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Am J Prev Med. 2017 Apr;52(4):507-512. doi: 10.1016/j.amepre.2016.10.015. Epub 2016 Nov 24.

Patterns of Waterpipe Tobacco Smoking Among U.S. Young Adults, 2013-2014.

Author information

1
Department of Health Outcomes and Policy, and Institute for Child Health Policy, College of Medicine, University of Florida, Gainesville, Florida. Electronic address: rsalloum@ufl.edu.
2
Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.
3
Department of Health Outcomes and Policy, and Institute for Child Health Policy, College of Medicine, University of Florida, Gainesville, Florida.
4
Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainesville, Florida.
5
Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida.
6
Department of Epidemiology, Stempel College of Public Health and Social Work, Florida International University, Miami, Florida.

Abstract

INTRODUCTION:

Patterns of waterpipe smoking and associated other tobacco use were assessed among U.S. young adults (aged 18-24 years).

METHODS:

A descriptive analysis of baseline data (2013-2014) from the Population Assessment of Tobacco and Health Study was conducted in 2016.

RESULTS:

The study included 9,119 young adults-44% ever and 11% past-30 day waterpipe smokers (12% of men and 9% of women were past-30 day smokers). Among past-30 day smokers, waterpipe smoking frequency was distributed as follows: 4% daily, 23% weekly, 36% monthly, and 37% less than monthly. The average session exceeded 30 minutes for 79% of respondents. In this age group, 29% were exclusive waterpipe smokers, 16% were dual (waterpipe/cigarette) smokers, 8% were dual (waterpipe/e-cigarette) users, 19% were waterpipe/cigarette/e-cigarette users, and 28% presented with other combinations of poly use.

CONCLUSIONS:

Waterpipe smoking is widespread among U.S. young adults. Although waterpipe patterns are predominantly intermittent, the average smoking session provides prolonged exposure. Waterpipe smoking among young adults is primarily characterized by the use of flavored tobacco, the café culture, and poly tobacco use. Rising trends in waterpipe smoking among U.S. youth warrant a strong regulatory response to prevent future waterpipe-related morbidity and mortality.

PMID:
27890515
PMCID:
PMC5516538
DOI:
10.1016/j.amepre.2016.10.015
[Indexed for MEDLINE]
Free PMC Article

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