HHS Public Access Author manuscript Author Manuscript
Am J Prev Med. Author manuscript; available in PMC 2016 December 01. Published in final edited form as: Am J Prev Med. 2015 December ; 49(6): 859–867. doi:10.1016/j.amepre.2015.06.030.
Sustained Waterpipe Tobacco Smoking and Trends over Time Brian A. Primack, MD, PhD1,2,3,4, Peter Freedman-Doan, BA5, Jaime E. Sidani, PhD1,2, Daniel Rosen, PhD6, Ariel Shensa, MA1,2, A. Everette James, JD, MBA1,4, and John Wallace, PhD5,6 1Center
for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Author Manuscript
2Division
of General Internal Medicine, School of Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
3Division
of Adolescent Medicine, Department of Pediatrics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
4Health
Policy Institute, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
5Youth
and Social Issues Program, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA
6School
of Social Work, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Abstract Author Manuscript
Background—Use of waterpipe tobacco smoking (WTS) is now prevalent among U.S. adolescents. However, the more clinically relevant questions are whether users exhibit sustained patterns of use and whether use is increasing over time relative to other tobacco products. We aimed to examine factors associated with sustained WTS among U.S. adolescents and to compare prevalence trends between WTS and other tobacco products. Methods—The Monitoring the Future (MTF) project began assessing WTS among 12th grade students in 2010. In 2014, we conducted multivariable regression analyses to examine correlates of sustained WTS, which we defined as use at least 6 times in the past 12 months. We used trend analysis to compare use of WTS and other types of tobacco.
Author Manuscript
Results—Of the 8737 participants queried from 2010-2013, 18.8% (1639) reported past-year WTS, while 7.2% (627) reported sustained use. Sustained WTS was inversely associated with female sex (vs. males, OR=0.78, 95% CI=0.63, 0.96), African-American race (vs. Caucasians, OR=0.26, 95% CI=0.14, 0.48), and increased number of parents in the home (P
Am J Prev Med. Author manuscript; available in PMC 2016 December 01. Published in final edited form as: Am J Prev Med. 2015 December ; 49(6): 859–867. doi:10.1016/j.amepre.2015.06.030.
Sustained Waterpipe Tobacco Smoking and Trends over Time Brian A. Primack, MD, PhD1,2,3,4, Peter Freedman-Doan, BA5, Jaime E. Sidani, PhD1,2, Daniel Rosen, PhD6, Ariel Shensa, MA1,2, A. Everette James, JD, MBA1,4, and John Wallace, PhD5,6 1Center
for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Author Manuscript
2Division
of General Internal Medicine, School of Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
3Division
of Adolescent Medicine, Department of Pediatrics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
4Health
Policy Institute, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
5Youth
and Social Issues Program, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA
6School
of Social Work, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Abstract Author Manuscript
Background—Use of waterpipe tobacco smoking (WTS) is now prevalent among U.S. adolescents. However, the more clinically relevant questions are whether users exhibit sustained patterns of use and whether use is increasing over time relative to other tobacco products. We aimed to examine factors associated with sustained WTS among U.S. adolescents and to compare prevalence trends between WTS and other tobacco products. Methods—The Monitoring the Future (MTF) project began assessing WTS among 12th grade students in 2010. In 2014, we conducted multivariable regression analyses to examine correlates of sustained WTS, which we defined as use at least 6 times in the past 12 months. We used trend analysis to compare use of WTS and other types of tobacco.
Author Manuscript
Results—Of the 8737 participants queried from 2010-2013, 18.8% (1639) reported past-year WTS, while 7.2% (627) reported sustained use. Sustained WTS was inversely associated with female sex (vs. males, OR=0.78, 95% CI=0.63, 0.96), African-American race (vs. Caucasians, OR=0.26, 95% CI=0.14, 0.48), and increased number of parents in the home (P
