Hookah use as a predictor of other tobacco product use: A longitudinal analysis of Texas college students

Case, Kathleen; Creamer, MeLisa R.; Cooper, Maria; Loukas, Alexandra; Perry, Cheryl L.

doi:10.1016/j.addbeh.2018.06.028

Cited by 18 publications

(8 citation statements)

References 35 publications

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“…The importance of our findings should be considered because while e-cigarettes have been marketed as a cessation tool, our findings show that e-cigarettes may predispose young adults to initiate cigarette use at earlier ages than never e-cigarette users. Similarly, our results are consistent with research that has found that previous use of other tobacco products is associated with subsequent cigarette use in adults [ 11 ], college students [ 56 , 57 ], and youth [ 58 – 60 ]. Our study again extends these findings specifically to young adults.…”

Section: Discussionsupporting

confidence: 92%

Prospective estimation of the age of initiation of cigarettes among young adults (18–24 years old): Findings from the Population Assessment of Tobacco and Health (PATH) waves 1–4 (2013–2017)

et al. 2021

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Objectives To prospectively estimate the age of cigarette initiation among young adults (18–24 years old) who were never cigarette users at their first wave of adult study participation overall, by sex, and by race/ethnicity given recent increases in cigarette initiation occurring in young adulthood. Methods Secondary analyses were conducted using the PATH restricted-use adult datasets among young adult never users of cigarettes in waves 1–3 (2013–2016) with outcomes followed-up in waves 2–4 (2014–2017). Interval censoring survival methods were used to estimate the age of initiation of (i) ever, (ii) past 30-day, and (iii) fairly regular cigarette use. Among never cigarette users when they first entered the adult study, interval censoring Cox proportional hazard models were used to explore differences in the estimated age of initiation of the three cigarette use outcomes by sex and by race/ethnicity, controlling for the effect of previous e-cigarette use and the total number of other tobacco products ever used (0–5 products) before cigarette initiation outcomes. Results Among the young adults who were never cigarette users at their first wave of adult participation, the highest increase in cigarette initiation occurred between 18 and 19 years old. By age 21, 10.6% (95% CI: 9.5–11.7) initiated ever cigarette use, 7.7% (95% CI: 6.1–8.1) initiated past 30-day of cigarette use, and 1.9% (95% CI: 1.4–2.5) initiated fairly regular cigarette use. After controlling for other tobacco products: (a) males were 83% more likely to initiate past 30-day cigarette use at earlier ages than females; (b) Hispanic and Non-Hispanic Black young adults had increased risk to initiate past 30-day cigarette use at earlier ages than Non-Hispanic White young adults (62% and 34%, respectively). Conclusions The substantial amount of cigarette initiation among young adults reinforces the need for prevention strategies among this population. Although, interventions are needed for all young adult populations, strategies should target 18-21-year-olds, with potentially differential prevention targets by sex and by race/ethnicity.

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Section: Discussionsupporting

confidence: 92%

Prospective estimation of the age of initiation of cigarettes among young adults (18–24 years old): Findings from the Population Assessment of Tobacco and Health (PATH) waves 1–4 (2013–2017)

et al. 2021

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“…Alternative nicotine and tobacco products (ANTP) include electronic-cigarettes and waterpipes (also known as hookah, shisha or narghile), which have recently increased in popularity [6][7][8][9]. Hookah use has been identified as a predictor of the subsequent use of tobacco products, such as e-cigarettes [10]. Hookah use has also been found to be associated with lung cancer and other types of respiratory illness [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…Turkey and Spain have developed public policies to reduce cigarette use and more recently e-cigarette use. Turkey has also developed policies to reduce waterpipe use, such as the addition of warning labelling on waterpipe bowls [10], but there has been little research about waterpipe use in Spain. Investigating the current pattern of polytobacco use in those two countries could contribute to our understanding of the polytobacco use phenomenon in these two regions.…”

Section: Introductionmentioning

confidence: 99%

Sex and Polytobacco Use among Spanish and Turkish University Students

Font‐Mayolas

Sullman

Gras

2019

IJERPH

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Polytobacco use has become increasingly popular among young adults, particularly males, and can be defined as the concurrent use of regular cigarettes and other tobacco products (e.g., e-cigarettes). The present study investigated the use of legal smoking products (cigarettes, waterpipe and electronic cigarettes) among young adults (n = 355) in Spain and Turkey. The survey measured demographics, lifetime and past month tobacco use, waterpipe and e-cigarette use, whether waterpipes and e-cigarettes contained nicotine and reasons for using these substances. The majority of the Turkish (men = 80% and women = 63.9%) and Spanish sample (men = 61.4% and women = 69.3%) were polytobacco users. The most common reason for using e-cigarettes was "to experiment, to see what is like" (Turkish sample: men 66.7% and women 57.1; Spanish sample: men 72.7% and women 93.8%). The most common reason to use regular cigarettes was "to relax and relieve tension" (Turkish sample: men 88.9% and women 77.6%; Spanish sample: men 78.1% and women 76%), while for waterpipe users, the most common reason was "to experiment, to see what it is like" (Turkish sample: men 93.3% and women 80%; Spanish sample: men 78.9% and women 93.8%). The implications for prevention and future research are discussed.

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“…BOU FAKHREDDINE et al [4] demonstrated that waterpipe smokers are twice as likely to become cigarette smokers in the coming years. CASE et al [22] showed that waterpipe smoking is a risk factor for other forms of tobacco consumption, including electronic cigarettes.…”

Section: Epidemiologymentioning

confidence: 99%

Waterpipe smoking: a review of pulmonary and health effects

et al. 2021

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Waterpipe smoking is an old form of tobacco smoking, originating in Persia and the Middle East. The popularity of the waterpipe is increasing worldwide, particularly among young adults, and there are widespread misconceptions regarding its negative health effects. The inhaled smoke of the waterpipe contain several toxic and hazardous materials including nicotine, tar, polyaromatic hydrocarbons and heavy metals, all of which are proven to be related to lung diseases and cancer. Regular waterpipe smoking is associated with respiratory symptoms, a decrease in pulmonary function and increased risk for lung disease such as COPD. Additional negative health effects include increased risk for arterial stiffness, ischaemic heart disease and several cancer types including lung cancer. This review summarises the negative health effects of waterpipe smoking, with emphasis on cardiorespiratory complications. Increased awareness and knowledge amongst healthcare professionals will hopefully help identify waterpipe smokers and promote patient education. Applying World Health Organization (WHO) regulations will provide a synergistic effect in reducing waterpipe use and associated disease.

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Hookah use as a predictor of other tobacco product use: A longitudinal analysis of Texas college students

Cited by 18 publications

References 35 publications

Prospective estimation of the age of initiation of cigarettes among young adults (18–24 years old): Findings from the Population Assessment of Tobacco and Health (PATH) waves 1–4 (2013–2017)

Prospective estimation of the age of initiation of cigarettes among young adults (18–24 years old): Findings from the Population Assessment of Tobacco and Health (PATH) waves 1–4 (2013–2017)

Sex and Polytobacco Use among Spanish and Turkish University Students

Waterpipe smoking: a review of pulmonary and health effects

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