Waterpipe smoking among university students in Hong Kong: a cross-sectional study

Lee, Jung Jae; Wu, Yongda; Wang, Man Ping; Yeung, Karly Cheuk Yin; Wong, Janet Yuen‐Ha; Smith, Robert

doi:10.1186/s12889-020-08686-6

“…Greater social acceptability and tolerance toward waterpipe smoking than cigarette smoking are the motivations for female students in some Arab countries to use waterpipe (Babar and Riaz 2015;Maziak et al 2004), and some female students also feels empowered by using it (Baheiraei et al 2015). Several socio-demographic predictors of waterpipe tobacco smoking among the university students have been identified in recent studies including being male, being older in age, frequent alcohol consumption, higher sensation-seeking behavior, and perceived peer acceptability toward waterpipe and cigarette smoking (Lee et al 2020;Salloum et al 2019;Sidani et al 2019). Increasing use of waterpipe smoking is also associated with the perception of many young adults concerning its relatively less harmful effects than cigarette smoking (Sidani et al 2019;Cobb et al 2010).…”

Section: Introductionmentioning

confidence: 99%

Waterpipe Tobacco Smoking and Associated Risk Factors among Bangladeshi University Students: An Exploratory Pilot Study

Ahmed

¹

,

Sen

²

,

Khan

³

et al. 2020

Int J Ment Health Addiction

2

0

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Over the past two decades, there has been a global rise in the prevalence of waterpipe tobacco smoking. Waterpipe tobacco smoking involves the inhalation of heated tobacco smoke after passing through water, and it has been associated with an identified dependence effect similar to that found with cigarette smoking. Despite the popularity of waterpipe tobacco among youth (and in particular, university students) in many countries, detailed data of its usage are lacking in Bangladesh. Therefore, the present study was conducted to explore waterpipe tobacco smoking behavior and normative beliefs among university students in Bangladesh and to assess the factors associated with waterpipe tobacco use. A quantitative crosssectional survey was carried out among 340 Bangladeshi university students (64.4% male; mean age 21.6 years). Among participants, 13.5% reported they had ever smoked tobacco from a waterpipe and 9.4% had it in past 30 days. Among past 30-day users, 72% were categorized as having waterpipe smoking dependence (n = 23). No females in the sample had ever smoked using a waterpipe. Maternal occupation, monthly expenditure, and regular smoking status were major predominant factors associated with waterpipe smoking behavior of the students. The study is of existential value given that there are no prior studies ever carried out in Bangladesh previously. Recommendations are provided based on the study's findings, particularly in relation to what action is needed from universities in Bangladesh.

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“…Resilience gives adolescents the ability to adapt to 3 Journal of Smoking Cessation and recover from difficult situations and in this way enables them not to turn to unhealthy coping mechanisms, such as smoking [31]. Loneliness has been known as a promoter of smoking in the literature [32] because students can gain a sense of belonging through WPS (Lee et al [33]. Students who are far from their homes have a lonely feeling, and this may decrease their resilience.…”

Section: Discussionmentioning

confidence: 99%

Associations between Childhood Abuse, Resilience, Mindfulness, and Waterpipe Smoking: Implications for Cessation Interventions

Naghavi

¹

,

Nakhaee

²

2021

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Introduction. Recent research has established a link between childhood abuse and later drug abuse. For waterpipe smoking (WPS), such a role has not been adequately clarified. Aims. To explore the mediating effect of resilience and mindfulness on the association between childhood abuse and current WPS among college students. Methods. A cross-sectional study was conducted among a consecutive sample ( n = 776 ) of college students in Kerman, Iran. The Adverse Childhood Experiences Abuse Short Form, the 14-item Resilience Scale, and the Freiburg Mindfulness Inventory were used. Structural equation modeling was used to examine the complex associations between variables. Results. Nearly 95% of participants were aged between 18 and 27 years, and the mean (SD) age of students was 22.2 (3.1). Most of them were single (84.4), and 52.7% were female. Prevalence of lifetime and current WPS among students was 49.6% and 33.4%, respectively. Less than one-third ( n = 228 ) of lifetime users first tried smoking by the age of 18. The risk of current WPS was significantly higher in males than females ( β = 0.25 , P < 0.001 ). Childhood abuse was directly associated with current WPS ( β = 0.20 , P < 0.001 ) and resilience ( β = − 0.12 , P < 0.05 ). Adverse childhood experiences were also indirectly (mediated by the effect of the resilience, path coefficient = 0.06 , P < 0.001 ) associated with the risk of WPS. No relationship was seen between trait mindfulness and current WPS ( β = − 0.02 , P = 0.393 ). Resilience was negatively associated with current WPS ( β = − 0.47 , P < 0.001 ). Conclusion. The study revealed the potential importance of childhood abuse and low resilience as risk factors precipitating the onset of WPS. Further studies are warranted to examine the implications of this study for quitting WPS.

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“…It is also observed that compared to living in a dormitory, which is a more controlled environment, living alone or having roommate(s) increased the risk in both types of universities. Accessibility to waterpipe cafes is an important mediator that enables students to experiment waterpipe smoking with their friends after school hours and constitutes a crucial public health problem (5,46,(48)(49)(50)(51).…”

Section: Discussionmentioning

confidence: 99%

Waterpipe Smoking Among Youth and Socioeconomic Status: A Cross-Sectional Study of Students in Public Versus Private Universities

Caner

¹

,

Özcebe

²

2021

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0

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Background Waterpipe smoking has become a global public health problem as its popularity increased over time, especially among youth. This study aims to examine waterpipe smoking patterns of university students in Ankara, Turkey, and compare the patterns in public and private universities, which have different economic and social environments. Students in these two types of universities differ, on average, in socioeconomic background and access to financial resources. Methods The survey was conducted among public (n=2685) and private (n=2485) university students via an online questionnaire. Logistic regressions (on the full sample and on the sample that excludes students who initiate before age 18) were used to test the association between ever using waterpipe and respondent characteristics such as age, gender, university type, living arrangements, and source of income. Descriptive statistics on consumption pattern (age at first use, use within last month, location of use, availability of waterpipe venues, whether it is usually shared, reasons for use, and harm perceptions) were also generated. Moreover, never, ever, and current user prevalence rates by age at first use were estimated for waterpipe and cigarettes. Results69% of students in private and 59% of students in public universities (p<0.001) were ever smokers of waterpipe. Being older, male, private university student, living alone or having roommate(s), as well as financial resources such as having access to a car, having income from work or family were associated with ever using waterpipe. Although more than half (68-70%) of ever users tried waterpipe before age 18, risk continued in university and 41-46% of those who tried before 18 were current users in university. For women who had abstained from waterpipe until university age, the risk of waterpipe use was higher in private than in public universities. ConclusionsWaterpipe smoking has increased and is highly common among university students. Students with higher socioeconomic status are at higher risk. There is an urgent need to implement the new creative interventions based on the WHO Framework Convention on Tobacco Control to prevent the young people from waterpipe smoking after 18 years old.

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Waterpipe smoking among university students in Hong Kong: a cross-sectional study

Cited by 12 publications

References 49 publications

Waterpipe Tobacco Smoking and Associated Risk Factors among Bangladeshi University Students: An Exploratory Pilot Study

Waterpipe Tobacco Smoking and Associated Risk Factors among Bangladeshi University Students: An Exploratory Pilot Study

Associations between Childhood Abuse, Resilience, Mindfulness, and Waterpipe Smoking: Implications for Cessation Interventions

Waterpipe Smoking Among Youth and Socioeconomic Status: A Cross-Sectional Study of Students in Public Versus Private Universities

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