Preventing Chronic Disease | Prevalence, Knowledge, and Practices of Hookah Smoking Among University Students, Florida, 2012 - CDC
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Prevalence, Knowledge, and Practices of Hookah Smoking Among University Students, Florida, 2012
Shams Rahman, EMBA, MPH, MD; Lissette Chang, MD, MPH; Selamawit Hadgu, MPH; Abraham A. Salinas-Miranda, MD, PhD; Jaime Corvin, PhD, MSPH
Suggested citation for this article: Rahman S, Chang L, Hadgu S, Salinas-Miranda AA, Corvin J. Prevalence, Knowledge, and Practices of Hookah Smoking Among University Students, Florida, 2012. Prev Chronic Dis 2014;11:140099. DOI:http://dx.doi.org/10.5888/pcd11.140099.
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Abstract
Introduction
Although hookah smoking is becoming a source of tobacco use among college students in the United States, little is known of the students’ knowledge, attitudes, and practices regarding hookah use. This cross-sectional study was aimed at determining the prevalence of hookah use and describing social and behavioral factors associated with hookah smoking among university students in a large urban university in Florida.
Although hookah smoking is becoming a source of tobacco use among college students in the United States, little is known of the students’ knowledge, attitudes, and practices regarding hookah use. This cross-sectional study was aimed at determining the prevalence of hookah use and describing social and behavioral factors associated with hookah smoking among university students in a large urban university in Florida.
Methods
A convenience sample of 478 undergraduate and graduate students was recruited. Lifetime use and current use was evaluated. Logistic regression modeling was used to assess the independent association between study covariates and hookah use.
A convenience sample of 478 undergraduate and graduate students was recruited. Lifetime use and current use was evaluated. Logistic regression modeling was used to assess the independent association between study covariates and hookah use.
Results
Prevalence among students of having ever used hookah during their lifetime was 54.4%. Hookah use within the past 30 days was 16.3%. Hookah use was significantly associated with cigarette smoking (odds ratio [OR], 4.52; 95% confidence interval [CI], 2.13–9.60) and hookah ownership (OR, 10.67; 95% CI, 4.83–23.66) but not with alcohol use (OR, 1.73; 95% CI, 0.74–4.04). Findings also suggest hookah is perceived as a safer alternative to cigarette smoking. Almost 30% of those who never smoked hookah reported they would consider smoking hookah in the future.
Prevalence among students of having ever used hookah during their lifetime was 54.4%. Hookah use within the past 30 days was 16.3%. Hookah use was significantly associated with cigarette smoking (odds ratio [OR], 4.52; 95% confidence interval [CI], 2.13–9.60) and hookah ownership (OR, 10.67; 95% CI, 4.83–23.66) but not with alcohol use (OR, 1.73; 95% CI, 0.74–4.04). Findings also suggest hookah is perceived as a safer alternative to cigarette smoking. Almost 30% of those who never smoked hookah reported they would consider smoking hookah in the future.
Conclusion
Hookah smoking is popular among college students. Misperceptions associated with hookah use indicate a starting point for developing health behavior change interventions. Future studies should investigate social and behavioral determinants of hookah use and determine the incidence of hookah use among college and high school students. Tobacco control activities should include prevention of hookah tobacco use in university settings.
Hookah smoking is popular among college students. Misperceptions associated with hookah use indicate a starting point for developing health behavior change interventions. Future studies should investigate social and behavioral determinants of hookah use and determine the incidence of hookah use among college and high school students. Tobacco control activities should include prevention of hookah tobacco use in university settings.
Acknowledgments
The data presented in this article are from an unfunded study conducted at USF. The authors thank the students in Dr Corvin’s Global Health Assessment Strategies course at the USF College of Public Health, who supported this research and helped with the first pilot of the instruments.
Author Information
Corresponding Author: Jaime Corvin, PhD, MSPH, CPH, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL 33612. Telephone: 813-974-6690. E-mail:jcorvin1@health.usf.edu.
Author Affiliations: Shams Rahman, Lissette Chang, Selamawit Hadgu, Abraham A. Salinas-Miranda, University of South Florida, Tampa, Florida.
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