Mary Rezk-Hanna1, Joy Toyama2, Ebahi Ikharo3, Mary-Lynn Brecht2, Neal L Benowitz4. 1. School of Nursing, University of California, Los Angeles, Los Angeles, California; Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California. Electronic address: mrezk@ucla.edu. 2. School of Nursing, University of California, Los Angeles, Los Angeles, California. 3. School of Nursing, University of North Carolina, Chapel Hill, North Carolina. 4. Departments of Medicine and Bioengineering and Therapeutic Sciences, Divsion of Clinical Pharmacology and Experimental Therapeutics, University of California, San Francisco, San Francisco, California.
Abstract
INTRODUCTION: ENDS are evolving quickly with increasing use in the U.S. More recently, e-hookahs have been introduced as healthier alternatives to the traditional hookah-flavored tobacco smoking. To date, virtually all studies of ENDS have focused on e-cigarettes; consequently, little is known about e-hookah use. METHODS: Data were drawn from the 2014-2015 Wave 2 Population Assessment of Tobacco and Health study, a nationally representative sample of adults aged ≥18 years (n=28,362) and youth aged 12-17 years (n=12,172). Weighted analyses, conducted in 2018-2019, estimated the prevalence of e-hookah versus e-cigarette and examined comparisons among users and sociodemographics, patterns of use, and co-use of tobacco products and substances. RESULTS: Overall, 4.6% of adults reported ever e-hookah use; of these, more than a quarter (26.8%) reported current use. For e-cigarettes, 22.5% reported ever use with 24.8% reporting current use. Among youth, 7.7% reported ever e-hookah use versus 14.3% for e-cigarette use. Comparing e-hookah versus e-cigarette only users, the majority were young adults aged 18-24 years versus ≥25 years (60.5% vs 17.3%, p<0.0001) with the majority being female (58.8% vs 46.0%, p<0.0001). Although alcohol and marijuana were the most common substances used among e-hookah and e-cigarette users, both adult and youth e-hookah only users had a higher prevalence of use than e-cigarette only users. CONCLUSIONS: Although e-hookahs are used less commonly than e-cigarettes, e-hookah use is not rare. Compared with e-cigarette users, e-hookah users have a different profile in terms of user demographics and co-use of substances. Given the rapid uptake of ENDS by young adults, these findings suggest the need to understand e-hookah products' distinct characteristics and users' smoking patterns and behaviors to help inform tobacco regulation specific to hookah.
INTRODUCTION: ENDS are evolving quickly with increasing use in the U.S. More recently, e-hookahs have been introduced as healthier alternatives to the traditional hookah-flavored tobacco smoking. To date, virtually all studies of ENDS have focused on e-cigarettes; consequently, little is known about e-hookah use. METHODS: Data were drawn from the 2014-2015 Wave 2 Population Assessment of Tobacco and Health study, a nationally representative sample of adults aged ≥18 years (n=28,362) and youth aged 12-17 years (n=12,172). Weighted analyses, conducted in 2018-2019, estimated the prevalence of e-hookah versus e-cigarette and examined comparisons among users and sociodemographics, patterns of use, and co-use of tobacco products and substances. RESULTS: Overall, 4.6% of adults reported ever e-hookah use; of these, more than a quarter (26.8%) reported current use. For e-cigarettes, 22.5% reported ever use with 24.8% reporting current use. Among youth, 7.7% reported ever e-hookah use versus 14.3% for e-cigarette use. Comparing e-hookah versus e-cigarette only users, the majority were young adults aged 18-24 years versus ≥25 years (60.5% vs 17.3%, p<0.0001) with the majority being female (58.8% vs 46.0%, p<0.0001). Although alcohol and marijuana were the most common substances used among e-hookah and e-cigarette users, both adult and youth e-hookah only users had a higher prevalence of use than e-cigarette only users. CONCLUSIONS: Although e-hookahs are used less commonly than e-cigarettes, e-hookah use is not rare. Compared with e-cigarette users, e-hookah users have a different profile in terms of user demographics and co-use of substances. Given the rapid uptake of ENDS by young adults, these findings suggest the need to understand e-hookah products' distinct characteristics and users' smoking patterns and behaviors to help inform tobacco regulation specific to hookah.
Authors: Sulamunn R M Coleman; Janice Y Bunn; Tyler D Nighbor; Allison N Kurti; Hypatia A Bolívar; Rachel F Tyndale; Stephen T Higgins Journal: Prev Med Date: 2021-04-27 Impact factor: 4.018
Authors: Mary Rezk-Hanna; Douglas R Seals; Matthew J Rossman; Rajat Gupta; Charlie O Nettle; Angelica Means; Daniel Dobrin; Chiao-Wei Cheng; Mary-Lynn Brecht; Zab Mosenifar; Jesus A Araujo; Neal L Benowitz Journal: J Am Heart Assoc Date: 2021-02-20 Impact factor: 6.106
Authors: Mary Rezk-Hanna; Rajat Gupta; Charlie O Nettle; Daniel Dobrin; Chiao-Wei Cheng; Angelica Means; Mary-Lynn Brecht; Donald P Tashkin; Jesus A Araujo Journal: Chest Date: 2021-07-21 Impact factor: 10.262