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

Objective To examine hookah tobacco use, hookah lounge attendance, and facilitators and barriers to hookah lounge attendance. Methods A cross-sectional Web-based survey of a random sample of 1332 undergraduate students (Mean Age = 21.2 years) attending a United States university. Results The majority of respondents (72.8%) had ever smoked hookah tobacco, and 28% of those had ever smoked during adolescence. The majority of ever hookah smokers (81.5%) and a portion of never hookah smokers (20%) had ever been to a hookah lounge. The adjusted odds of ever visiting a hookah lounge were 2.1 times higher among participants who reported that the closest hookah lounge to the university was < 5 miles away than those who reported that the closest hookah lounge was ≥ 5 miles away. Facilitators of visiting hookah lounges included friends and close proximity of hookah lounges to campus; barriers included cost of smoking hookah, crowded lounges, and having to be 18 years old. Conclusion Youth are vulnerable to experimenting with hookah tobacco smoking. Hookah lounges provide patrons the opportunity to smoke hookah tobacco with smoker and non-smoker friends in entertaining settings. Our findings suggest that zoning laws and anti-hookah smoking legislation may help curb hookah uptake by prohibiting hookah lounges from opening in close proximity to universities, reducing the density of hookah lounges in cities, and raising the admission age for hookah lounges to 21 years.

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“…Studies on cigarettes showed adolescents and young adults were likely to reduce tobacco use when prices increase. 59,60 …”

Section: Discussionmentioning

confidence: 99%

“…Limiting the number of lounges per city, thereby reducing the density of lounges within certain geographic areas, may strengthen this barrier to visiting lounges. 59 Zoning ordinance regulators are encouraged to address the phenomena of the high density of lounges within their cities as an approach to reducing the spread of lounges.…”

Section: Discussionmentioning

confidence: 99%

Hookah Smoking and Facilitators/Barriers to Lounge Use among Students at a US University

et al. 2015

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“…Most available studies on hookah smoking in the United States have been conducted among subgroups such as college students (Barnett, Smith, et al, 2013; Enofe, Berg, & Nehl, 2014; Gathuru, Tarter, & Klein-Fedyshin, 2015; Shepardson & Hustad, 2015), youth (Lauterstein, et al, 2014; Wang, King, Corey, Arrazola, & Johnson, 2014), and young adults (Rezk-Hanna, Macabasco-O'Connell, & Woo, 2014; Sutfin, Song, Reboussin, & Wolfson, 2014). Few recent studies have documented the prevalence of hookah smoking and examined the factors associated with it among a nationally representative sample of U.S. adults (Agaku, et al, 2014; McMillen, Maduka, & Winickoff, 2012).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and harm perceptions of hookah smoking among U.S. adults, 2014–2015

Majeed

Sterling

Weaver

et al. 2017

Addictive Behaviors

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This study aimed to determine the prevalence and factors associated with hookah smoking and perceptions of harm among U.S. adults. Data were pooled from the Tobacco Products and Risk Perceptions Surveys conducted separately in the summers of 2014 and 2015, among a probability sample selected from an online research panel. Descriptive, logistic regression, and multinomial logistic regression analyses were conducted. In 2014/2015, prevalence of ever and past 30-day hookah smoking among U.S. adults were 15.8% (95% C.I.: 15.0%, 16.7%) and 1.5% (95% C.I.: 1.2%, 1.8%), respectively. Adults who used other alternative tobacco products had a higher odds of hookah smoking than those who did not. Adults with some college education (AOR, 1.53) and with a college degree or more (AOR, 2.21), those identified as non-Hispanic other (AOR, 1.38) were more likely to be ever hookah smokers. Being a young adult (AOR, 2.7), college-educated (AOR, 2.3), never smoker (AOR, 2.1), and an ever hookah smoker (AOR, 2.8) were associated with lower perceptions of harm. Findings suggest that young college students are at higher risk of smoking hookah and that hookah smoking is more prevalent among individuals who use other tobacco products, such as little cigars and cigarillos, traditional cigars, and e-cigarettes, indicating a distinct group of users of alternative tobacco products. Regarding potential harm of hookah, the study highlights a knowledge gap and misperception especially among young, college-educated, and never smokers. Public health interventions should target these subpopulations to provide them with accurate information on hookah smoking.

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“…We observed that the onset of Hookah use happens at a later time, after the individuals had contact with alcohol, marijuana or cigarette (2,10,20) and is frequently associated with alcoholic drinks consumption. (19,21) Our study found that alcoholic drinks consumption is around three times higher among Hookah smokers when compared to non-smokers. At a longitudinal study performed with 936 university students from the New York region (USA) and surroundings, around 96% of Hookah users reported the current use of alcohol compared to 61% of non-smokers.…”

Section: Discussionmentioning

confidence: 66%

Fatores relacionados ao consumo do narguilé entre estudantes de medicina

et al. 2019

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RESUMO Objetivo Avaliar o nível de conhecimento sobre os malefícios do narguilé, a frequência e os fatores psicossociais envolvidos na sua utilização entre os estudantes de Medicina de dois diferentes períodos e sua relação com a intenção de parar de utilizar. Métodos Foram avaliados alunos do 1o e do 6o ano do curso de Medicina. Regressão logística multivariada foi utilizada para avaliar a associação entre o uso de narguilé nos últimos 30 dias com os dados demográficos, psicossociais e com o nível de conhecimento sobre seus malefícios. Resultados A taxa de experimentação e do uso atual de narguilé foi elevada (59,6% e 27,7% respectivamente), sem diferença entre os grupos. O nível de conhecimento dos alunos do 6o ano acerca dos malefícios do uso de narguilé foi maior em relação aos alunos do 1o ano (p<0,0001), e não houve relação do consumo de narguilé nos últimos 30 dias com o nível de conhecimento. O tabagismo de cigarros e o uso de bebida alcoólica estavam associados ao uso de narguilé nos últimos 30 dias. Odds Ratio não ajustada de 11,3; IC95% 4,62-27,7; p<0,0001 e OR 8,74; IC95% 3,78-20,2; p<0,0001; respectivamente. Conclusões Há uma elevada experimentação, uso atual de narguilé e de cigarros entre os estudantes de Medicina, que possuem maior conhecimento sobre o malefício do uso no 6° ano do curso. Não foi observada relação entre o conhecimento sobre o malefício do uso e o consumo. O tabagismo e o uso de bebidas alcoólicas são preditores independentes de uso de narguilé.

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

Cited by 29 publications

References 103 publications

Hookah Smoking and Facilitators/Barriers to Lounge Use among Students at a US University

Hookah Smoking and Facilitators/Barriers to Lounge Use among Students at a US University

Prevalence and harm perceptions of hookah smoking among U.S. adults, 2014–2015

Fatores relacionados ao consumo do narguilé entre estudantes de medicina

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