Nav: Home

Pitt analysis determines odds of a hookah non-smoker taking first puff

May 16, 2017

PITTSBURGH, May 16, 2017 - A positive attitude toward and desire to take up hookah smoking are the most likely predictors of a young adult becoming a hookah tobacco smoker, University of Pittsburgh researchers found in the first nationally representative analysis of hookah use by young adults over an extended follow-up period.

The findings indicate that prevention efforts are likely to be more successful if they work to counter the image of hookah tobacco smoking as a fun activity for socializing and relaxing, rather than focusing on the negative health consequences. The research is published in this month's issue of the journal Cancer Epidemiology Biomarkers & Prevention.

"What this study showed us is that young adults who take up hookah tobacco smoking do so because they think it's cool and attractive, and they weren't dissuaded by the health dangers of smoking," said lead author Jaime E. Sidani, Ph.D., M.P.H., assistant director of Pitt's Center for Research on Media, Technology and Health (CRMTH). "We need to find an effective way to combat those positive attitudes. That might include regulations on advertising and flavorings, coupled with solid counter-messages and educational programs encouraging young adults to think critically about marketing."

Sidani and her colleagues analyzed data from 1,785 adults ages 18 to 30 who reported on their hookah tobacco smoking habits, knowledge and attitudes in 2013 and again 18 months later in 2014. The participants were from across the U.S., equally male and female, and 57 percent white, 22 percent Hispanic, 13 percent black and 9 percent "other."

Forty-three percent reported having an education level of high school or less, making this study even more notable, as most hookah-related studies focus on college students due to the prevalence of hookah bars near university campuses.

Initially, 69 percent of the participants reported never smoking tobacco from a hookah, also known as a waterpipe, and 25 percent reported having smoked from a hookah at least once. The remaining 6 percent reported smoking from a hookah in the previous 30 days and were characterized as "current" smokers.

After 18 months, 7 percent of people who reported never smoking hookah had transitioned to having smoked at least once, while 4 percent of those who reported ever smoking had transitioned to current users.

Participants who initially reported that they intended to smoke tobacco from a hookah at some point in the future had seven times greater odds of starting to smoke from a hookah in the following 18 months, compared to those who reported they had no plans to use a hookah. And people who reported a positive impression of hookah smoking were nearly twice as likely as their peers to start smoking from one.

However, a negative attitude toward hookah smoking did not have any association with decreased odds of participants becoming hookah smokers, nor did overall knowledge of the harmful components of hookah smoke. This suggests that simply educating young adults on the negative aspects of hookah smoking is likely to be ineffective.

"When we extrapolate our findings to the greater population, that translates into nearly 9 million nonsmokers ages 18 to 30 who may have some intention to participate in hookah tobacco smoking," said Sidani. "Considering the strong association we found between intention to smoke and becoming a hookah smoker, it is clear that this is a ripe opportunity to target prevention efforts at this age group."
-end-
Additional co-authors of this study include senior author Brian A. Primack, M.D., Ph.D., director of CRMTH; and Ariel Shensa, M.A., Maharsi R. Naidu and Jonathan Yabes, Ph.D., all of Pitt.

This work was supported by National Cancer Institute grant R01-CA140150.

About the University of Pittsburgh Schools of the Health Sciences

The University of Pittsburgh Schools of the Health Sciences include the schools of Medicine, Nursing, Dental Medicine, Pharmacy, Health and Rehabilitation Sciences and the Graduate School of Public Health. The schools serve as the academic partner to the UPMC (University of Pittsburgh Medical Center). Together, their combined mission is to train tomorrow's health care specialists and biomedical scientists, engage in groundbreaking research that will advance understanding of the causes and treatments of disease and participate in the delivery of outstanding patient care. Since 1998, Pitt and its affiliated university faculty have ranked among the top 10 educational institutions in grant support from the National Institutes of Health. For additional information about the Schools of the Health Sciences, please visit http://www.health.pitt.edu.

http://www.upmc.com/media

Contact: Allison Hydzik
Office: 412-647-9975
Mobile: 412-559-2431
E-mail: HydzikAM@upmc.edu

Contact: Ashley Trentrock
Office: 412-586-9776
Mobile: 412-529-9092
E-mail: TrentrockAR@upmc.edu

University of Pittsburgh Schools of the Health Sciences

Related Smoking Articles:

Smoking rates falling in adults, but stroke survivors' smoking rates remain steady
While the rate of Americans who smoke tobacco has fallen steadily over the last two decades, the rate of stroke survivors who smoke has not changed significantly.
What is your risk from smoking? Your network knows!
A new study from researchers at Penn's Annenberg School for Communication found that most people, smokers and non-smokers alike, were nowhere near accurate in their answers to questions about smoking's health effects.
Want to quit smoking? Partner up
Kicking the habit works best in pairs. That's the main message of a study presented today at EuroPrevent 2019, a scientific congress of the European Society of Cardiology (ESC).
Smoking and mortality in Asia
In this analysis of data from 20 studies conducted in China, Japan, South Korea, Singapore, Taiwan and India with more than 1 million participants, deaths associated with smoking continued to increase among men in Asia grouped by the years in which they were born.
Predictors of successfully quitting smoking among smokers registered at the quit smoking clinic at a public hospital in northeastern Malaysia
In the current issue of Family Medicine and Community Health, Nur Izzati Mohammad et al. consider how cigarette smoking is one of the risk factors leading to noncommunicable diseases such as cardiovascular and respiratory system diseases and cancer.
Restaurant and bar smoking bans do reduce smoking, especially among the highly educated
Smoking risk drops significantly in college graduates when they live near areas that have completely banned smoking in bars and restaurants, according to a new study in the American Journal of Epidemiology.
How the UK smoking ban increased wellbeing
Married women with children reported the largest increase in well-being following the smoking bans in the UK in 2006 and 2007 but there was no comparable increase for married men with children.
Smoking study personalizes treatment
A simple blood test is allowing Vanderbilt University Medical Center (VUMC) researchers to determine which patients should be prescribed varenicline (Chantix) to stop smoking and which patients could do just as well, and avoid side effects, by using a nicotine patch.
A biophysical smoking gun
While much about Alzheimer's disease remains a mystery, scientists do know that part of the disease's progression involves a normal protein called tau, aggregating to form ropelike inclusions within brain cells that eventually strangle the neurons.
A case where smoking helped
A mutation in the hemoglobin of a young woman in Germany was found to cause her mild anemia.
More Smoking News and Smoking Current Events

Trending Science News

Current Coronavirus (COVID-19) News

Top Science Podcasts

We have hand picked the top science podcasts of 2020.
Now Playing: TED Radio Hour

Climate Mindset
In the past few months, human beings have come together to fight a global threat. This hour, TED speakers explore how our response can be the catalyst to fight another global crisis: climate change. Guests include political strategist Tom Rivett-Carnac, diplomat Christiana Figueres, climate justice activist Xiye Bastida, and writer, illustrator, and artist Oliver Jeffers.
Now Playing: Science for the People

#562 Superbug to Bedside
By now we're all good and scared about antibiotic resistance, one of the many things coming to get us all. But there's good news, sort of. News antibiotics are coming out! How do they get tested? What does that kind of a trial look like and how does it happen? Host Bethany Brookeshire talks with Matt McCarthy, author of "Superbugs: The Race to Stop an Epidemic", about the ins and outs of testing a new antibiotic in the hospital.
Now Playing: Radiolab

Speedy Beet
There are few musical moments more well-worn than the first four notes of Beethoven's Fifth Symphony. But in this short, we find out that Beethoven might have made a last-ditch effort to keep his music from ever feeling familiar, to keep pushing his listeners to a kind of psychological limit. Big thanks to our Brooklyn Philharmonic musicians: Deborah Buck and Suzy Perelman on violin, Arash Amini on cello, and Ah Ling Neu on viola. And check out The First Four Notes, Matthew Guerrieri's book on Beethoven's Fifth. Support Radiolab today at Radiolab.org/donate.