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Free Content Ethnicity and waterpipe smoking among US students

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Abstract:

OBJECTIVES: To examine the effect of ethnicity on waterpipe smoking among college students.

DESIGN: A cross-sectional study utilized data from University of Houston students through an online survey (n = 2334) from March to April 2011. The survey included questions on demographic characteristics (sex, age, race/ethnicity), tobacco use experience, risk perception, social acceptability and popularity. Multivariate logistic regression was used to determine predictors of waterpipe use with three outcomes: ever-use vs. no use, past-year use vs. no use and past-month use vs. no use.

RESULTS: Half of the sample had previously smoked tobacco using a waterpipe, approximately a third in the past year and 12.5% in the past month. Significant predictors included Middle Eastern ethnicity, Middle Eastern friend, past cigarette or cigar use. Perception of harm was associated with less use in the ever-use model, while perceived addictiveness, social acceptability and popularity of waterpipes were predictors in all models.

CONCLUSION: Our findings underscore the importance of developing culturally appropriate interventions to control waterpipe smoking among Middle Eastern Americans and those of Indian/Pakistani descent to curb further spread in US society, and highlight the importance of developing interventions that target the perceived addictiveness, social acceptability and popularity of waterpipe smoking.

Keywords: Middle Eastern; hookah; tobacco use

Document Type: Research Article

DOI: https://doi.org/10.5588/ijtld.12.0152

Affiliations: 1: Institute of Community Health, College of Pharmacy, University of Houston, Houston, Texas, USA 2: School of Public Health, University of Texas Health Science Center at Houston, Houston, Texas, USA 3: King Hussein Cancer Center, Cancer Control Office, Amman, Jordan 4: Institute of Community Health, College of Pharmacy, University of Houston, Houston, Texas, USA; School of Public Health, University of Texas Health Science Center at Houston, Houston, Texas, USA

Publication date: 2012-11-01

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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