Transitions in frequency of hookah smoking among youth and adults: findings from waves 1 and 2 of the Population Assessment of Tobacco and Health (PATH) study, 2013–15

Abstract

Background and Aims The prevalence of hookah smoking has increased in the United States since at least 2010, especially among youth and young adults. This study assessed self‐reported reasons for hookah smoking cessation and transition to or maintenance of high‐frequency hookah smoking among current hookah smokers. Design Separately analyzed data from the Population Assessment of Tobacco and Health (PATH) study, a longitudinal cohort study. Frequency of and reasons for hookah smoking were ascertained at wave 1 (2013–14); frequency of hookah smoking and past‐year cessation were ascertained at wave 2 (2014–15). Weighted multivariable logistic and ordinal logistic regression models were fitted to predict hookah smoking cessation and frequency of hookah smoking at wave 2, respectively, accounting for demographic and behavioral risk factors, reasons for hookah smoking and frequency of hookah smoking at wave 1. Setting United States. Participants A total of 693 youth and 4400 adult past‐year hookah smokers. Measurements Self‐reported tobacco‐use patterns and associated health behaviors were measured via audio computer‐assisted self‐interviews (ACASI). Findings At wave 1, 5.9% of youth and 7.5% of adults were past‐year hookah smokers. Among all age groups, the leading reasons for hookah smoking were enjoyment of socializing while smoking, the availability of appealing flavors and believing that it was less harmful than cigarette smoking. The odds of cessation were lower for adults who liked hookah flavors [adjusted odds ratio (aOR) = 0.40; 95% confidence interval (CI) = 0.26–0.62] compared with adults who did not like hookah flavors. The odds of transitioning to, or maintaining, monthly or more frequent hookah smoking at wave 2, compared with cessation or less than monthly smoking, were higher for adults who liked hookah flavors [adjusted proportional odds ratio (aPOR) = 2.10; 95% CI = 1.48–2.99 and enjoyed socializing while smoking hookah (aPOR = 1.82; 95% CI =1.13–2.94) compared with adults who did not like hookah flavors or socializing. Conclusion The availability of appealing flavors, affordability and socialization while smoking hookah in the United States are associated with reduced likelihood of cessation and increased likelihood of high‐frequency hookah smoking.

Longitudinal transitions in e-cigarette and cigarette use among US adults: prospective cohort study

“…In line with previous literature, 28 , 29 , 30 , 35 , 36 , 37 , 38 several sociodemographics were included at baseline (W3 or W4): age (18–24, 25–44, 45–64, or 65+ years), sex (male or female), sexual orientation (lesbian, gay, bisexual, something else (LGB) or straight), race/ethnicity (non-Hispanic white, non-Hispanic black, Hispanic, or other races (i.e., all other races, more than one race), annual household income (less than $25,000, $25,000–$49,999, $50,000–$99,999, or $100,000 or more), and educational attainment (less than high school or GED, high school graduate, some college, bachelor’s degree or more).…”

Longitudinal Transition Patterns of Tobacco Use Among Youth and Young Adults Never Tobacco Product Users: Findings From the Population Assessment of Tobacco and Health Study, 2014-2019

“…While many studies have examined the transition from susceptibility to ever use across 1 or 2 years of follow-up for e-cigarettes, cigarettes, and hookah, 9,13,14,16,17 as well as research on transitions and trajectories of multiple TP use, 18-26 there is a paucity of research on exploring transition patterns among never users who are susceptible and never users who are non-susceptible, to ever use and progression of TP use, especially with extended follow-up time. This study sought to fill this gap, namely, to identify, visualize, and describe within-product tobacco use longitudinal transition patterns for: e-cigarettes, cigarettes, and hookah by 3 age groups: 12-14-year-olds, 15-17-year-olds, and 18-20-year-olds among never users of each TP in 2014-2015 and follow-up until 2018-2019 using the Population Assessment of Tobacco and Health (PATH) study in the U.S.A. Our analyses describe these longitudinal transition patterns of from never users of each TP who are susceptible and those who are not susceptible to each TP in 2014-2015 by each age group.…”

Waterpipe Smoking among Bladder Cancer Patients: A Cross-Sectional Study of Lebanese and Jordanian Populations

“…Waterpipe smoking (WPS, also known as hookah, shisha, nargileh, and hubble-bubble) has an estimated prevalence of 100 million worldwide, mostly among adolescents of the Middle East [4,5] A Lebanon-based longitudinal study including 228 exclusive WPS adolescent smokers revealed that nicotine dependence among WPS was associated with initiating smoking at a younger age and believing that WP smokers have more friends among other factors [6]. In addition, its affordability and the large number of flavor options transformed this smoking habit into a popular social activity among youngsters in the Middle East [7]. A study involving five Palestinian universities revealed that WPS was 24.4% among students which surpassed the 18% for cigarette smoking.…”