Waterpipe smoking among secondary school students in Hong Kong

Jiang, Nan; Ho, Sai Yin; Wang, Man Ping; Leung, Lok Tung; Lam, Tai Hing

doi:10.1007/s00038-016-0796-x

Cited by 15 publications

(15 citation statements)

References 40 publications

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“…Consistent with existing studies [39][40][41], our result found actively smoking cigarettes was associated with past 30 days waterpipe use. Poly tobacco/nicotine product use is common among current cigarettes smokers [42].…”

Section: Discussionsupporting

confidence: 93%

Determinants of waterpipe smoking among high school students in Jakarta, Indonesia

Fauzi

Areesantichai

2020

International Journal of Adolescent Medicine and Health

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ObjectivesThe study aimed to examine factors associated with past 30 days waterpipe use among high school students in Jakarta, Indonesia.MethodsWe surveyed a multistage cluster random sample of 1,318 students of grade 10th and 11th from 14 schools in Jakarta. Multiple logistic regressions were employed to examine the association between past 30 days waterpipe use with sociodemographic characteristics, cigarettes smoking status, parental and peer use, availability and affordability.ResultsOf 1,318 participants, 3.3% of female and 8.4% of male currently smoked waterpipe. Multivariate analysis revealed that current waterpipe use was significantly associated with family use (AOR: 4.844, 95% CI: 1.225–19.151), friend use (AOR: 2.554, 95% CI: 1.424–4.582), and availability (AOR: 2.143, 95% CI: 1.127–4.076). Being current smokers were six times more likely (AOR: 6.055, 95% CI: 3.123–11.739) to use waterpipe in the past 30 days.ConclusionsThe finding suggests that smoking by a family member, friends, use of conventional cigarettes, and availability are significantly associated with increased probability of current waterpipe used among adolescents.

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Section: Discussionsupporting

confidence: 93%

Determinants of waterpipe smoking among high school students in Jakarta, Indonesia

Fauzi

Areesantichai

2020

International Journal of Adolescent Medicine and Health

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“…Waterpipe (1.2%, 95% CI: 1.1-1.4%) and e-cigarettes (1.1%, 95% CI: 1.0-1.3%) were the most popular ATPs used by students, followed by cigars (1.1%, 95% CI: 0.9-1.2%), chewing tobacco (0.8%, 95% CI: 0.7-1.0%), snus (0.6%, 95% CI: 0.5-0.7%), and nasal snuff (0.5%, 95% CI: 0.4-0.6%) and other noncigarette tobacco products (0.4%, 95% CI: 0. 4 27 . This finding is alarming.…”

Section: Discussionmentioning

confidence: 99%

“…The Survey was approved by the Institutional Review Board of the University of Hong Kong/Hospital Authority Hong Kong West Cluster. Details regarding the Survey have been described elsewhere 27,28 . The 2012/13 Survey was conducted from October 2012 to April 2013.…”

Section: Data Sourcementioning

confidence: 99%

Exclusive and concurrent use of cigarettes and alternative tobacco products among Hong Kong adolescents

Jiang¹,

Ho²,

Wang³

et al. 2018

Tob. Prev. Cessation

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INTRODUCTION The use of alternative tobacco products (ATPs) is becoming increasingly popular among the youth. This study aimed to assess cigarette-only smoking, exclusive ATP use, and concurrent use (cigarettes and ATPs) among adolescents in Hong Kong. METHODS We analyzed data of the Hong Kong School-based Survey on Smoking among Students 2012/13 from a representative sample of 45 857 secondary school students. Weighted prevalence of cigarette-only smoking, exclusive ATP use, and concurrent tobacco use were calculated. Multinomial logistic regression examined correlates of exclusive ATP use and concurrent use relative to cigarette-only smoking. Among current (past-30-days) cigarette smokers, multivariable logistic regression assessed whether ATP use was associated with nicotine dependence, quit intention and quit attempt. RESULTS Overall, 5.8% of adolescents reported current tobacco use (2.1% cigaretteonly smoking, 2.5% exclusive ATP use and 1.2% concurrent use). Compared with cigarette-only smoking, exclusive ATP use and concurrent tobacco use were associated with younger age, higher perceived family financial status, absence of cigarette smoking peers, poor knowledge about smoking and more frequent alcohol use. Among current cigarette smokers, ATP use was negatively associated with cigarette quit intention and quit attempt. CONCLUSIONS ATP use was as prevalent as cigarette smoking among adolescents, and ATP users were different from cigarette smokers in many demographic and psychosocial factors. Tobacco control programs among youth should target different types of tobacco users and address all forms of tobacco products. INTRODUCTIONTobacco use often begins in adolescence 1 . Today, the pattern of youth tobacco use has become more complex than ever before as alternative tobacco products (ATPs), such as electronic cigarettes (e-cigarettes) and waterpipe, gain increased popularity. From 2011 to 2014, waterpipe smoking has doubled and e-cigarette use has increased more than 5-fold among U.S. middle and high school students 2,3 . In Poland 4 and New Zealand 5 , e-cigarette use has tripled among school students. A common reason for ATP use is that young people perceive ATPs as less harmful and less addictive than cigarettes 1 . However, ATPs may contain carbon monoxide, carcinogens and other toxicants [6][7][8] . ATPs often contain nicotine 9 , and therefore, ATP use is associated with increased likelihood of nicotine dependence 8,[10][11][12] , especially when used concurrently with cigarettes 1,12 . ATP use often occurs in combination with cigarette smoking, but exclusive ATP use is also prevalent [13][14][15] . Data from the 2012 U.S. National Youth Tobacco Survey showed that 14.6% of secondary school students were current (past-30-days) tobacco AFFILIATION

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“…The smoke then bubbles through a jar filled with water and is ultimately inhaled. Although waterpipe smoking is a cultural custom in many Middle‐Eastern countries such as Bahrain, Lebanon, Qatar, Saudi Arabia, and United Arab Emirates; this form of smoking has gained popularity, particularly among the youth, in many Western countries including Hong Kong, Sweden, United Kingdom, and the United States . Results from a recent study showed that waterpipe smoking is not less harmful than cigarette smoking, and waterpipe smokers (WS) are as susceptible to periodontal destruction as conventional cigarette smokers (CS).…”

Section: Introductionmentioning

confidence: 99%

“…Although waterpipe smoking is a cultural custom in many Middle-Eastern countries such as Bahrain, Lebanon, Qatar, Saudi Arabia, and United Arab Emirates; [13][14][15][16] this form of smoking has gained popularity, particularly among the youth, in many Western countries including Hong Kong, Sweden, United Kingdom, and the United States. [17][18][19][20] Results from a recent study 14 showed that waterpipe smoking is not less harmful than cigarette smoking, and waterpipe smokers (WS) are as susceptible to periodontal destruction as conventional cigarette smokers (CS). Similarly, in a clinical study on dental implants, Al-Harthi et al 13 compared the peri-implant soft tissue inflammatory parameters (plaque index [PI], bleeding on probing [BOP], probing depth [PD], and CBL) among WS, CS, and never-smokers (NS).…”

Section: Introductionmentioning

confidence: 99%

Peri‐implant soft tissue inflammatory parameters and crestal bone loss among waterpipe (narghile) smokers and never‐smokers with and without type 2 diabetes mellitus

Al-Sowygh

Al‐Kheraif

Akram

et al. 2018

Journal of Periodontology

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Waterpipe smoking among secondary school students in Hong Kong

Abstract: Waterpipe smoking was the most popular alternative tobacco product among Hong Kong adolescents. Despite the low prevalence, it should be routinely monitored. Education programs and cessation interventions need to address waterpipe smoking in addition to cigarette smoking.

Cited by 15 publications

References 40 publications

Determinants of waterpipe smoking among high school students in Jakarta, Indonesia

Determinants of waterpipe smoking among high school students in Jakarta, Indonesia

Exclusive and concurrent use of cigarettes and alternative tobacco products among Hong Kong adolescents

Peri‐implant soft tissue inflammatory parameters and crestal bone loss among waterpipe (narghile) smokers and never‐smokers with and without type 2 diabetes mellitus

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