Department of Pediatrics, New York University School of Medicine, New York, NY;
Nicotine Tob Res. 2014 Feb;16(2):231-7. doi: 10.1093/ntr/ntt160. Epub 2013 Oct 23.
U.S. adolescents increasingly use alternative tobacco products (ATPs), including hookah. No study has previously assessed correlates of adolescent hookah use in a nationally representative sample.
Cross-sectional, nationally representative data of adolescents from the 2011 National Youth Tobacco Survey (NYTS) were used. Student demographics and their use of, exposure to, and beliefs about tobacco were examined as correlates of hookah use.
Of adolescents nationwide, 7.3% reported ever trying hookah and 2.6% reported using hookah within the past month. Increasing age was associated with trying hookah, but not current hookah use. Sex was unassociated with hookah use. Asians were most likely to have tried hookah; Hispanics and those of another race reported greater current hookah use. Hookah use increased with perceived ease of access to and willingness to try tobacco. Students with a hookah user at home were more likely to have tried hookah and to currently use hookah. Current cigarette use was not associated with current hookah use (odds ratio [OR] = 1.3, 95% CI = 0.8-2.1), but was associated with trying hookah (OR = 1.5, 95% CI = 1.1-2.2). Non-cigarette tobacco use was associated with trying hookah (OR = 2.7, 95% CI = 2.1-3.5) and current hookah use (OR = 4.8, 95% CI = 2.7-8.7).
A sizeable minority of U.S. adolescents use hookah, particularly those living with hookah users, those who use other ATPs, and those who perceive tobacco as easily accessible. Current cigarette use was not associated with current hookah use. Future studies assessing the dangers of hookah use and interventions to curb this emerging problem appear warranted.
美国青少年越来越多地使用另类烟草产品（ATPs），包括水烟。此前，尚无研究在全国代表性样本中评估青少年使用水烟的相关因素。
本研究使用了 2011 年全国青年烟草调查（NYTS）中具有全国代表性的青少年横断面数据。研究检查了学生人口统计学特征及其对烟草的使用、暴露和看法，以评估这些因素与水烟使用的相关性。
全国范围内，有 7.3%的青少年报告曾尝试过水烟，2.6%的青少年报告在过去一个月内使用过水烟。年龄越大，尝试水烟的可能性越大，但与当前水烟使用无关。性别与水烟使用无关。亚洲人最有可能尝试过水烟；西班牙裔和其他种族的人报告当前水烟使用量较大。水烟使用量随着对获取和尝试烟草的便利性的感知而增加。家中有使用水烟者的学生更有可能尝试过水烟，也更有可能当前使用水烟。当前吸烟与当前使用水烟无关（比值比[OR] = 1.3，95%置信区间[CI] = 0.8-2.1），但与尝试水烟有关（OR = 1.5，95% CI = 1.1-2.2）。非香烟烟草使用与尝试水烟（OR = 2.7，95% CI = 2.1-3.5）和当前使用水烟（OR = 4.8，95% CI = 2.7-8.7）有关。
相当一部分美国青少年使用水烟，尤其是那些与水烟使用者同住、使用其他 ATP 或认为烟草容易获取的青少年。当前吸烟与当前使用水烟无关。未来评估水烟使用危害和干预遏制这一新兴问题的研究似乎是有必要的。
