Department of Psychology, Syracuse University, Syracuse, NY, USA.
Addict Behav. 2013 Nov;38(11):2729-35. doi: 10.1016/j.addbeh.2013.07.006. Epub 2013 Jul 20.
Better understanding of the temporal sequence of hookah, cigarette, and marijuana use will help to inform smoking prevention efforts. To address this gap in the literature, we assessed all three of these smoking behaviors in a sample of 424 first-year college women. Using a longitudinal design, we investigated whether hookah use predicts initiating/resuming cigarette and/or initiating marijuana use, and whether cigarette and/or marijuana use predicts initiating hookah use. Participants (67% White, M age = 18.1 years) completed nine monthly surveys. The initial (i.e., baseline) survey assessed demographics, sensation-seeking, impulsivity, and pre-college substance use. Follow-up surveys assessed past-month substance use; outcomes were initiating/resuming cigarette use, initiating marijuana use, and initiating hookah use during the first year of college. We controlled for sensation-seeking, impulsivity, binge drinking, and other smoking behaviors in our multivariate logistic regression models. The results showed that (a) pre-college hookah use predicted initiating/resuming cigarette use; (b) pre-college marijuana use predicted initiation of hookah tobacco smoking; and (c) pre-college cigarette use predicted neither hookah nor marijuana initiation. The findings highlight the co-occurrence of smoking behaviors as well as the need for bundling preventive interventions so that they address hookah, cigarette, and marijuana use.
更好地理解水烟、香烟和大麻使用的时间顺序将有助于为吸烟预防工作提供信息。为了填补这一文献空白，我们在 424 名一年级女大学生中评估了这三种吸烟行为。使用纵向设计，我们调查了水烟使用是否预示着开始/恢复吸烟和/或开始使用大麻，以及吸烟和/或使用大麻是否预示着开始使用水烟。参与者（67%为白人，平均年龄为 18.1 岁）完成了九次每月调查。初始（即基线）调查评估了人口统计学、感觉寻求、冲动性和大学前物质使用情况。后续调查评估了过去一个月的物质使用情况；结果是在大学第一年开始/恢复吸烟、开始使用大麻和开始使用水烟。我们在多变量逻辑回归模型中控制了感觉寻求、冲动性、 binge 饮酒和其他吸烟行为。结果表明：（a）大学前水烟使用预示着开始/恢复吸烟；（b）大学前大麻使用预示着开始吸食水烟烟草；（c）大学前吸烟既不能预示水烟也不能预示大麻的使用。这些发现突出了吸烟行为的同时发生，以及需要捆绑预防干预措施，以便它们同时针对水烟、香烟和大麻使用。
