Jessica A Kulak1, Megan L Saddleson2, Mark J Travers3, Maansi Bansal-Travers3, Gregory G Homish4, Martin C Mahoney4,5, Gary A Giovino4. 1. a Primary Care Research Institute, Department of Family Medicine , University at Buffalo , Buffalo , New York , USA. 2. b ACM Global Laboratory , Rochester , New York , USA. 3. c Department of Health Behavior and Aerosol Pollution Exposure Research Laboratory , Roswell Park Cancer Institute , Buffalo , New York , USA. 4. d Department of Community Health and Health Behavior, School of Public Health and Health Professions , University at Buffalo, The State University of New York , Buffalo , New York , USA. 5. e Division of Cancer Prevention and Population Sciences , Roswell Park Cancer Institute , Buffalo , New York , USA.
Abstract
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.
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.
Entities:
Keywords:
Hookah; nicotine; tobacco initiation; young adults
Authors: Adriana Pérez; Arnold E Kuk; Meagan A Bluestein; Melissa B Harrell; Cheryl L Perry; Baojiang Chen Journal: Addict Behav Date: 2021-01-21 Impact factor: 3.913
Authors: Badreldin H Ali; Suhail Al-Salam; Khalid A Al Balushi; Mohammed Al Za'abi; Sirin A Adham; Sumaya Beegam; Priya Yuvaraju; Priyadarsini Manoj; Abderrahim Nemmar Journal: Biomolecules Date: 2020-05-13