
Pub Date Free Form
19-Jun
Volume
11
Issue
Start Page
E102
Other Pages
Notes
LR: 20160317; JID: 101205018; 0 (Flavoring Agents); 1490-04-6 (Menthol); OID: NLM: PMC4068113; epublish
Place of Publication
United States
ISSN/ISBN
1545-1151; 1545-1151
Accession Number
PMID: 24945240
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.5888/pcd11.140094 [doi]
Output Language
Unknown(0)
PMID
24945240
Abstract
INTRODUCTION: This study examined patterns of use of flavored tobacco products in a nationally generalizable sample of Canadian students in grades 9 through 12 after the implementation of a national ban on certain flavored tobacco products. METHODS: Data from the 2010-2011 Youth Smoking Survey, a nationally generalizable sample of Canadian students in grades 9 through 12 (n = 31,396), were used to examine tobacco product use. Logistic regression models were used to examine differences in use of flavored tobacco products (cigarettes, pipes, little cigars or cigarillos, cigars, roll-your-own cigarettes, bidis, smokeless tobacco, water pipes, and blunt wraps) by sociodemographic and regional characteristics. RESULTS: Approximately 52% of young tobacco users used flavored products in the previous 30 days. Flavored tobacco use varied by product type and ranged from 32% of cigarette smokers reporting menthol smoking to 70% of smokeless tobacco users reporting using flavored product in the previous 30 days. The percentage of last-30-day users who used flavored tobacco was significantly higher in Quebec than in Ontario and significantly higher among youths who received weekly spending money than among those who received no money. CONCLUSION: More than half of tobacco users in grades 9 through 12 in Canada use flavored tobacco, despite a national ban on certain flavored tobacco products.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Minaker,L.M., Ahmed,R., Hammond,D., Manske,S.
Original/Translated Title
URL
Date of Electronic
20140619
PMCID
PMC4068113
Editors
Smoking intensity and intent to continue smoking among menthol and non-menthol adolescent smokers in Canada 2014 Propel Centre for Population Health Impact, Faculty of Applied Health Sciences, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada, sazagba@uwaterloo.ca.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Cancer causes & control : CCC
Periodical, Abbrev.
Cancer Causes Control
Pub Date Free Form
Sep
Volume
25
Issue
9
Start Page
1093
Other Pages
1099
Notes
JID: 9100846; 1490-04-6 (Menthol); CIN: Cancer Causes Control. 2015 Sep;26(9):1363-4. PMID: 26137981; 2014/01/21 [received]; 2014/05/30 [accepted]; 2014/06/10 [aheadofprint]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1573-7225; 0957-5243
Accession Number
PMID: 24913782
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1007/s10552-014-0410-6 [doi]
Output Language
Unknown(0)
PMID
24913782
Abstract
PURPOSE: Research suggests that menthol cigarette use is associated with nicotine dependence. However, findings on the relationship between menthol smoking status and quantity of cigarettes smoked are less clear. The objective of this paper was to examine whether menthol cigarette smoking is associated with higher smoking intensity and intention to continue smoking among adolescents. METHODS: A nationally representative sample of 4,736 Canadian students in grades 9-12 was drawn from the 2010-2011 Canadian Youth Smoking Survey. Associations between smoking intensity and menthol smoking were examined using linear regression. A logistic regression was used to examine whether menthol smoking increased the odds that a student reported intention to continue smoking. RESULTS: Thirty-two percentage of smokers in grades 9-12 smoked menthol cigarettes in the last 30 days. Unadjusted average number of cigarettes reported by menthol smokers was 6.86 compared with 4.59 among non-menthol smokers (p
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Azagba,S., Minaker,L.M., Sharaf,M.F., Hammond,D., Manske,S.
Original/Translated Title
URL
Date of Electronic
20140610
PMCID
Editors
Hookah use prevalence, predictors, and perceptions among Canadian youth: findings from the 2012/2013 Youth Smoking Survey 2015 Propel Centre for Population Health Impact, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L3G1, Canada, lminaker@uwaterloo.ca.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Cancer causes & control : CCC
Periodical, Abbrev.
Cancer Causes Control
Pub Date Free Form
Jun
Volume
26
Issue
6
Start Page
831
Other Pages
838
Notes
LR: 20150521; JID: 9100846; OID: NLM: PMC4438198; 2014/10/30 [received]; 2015/03/04 [accepted]; 2015/03/18 [aheadofprint]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1573-7225; 0957-5243
Accession Number
PMID: 25783457
Language
eng
SubFile
Journal Article; IM
DOI
10.1007/s10552-015-0556-x [doi]
Output Language
Unknown(0)
PMID
25783457
Abstract
PURPOSE: Few national surveys currently assess hookah smoking among youth. This study describes the prevalence, patterns of use, and perceptions about hookah in a nationally representative survey of Canadian grades 9-12 students. METHODS: The Youth Smoking Survey 2012/2013 was administered to 27,404 Canadian grades 9-12 students attending schools in nine Canadian provinces representing 96 % of Canadian population. Relevant dichotomous outcomes included ever use, use in the last 30 days, and the belief that hookah use is less harmful than cigarette smoking. Covariates included smoking status, sex, grade, province of residence, race/ethnicity, and amount of weekly spending money. Logistic regression models were used to examine: covariates related to the odds of ever and last-30-day hookah use; covariates related to perceptions about the harms of hookah smoking; the extent to which perceptions were associated with odds of hookah use; and whether survey year (2010/2011 or 2012/2013) was associated with hookah use, and marginal effects were calculated. RESULTS: In Canada, 5.4 % of students in grades 9-12 currently use hookah and 14.3 % report ever using hookah. In 2012/2013, students had significantly higher odds of using hookah compared to students in 2010/2011 (OR 1.5, 95 % CI 1.2, 2.1). About half of hookah users (51 %) used flavored hookah. Students who believed that hookah use was less harmful than cigarette smoking had significantly higher odds of current hookah use (OR 2.6, 95 % CI 1.9, 3.5), as did students who reported higher amounts of weekly spending money. Current smokers had an 18 % higher predicted probability of currently using hookah compared to non-smokers. CONCLUSIONS: Hookah use among youth is of growing concern in Canada. Findings can be used to inform policy development related to youth hookah smoking.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Minaker,L.M., Shuh,A., Burkhalter,R.J., Manske,S.R.
Original/Translated Title
URL
Date of Electronic
20150318
PMCID
PMC4438198
Editors