Journal article
Parental smoking and exposure to environmental tobacco smoke are associated with waterpipe smoking among youth: results from a national survey in Lebanon
Public health (London), Vol.129(4), pp.370-376
04/2015
DOI: 10.1016/j.puhe.2015.01.011
PMID: 25749674
Abstract
Waterpipe tobacco smoking (WTS) is a growing public health concern worldwide yet little is known about the epidemiology of use among young people. The objectives of this study were to examine the prevalence, patterns and correlates of WTS among students across Lebanon.
The study design was a cross sectional survey.
126-item tobacco questionnaire was conducted among 1128 sixth and seventh grade students across Lebanon. Current patterns of use were descriptively analysed, and logistic regression models examined correlates of WTS.
Ever WTS prevalence was 44.3%, current WTS prevalence was triple that of cigarettes (22.1% vs 7.4%), and 40.0% of current users were at least weekly or daily smokers. Initiation and patterns of use, as well as addiction and cessation attitudes have been reported. Significant correlates of current WTS included older age, reduced religiosity, peer and parent tobacco use, recent waterpipe advertisement exposure, increased pluralistic ignorance and current cigarette use. Significant correlates of ever WTS were similar to current WTS, but included second hand waterpipe tobacco smoke exposure at home and did not include recent waterpipe advertisement exposure. Neither gender nor socio-economic status were significant correlates of current or ever WTS.
Waterpipe is the most common form of tobacco smoking, and is used regularly, among sixth and seventh grade Lebanese students. It should be considered a public health priority with increased tobacco surveillance and legislation. Widespread educational and policy interventions might help denormalize the social acceptability of WTS. Meanwhile, more research is needed to understand the changing paradigm of WTS epidemiology and the health outcomes among young smokers.
•Waterpipe is the most common form of smoking among sixth & seventh graders in Lebanon.•Pluralistic ignorance and religiosity are associated with current use.•Parental & peer tobacco use, & exposure to advertising are associated with current use.•Current habits warrant increased tobacco surveillance in this age group.•Waterpipe specific legislation is needed to prevent initiation, and control use.
Details
- Title: Subtitle
- Parental smoking and exposure to environmental tobacco smoke are associated with waterpipe smoking among youth: results from a national survey in Lebanon
- Creators
- M Jawad - Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Riad El Solh, Beirut, LebanonR.T Nakkash - Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Riad El Solh, Beirut, LebanonZ Mahfoud - Department of Global and Public Health, Weill Cornell Medical College, Doha, QatarD Bteddini - Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Riad El Solh, Beirut, LebanonP Haddad - Biostatistics, Epidemiology and Biomathematics Research Core, Weill Cornell Medical College, Doha, QatarR.A Afifi - Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Riad El Solh, Beirut, Lebanon
- Resource Type
- Journal article
- Publication Details
- Public health (London), Vol.129(4), pp.370-376
- DOI
- 10.1016/j.puhe.2015.01.011
- PMID
- 25749674
- NLM abbreviation
- Public Health
- ISSN
- 0033-3506
- eISSN
- 1476-5616
- Publisher
- Elsevier Ltd
- Language
- English
- Date published
- 04/2015
- Academic Unit
- Injury Prevention Research Center; Community and Behavioral Health
- Record Identifier
- 9984063126202771
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