Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
J Adolesc Health. 2010 Jan;46(1):45-51. doi: 10.1016/j.jadohealth.2009.05.004. Epub 2009 Jul 8.
Tobacco use using a waterpipe is an emerging trend among college students. Although cigarette smoking is low among college athletes, waterpipe tobacco smoking may appeal to this population. The purpose of this study was to compare cigarette and waterpipe tobacco smoking in terms of their associations with organized sport participation.
In the spring of 2008, we conducted an online survey of 8,745 college students at eight institutions as part of the revised National College Health Assessment. We used multivariable regression models to assess the associations between tobacco use (cigarette and waterpipe) and organized sports participation.
Participants reported participation in varsity (5.2%), club (11.9%), and intramural (24.9%) athletics. Varsity athletes and individuals who were not varsity athletes had similar rates of waterpipe tobacco smoking (27.6% vs. 29.5%, p=.41). However, other types of athletes were more likely than their counterparts to have smoked waterpipe tobacco (35.1% vs. 28.7%, p < .001 for club sports and 34.8% vs. 27.7%, p < .001 for intramural sports). In fully-adjusted multivariable models, sports participants of any type had lower odds of having smoked cigarettes, whereas participants who played intramural sports (odds ratio=1.15, 95% confidence interval=1.03, 1.29) or club sports (odds ratio=1.15, 95% confidence interval=1.001, 1.33) had significantly higher odds of having smoked waterpipe tobacco.
College athletes are susceptible to waterpipe tobacco use. In fact, compared with their nonathletic counterparts, club sports participants and intramural sports participants generally had higher odds of waterpipe tobacco smoking. Allure for waterpipe tobacco smoking may exist even for individuals who are traditionally considered at low risk for tobacco use.
在大学生中，使用水烟管吸烟是一种新兴趋势。尽管大学生运动员的吸烟率较低，但水烟烟草吸烟可能对这一人群有吸引力。本研究的目的是比较香烟和水烟烟草吸烟在与有组织的体育参与方面的关联。
在 2008 年春天，我们在八所大学进行了一项在线调查，这是修订后的国家大学生健康评估的一部分。我们使用多变量回归模型评估了吸烟（香烟和水烟）与有组织的体育参与之间的关联。
参与者报告参加了校队（5.2%）、俱乐部（11.9%）和校内（24.9%）运动。校队运动员和非校队运动员的水烟烟草吸烟率相似（27.6%与 29.5%，p=0.41）。然而，其他类型的运动员比他们的同龄人更有可能吸食水烟烟草（俱乐部运动 35.1%与 28.7%，p<0.001；校内运动 34.8%与 27.7%，p<0.001）。在完全调整的多变量模型中，任何类型的运动参与者吸烟的可能性都较低，而参加校内运动（优势比=1.15，95%置信区间=1.03，1.29）或俱乐部运动（优势比=1.15，95%置信区间=1.001，1.33）的参与者吸烟水烟烟草的可能性显著更高。
大学生运动员容易吸烟水烟烟草。事实上，与非运动员相比，俱乐部运动参与者和校内运动参与者通常更有可能吸烟水烟烟草。水烟烟草吸烟的吸引力甚至可能存在于那些传统上被认为吸烟风险较低的人群中。
