Ghelichi-Gojogh Mousa, Jafari Mohammad Reza, Tajik Jalayeri Mohammad Hadi, Charkazi Abdurrahman
Neonatal and Childrens Research, Department of Biostatistics and Epidemiology, School of Health, Golestan University of Medical Sciences, Gorgan, Iran.
Clinical Research Development Unit (CRDU), Sayad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
J Community Health. 2025 Sep 9. doi: 10.1007/s10900-025-01511-4.
Hookah use is a growing global health concern, particularly among young adults, with significant misconceptions about its safety. This study aimed to investigate the prevalence of hookah use and its association with knowledge of harmful substances and future susceptibility among university students in Iran. A cross-sectional study was conducted among 561 undergraduate students from Golestan University of Medical Sciences in Iran between April and June 2024. Data were collected using a questionnaire assessing demographics, hookah and cigarette use patterns, future susceptibility, and knowledge of harmful substances in hookah versus cigarettes. Statistical analyses included descriptive statistics, chi-square tests, and logistic regression. The lifetime prevalence of hookah use was 44.4%, with 16% reporting use in the past month. A significant portion of students (38.7%) were susceptible to future hookah use. Most participants demonstrated good knowledge regarding the harmful substances in hookah compared to cigarettes. However, knowledge of carbon monoxide and heavy metal content was associated with a lower risk of future hookah use susceptibility (AOR = 0.498 and AOR = 0.490, respectively). Prior hookah use (lifetime, past year, past month) was significantly associated with increased susceptibility to future use (p < 0.0001). Hookah use is prevalent among Iranian university students, and prior use significantly predicts future susceptibility. While knowledge of hookah's harmful effects is relatively high, it does not fully mitigate the risk of future use. Interventions should focus on addressing attitudes and social influences that promote hookah use, alongside enhancing knowledge about specific harmful components.
水烟吸食是一个日益引起全球健康关注的问题，尤其是在年轻人当中，他们对水烟的安全性存在重大误解。本研究旨在调查伊朗大学生中水烟吸食的流行情况及其与有害物质知识和未来易感性的关联。2024年4月至6月期间，对伊朗戈勒斯坦医科大学的561名本科生进行了一项横断面研究。通过问卷调查收集数据，评估人口统计学特征、水烟和香烟使用模式、未来易感性以及水烟与香烟中有害物质的知识。统计分析包括描述性统计、卡方检验和逻辑回归。水烟吸食的终生患病率为44.4%，其中16%报告在过去一个月内有吸食行为。相当一部分学生（38.7%）未来易吸食水烟。与香烟相比，大多数参与者对水烟中的有害物质表现出良好的认知。然而，对一氧化碳和重金属含量的了解与未来水烟吸食易感性风险较低相关（调整后的比值比分别为0.498和0.490）。既往水烟吸食（终生、过去一年、过去一个月）与未来吸食易感性增加显著相关（p < 0.0001）。水烟吸食在伊朗大学生中很普遍，既往吸食显著预测未来易感性。虽然对水烟有害影响的认知相对较高，但并不能完全降低未来使用的风险。干预措施应侧重于解决促进水烟吸食的态度和社会影响，同时加强对特定有害成分的了解。
