University of Montreal, Department of Social and Preventive Medicine, 3875 St Urbain, Montreal, Quebec H2W 1V1, Canada.
Pediatrics. 2010 Jun;125(6):1184-9. doi: 10.1542/peds.2009-2335. Epub 2010 May 10.
The objectives of this analysis were to identify the sociodemographic characteristics of water-pipe users in a North American context and to describe concurrent psychoactive substance use.
Data on sociodemographic characteristics, water-pipe smoking, and use of other psychoactive substances were collected in 2007 through mailed self-report questionnaires completed by 871 young adults, 18 to 24 years of age, who were participating in the Nicotine Dependence in Teens Study, a longitudinal investigation of the natural history of nicotine dependence among adolescents in Montreal, Canada. Independent sociodemographic correlates of water-pipe use were identified in multivariate logistic regression analyses.
Previous-year water-pipe use was reported by 23% of participants. Younger age, male gender, speaking English, not living with parents, and higher household income independently increased the odds of water-pipe use. Water-pipe use was markedly higher among participants who had smoked cigarettes, had used other tobacco products, had drunk alcohol, had engaged in binge drinking, had smoked marijuana, or had used other illicit drugs in the previous year.
Water-pipe users may represent an advantaged group of young people with the leisure time, resources, and opportunity to use water-pipes. Evidence-based public health and policy interventions are required to equip the public to make informed decisions about water-pipe use.
本分析旨在确定北美地区水烟使用者的社会人口学特征，并描述同时使用其他精神活性物质的情况。
2007 年，通过邮寄自我报告问卷收集了 871 名年龄在 18 至 24 岁之间的年轻人的数据，这些年轻人参加了尼古丁依赖青少年研究（Nicotine Dependence in Teens Study），这是一项对加拿大蒙特利尔青少年尼古丁依赖自然史的纵向调查。采用多元逻辑回归分析确定了水烟使用的独立社会人口学相关因素。
上一年度有 23%的参与者报告曾使用过水烟。年龄较小、男性、说英语、不与父母同住、家庭收入较高，这些因素独立增加了使用水烟的几率。与上一年度吸烟、使用其他烟草制品、饮酒、狂饮、吸食大麻或使用其他非法药物的参与者相比，水烟使用者的比例明显更高。
水烟使用者可能代表着一个年轻的优势群体，他们有闲暇时间、资源和机会使用水烟。需要采取基于证据的公共卫生和政策干预措施，使公众能够就水烟使用做出明智的决定。
