Taylor & Francis Group
Browse
Examining hookah as intro to nicotine_SupplementaryTables (11.17.2017).docx (29.55 kB)

Examining Hookah as an Introduction to Nicotine Products among College Students

Download (29.55 kB)
journal contribution
posted on 2018-03-13, 19:28 authored by Jessica A. Kulak, Megan L. Saddleson, Mark J. Travers, Maansi Bansal-Travers, Gregory G. Homish, Martin C. Mahoney, Gary A. Giovino

Background: Limited data exist on what young adults report as their first-ever nicotine product; some evidence suggests that they report hookah as their first product smoked. Objectives: This study reports on the first nicotine product used among undergraduates who had ever tried tobacco, and explores correlates of hookah as that first product. Methods: Participants included a convenience sample of undergraduate students (n = 1538) at four universities in upstate New York during fall 2013. Descriptive statistics assessed first nicotine product used and prevalence of current use. Logistic regression was used to examine correlates of hookah as the first nicotine product used. Results: Among the 832 students who reported ever use of any nicotine product, 25.4% reported hookah as their first product smoked; only combustible cigarettes (39.5%) were reported more frequently. Among students who ever smoked cigarettes, most reported cigarettes as their introductory product. Among students who never smoked cigarettes, nearly half reported hookah as their introductory product. Among ever nicotine users, current hookah smoking was common (34.9%), and greater than current e-cigarette (25.9%) and current combustible cigarette (26.4%) use. Never users of cigarettes, females, and non-Hispanic African Americans, had higher adjusted odds of reporting hookah as their introductory product. Conclusions: The results of this study have implications for the identification of risk factors for tobacco initiation, the assessment of tobacco use patterns and behaviors, and the tailoring of tobacco prevention initiatives among youth. Our findings suggest that broadening prevention efforts beyond a focus on combustible cigarettes may be warranted.

Funding

Author JAK's time was supported through Health Resources and Services Administration (HRSA) award #T32HP30035 to the University at Buffalo Primary Care Research Institute (PI: Kahn). Author MLS's time was funded through award #P50-CA-179546, University of Pennsylvania Tobacco Centers of Regulatory Science (TCORS).

History

Usage metrics

    Substance Use & Misuse

    Licence

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC