Division of General Internal Medicine, Department of Medicine, VA Pittsburgh Healthcare System, Pittsburgh, PA 15213, USA.
Health Educ Res. 2013 Feb;28(1):92-100. doi: 10.1093/her/cys095. Epub 2012 Sep 17.
Hookah tobacco smoking is increasing among US college students, including those who would not otherwise use tobacco. Part of hookah's appeal is attributed to the perception that hookah is less harmful than cigarettes. The aims of this study were to assess knowledge of harmful exposures associated with hookah smoking relative to cigarette smoking and to determine associations between this knowledge and hookah smoking outcomes. Students (N = 852) at the University of Florida were randomly sampled via e-mail to obtain information on demographics, hookah smoking behavior and knowledge of five exposures (e.g. tar and nicotine). Multivariable logistic regression models assessed independent associations between knowledge and hookah smoking outcomes. Of the five factual knowledge items asked, 475 (55.8%) of the respondents answered none correctly. In multivariable models, correct responses to any knowledge items were not associated with lower odds of hookah smoking or susceptibility to hookah smoking in the future. Although college students are largely unaware of the toxicant exposures associated with hookah smoking, there is little association between knowledge and hookah smoking behavior.
水烟烟草吸烟在美国大学生中越来越流行，包括那些原本不使用烟草的人。水烟的吸引力部分归因于人们认为水烟比香烟危害小。本研究旨在评估与水烟吸烟相关的有害暴露知识与香烟吸烟的相关性，并确定这种知识与水烟吸烟结果之间的关联。佛罗里达大学的学生通过电子邮件随机抽样，以获取有关人口统计学、水烟吸烟行为和五种暴露（如焦油和尼古丁）知识的信息。多变量逻辑回归模型评估了知识与水烟吸烟结果之间的独立关联。在被问到的五个事实知识项目中，有 475 名（55.8%）受访者一个都答不对。在多变量模型中，对任何知识题目的正确回答都与较低的水烟吸烟几率或未来对水烟吸烟的易感性无关。尽管大学生对水烟吸烟相关的有毒物质暴露知之甚少，但知识与水烟吸烟行为之间几乎没有关联。
