Waterpipe use and susceptibility to cigarette smoking among never-smoking youth

Sreenivas P. Veeranki, Sukaina Alzyoud, Khalid A. Kheirallah, Lori Pbert

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Introduction Susceptibility to cigarette smoking, defined as the lack of a firm decision against smoking, is a strong predictor of regular smoking and addiction. Several modifiable risk factors have been identified among never cigarette smokers, and one potential factor of interest is waterpipe use. The purpose of this study is to determine the association of waterpipe use with susceptibility to cigarette smoking among never-smoking youth. Methods In a pooled analysis of 17 Arab nations with nationally representative Global Youth Tobacco Surveys conducted during 2002-2011, tobacco-related information was obtained from 30,711 never-smoking adolescents representing 4,962,872 youth. Study outcome was susceptibility to cigarette smoking, and primary exposure was waterpipe use. Data were analyzed in 2014 using weighted logistic regression models, including stratified models by gender, to determine the odds of susceptibility to cigarette smoking with waterpipe use, adjusting for confounders. Results Overall, 20% of never-smoking youth were susceptible to cigarette smoking, ranging from 13.1% in Oman to 32.6% in Somalia; 5.2% currently used waterpipe, ranging from 0.3% in Morocco to 23.5% in Kuwait. The estimated odds of susceptibility to cigarette smoking were 2.5 (95% CI=1.9, 3.4) times higher for adolescents who used waterpipe in the past month compared with those who did not, controlling for confounders. Estimates were similar when stratified by gender. Conclusions Waterpipe use is associated with susceptibility to cigarette smoking. Study findings identify a novel risk factor for never smokers to initiate smoking and will help the public health community develop and implement policies around waterpipe use prevention.

Original languageEnglish (US)
Pages (from-to)502-511
Number of pages10
JournalAmerican Journal of Preventive Medicine
Volume49
Issue number4
DOIs
StatePublished - Oct 1 2015

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Smoking
Tobacco
Logistic Models
Somalia
Oman
Kuwait
Morocco
Tobacco Products
Public Health
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Waterpipe use and susceptibility to cigarette smoking among never-smoking youth. / Veeranki, Sreenivas P.; Alzyoud, Sukaina; Kheirallah, Khalid A.; Pbert, Lori.

In: American Journal of Preventive Medicine, Vol. 49, No. 4, 01.10.2015, p. 502-511.

Research output: Contribution to journalArticle

Veeranki, Sreenivas P. ; Alzyoud, Sukaina ; Kheirallah, Khalid A. ; Pbert, Lori. / Waterpipe use and susceptibility to cigarette smoking among never-smoking youth. In: American Journal of Preventive Medicine. 2015 ; Vol. 49, No. 4. pp. 502-511.
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