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Prevalence of and associations with waterpipe tobacco smoking among U.S. university students

Primack, BA and Sidani, J and Agarwal, AA and Shadel, WG and Donny, EC and Eissenberg, TE (2008) Prevalence of and associations with waterpipe tobacco smoking among U.S. university students. Annals of Behavioral Medicine, 36 (1). 81 - 86. ISSN 0883-6612

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Background: Although waterpipe tobacco smoking seems to be increasing on U.S. university campuses, these data have come from convenience samples. Purpose: We aimed to determine the prevalence of and associations with waterpipe tobacco smoking among a random sample of students. Methods: We surveyed a random sample of graduate and undergraduate students at a large, urban university. We used multivariate modeling to determine independent associations between belief-related predictors and waterpipe tobacco smoking. Results: Of the 647 respondents, waterpipe smoking was reported in 40.5%, over the past year in 30.6%, and over the past 30 days in 9.5%. Over half of the sample (52.1%) perceived that tobacco smoking from a waterpipe was less addictive than cigarette smoking. In fully adjusted multivariate models, 1-year waterpipe smoking was associated with low perceived harm (OR=2.54, 95% CI=1.68, 3.83), low perceived addictiveness (OR=4.64, 95% CI=3.03, 7.10), perception of high social acceptability (OR=20.00, 95% CI=6.03, 66.30), and high perception of popularity (OR=4.72, 95% CI=2.85, 7.82). Conclusions: In this sample, lifetime waterpipe use was as common as lifetime cigarette use. Perception of harm, perception of addictiveness, social acceptability, and popularity were all strongly related to waterpipe smoking. © 2008 The Society of Behavioral Medicine.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Primack, BAbprimack@pitt.eduBPRIMACK
Sidani, Jjaime.sidani@pitt.eduJES107
Agarwal, AA
Shadel, WGwgs1@pitt.eduWGS1
Donny, ECedonny@pitt.eduEDONNY
Eissenberg, TE
Centers: Other Centers, Institutes, Offices, or Units > Center for Research on Media, Technology, and Health
Date: 1 August 2008
Date Type: Publication
Journal or Publication Title: Annals of Behavioral Medicine
Volume: 36
Number: 1
Page Range: 81 - 86
DOI or Unique Handle: 10.1007/s12160-008-9047-6
Schools and Programs: Dietrich School of Arts and Sciences > Psychology
School of Medicine > Medicine
School of Medicine > Pediatrics
Refereed: Yes
ISSN: 0883-6612
MeSH Headings: Administration, Inhalation; Cross-Sectional Studies; Female; Filtration--instrumentation; Health Knowledge, Attitudes, Practice; Humans; Male; Models, Statistical; Reference Values; Regression Analysis; Smoking--psychology; Social Perception; Students; Tobacco; Tobacco Use Disorder--psychology; Universities; Water; Young Adult
Other ID: NLM NIHMS256361, NLM PMC3004534
PubMed Central ID: PMC3004534
PubMed ID: 18719977
Date Deposited: 28 Jul 2014 17:55
Last Modified: 02 Feb 2019 15:57


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