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Antecedents of University Students' Hookah Smoking Intention

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Objectives: To examine antecedents of university students' intention to smoke hookah using the Theory of Reasoned Action (TRA) as a conceptual framework. Methods: We sampled students at a US university using 3 strategies: intercept interviews (N = 62) with hookah smokers and nonsmokers; 3 focus groups (smokers only N = 21); and online survey (N = 369). We evaluated TRA constructs regarding intention to smoke hookah and used factor analysis to identify antecedent domains concerning attitudes toward hookah smoking. Results: Three domains emerged: benefits, negative health effects, meeting expectations. Attitudes toward hookah smoking were more positively correlated with intention than was subjective norm. Conclusions: Benefits and attitudes were strong determinants of future intention.
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Document Type: Research Article

Affiliations: 1: Assistant Professor in Public Health, University of Tampa, Tampa, FL 2: Fellow, Florida Prevention Research Center, Tampa, FL 3: Distinguished USF Health Professor, College of Public Health, University of South Florida, Tampa, FL

Publication date: September 1, 2013

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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