Department of Internal Medicine, The Ohio State University College of Medicine, Center for Tobacco Research, The Ohio State University Comprehensive Cancer Center, Columbus, Ohio, United States of America.
Division of Preventive and Behavioral Medicine, Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, Massachusetts, United States of America.
PLoS One. 2024 Jul 16;19(7):e0307058. doi: 10.1371/journal.pone.0307058. eCollection 2024.
Many US young adults are susceptible to waterpipe (i.e., hookah) tobacco smoking (WTS) initiation, but research on factors associated with WTS susceptibility is limited. We examined sociodemographic, other tobacco and substance use, and attitudes and perceptions correlates of WTS susceptibility among young adults.
Baseline data from a randomized trial testing WTS risk messages was collected in US young adults aged 18 to 30 years who never used waterpipe tobacco but were susceptible to WTS (n = 294). Extent of susceptibility to WTS was defined using the average score of a valid scale with higher scores indicating higher susceptibility. Correlates were sociodemographics, other tobacco and substance use, and attitudes and perceptions. Multiple linear regression models identified correlates of greater WTS susceptibility.
Participants averaged 25 (SD 3.2) years of age, 60% were male, 22% were Black non-Hispanic, 47% completed some college education, and 66% were employed. Our models consistently showed that more positive attitudes toward WTS (β = -0.08, p<0.01), lower perceived addictiveness relative to cigarettes (β = -0.09, p = 0.04), and greater perceived social acceptability of WTS (β = 0.05, p<0.01) were positively correlated with WTS susceptibility. Additionally, young adults who smoked cigarillos (β = 0.53, p<0.01), used cannabis (β = 0.14, p = 0.02), and Black non-Hispanic versus White non-Hispanic young adults (β = 0.18, p = 0.03) also had higher WTS susceptibility.
Findings suggest that WTS prevention efforts require multicomponent interventions including targeting subpopulations at greater risk based on race/ethnicity and other tobacco and substance use. These interventions should consider attitudes and social acceptability of WTS as modifiable targets to maximize public health benefits.
许多美国年轻人容易开始吸食水烟（即水烟管），但有关水烟管吸烟易感性的研究有限。我们研究了与年轻人水烟管吸烟易感性相关的社会人口统计学、其他烟草和物质使用以及态度和观念因素。
在美国年龄在 18 至 30 岁之间、从未使用过水烟烟草但易受水烟管吸烟影响的年轻人中，对一项测试水烟管吸烟风险信息的随机试验的基线数据进行了收集（n=294）。水烟管吸烟易感性的程度是通过一个有效量表的平均得分来定义的，得分越高表示易感性越高。相关性是社会人口统计学、其他烟草和物质使用以及态度和观念。使用多元线性回归模型确定了与更高水烟管吸烟易感性相关的因素。
参与者的平均年龄为 25（标准差 3.2）岁，60%为男性，22%为非裔美国人，47%完成了一些大学教育，66%有工作。我们的模型一致表明，对水烟管吸烟的态度越积极（β=-0.08，p<0.01），相对于香烟，感知水烟管的成瘾性越低（β=-0.09，p=0.04），感知水烟管的社会可接受性越高（β=0.05，p<0.01），与水烟管吸烟易感性呈正相关。此外，吸小雪茄（β=0.53，p<0.01）、使用大麻（β=0.14，p=0.02）以及非裔美国人而非非裔美国人的年轻人（β=0.18，p=0.03）的水烟管吸烟易感性也更高。
研究结果表明，水烟管吸烟预防工作需要采取多组分干预措施，包括根据种族/民族和其他烟草和物质使用情况，针对风险较高的亚人群。这些干预措施应考虑水烟管吸烟的态度和社会可接受性，将其作为可改变的目标，以最大限度地提高公共卫生效益。
