Center for Health and Behavior and Department of Psychology, 430 Huntington Hall, Syracuse University, Syracuse, NY 13244, USA.
Psychol Addict Behav. 2012 Dec;26(4):963-8. doi: 10.1037/a0028344. Epub 2012 May 7.
Hookah tobacco smoking has become increasingly prevalent among American college students over the past decade. Hookah smoking is associated with poor health outcomes and exposes users to high levels of nicotine, carbon monoxide, and smoke. Research on the correlates of hookah use has begun to emerge, but all studies thus far have been cross-sectional. Little is known about hookah use during the transition to college, psychosocial factors related to hookah smoking, or prospective predictors of hookah initiation and frequency of use. This longitudinal cohort study examined risk and protective factors predicting initiation of hookah tobacco smoking during the first year of college. First-year female college students (n = 483; 64% White) provided data on demographic, behavioral, and psychosocial variables and precollege hookah use at baseline; they then completed 12 monthly online surveys about their hookah use from September 2009 to August, 2010. Among the 343 participants who did not report precollege use, 79 (23%) initiated hookah tobacco smoking during the year after college entry. Zero-inflated negative binomial regression showed that alcohol use predicted the likelihood of initiating hookah use; impulsivity, social comparison orientation, and marijuana use predicted the frequency of hookah use. These findings suggest that hookah prevention and intervention efforts may need to address other forms of substance use as well as hookah use.
在过去的十年中，水烟烟草吸烟在美国大学生中变得越来越流行。水烟吸烟与健康状况不佳有关，会使用户接触到高水平的尼古丁、一氧化碳和烟雾。关于水烟使用的相关性研究已经开始出现，但迄今为止所有的研究都是横断面研究。人们对大学生活过渡期间使用水烟、与水烟吸烟有关的心理社会因素，或水烟使用开始和使用频率的前瞻性预测因素知之甚少。这项纵向队列研究调查了在大学第一年预测开始水烟烟草吸烟的风险和保护因素。研究招募了 483 名女性一年级大学生（64%为白人），他们在基线时提供了人口统计学、行为和心理社会变量以及大学前水烟使用的数据；然后，他们从 2009 年 9 月到 2010 年 8 月，完成了 12 次关于他们水烟使用情况的在线月度调查。在 343 名没有报告大学前使用水烟的参与者中，有 79 人（23%）在进入大学后的一年里开始吸食水烟。零膨胀负二项回归显示，饮酒量预测了开始吸食水烟的可能性；冲动性、社会比较取向和大麻使用预测了吸食水烟的频率。这些发现表明，水烟预防和干预措施可能需要解决其他形式的物质使用以及水烟使用问题。
