Kathleen R Case1, MeLisa R Creamer2, Maria R Cooper3, Alexandra Loukas4, Cheryl L Perry5. 1. UTHealth, School of Public Health in Austin, United States. Electronic address: Kathleen.R.Case@uth.tmc.edu. 2. UTHealth, School of Public Health in Austin, United States. Electronic address: MeLisa.R.Creamer@uth.tmc.edu. 3. UTHealth, School of Public Health in Austin, United States. Electronic address: Maria.R.Cooper@uth.tmc.edu. 4. Department of Kinesiology and Health Education, The University of Texas at Austin, United States. Electronic address: Alexandra.loukas@austin.utexas.edu. 5. UTHealth, School of Public Health in Austin, United States. Electronic address: Cheryl.L.Perry@uth.tmc.edu.
Abstract
INTRODUCTION: Hookah use is particularly prevalent among U.S. college students; however, few studies have investigated whether hookah use is a risk factor for the initiation of other tobacco products. This study examined whether hookah use predicted subsequent initiation of other combustible tobacco products (conventional cigarettes and cigar products) and Electronic Nicotine Delivery Systems (ENDS) among Texas college students during a 2.5-year study period. METHODS: This study involved a longitudinal analysis of data from Waves 1-6, with 6 months between each wave, of the Marketing and Promotions Across Colleges in Texas Project (Project M-PACT). Two separate multilevel discrete-time survival analyses were used to model the associations between past 30-day hookah use and subsequent initiation of 1) other combustible tobacco products, and 2) ENDS during the 2.5 year study period, after controlling for demographic, other tobacco use, and risk-taking personality characteristics (i.e. sensation seeking and impulsivity). RESULTS: After controlling for covariates, past 30-day hookah use was associated with significantly higher odds of subsequent initiation of other combustible tobacco products. Past 30-day hookah use also predicted subsequent initiation of ENDS after controlling for covariates. CONCLUSIONS: This study is one of the first to demonstrate that hookah use is a predictor of subsequent initiation of other combustible tobacco products and ENDS among college students. These findings suggest that hookah may prime individuals to use other tobacco products, which has important implications for prevention programs and future research.
INTRODUCTION: Hookah use is particularly prevalent among U.S. college students; however, few studies have investigated whether hookah use is a risk factor for the initiation of other tobacco products. This study examined whether hookah use predicted subsequent initiation of other combustible tobacco products (conventional cigarettes and cigar products) and Electronic Nicotine Delivery Systems (ENDS) among Texas college students during a 2.5-year study period. METHODS: This study involved a longitudinal analysis of data from Waves 1-6, with 6 months between each wave, of the Marketing and Promotions Across Colleges in Texas Project (Project M-PACT). Two separate multilevel discrete-time survival analyses were used to model the associations between past 30-day hookah use and subsequent initiation of 1) other combustible tobacco products, and 2) ENDS during the 2.5 year study period, after controlling for demographic, other tobacco use, and risk-taking personality characteristics (i.e. sensation seeking and impulsivity). RESULTS: After controlling for covariates, past 30-day hookah use was associated with significantly higher odds of subsequent initiation of other combustible tobacco products. Past 30-day hookah use also predicted subsequent initiation of ENDS after controlling for covariates. CONCLUSIONS: This study is one of the first to demonstrate that hookah use is a predictor of subsequent initiation of other combustible tobacco products and ENDS among college students. These findings suggest that hookah may prime individuals to use other tobacco products, which has important implications for prevention programs and future research.
Authors: Erin L Sutfin; Thomas P McCoy; Beth A Reboussin; Kimberly G Wagoner; John Spangler; Mark Wolfson Journal: Drug Alcohol Depend Date: 2011-02-25 Impact factor: 4.492
Authors: MeLisa R Creamer; Alexandra Loukas; Xiaoyin Li; Keryn E Pasch; Kathleen Case; Brittani Crook; Cheryl L Perry Journal: Drug Alcohol Depend Date: 2016-09-11 Impact factor: 4.492
Authors: Nada O F Kassem; Sheila R Jackson; Marie Boman-Davis; Noura O Kassem; Sandy Liles; Reem M Daffa; Roxana Yasmin; Hala Madanat; Melbourne F Hovell Journal: Am J Health Behav Date: 2015-11
Authors: Elias M Klemperer; John R Hughes; Peter W Callas; Julia C West; Andrea C Villanti Journal: Nicotine Tob Res Date: 2021-06-08 Impact factor: 4.244
Authors: Adriana Pérez; Arnold E Kuk; Meagan A Bluestein; Elena Penedo; Roi San N'hpang; Baojiang Chen; Cheryl L Perry; Kymberly L Sterling; Melissa B Harrell Journal: PLoS One Date: 2021-05-05 Impact factor: 3.240