Factors related to frequency of narghile (waterpipe) use: the first insights on tobacco dependence in narghile users
Factors related to frequency of narghile (waterpipe) use: the first insights on tobacco dependence in narghile users
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DOI：
10.1016/j.drugalcdep.2004.04.007
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发表时间：
2004-10-05
影响因子：
4.2
通讯作者：
Eissenberg, T
中科院分区：
文献类型：
--
作者：
Maziak, W;Ward, KD;Eissenberg, T
目的：评价与narghile（水烟）使用水平相关的因素，作为建立narghile使用者烟草依赖模型的第一步。设计：横断面调查于2003年完成，采用访谈者管理的匿名问卷。背景：叙利亚阿勒颇的咖啡馆/餐馆供应纳吉尔。参与者：Narghile吸烟者（161名男性和107名女性；平均年龄：30.1±10.2,16.1；年龄范围：18-68岁；回复率：95.3%）从抽样的17家咖啡馆/餐馆中随机选择。测量方法：评估narghile使用频率（每日、每周、每月）作为潜在依赖性的几个因素的函数，包括情境特征(何地、何时、与谁一起吸烟；使用的季节性（narghile的分享），戒除narghile使用的态度和经验，随着时间的推移使用的升级，未来使用的意图，对narghile“上瘾”的感觉，以及支持使用的认知/行为（携带自己的narghile，当没有narghile时考虑narghile；考虑选择咖啡馆/餐馆）。研究发现：使用纳吉尔的频率与参与者对纳吉尔上瘾程度的主观判断密切相关（系数，0.5）。根据多项logistic回归分析，吸烟频率的预测因子为：男性、主要是单独吸烟而不是与他人一起吸烟；主要在家中吸烟，而不是在室外吸烟；入会后更频繁地吸烟，沉迷于纳吉尔，携带纳吉尔，并考虑将其作为咖啡馆/餐厅的选择。结论：我们的数据揭示了烟草依赖综合征的两个主要领域可能与narghile相关；第一个反映了纳吉尔烟草中所含尼古丁的影响，与其他烟草产品没有太大的不同，第二个是纳吉尔独有的，主要与它的社会方面有关，更密集的吸烟者显示出越来越多的纳吉尔吸烟的个人模式。2004爱思唯尔爱尔兰有限公司版权所有。
Aims: To evaluate factors related to level of narghile (waterpipe) use as a first step towards modeling tobacco dependence among narghile users. Design: Cross sectional survey done in 2003 using interviewer-administered anonymous questionnaires. Setting: Cafes/restaurants serving narghiles in Aleppo, Syria. Participants: Narghile smokers (161 men and 107 women; mean age, 30.1 +/- 10.2, 16 1; age range, 18-68 years; response rate, 95.3%) randomly selected from the 17 cafes/restaurants sampled. Measurements: Frequency of narghile use (daily, weekly, monthly) was assessed as a function of several factors potentially indicative of dependence, including situational characteristics (where, when, and with whom smoking occurs; seasonality of use, and sharing of narghile), attitudes, and experience with quitting narghile use, escalation of use over time, future intentions regarding use, perception of being "hooked" on narghile, and cognitions/behaviors engaged in to support use (carrying one's own narghile, think of narghile when it is not available; considering narghile for selection of cafes/restaurants). Findings: Frequency of narghile use was strongly correlated with participant's subjective judgment of how hooked they are on narghile (coefficient, 0.5). Predictors of narghile use frequency according to multinomial logistic regression were: male gender, smoking mainly alone versus with others; smoking mainly at home versus outside; smoking more frequently since initiation, being hooked on narghile, carrying narghile, and considering it for cafe/restaurant choice. Conclusions: Our data reveal two main domains of a tobacco dependence syndrome likely to be relevant to narghile; the first reflects the effects of nicotine contained in narghile tobacco, and is not very different from what is seen with other tobacco products, and the second is unique to narghile and is related mainly to its social dimension, with more intensive smokers showing an increasingly individual pattern of narghile smoking. (C) 2004 Elsevier Ireland Ltd. All rights reserved.