Ethnicity and waterpipe smoking among US students
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.
Document Type: Research Article
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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