Kinesiology and Health Science, York University, Toronto, Ontario, Canada.
Kinesiology and Health Science, York University, Toronto, Ontario, Canada.
Public Health. 2017 Jul;148:102-108. doi: 10.1016/j.puhe.2017.03.007. Epub 2017 Apr 28.
To investigate the prevalence and characteristics of water-pipe smoking (WPS) nationally in Canada.
This study was a cross-sectional study.
Data from the Canadian Tobacco Use Monitoring Survey 2011 and 2012 was used. Outcomes investigated were ever and current WPS. Demographic, socio-economic and smoking-related variables were included in a multivariable logistic regression model to determine associations with the outcomes.
Prevalence of WPS was 8.9% for ever and 0.8% for current WPS (1.8% among <18 years old and 4.0% among 18-24 years old). The highest prevalence of ever WPS was in Quebec (11.3%) and of current WPS in Alberta (1.2%). Age was the strongest predictor for WPS with an odds ratio = 47.86, 95% confidence interval: 37.97-60.33 for current WPS for those aged <18 years compared to 35 + years. Male gender, urban residence, being single, speaking another language at home (not English/French), higher education, cigarette smoking and marijuana use were also significantly associated with increased WPS.
Multiple factors impact WPS, with the younger population having the highest prevalence. This necessitates further research into the attitudes of this age group to better focus health promotion efforts.
调查加拿大全国范围内水烟（WPS）的流行情况和特点。
本研究为横断面研究。
使用了 2011 年和 2012 年加拿大烟草使用监测调查的数据。调查的结果是曾经和现在是否使用水烟。在多变量逻辑回归模型中，纳入了人口统计学、社会经济和与吸烟有关的变量，以确定与结果的关联。
WPS 的使用率为曾经使用过的 8.9%，现在使用的 0.8%（18 岁以下为 1.8%，18-24 岁为 4.0%）。曾经使用过 WPS 的比例最高的是魁北克（11.3%），现在使用的比例最高的是阿尔伯塔省（1.2%）。年龄是 WPS 的最强预测因素，对于 18 岁以下的人来说，现在使用 WPS 的优势比为 47.86，95%置信区间为 37.97-60.33，而 35 岁及以上的人的优势比为 1。男性、城市居住、单身、在家说另一种语言（不是英语/法语）、接受高等教育、吸烟和使用大麻也与 WPS 的使用显著相关。
多种因素影响 WPS，年轻人群的使用率最高。这需要进一步研究这一年龄组的态度，以便更好地集中精力进行健康促进工作。
