Waterpipe tobacco smoking trends among middle and high school students in the United States from 2011 to 2017

Azagba, Sunday; Latham, Keely; Shan, Lingpeng

doi:10.1016/j.drugalcdep.2019.04.005

Cited by 19 publications

(14 citation statements)

References 24 publications

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“…We found higher ORs for current and ever use among respondents who were male, older, and who had a one-sided migration background (boys). These findings are in line with prior national and international studies [ 30 , 33 , 34 , 47 ]. Migration background is a known correlate of WP use described in previous KiGGS Waves and other studies.…”

Section: Discussionsupporting

confidence: 93%

Waterpipe Use among Adolescents in Germany: Prevalence, Associated Consumer Characteristics, and Trends (German Health Interview and Examination Survey for Children and Adolescents, KiGGS)

Klosterhalfen

Kotz

Kuntz

et al. 2020

IJERPH

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Waterpipe (WP) use is popular among youth worldwide, but epidemiological data from Germany are scarce. We aimed to describe prevalence rates of WP use (current, last 12 months, ever) and analysed correlates and trends among 11- to 17-year-olds in Germany. Analyses were based on data from the “German Health Interview and Examination Survey for Children and Adolescents” study during 2014–2017 (n = 6599). Changes in WP use prevalence compared with 2009–2012 were used to describe trends. Associations with sociodemographic characteristics and cigarette smoking were assessed with multivariable logistic regression models. Prevalence of current WP use among adolescents was 8.5% (95% confidence interval (CI) = 7.5–9.6), use in the last 12 months was 19.7% (95% CI = 18.3–21.2), and ever use was 25.8% (95% CI = 24.2–27.5). High prevalence rates were particularly found among 16–17-year-olds. During 2009–2012, these prevalence rates were 9.0%, 18.5%, and 26.1%, respectively. WP use was associated with older age, male sex, migration background, lower educational level, and current smoking status. Among current WP users, 66.2% (95% CI = 60.0–71.9) identified themselves as non-smokers, and 38.1% (95% CI = 32.5–44.0) had used WP ≥ three times in the last month. WP consumption is popular among German youth, and prevalence rates have not changed over time. Specific prevention strategies to reduce harmful WP consumption among youth should be implemented.

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Section: Discussionsupporting

confidence: 93%

Waterpipe Use among Adolescents in Germany: Prevalence, Associated Consumer Characteristics, and Trends (German Health Interview and Examination Survey for Children and Adolescents, KiGGS)

Klosterhalfen

Kotz

Kuntz

et al. 2020

IJERPH

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“…The study showed that about 8.4% of male and 3.3% female used waterpipe in the past 30 days. The result is nearly similar to previous studies on waterpipe use among high school students in the United States and Iran [24,25]. However, the prevalence was considerably higher than the prior study among the older group in Indonesia [18].…”

Section: Discussionsupporting

confidence: 87%

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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“…Trend data for ever hookah use provide detail on product experimentation, whereas frequent hookah use provides information on amount of use, constructs that can inform tobacco control practitioners. Trends in these 2 indicators mirror those of current hookah use in both New Jersey (17) and at the national level (5,18) for all 3 indicators (ever, current, and frequent use); hookah use appears to have peaked in 2014 and has decreased since. This downward trend, observed across all 3 measures and among other tobacco product users, is encouraging, because it may represent a true turning point in the hookah use epidemic (18).…”

Section: Discussionmentioning

confidence: 85%

“…However, 2012 estimates do not differ statistically from those of 2010. Furthermore, New Jersey data are not nationally representative, though data from this state have been mirroring national trends among US high school students (5,6,17,18). These data are based on self-report.…”

Section: Discussionmentioning

confidence: 99%

Differential Trends in Hookah Use Among New Jersey Youth

et al. 2019

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IntroductionUse of 2 or more types of tobacco products is common among youth and young adults, highlighting the need for monitoring and intervention activities to encompass products beyond combustible cigarettes. This study documented patterns and trends of ever, current, and frequent hookah use among high school students in New Jersey by other tobacco product use status.MethodsWe analyzed data from the 2008, 2010, 2012, 2014, 2016 waves of the New Jersey Youth Tobacco Survey. Point estimates and 95% confidence intervals described hookah use stratified by use of other tobacco products. Multivariable logistic regression models assessed trends and correlates of hookah use, controlling for the use of other tobacco products and users’ sociodemographic characteristics. Negative binomial regression models examined the association between total number of tobacco products used and hookah use while controlling for sociodemographic variables and survey year.ResultsThe adjusted odds of current and frequent hookah use among New Jersey high school students were significantly higher in 2014, but not in 2016, compared to 2008. In recent years, hookah use among students who had ever smoked hookah, currently smoked hookah, or frequently smoked hookah was more common among students who had ever or currently smoked cigarettes or e-cigarettes. Hookah users consumed a wider variety of other tobacco products than those who did not use hookah.ConclusionHookah use remains a public health concern for adolescents; it is more common among users of other tobacco products, especially cigarette and e-cigarette smokers. Questions remain as to whether users of multiple tobacco products are being adequately reached by existing policies and regulations.

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Waterpipe tobacco smoking trends among middle and high school students in the United States from 2011 to 2017

Cited by 19 publications

References 24 publications

Waterpipe Use among Adolescents in Germany: Prevalence, Associated Consumer Characteristics, and Trends (German Health Interview and Examination Survey for Children and Adolescents, KiGGS)

Waterpipe Use among Adolescents in Germany: Prevalence, Associated Consumer Characteristics, and Trends (German Health Interview and Examination Survey for Children and Adolescents, KiGGS)

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

Differential Trends in Hookah Use Among New Jersey Youth

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