Opportunities for Policy Interventions to Reduce Youth Hookah Smoking in the United States

Morris, Daniel S.; Fiala, Steven C.; Pawlak, Rebecca

doi:10.5888/pcd9.120082

Cited by 54 publications

(56 citation statements)

References 16 publications

(22 reference statements)

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“…There is little research on product purchasing patterns for cigarettes and alternative tobacco products for young adults. However, price and tax differentials make cigarettes more expensive than other combustibles in the United States [61][62][63][64] and this may influence which groups purchase cigarettes or non-cigarette combustibles at retail outlets Note. GED = graduate equivalency degree; MSA = metropolitan statistical area; SE = standard error.…”

Section: Discussionmentioning

confidence: 99%

Tobacco Retail Outlet Density and Young Adult Tobacco Initiation

Cantrell

Pearson

Anesetti-Rothermel

et al. 2015

NICTOB

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Background: A growing body of evidence indicates that the density of tobacco retail outlets around the home residence may influence tobacco use among youth and adults. The purpose of this study was to examine the impact of neighborhood tobacco retail outlet density on young adult initiation of different tobacco product types. Methods: Cross-sectional data from a 2013 nationally representative sample of young adults aged 18-34 was examined in relation to a 2012 geocoded listing of all outlets likely to sell tobacco in the United States. Separate multivariable logistic regression analyses examined associations between neighborhood outlet density and past 6 months first use of cigarettes, non-cigarette combustible products, and noncombustible products among adults aged 18-24 and 25-34. Results: Outlet density was significantly associated with recent initiation of cigarettes and other combustibles, but this impact varied for younger and older groups. Increased density was significantly associated with a higher likelihood of initiating cigarette use among adults aged 25-34 (OR = 3.75, 95% CI = 1.18, 11.90), and of initiating non-cigarette combustible use among 18-24 year olds (OR = 3.16, 95% CI = 1.03, 9.74). There was no impact of outlet density on recent noncombustible product initiation among either group. Conclusion: This study is the first to examine the impact of tobacco outlet density on young adult initiation of cigarettes and other tobacco products. Findings demonstrate that residential neighborhood outlet density is associated with recent initiation of combustible products and this effect varies by product type and age. The tobacco outlet environment may be a critical factor in promoting young adult tobacco use initiation.

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Section: Discussionmentioning

confidence: 99%

Tobacco Retail Outlet Density and Young Adult Tobacco Initiation

Cantrell

Pearson

Anesetti-Rothermel

et al. 2015

NICTOB

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“…However, the research on cigarette warning labels shows that labels are effective in deterring cigarette smoking among college students (23)(24)(25). This research has also shown that the type of cigarette warning labels used (graphic images of disease, images of suffering with testimonials, or emotional tone) affects students differently depending on their smoking status (25).…”

Section: Introductionmentioning

confidence: 98%

“…Raising excise taxes on hookah tobacco products and accessories would deter some students from initiating hookah tobacco smoking. Research on cigarette sales has also shown that taxation is effective in lowering prevalence of consumption (102) and that youth and young adults are two to three times more likely to reduce their tobacco use when prices increase than older adults (23).…”

Section: Limiting Access To Hookah Tobacco Productsmentioning

confidence: 99%

Review of hookah tobacco smoking among college students: policy implications and research recommendations

Gathuru¹,

Tarter²,

Klein‐Fedyshin

2015

The American Journal of Drug and Alcohol Abuse

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Background: About 30% of college students have smoked hookah tobacco. Although most students perceive this product to be innocuous and non-addictive, hookah tobacco increases the risk for disease and nicotine dependence. Currently, the US Food and Drug Administration (FDA) does not regulate the manufacture, distribution, or sale of hookah tobacco. Objective: Empirical literature pertaining to hookah tobacco smoking is reviewed with a focus on the implications for regulatory policy. Methods: PubMed, PsycINFO, and Scopus databases were searched to locate articles published in English. The literature search combined

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“…The growth in waterpipe use is creating calls for improved control by applying the same regulatory strategies proven successful with cigarettes: increasing the tax on pipe tobacco, applying warning labels to waterpipe tobacco, and banning flavoured tobacco in waterpipes (8,9,12). While the experience of regulating cigarettes will inform the effort to control waterpipe use, important differences may exist between waterpipes and cigarettes that may complicate regulation (13).…”

Section: Introductionmentioning

confidence: 99%

The operation, products and promotion of waterpipe businesses in New York City, Abu Dhabi an Dubai

Joudrey

Jasie

Pykalo

et al. 2016

East Mediterr Health J

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We evaluated the customers, operations, products and advertising of these businesses to explore the unique policy challenges created by the suppliers of waterpipes. We completed a cross-sectional survey consisting of structured site observations and in-person interviews of businesses in New York City, Abu Dhabi and Dubai identified using Google, Yelp, Timeout Dubai and Timeout Abu Dhabi and neighbourhood visits in 2014. Regular customers made up 59% of customers. Franchises or chains were 28% of businesses. Waterpipes made up 39% of sales with 87% of businesses offering food within their menu. Flavoured tobacco made up 94% of sales. Discounts were offered by 47% of businesses and 94% of businesses used advertising, often through social media. The market consists of largely independent businesses, with a large regular customer base, frequently offering diversified services beyond waterpipes. These businesses advertise using both traditional and social media. The economics of waterpipe businesses is very different from the economics of cigarettes, and unique regulatory strategies are needed to control this epidemic. ‫وديب‬

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Opportunities for Policy Interventions to Reduce Youth Hookah Smoking in the United States

Cited by 54 publications

References 16 publications

Tobacco Retail Outlet Density and Young Adult Tobacco Initiation

Tobacco Retail Outlet Density and Young Adult Tobacco Initiation

Review of hookah tobacco smoking among college students: policy implications and research recommendations

The operation, products and promotion of waterpipe businesses in New York City, Abu Dhabi an Dubai

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