Department of Family and Preventive Medicine, University of California-San Diego, 9500 Gilman Drive, La Jolla, CA 92093, USA.
Nicotine Tob Res. 2011 Jul;13(7):565-72. doi: 10.1093/ntr/ntr041. Epub 2011 Mar 31.
Hookah use is increasing among young people, but there are limited data on its use among high school-age populations. We examined hookah use initiation, prevalence, cessation, and psychosocial risk factors of hookah use among high school students.
A cross-sectional survey of 689 students from three high schools in San Diego County was used to compare characteristics of hookah ever-users to nonusers and factors associated with current and former hookah use.
Hookah ever-use in the study population was 26.1%, previous month hookah use was 10.9%, and current hookah use was 10.3%. Most students first learned about hookah from friends (50.3%) or saw a hookah lounge (20.9%). Students believed hookah to be more socially acceptable than cigarettes and less harmful than cigarettes, cigars, and smokeless tobacco. Hookah ever-users were significantly more likely than nonusers to have smoked cigarettes, to know of a hookah lounge in their community, and to believe hookah is safer and more socially acceptable than cigarettes. In comparison to former users, current users were more likely to have recently smoked a cigarette, to know of a hookah lounge in their community, and to believe hookah is more socially acceptable than cigarettes.
Hookah use is becoming a commonly acceptable behavior among adolescents, and risk perception is a significant factor. Presence of hookah lounges are associated with increased hookah use among high school students and should be a target of further regulation.
越来越多的年轻人开始使用水烟，但目前关于高中生使用水烟的数据有限。我们研究了高中生开始使用水烟、水烟使用的流行率、戒烟率以及与水烟使用相关的社会心理风险因素。
我们采用横断面调查的方法，对圣地亚哥县 3 所高中的 689 名学生进行了调查，比较了水烟曾用者和未使用者的特征，以及与当前和既往水烟使用相关的因素。
在研究人群中，水烟曾用率为 26.1%，过去 1 个月水烟使用率为 10.9%，当前水烟使用率为 10.3%。大多数学生（50.3%）是从朋友那里或看到水烟吧（20.9%）了解到水烟的。学生们认为水烟比香烟更具社交吸引力，比香烟、雪茄和无烟烟草的危害更小。与非使用者相比，水烟曾用者更有可能吸烟、知道所在社区有水烟吧，并且认为水烟比香烟更安全、更具社交吸引力。与既往使用者相比，当前使用者更有可能最近吸过烟、知道所在社区有水烟吧，并且认为水烟比香烟更具社交吸引力。
水烟使用在青少年中越来越普遍，风险认知是一个重要因素。水烟吧的存在与高中生中增加的水烟使用有关，应成为进一步监管的目标。
