Institute of Community Health, College of Pharmacy, University of Houston, Houston, Texas 77030, USA.
Int J Tuberc Lung Dis. 2012 Nov;16(11):1551-7. doi: 10.5588/ijtld.12.0152. Epub 2012 Sep 18.
To examine the effect of ethnicity on waterpipe smoking among college students.
A cross-sectional study utilized data from University of Houston students through an online survey (n = 2334) from March to April 2011. The survey included questions on demographic characteristics (sex, age, race/ethnicity), tobacco use experience, risk perception, social acceptability and popularity. Multivariate logistic regression was used to determine predictors of waterpipe use with three outcomes: ever-use vs. no use, past-year use vs. no use and past-month use vs. no use.
Half of the sample had previously smoked tobacco using a waterpipe, approximately a third in the past year and 12.5% in the past month. Significant predictors included Middle Eastern ethnicity, Middle Eastern friend, past cigarette or cigar use. Perception of harm was associated with less use in the ever-use model, while perceived addictiveness, social acceptability and popularity of waterpipes were predictors in all models.
Our findings underscore the importance of developing culturally appropriate interventions to control waterpipe smoking among Middle Eastern Americans and those of Indian/Pakistani descent to curb further spread in US society, and highlight the importance of developing interventions that target the perceived addictiveness, social acceptability and popularity of waterpipe smoking.
探讨种族因素对大学生水烟吸食行为的影响。
本研究采用横断面设计，于 2011 年 3 月至 4 月通过在线调查（n=2334）收集了休斯顿大学学生的数据。该调查包括人口统计学特征（性别、年龄、种族/民族）、烟草使用经历、风险感知、社会可接受性和流行程度等问题。多变量逻辑回归用于确定水烟使用的预测因素，有三个结果：曾使用与未使用、过去一年使用与未使用、过去一个月使用与未使用。
样本中有一半的人曾使用过水烟吸食烟草，大约三分之一的人在过去一年中使用过水烟，12.5%的人在过去一个月中使用过水烟。显著的预测因素包括中东民族、有中东朋友、过去使用过香烟或雪茄。在曾使用者模型中，感知危害与使用频率降低有关，而感知成瘾性、社会可接受性和水烟流行度则是所有模型的预测因素。
本研究结果强调了制定针对中东裔和印度裔/巴基斯坦裔美国人的文化适宜性干预措施的重要性，以控制水烟在美国家庭中的传播，并强调了制定干预措施以针对感知成瘾性、社会可接受性和水烟流行度的重要性。
