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.

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 curren...

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Publicado en:Addiction Vol. 116; no. 4; pp. 936 - 949
Autores principales: Soneji, Samir, Knutzen, Kristin E., Gravely, Shannon, Elton‐Marshall, Tara, Sargent, James, Lambert, Elizabeth, Hilmi, Nahla, Sharma, Eva, Jackson, Kia J., Wang, Baoguang, Robinson, Joelle, Driezen, Pete, Bover Manderski, Michelle, Bansal‐Travers, Maansi, Hyland, Andrew, Travers, Mark, Yang, Duck‐Hye, Dang, Rui, Fong, Geoffrey T.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Apr2021
Acceso en línea:Ver este registro en EBSCOhost
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        atl: 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.
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        au:
          Soneji, Samir
          Knutzen, Kristin E.
          Gravely, Shannon
          Elton‐Marshall, Tara
          Sargent, James
          Lambert, Elizabeth
          Hilmi, Nahla
          Sharma, Eva
          Jackson, Kia J.
          Wang, Baoguang
          Robinson, Joelle
          Driezen, Pete
          Bover Manderski, Michelle
          Bansal‐Travers, Maansi
          Hyland, Andrew
          Travers, Mark
          Yang, Duck‐Hye
          Dang, Rui
          Fong, Geoffrey T.
        affil: Dartmouth‐Hitchcock Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon NH,, USA
      sug:
        subj:
          Smoking Trends
          Smoking Trends
          Tobacco Products
          Self Report
          Smoking Cessation
          Human
          Logistic Regression
          Adolescence
          Adult
          Odds Ratio
          Confidence Intervals
          Descriptive Statistics
          Adolescent: 13-18 years
          Adult: 19-44 years
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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