Renee D Goodwin1, Alice Grinberg2, Jack Shapiro3, Diana Keith4, Michael P McNeil5, Farah Taha2, Bianca Jiang2, Carl L Hart6. 1. Department of Psychology, Queens College and The Graduate Center, City University of New York (CUNY), Flushing, NY 11367, USA; Department of Epidemiology, Mailman School of Public Health, New York, NY, USA. Electronic address: renee.goodwin@qc.cuny.edu. 2. Department of Psychology, Queens College and The Graduate Center, City University of New York (CUNY), Flushing, NY 11367, USA. 3. Department of Psychology, Queens College and The Graduate Center, City University of New York (CUNY), Flushing, NY 11367, USA; Department of Epidemiology, Mailman School of Public Health, New York, NY, USA. 4. Department of Psychology, Columbia University, New York, NY, USA. 5. Health Promotion and Student Health Department, Columbia University, New York, NY, USA. 6. Department of Psychology, Columbia University, New York, NY, USA; Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA; New York State Psychiatric Institute, New York, NY, USA.
Abstract
BACKGROUND: There is consistent evidence that hookah use is as, if not more, harmful than cigarette use. Yet, hookah users underestimate the potential deleterious effects of hookah use. This study examined the rates of hookah use and associated demographic characteristics in a sample of undergraduates at a small Northeastern university. This study also examined the relationships between hookah use and other substance use, mental health problems, and perceived levels of stress. METHODS: Data were drawn from the Spring 2009 American Health Association-National College Health Assessment (ACHA-NCHA) at one small, Northeastern university (N=1799). The relationships between hookah use and other substance use, mental health problems, and perceived stress levels were examined using logistic regression analyses. RESULTS: Hookah use (in the past month) was reported among 14.1% (253/1799) of this sample of undergraduates. Hookah users were more likely to use other substances, including cigarettes, cannabis, alcohol, cocaine, and amphetamines. The strongest associations emerged between hookah use and alcohol and cigarette use. There were no significant associations found between hookah use and any mental health problems or perceived stress levels. CONCLUSIONS: Hookah users are significantly more likely to use other substances, including alcohol, cigarettes, cannabis, cocaine, and amphetamines compared with non-hookah users. In contrast to cigarette smoking, hookah use does not appear to be associated with mental health problems or perceived stress levels in this sample of undergraduates. Further investigation into the prevalence and correlates of hookah use is needed in representative population samples.
BACKGROUND: There is consistent evidence that hookah use is as, if not more, harmful than cigarette use. Yet, hookah users underestimate the potential deleterious effects of hookah use. This study examined the rates of hookah use and associated demographic characteristics in a sample of undergraduates at a small Northeastern university. This study also examined the relationships between hookah use and other substance use, mental health problems, and perceived levels of stress. METHODS: Data were drawn from the Spring 2009 American Health Association-National College Health Assessment (ACHA-NCHA) at one small, Northeastern university (N=1799). The relationships between hookah use and other substance use, mental health problems, and perceived stress levels were examined using logistic regression analyses. RESULTS: Hookah use (in the past month) was reported among 14.1% (253/1799) of this sample of undergraduates. Hookah users were more likely to use other substances, including cigarettes, cannabis, alcohol, cocaine, and amphetamines. The strongest associations emerged between hookah use and alcohol and cigarette use. There were no significant associations found between hookah use and any mental health problems or perceived stress levels. CONCLUSIONS: Hookah users are significantly more likely to use other substances, including alcohol, cigarettes, cannabis, cocaine, and amphetamines compared with non-hookah users. In contrast to cigarette smoking, hookah use does not appear to be associated with mental health problems or perceived stress levels in this sample of undergraduates. Further investigation into the prevalence and correlates of hookah use is needed in representative population samples.
Authors: Kevin P Conway; Victoria R Green; Karin A Kasza; Marushka L Silveira; Nicolette Borek; Heather L Kimmel; James D Sargent; Cassandra A Stanton; Elizabeth Lambert; Nahla Hilmi; Chad J Reissig; Kia J Jackson; Susanne E Tanski; David Maklan; Andrew J Hyland; Wilson M Compton Journal: Addict Behav Date: 2017-08-18 Impact factor: 3.913
Authors: Lilianna Phan; Darren Mays; Kenneth P Tercyak; Andrea C Johnson; Kathryn Rehberg; Isaac M Lipkus Journal: Transl Behav Med Date: 2021-02-11 Impact factor: 3.046