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Waterpipe smoking among U.S. University students

Primack, BA and Shensa, A and Kim, KH and Carroll, MV and Hoban, MT and Leino, EV and Eissenberg, T and Dachille, KH and Fine, MJ (2013) Waterpipe smoking among U.S. University students. Nicotine and Tobacco Research, 15 (1). 29 - 35. ISSN 1462-2203

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Introduction: While cigarette use is declining, smoking tobacco with a waterpipe is an emerging trend. We aimed to determine the prevalence of waterpipe use in a large diverse sample of U.S. university students and to assess the association of waterpipe use with individual and institution-related characteristics. Methods: We assessed students from 152 U.S. universities participating in the National College Health Assessment during 2008-2009. We used multivariable regression models to determine independent associations between individual and institutional characteristics and waterpipe tobacco use in the past 30 days and ever. Results: Of 105,012 respondents included in the analysis, most were female (65.7%), White (71.2%), and attending public (59.7%) nonreligious (83.1%) institutions. Mean age was 22.1 years. A total of 32,013 (30.5%) reported ever using a waterpipe to smoke tobacco. Rates for current tobacco use were 8.4% for waterpipes, 16.8% for cigarettes, 7.4% for cigars (including cigarillos), and 3.5% for smokeless tobacco. Of current waterpipe users, 51.4% were not current cigarette smokers. Although current waterpipe use was reported across all individual and institutional characteristics, fully adjusted multivariable models showed that it was most strongly associated with younger age, male gender, White race, fraternity/sorority membership, and nonreligious institutions in large cities in the western United States. Conclusions: After cigarettes, waterpipe use was the most common form of tobacco use among university students. Because waterpipe use affects groups with a wide variety of individual and institutional characteristics, it should be included with other forms of tobacco in efforts related to tobacco surveillance and intervention. © The Author 2012. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Primack, BAbprimack@pitt.eduBPRIMACK
Shensa, Aariel.shensa@pitt.eduARS146
Kim, KH
Carroll, MV
Hoban, MT
Leino, EV
Eissenberg, T
Dachille, KH
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 2013
Date Type: Publication
Journal or Publication Title: Nicotine and Tobacco Research
Volume: 15
Number: 1
Page Range: 29 - 35
DOI or Unique Handle: 10.1093/ntr/nts076
Schools and Programs: School of Education > Psychology in Education
School of Medicine > Medicine
School of Nursing > Nursing
School of Medicine > Pediatrics
Refereed: Yes
ISSN: 1462-2203
MeSH Headings: Cities; European Continental Ancestry Group; Female; Humans; Male; Multivariate Analysis; Smoking--epidemiology; Students--statistics & numerical data; Tobacco, Smokeless; United States--epidemiology; Universities; Young Adult
Other ID: NLM PMC3524056
PubMed Central ID: PMC3524056
PubMed ID: 22641433
Date Deposited: 29 Jul 2014 21:38
Last Modified: 01 Nov 2021 10:55


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