Rayens Mary Kay, Ickes Melinda J, Butler Karen M, Wiggins Amanda T, Anderson Debra G, Hahn Ellen J
University of Kentucky College of Nursing, 543 CON, 751 Rose Street, Lexington, KY 40536-0232, USA.
Department of Kinesiology and Health Promotion, University of Kentucky, 111 Seaton Building, Lexington, KY 40506-0219, USA.
Health Educ Res. 2017 Aug 1;32(4):306-317. doi: 10.1093/her/cyx049.
Emerging tobacco product use is increasing. We evaluated factors associated with perceived risk of and intention to use waterpipe tobacco by surveying students at a large university in the southeastern U.S. (N = 667). Proportional odds modeling assessed whether demographic characteristics and social acceptability are associated with perceived risk of waterpipe tobacco use; and if these factors and perceived risk are related to intention to use waterpipe tobacco. Participants who perceived waterpipe tobacco to be more socially acceptable had lower odds of perceiving it as risky (95% confidence interval [CI] 0.50-0.68). Compared with never users, former tobacco users and current users had lower odds of perceiving waterpipe tobacco use as risky (95% CI 0.38-0.80 and 0.28-0.63, respectively). Similarly, students with greater perceived social acceptability scores had higher odds of intending to use waterpipe tobacco (95% CI 1.41-2.63), while those who perceived greater risk had lower odds of intending to use it (95% CI 0.34-0.64). Compared with never users, former users had higher odds of intending to use waterpipe tobacco (95% CI 1.42-7.21). Among those who had ever used waterpipe tobacco, 90% reported 'to socialize' as the most frequent reason for deciding to do so. Findings underscore the need for future prevention efforts.
新型烟草制品的使用正在增加。我们通过对美国东南部一所大型大学的学生进行调查（N = 667），评估了与水烟使用的感知风险及使用意愿相关的因素。比例优势模型评估了人口统计学特征和社会可接受性是否与水烟使用的感知风险相关；以及这些因素和感知风险是否与水烟使用意愿相关。认为水烟在社会上更可接受的参与者将其视为有风险的可能性较低（95%置信区间[CI] 0.50 - 0.68）。与从不使用者相比， former tobacco users（此处原文可能有误，推测为former smokers即 former smokers）和当前使用者将水烟使用视为有风险的可能性较低（分别为95% CI 0.38 - 0.80和0.28 - 0.63）。同样，社会可接受性得分较高的学生打算使用水烟的可能性较高（95% CI 1.41 - 2.63），而那些认为风险较大的学生打算使用水烟的可能性较低（95% CI 0.34 - 0.64）。与从不使用者相比，former users（推测为former smokers）打算使用水烟的可能性较高（95% CI 1.42 - 7.21）。在曾经使用过水烟的人中，90%报告称“社交”是决定这样做的最常见原因。研究结果强调了未来预防工作的必要性。
