Waterpipe use in adolescents in Northern Sweden: Association with mental well-being and risk and health behaviours

Ramji, Rathi; Arnetz, Bengt B.; Nilsson, Maria Skyvell; Wiklund, Ywonne; Jamil, Hikmet; Maziak, Wasim; Arnetz, Judy

doi:10.1177/1403494817746534

Cited by 17 publications

(13 citation statements)

References 48 publications

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“…In the current study, higher cigarette smoking dependence was remarkably associated with higher AUDIT scores in agreement to other studies 8,60 . We also found that waterpipe smoking is related to higher AUDIT scores, while few previous studies exhibited this association 60,61 . In fact, waterpipe smoking is addictive and associated with nicotine dependence among adolescents 62 .…”

Section: Cigarette and Waterpipe Dependence And Audsupporting

confidence: 60%

Validation of the AUDIT scale and factors associated with alcohol use disorder in adolescents: results of a national Lebanese study

Hallit

Salameh

Haddad

et al. 2020

Preprint

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Background This study objective was to evaluate the prevalence as well as factors (smoking, internet addiction, social phobia, depression, child abuse and bullying) associated with alcohol use disorder among a representative sample of Lebanese young people, in addition to validating and confirming psychometric properties of the AUDIT scale. Methods A cross-sectional study, conducted between January and May 2019, enrolled 1810 adolescents aged between 14 and 17. Alcohol dependence was defined as a high AUDIT score. A principal component analysis technique to confirm the validity of the construct of the AUDIT scale score was done and a confirmatory analysis to assess the structure of the instrument was conducted. Results The mean AUDIT score was 6.46 ± 8.44 and high risk of hazardous alcohol drinking was found in 28% of adolescents. One factor solution of the AUDIT scale had been found after running the factor analysis and the confirmatory factor analysis demonstrated that the χ2/df=2.4, the Steiger-Lind RMSEA was 0.10 [0.084-0.155] and the Joreskog GFI equaled 0.91 and AGFI equaled 0.92. Higher cigarette (Beta=0.372) and waterpipe (Beta=0.319) dependence, higher child sexual (Beta=0.581) and neglect (Beta=0.106) abuse, higher internet addiction (Beta=0.088), separated parents compared to living together (Beta=3.202) and higher bullying victimization (Beta=0.143) were significantly associated with higher AUDIT scores. Conclusion Alcohol dependence seems to be influenced by several risk factors among the Lebanese adolescents such as cigarette and waterpipe dependence, higher internet addiction, bullying, and child sexual and neglect abuse. Parents and healthcare professionals could use this data to influence intervention efforts.

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Section: Cigarette and Waterpipe Dependence And Audsupporting

confidence: 60%

Validation of the AUDIT scale and factors associated with alcohol use disorder in adolescents: results of a national Lebanese study

Hallit

Salameh

Haddad

et al. 2020

Preprint

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“…A growing number of studies suggest a high prevalence of waterpipe use among adolescents globally, posing a serious threat to public health (Barnett et al, 2017;Jawad, Jawad, Waziry, Ballout, & Akl, 2016;Jawad et al, 2018;Kulak et al, 2018;Majeed, Sterling, Weaver, Pechacek, & Eriksen, 2017;Ramji et al, 2017). According to a Swedish national assessment by Council for Information on Alcohol and Other drugs (CAN), nearly one fourth of high school students had ever smoked waterpipe (Englund, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…According to a Swedish national assessment by Council for Information on Alcohol and Other drugs (CAN), nearly one fourth of high school students had ever smoked waterpipe (Englund, 2014). Further studies from Northern Sweden showed that nearly 30% had ever used waterpipe and 15% reported use of waterpipe in the past 30 days (Ramji et al, 2017). Adolescence is an age where individuals are primarily drawn towards novel, exciting, or rewarding experiences like waterpipe smoking (Hampson, Andrews, Severson, & Barckley, 2015).…”

Section: Introductionmentioning

confidence: 99%

Taking a Stand: An Untapped Strategy to Reduce Waterpipe Smoking in Adolescents

Ramji

Nilsson

Arnetz

et al. 2019

Substance Use & Misuse

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Introduction: Waterpipe use amongst adolescents is on the rise globally. Thus, there is a need to understand adolescents 'attitudes towards and perceptions of waterpipe use in order to develop specific interventions against this form of tobacco use. Methods: Focus group interviews were conducted among 37 Swedish adolescents (14 boys and 23 girls) from grades 10 to 12. Waterpipe users and nonusers were interviewed separately, with two groups each for users and nonusers. Interviews were audiotaped, transcribed, and thematically analyzed using content analysis. Results: Six themes emerged including taking a stand, weighing the risks, Lack of knowledge, Social context, Waterpipe new and unknown, and Family influence. Taking a stand was about being able to stand up for one's owns views rather than giving in to peer pressure to smoke waterpipe. Participants feared harming others via secondhand smoke and expressed criticism of the tobacco industry. Participants considered the health consequences and feared addiction. Lack of knowledge concerning health effects of waterpipe smoking due to the unavailability of credible information was also reported. Waterpipe smoking was considered a social event carried out in the company of friends. Perceived as novel and fun, waterpipe was smoked out of curiosity. Parents' and siblings' smoking behaviors influenced adolescent waterpipe use. Conclusion: Adolescents reported lacking information about the possible health effects of waterpipe smoking and that gaining such knowledge would make it easier for them to take a stand and refuse smoking waterpipe. Prevention strategies should focus on providing adolescents with factual information about the dangers of waterpipe use.

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“…In the present study, a higher dependence on cigarette smoking was remarkably associated with higher AUDIT scores, in agreement with other studies 8,79 . Also, waterpipe smoking was related to higher AUDIT scores, with a few previous studies showing this association 79,80 . In fact, waterpipe smoking is addictive and associated with nicotine dependence among adolescents 81 .…”

Section: Cigarette and Waterpipe Dependence And Audmentioning

confidence: 71%

Validation of the AUDIT Scale and Factors Associated with Alcohol Use Disorder in Adolescents: Results of a National Lebanese Study

Hallit

Salameh

Haddad

et al. 2020

Preprint

View full text Add to dashboard Cite

BackgroundThis study objective was to evaluate the prevalence of AUD and related factors (smoking, internet addiction, social anxiety, child abuse, and bullying) among a representative sample of Lebanese adolescents, and to validate and confirm psychometric properties of the AUDIT scale. MethodsA cross-sectional study, conducted between January and May 2019, enrolled 1810 adolescents aged between 14 and 17. Alcohol dependence was defined as a high AUDIT score (≥8; score range 0-40). A principal component analysis technique to confirm the validity of the construct of the AUDIT scale score was done and a confirmatory analysis to assess the structure of the instrument was conducted. ResultsThe mean AUDIT score was 6.46 ± 8.44 and high risk of hazardous alcohol drinking was found in 507 (28.0%) adolescents 95% CI 0.259-0.301. One factor solution of the AUDIT scale was found after running the factor analysis (α Cronbach =0.978). Higher cigarette (Beta=0.372; p<0.001) and waterpipe (Beta=0.319; p<0.001) dependence, higher child sexual (Beta=0.581; p<0.001) and neglect (Beta=0.106; p<0.001) abuse, higher internet addiction (Beta=0.088; p<0.001), separated parents compared to living together (Beta=3.202; p<0.001) and higher bullying victimization (Beta=0.143; p<0.001) were significantly associated with higher AUDIT scores. ConclusionAlcohol dependence among Lebanese adolescents seems to be influenced by several risk factors, such as cigarette and waterpipe dependence, parents' divorce, higher internet addiction, bullying victimization, and childhood sexual abuse and neglect. Parents and healthcare professionals could use this data for early interventions.

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Waterpipe use in adolescents in Northern Sweden: Association with mental well-being and risk and health behaviours

Cited by 17 publications

References 48 publications

Validation of the AUDIT scale and factors associated with alcohol use disorder in adolescents: results of a national Lebanese study

Validation of the AUDIT scale and factors associated with alcohol use disorder in adolescents: results of a national Lebanese study

Taking a Stand: An Untapped Strategy to Reduce Waterpipe Smoking in Adolescents

Validation of the AUDIT Scale and Factors Associated with Alcohol Use Disorder in Adolescents: Results of a National Lebanese Study

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