Waterpipe Use Predicts Progression to Regular Cigarette Smoking Among Danish Youth

Jensen, Poul; Cortes, Rikke; Engholm, Gerda; Kremers, Stef; Gislum, Mette

doi:10.3109/10826081003682909

Cited by 95 publications

(81 citation statements)

References 19 publications

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“…However, despite these findings, it should be noted that a significant proportion of US adolescent hookah users in this sample also have never used cigarettes (33.7%) or e-cigarettes (36%). These findings elicit concerns that hookah may frequently be a product of first use, or act as a gateway to other tobacco use 34,35 . Clearly, more research is needed to further elucidate the connections between product of initiation, trying multiple products, and future smoking patterns.…”

Section: Discussionmentioning

confidence: 99%

Increasing hookah use among adolescent females in the US: analyses from the 2011-2014 National Youth Tobacco Survey (NYTS)

Shearston¹,

Park²,

Lee³

et al. 2016

Tob. Prev. Cessation

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INTRODUCTION The use of hookah (waterpipe) is increasing rapidly among US adolescents, nearly doubling from2011-2014. Further information is needed about characteristics of those who use hookahs and how key characteristics associated with use may be changing. METHODS Data from the nationally representative 2014 National Youth Tobacco Survey (NYTS), n=22,007, were analyzed to determine adolescents' characteristics independently associated with use of hookahs, using bivariate and multivariate analyses. Additionally, NYTS 2011-2014 data were analyzed to investigate changes in prevalence of hookah use over time, by sex. RESULTS Among adolescents in 2014, female sexand past 30-day use of cigarettes or e-cigarettes were each independently associated with higher odds of past 30-day use of hookahs (AOR=1.41, 95% CI1.15-1.72; AOR=4.01, 95% CI3.19-5.05; AOR=6.85, 95% CI 5.29-8.88, respectively). Hispanic adolescents (AOR=1.91, 95% CI 1.51-2.42) and adolescents who live with someone who uses hookah (AOR=8.56, 95% CI 6.02-12.18) had greater odds of past 30-day use. From 2011 to 2014, use among males and females increased, with a percent change of 87% for males (1.60% to 2.99%) and 175% for females (1.21% to 3.33%). CONCLUSIONS These data demonstrate the magnitude of adolescent hookah use, particularly among adolescents who use electronic or traditional cigarettes. Most strikingly, rates of female adolescent use have increased much more rapidly than has male use, and adolescent females are for the first time more likely to smoke hookahs than adolescent males in the US nationwide. These findings urgently call for better understanding of the changing correlates of hookah use, including polytobacco use.

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Section: Discussionmentioning

confidence: 99%

Increasing hookah use among adolescent females in the US: analyses from the 2011-2014 National Youth Tobacco Survey (NYTS)

Shearston¹,

Park²,

Lee³

et al. 2016

Tob. Prev. Cessation

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“…*p<0.05; **p<0.01; ***p<0.001. Danish adolescents has found that cigarette smokers who used waterpipe were more likely to report increased cigarette smoking intensity at followup than their counterparts who smoked cigarettes only 35 . Saunders and Geletko 36 found that adolescent cigarette smokers who used one form of ATP were more likely to use other types of ATPs.…”

Section: Resultsmentioning

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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“…There is a paucity of data on the persistence of hookah tobacco smoking among young adults, but one prospective study observed that half the sample continued to smoke hookah tobacco four years later (66). Other longitudinal data show that hookah tobacco smoking increases the likelihood of persistent cigarette smoking among individuals who have a prior history of cigarette smoking (67,68).…”

Section: Patterns Of Hookah Smokingmentioning

confidence: 99%

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

Gathuru¹,

Tarter²,

Klein‐Fedyshin

2015

The American Journal of Drug and Alcohol Abuse

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Background: About 30% of college students have smoked hookah tobacco. Although most students perceive this product to be innocuous and non-addictive, hookah tobacco increases the risk for disease and nicotine dependence. Currently, the US Food and Drug Administration (FDA) does not regulate the manufacture, distribution, or sale of hookah tobacco. Objective: Empirical literature pertaining to hookah tobacco smoking is reviewed with a focus on the implications for regulatory policy. Methods: PubMed, PsycINFO, and Scopus databases were searched to locate articles published in English. The literature search combined

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Waterpipe Use Predicts Progression to Regular Cigarette Smoking Among Danish Youth

Cited by 95 publications

References 19 publications

Increasing hookah use among adolescent females in the US: analyses from the 2011-2014 National Youth Tobacco Survey (NYTS)

Increasing hookah use among adolescent females in the US: analyses from the 2011-2014 National Youth Tobacco Survey (NYTS)

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

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

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