Validation of a simple tool to assess risk of waterpipe tobacco smoking among sixth and seventh graders in Lebanon

Mohammed Jawad; Rema A Afifi; Ziyad Mahfoud; Dima Bteddini; Pascale Haddad; Rima Nakkash

doi:10.1093/pubmed/fdv048

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Validation of a simple tool to assess risk of waterpipe tobacco smoking among sixth and seventh graders in Lebanon

Journal article

Open access

Peer reviewed

Validation of a simple tool to assess risk of waterpipe tobacco smoking among sixth and seventh graders in Lebanon

Mohammed Jawad, Rema A Afifi, Ziyad Mahfoud, Dima Bteddini, Pascale Haddad and Rima Nakkash

Journal of public health (Oxford, England), Vol.38(2), pp.403-410

06/2016

DOI: 10.1093/pubmed/fdv048

PMID: 25911620

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Abstract

Waterpipe tobacco smoking (WTS) is highly prevalent in the Eastern Mediterranean region. While studies have identified socio-demographic factors differentiating smokers from non-smokers, validated tools predicting WTS are lacking. Over 1000 (n = 1164) sixth and seventh grade students in Lebanon were randomly assigned to a prediction model group and validation model group. In the prediction model group, backward stepwise logistic regression enabled the identification of socio-demographic and psychosocial factors associated with ever and current WTS. This formed risk scores which were tested on the validation model group. The risk score for current WTS was out of four and included reduced religiosity, cigarette use and the perception that WTS was associated with a good time. The risk score for ever WTS was out of seven and included an additional two variables: increased age and the belief that WTS did not cause oral cancer. In the validation model group, the model displayed moderate discrimination [area under the curve: 0.77 (current), 0.68 (ever)], excellent goodness-of-fit (P > 0.05 for both) and optimal sensitivity and specificity of 80.1 and 58.4% (current), and 39.5 and 94.4%, (ever), respectively. WTS use can be predicted using simple validated tools. These can direct health promotion and legislative interventions.

Water Pipe Smoking - epidemiology

Humans

Logistic Models

Male

Health Knowledge, Attitudes, Practice

Socioeconomic Factors

Lebanon

Mouth Neoplasms

Child Behavior

Students

Smoking - epidemiology

Adolescent

Female

Adolescent Behavior

Smoking - psychology

Child

Schools

Surveys and Questionnaires - standards

Tobacco Smoking

Details

Title: Subtitle: Validation of a simple tool to assess risk of waterpipe tobacco smoking among sixth and seventh graders in Lebanon
Creators: Mohammed Jawad - Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, PO Box 11-2036, Riad El Solh, Beirut 1107 2020, Lebanon Department of Primary Care and Public Health, Imperial College London, London W6 8RH, UK
Rema A Afifi - Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, PO Box 11-2036, Riad El Solh, Beirut 1107 2020, Lebanon
Ziyad Mahfoud - Department of Global and Public Health, Weill Cornell Medical College, PO Box 24144, Doha, Qatar
Dima Bteddini - Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, PO Box 11-2036, Riad El Solh, Beirut 1107 2020, Lebanon
Pascale Haddad - Biostatistics, Epidemiology and Biomathematics Research Core, Weill Cornell Medical College, PO Box 24144, Doha, Qatar
Rima Nakkash - Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, PO Box 11-2036, Riad El Solh, Beirut 1107 2020, Lebanon
Resource Type: Journal article
Publication Details: Journal of public health (Oxford, England), Vol.38(2), pp.403-410
DOI: 10.1093/pubmed/fdv048
PMID: 25911620
NLM abbreviation: J Public Health (Oxf)
ISSN: 1741-3842
eISSN: 1741-3850
Publisher: England
Grant note: DOI: 10.13039/100007458, name: Qatar Foundation; DOI: 10.13039/100008982, name: Qatar National Research Fund; name: National Priority Research Program, award: NPRP 09-628-3-160
Language: English
Date published: 06/2016
Academic Unit: Injury Prevention Research Center; Community and Behavioral Health
Record Identifier: 9984064193702771

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