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Waterpipe and Cigarette Smoking Among College Athletes in the United States

Primack, BA and Fertman, CI and Rice, KR and Adachi-Mejia, AM and Fine, MJ (2010) Waterpipe and Cigarette Smoking Among College Athletes in the United States. Journal of Adolescent Health, 46 (1). 45 - 51. ISSN 1054-139X

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Purpose: Tobacco use using a waterpipe is an emerging trend among college students. Although cigarette smoking is low among college athletes, waterpipe tobacco smoking may appeal to this population. The purpose of this study was to compare cigarette and waterpipe tobacco smoking in terms of their associations with organized sport participation. Methods: In the spring of 2008, we conducted an online survey of 8,745 college students at eight institutions as part of the revised National College Health Assessment. We used multivariable regression models to assess the associations between tobacco use (cigarette and waterpipe) and organized sports participation. Results: Participants reported participation in varsity (5.2%), club (11.9%), and intramural (24.9%) athletics. Varsity athletes and individuals who were not varsity athletes had similar rates of waterpipe tobacco smoking (27.6% vs. 29.5%, p = .41). However, other types of athletes were more likely than their counterparts to have smoked waterpipe tobacco (35.1% vs. 28.7%, p < .001 for club sports and 34.8% vs. 27.7%, p < .001 for intramural sports). In fully-adjusted multivariable models, sports participants of any type had lower odds of having smoked cigarettes, whereas participants who played intramural sports (odds ratio = 1.15, 95% confidence interval = 1.03, 1.29) or club sports (odds ratio = 1.15, 95% confidence interval = 1.001, 1.33) had significantly higher odds of having smoked waterpipe tobacco. Conclusions: College athletes are susceptible to waterpipe tobacco use. In fact, compared with their nonathletic counterparts, club sports participants and intramural sports participants generally had higher odds of waterpipe tobacco smoking. Allure for waterpipe tobacco smoking may exist even for individuals who are traditionally considered at low risk for tobacco use. © 2010 Society for Adolescent Medicine.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Primack, BAbprimack@pitt.eduBPRIMACK
Fertman, CIcarl@pitt.eduCARL
Rice, KR
Adachi-Mejia, AM
Fine, MJmjf1@pitt.eduMJF10000-0003-3470-9846
Centers: Other Centers, Institutes, Offices, or Units > Center for Research on Media, Technology, and Health
Date: 1 January 2010
Date Type: Publication
Journal or Publication Title: Journal of Adolescent Health
Volume: 46
Number: 1
Page Range: 45 - 51
DOI or Unique Handle: 10.1016/j.jadohealth.2009.05.004
Schools and Programs: School of Education > Health and Physical Activity
School of Medicine > Medicine
School of Medicine > Pediatrics
Refereed: Yes
ISSN: 1054-139X
MeSH Headings: Adolescent; Data Collection; Female; Humans; Male; Multivariate Analysis; Odds Ratio; Smoking--epidemiology; Sports; Students; United States--epidemiology; Universities; Young Adult
Other ID: NLM NIHMS256307, NLM PMC3001225
PubMed Central ID: PMC3001225
PubMed ID: 20123257
Date Deposited: 28 Jul 2014 17:02
Last Modified: 01 Nov 2021 10:55


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