Social Aspects of Hookah Smoking Among US Youth

Agaku, Israel; Armour, Brian S.; Glover-Kudon, Rebecca

doi:10.1542/peds.2018-0341

Cited by 16 publications

(13 citation statements)

References 27 publications

(8 reference statements)

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“…Hookah use among US youth population in schools was under scrutiny in many studies. For instance, one study surveyed a representative sample of 6th–12th grade students for hookah use, and the results showed that 10.5% reported smoking hookah [48]. Another study documented that hookah “ever use” among middle and high school students in USA included 6.8–15% of the students [31].…”

Section: Reasons and Prevalence Of Hookah Usementioning

confidence: 99%

The effects of hookah/waterpipe smoking on general health and the cardiovascular system

Qasim

Alarabi

Alzoubi

et al. 2019

Environ Health Prev Med

116

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Hookah or waterpipe smoking or use is an emerging trend in the US population, especially among the youth. The misperception of hookah being less harmful than cigarettes and the availability of different but “appealing” flavors are considered among the main reasons for this trend. Hookah users however are exposed to many of the same toxic compounds/by-products as cigarette users, but at dramatically higher levels, which might lead to more severe negative health effects. In fact, hookah users are at risks of infections, cancers, lung disease, and other medical conditions. Moreover, because of the overlapping toxicant/chemical profile to conventional cigarettes, hookah smoke effects on the cardiovascular system are thought to be comparable to those of conventional cigarettes. A major source of tobacco addiction is nicotine, whose levels in hookah are extremely variable as they depend on the type of tobacco used. Taken together, in this review of literature, we will provide insights on the negative health effects of hookah in general, with a focus on what is known regarding its impact on the cardiovascular system.

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Section: Reasons and Prevalence Of Hookah Usementioning

confidence: 99%

The effects of hookah/waterpipe smoking on general health and the cardiovascular system

Qasim

Alarabi

Alzoubi

et al. 2019

Environ Health Prev Med

116

View full text Add to dashboard Cite

show abstract

“…For example, high rates of discontinuing product use were common for hookah, ENDS and cigars as reported by Stanton et al 37 and Edwards et al 38. Use of tobacco products such as hookah and ENDS is more common among young adults, who experiment with tobacco products and use them infrequently 39–41. These products may be driven by similar motivational factors like socialising in hookah bars and vape shops, availability of appealing flavours, beliefs that these products could be less harmful than cigarette smoking and by pervasive misconceptions that products like hookah have low probability of addiction and quitting is not as difficult 1 36.…”

Section: Discussionmentioning

confidence: 96%

Longitudinal pathways of exclusive and polytobacco hookah use among youth, young adults and adults in the USA: findings from the PATH Study Waves 1–3 (2013–2016)

et al. 2020

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ObjectiveThe goal of this study is to examine cross-sectional rates of use and longitudinal pathways of hookah use among US youth (ages 12-17), young adults (ages 18-24), and adults 25+ (ages 25 and older).DesignData were drawn from the first three waves (2013–2016) of the Population Assessment of Tobacco and Health Study, a nationally representative, longitudinal cohort study of US adults and youth. Respondents with data at all three waves (youth, n=11 046; young adults, n=6478; adults 25+, n=17 188) were included in longitudinal analyses.ResultsYoung adults had higher ever, past 12-month (P12M) and past 30-day cross-sectional prevalence of hookah use at each wave than youth or adults 25+. The majority of Wave 1 (W1) hookah users were P12M users of other tobacco products (youth: 73.9%, young adults: 80.5%, adults 25+: 83.2%). Most youth and adult W1 P12M hookah users discontinued use in Wave 2 or Wave 3 (youth: 58.0%, young adults: 47.5%, adults 25+: 63.4%). Most W1 P12M hookah polytobacco users used cigarettes (youth: 49.4%, young adults: 59.4%, adults 25+: 63.2%) and had lower rates of quitting all tobacco than exclusive hookah users or hookah polytobacco users who did not use cigarettes.ConclusionsHookah use is more common among young adults than among youth or adults 25+. Discontinuing hookah use is the most common pathway among exclusive or polytobacco hookah users. Understanding longitudinal transitions in hookah use is important in understanding behavioural outcomes at the population level.

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“…Homes represent a social setting where WPT smoking frequently takes place. [38][39][40][41][42][43] We previously found that WPT smokers smoke at home to relax comfortably, eat and drink while smoking and save money by not going to hookah lounges/ cafés. 39 To our knowledge, this is the first study to quantify postsmoking WPT waste and describe post-smoking WP device cleaning practices and disposal of waste associated with WPT use in natural home settings.…”

Section: Introductionmentioning

confidence: 99%

Waterpipe device cleaning practices and disposal of waste associated with waterpipe tobacco smoking in homes in the USA

et al. 2019

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ObjectivesTo quantify postsmoking waterpipe tobacco (WPT) waste and describe postsmoking waterpipe (WP) device cleaning practices and disposal of associated waste in home settings.MethodsWe analysed data from a US convenience sample of 50 exclusive WPT smokers, mean age 25.3 years. Data were collected at a home visit during which participants smoked one WPT head and completed a self-administered questionnaire on WP cleaning practices and disposal of waste associated with WPT use. Research assistants provided and prepared a WP for participants by weighing and loading 10 g of WPT in the WP head and placing 470 mL of water in the WP bowl. At the completion of the smoking session, research assistants measured the remaining WPT and water. Descriptive analyses were performed.ResultsOf the 10 g of fresh WPT used for each smoking session, 70.1% (mean=7.01 g) was discarded postsmoking as waste; for each 470 mL of water used in the WP bowl, 94.3% (mean=443 mL) was discarded. WP device cleaning practices ranged from never cleaning the device to cleaning it after each smoking session. Respondents reported discarding smoked WPT residue in the trash (81.6%) or the kitchen sink (14.3%) and discarding postsmoking charcoal in the trash (57.6%), the kitchen sink (27.3%) or backyard soil (9.1%). Respondents reported discarding smoked WP water in the kitchen sink (76.5%), bathroom sink (14.7%), toilet (2.9%) and backyard soil (5.9%).ConclusionsInterventions and regulations are needed to inform proper WP device cleaning practices and disposal of waste associated with WPT use.Trial registration numberNCT03253653.

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Social Aspects of Hookah Smoking Among US Youth

Abstract: BACKGROUND:We investigated 3 social dimensions of youth hookah smoking: frequency, places smoked, and descriptive social norms.

Cited by 16 publications

References 27 publications

The effects of hookah/waterpipe smoking on general health and the cardiovascular system

The effects of hookah/waterpipe smoking on general health and the cardiovascular system

Longitudinal pathways of exclusive and polytobacco hookah use among youth, young adults and adults in the USA: findings from the PATH Study Waves 1–3 (2013–2016)

Waterpipe device cleaning practices and disposal of waste associated with waterpipe tobacco smoking in homes in the USA

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