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Substance and hookah use and living arrangement among fraternity and sorority members at US colleges and universities

Sidani, JE and Shensa, A and Primack, BA (2013) Substance and hookah use and living arrangement among fraternity and sorority members at US colleges and universities. Journal of Community Health, 38 (2). 238 - 245. ISSN 0094-5145

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Hookah tobacco smoking is associated with substantial toxicant exposures and is increasing among college students in the United States. Greek (fraternity/sorority) students, especially those living in Greek housing, have high rates of risky alcohol use. The extent to which this is true for other substances, including hookah tobacco smoking, is not well known. The objective of this study is to examine associations between Greek involvement and living arrangement (non-member, non-resident member, resident member) and rates of hookah tobacco smoking, in relation to other substances, among US college students. We used national data from 82,251 student responses from the 2008 to 2009 administration of the National College Health Assessment. Generalized estimating equations were utilized to determine adjusted odds ratios for substance use outcomes based on involvement and living arrangements, while adjusting for covariates and clustering of students within institutions. Among resident members, ever use was highest for marijuana (52.4 %), hookah (48.5 %) and cigarettes (46.6 %). In multivariable models, adjusted odds were lowest for non-Greeks and highest for Greek resident members. Compared to non-Greeks, Greek resident members had nearly double the odds for current use of hookah, cigars, and marijuana, as well as two and a half times the odds for current use of smokeless tobacco and three times the odds for alcohol bingeing. Similar to other substances, hookah tobacco smoking is highest among Greek resident members, compared with both Greeks living outside Greek housing and non-Greeks. It is valuable for substance use surveillance and intervention to focus on Greek resident members. © 2012 Springer Science+Business Media, LLC.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Sidani, JEjaime.sidani@pitt.eduJES107
Shensa, Aariel.shensa@pitt.eduARS146
Primack, BAbprimack@pitt.eduBPRIMACK
Centers: Other Centers, Institutes, Offices, or Units > Center for Research on Media, Technology, and Health
Date: 1 April 2013
Date Type: Publication
Journal or Publication Title: Journal of Community Health
Volume: 38
Number: 2
Page Range: 238 - 245
DOI or Unique Handle: 10.1007/s10900-012-9605-5
Schools and Programs: School of Medicine > Medicine
School of Medicine > Pediatrics
Refereed: Yes
ISSN: 0094-5145
MeSH Headings: Adolescent; Adult; Female; Humans; Male; Questionnaires; Smoking--epidemiology; Students; Substance-Related Disorders--epidemiology; United States--epidemiology; Universities; Young Adult
Other ID: NLM NIHMS401769, NLM PMC3594445
PubMed Central ID: PMC3594445
PubMed ID: 22903805
Date Deposited: 31 Jul 2014 20:42
Last Modified: 04 Feb 2019 15:56


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