Trends and Correlates of Hookah Use Among High School Students in North Carolina

Li-Ling Huang, Erin L Sutfin, Sarah Kowitt, Tanha Patel, Leah Ranney, Adam O Goldstein

研究成果: 雜誌貢獻文章

7 引文 (Scopus)

摘要

OBJECTIVES Although youth cigarette smoking has declined in the United States, use of alternative tobacco products, such as hookah, has increased. This study assesses changes in prevalence of use from 2011 to 2013, and examines factors associated with current hookah use among North Carolina high school students in 2013.METHODS Data came from the North Carolina Youth Tobacco Survey in 2011 (n = 4,791) and 2013 (n = 4,092). STATA (StataCorp LLC) logistic regression survey procedures account for the complex survey design and sampling weights.RESULTS Prevalence of reported current hookah use significantly increased from 3.6% (95% CI: 2.8-4.5) in 2011 to 6.1% (95% CI: 4.9-7.5) in 2013 while reported lifetime hookah use increased from 9.8% (95% CI: 8.0-12.0) in 2011 to 12.6% (95% CI: 11.0-14.4) in 2013. Correlates of current hookah use included having a weekly disposable income over $50 (adjusted odds ratio (AOR) = 2.05, 95% CI: 1.25-3.35), currently smoking cigarettes (AOR = 4.57, 95% CI: 1.80-11.62), and living with hookah users (AOR = 6.45, 95% CI: 3.21-12.93). Participant self-reports of "liking" or positively commenting on tobacco products on social media were associated with current hookah use (AOR = 1.83, 95% CI: 1.84-4.52). Frequent exposure to online tobacco advertisements (AOR = 1.61, 95% CI: 1.13-2.28) were also associated with current hookah use.CONCLUSIONS Comprehensive product specific communication and policy interventions are needed to educate youth about the dangers of hookah use and reduce social acceptability among youth. To decrease hookah use in North Carolina, policymakers should consider restoring funding for comprehensive tobacco prevention and control programs, and equalizing tobacco tax rates for all tobacco product types.
原文英語
頁(從 - 到)149-155
頁數7
期刊North Carolina Medical Journal
78
發行號3
DOIs
出版狀態已發佈 - 六月 4 2017
對外發佈Yes

指紋

Odds Ratio
Tobacco
Students
Tobacco Products
Smoking
Social Media
Taxes
Self Report
Logistic Models
Communication
Weights and Measures
Surveys and Questionnaires

引用此文

Trends and Correlates of Hookah Use Among High School Students in North Carolina. / Huang, Li-Ling; Sutfin, Erin L; Kowitt, Sarah; Patel, Tanha; Ranney, Leah; Goldstein, Adam O.

於: North Carolina Medical Journal, 卷 78, 編號 3, 04.06.2017, p. 149-155.

研究成果: 雜誌貢獻文章

Huang, Li-Ling ; Sutfin, Erin L ; Kowitt, Sarah ; Patel, Tanha ; Ranney, Leah ; Goldstein, Adam O. / Trends and Correlates of Hookah Use Among High School Students in North Carolina. 於: North Carolina Medical Journal. 2017 ; 卷 78, 編號 3. 頁 149-155.
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title = "Trends and Correlates of Hookah Use Among High School Students in North Carolina",
abstract = "OBJECTIVES Although youth cigarette smoking has declined in the United States, use of alternative tobacco products, such as hookah, has increased. This study assesses changes in prevalence of use from 2011 to 2013, and examines factors associated with current hookah use among North Carolina high school students in 2013.METHODS Data came from the North Carolina Youth Tobacco Survey in 2011 (n = 4,791) and 2013 (n = 4,092). STATA (StataCorp LLC) logistic regression survey procedures account for the complex survey design and sampling weights.RESULTS Prevalence of reported current hookah use significantly increased from 3.6{\%} (95{\%} CI: 2.8-4.5) in 2011 to 6.1{\%} (95{\%} CI: 4.9-7.5) in 2013 while reported lifetime hookah use increased from 9.8{\%} (95{\%} CI: 8.0-12.0) in 2011 to 12.6{\%} (95{\%} CI: 11.0-14.4) in 2013. Correlates of current hookah use included having a weekly disposable income over $50 (adjusted odds ratio (AOR) = 2.05, 95{\%} CI: 1.25-3.35), currently smoking cigarettes (AOR = 4.57, 95{\%} CI: 1.80-11.62), and living with hookah users (AOR = 6.45, 95{\%} CI: 3.21-12.93). Participant self-reports of {"}liking{"} or positively commenting on tobacco products on social media were associated with current hookah use (AOR = 1.83, 95{\%} CI: 1.84-4.52). Frequent exposure to online tobacco advertisements (AOR = 1.61, 95{\%} CI: 1.13-2.28) were also associated with current hookah use.CONCLUSIONS Comprehensive product specific communication and policy interventions are needed to educate youth about the dangers of hookah use and reduce social acceptability among youth. To decrease hookah use in North Carolina, policymakers should consider restoring funding for comprehensive tobacco prevention and control programs, and equalizing tobacco tax rates for all tobacco product types.",
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author = "Li-Ling Huang and Sutfin, {Erin L} and Sarah Kowitt and Tanha Patel and Leah Ranney and Goldstein, {Adam O}",
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T1 - Trends and Correlates of Hookah Use Among High School Students in North Carolina

AU - Huang, Li-Ling

AU - Sutfin, Erin L

AU - Kowitt, Sarah

AU - Patel, Tanha

AU - Ranney, Leah

AU - Goldstein, Adam O

N1 - ©2017 by the North Carolina Institute of Medicine and The Duke Endowment. All rights reserved.

PY - 2017/6/4

Y1 - 2017/6/4

N2 - OBJECTIVES Although youth cigarette smoking has declined in the United States, use of alternative tobacco products, such as hookah, has increased. This study assesses changes in prevalence of use from 2011 to 2013, and examines factors associated with current hookah use among North Carolina high school students in 2013.METHODS Data came from the North Carolina Youth Tobacco Survey in 2011 (n = 4,791) and 2013 (n = 4,092). STATA (StataCorp LLC) logistic regression survey procedures account for the complex survey design and sampling weights.RESULTS Prevalence of reported current hookah use significantly increased from 3.6% (95% CI: 2.8-4.5) in 2011 to 6.1% (95% CI: 4.9-7.5) in 2013 while reported lifetime hookah use increased from 9.8% (95% CI: 8.0-12.0) in 2011 to 12.6% (95% CI: 11.0-14.4) in 2013. Correlates of current hookah use included having a weekly disposable income over $50 (adjusted odds ratio (AOR) = 2.05, 95% CI: 1.25-3.35), currently smoking cigarettes (AOR = 4.57, 95% CI: 1.80-11.62), and living with hookah users (AOR = 6.45, 95% CI: 3.21-12.93). Participant self-reports of "liking" or positively commenting on tobacco products on social media were associated with current hookah use (AOR = 1.83, 95% CI: 1.84-4.52). Frequent exposure to online tobacco advertisements (AOR = 1.61, 95% CI: 1.13-2.28) were also associated with current hookah use.CONCLUSIONS Comprehensive product specific communication and policy interventions are needed to educate youth about the dangers of hookah use and reduce social acceptability among youth. To decrease hookah use in North Carolina, policymakers should consider restoring funding for comprehensive tobacco prevention and control programs, and equalizing tobacco tax rates for all tobacco product types.

AB - OBJECTIVES Although youth cigarette smoking has declined in the United States, use of alternative tobacco products, such as hookah, has increased. This study assesses changes in prevalence of use from 2011 to 2013, and examines factors associated with current hookah use among North Carolina high school students in 2013.METHODS Data came from the North Carolina Youth Tobacco Survey in 2011 (n = 4,791) and 2013 (n = 4,092). STATA (StataCorp LLC) logistic regression survey procedures account for the complex survey design and sampling weights.RESULTS Prevalence of reported current hookah use significantly increased from 3.6% (95% CI: 2.8-4.5) in 2011 to 6.1% (95% CI: 4.9-7.5) in 2013 while reported lifetime hookah use increased from 9.8% (95% CI: 8.0-12.0) in 2011 to 12.6% (95% CI: 11.0-14.4) in 2013. Correlates of current hookah use included having a weekly disposable income over $50 (adjusted odds ratio (AOR) = 2.05, 95% CI: 1.25-3.35), currently smoking cigarettes (AOR = 4.57, 95% CI: 1.80-11.62), and living with hookah users (AOR = 6.45, 95% CI: 3.21-12.93). Participant self-reports of "liking" or positively commenting on tobacco products on social media were associated with current hookah use (AOR = 1.83, 95% CI: 1.84-4.52). Frequent exposure to online tobacco advertisements (AOR = 1.61, 95% CI: 1.13-2.28) were also associated with current hookah use.CONCLUSIONS Comprehensive product specific communication and policy interventions are needed to educate youth about the dangers of hookah use and reduce social acceptability among youth. To decrease hookah use in North Carolina, policymakers should consider restoring funding for comprehensive tobacco prevention and control programs, and equalizing tobacco tax rates for all tobacco product types.

KW - Journal Article

U2 - 10.18043/ncm.78.3.149

DO - 10.18043/ncm.78.3.149

M3 - Article

C2 - 28576949

VL - 78

SP - 149

EP - 155

JO - North Carolina Medical Journal

JF - North Carolina Medical Journal

SN - 0029-2559

IS - 3

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