Waterpipe Tobacco Smoking among U.S. Adolescents and Young Adults

美国青少年和年轻人吸水烟的情况

• 批准号: 8477008
• 负责人: Brian A. Primack
• 金额: $ 48.19万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-05-01 至 2016-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8477008
• 关键词: Adolescent; Adoption; Adult; Affect; Age; Alcohol consumption; Alcohol or Other Drugs use; American; Asians; Automobile Driving; Behavior; Belief; Caucasoid Race; Characteristics; Cigarette; Data; Data Collection; Data Set; Development; Educational Intervention; Environmental Risk Factor; Epidemic; Equation; Esthesia; Ethnic Origin; Ethnography; Focus Groups; Frequencies; Future; Gender; Geographic Locations; Health; Health Policy; Health behavior; Heavy Metals; Housing; Individual; Institution; Intention; Intervention; Knowledge; Learning; Location; Longitudinal Studies; Marijuana Smoking; Modeling; Nature; Nicotine; Outcome; Pacific Island Americans; Policies; Population; Prevalence; Process; Public Health; Qualitative Evaluations; Race; Recommendation; Reporting; Research; Respondent; Risk-Taking; Ritual compulsion; Rural; Sampling; Sampling Studies; Site; Smoke; Smoker; Smoking; Socioeconomic Status; Source; Students; Subgroup; Sum; Surveys; Tars; Testing; Theoretical model; Tobacco; Tobacco smoke; Tobacco smoking; Tobacco use; Toxin; Universities; Ursidae Family; Water; Youth; addiction; aged; base; behavior observation; binge drinking; cigarette smoking; college; condoms; follow-up; high school; hookah; innovation; low socioeconomic status; male; peer; portability; prevent; public health relevance; suburb; theories; toxicant; trend; university student; uptake; web site; young adult

DESCRIPTION (provided by applicant): Tobacco smoking using a waterpipe (a.k.a., hookah) is an emerging trend and a threat to U.S. public health. Waterpipe tobacco smoke contains large amounts of toxicants (e.g., CO, tar, nicotine, and heavy metals) and has been associated with addiction and other adverse health consequences. Despite these facts, convenience sample studies demonstrate that 20-40 percent of U.S. University students report waterpipe tobacco smoking in the past year. Moreover, 30-50 percent of waterpipe tobacco smokers have never used cigarettes, suggesting that waterpipes deliver tobacco to millions of individuals who otherwise would have been naive to nicotine. Learning more about U.S. waterpipe users, mechanisms of waterpipe smoking uptake, and the trajectory and consequences of its use will be essential for developing targeted interventions to prevent waterpipe tobacco smoking from becoming a new strain in the U.S. tobacco epidemic. The American College Health Association's new National College Health Assessment (NCHA) surveys more than 90,000 individuals annually and will be the first large scale survey to include basic items that assess waterpipe tobacco smoking. This project leverages these data to help us determine the prevalence and correlates of waterpipe tobacco smoking among a large sample of U.S. university students (Specific Aim 1). Multivariable models will assess independent associations between waterpipe smoking outcomes and (1) respondent factors such as age, gender, race/ethnicity, socioeconomic status, and other substance use; and (2) environmental variables such as college/university setting, and geographic region. Next, we will use qualitative assessments to inform a theoretical framework describing the factors related to uptake of waterpipe tobacco smoking (Specific Aim 2). This component will involve (1) a national content analysis of waterpipe tobacco Web sites; (2) direct ethnographic observation of behavior in 8 different settings where waterpipe tobacco is smoked; and (3) 6 in- depth focus groups with waterpipe tobacco users stratified by age and gender. These analyses will inform our theoretical model describing the factors related to uptake of waterpipe tobacco smoking. Finally, we will conduct a nationally-representative, longitudinal study of 3700 individuals aged 15-30 investigating the trajectories and consequences of waterpipe tobacco smoking (Specific Aim 3). Data from this study will enable us (1) to test the conceptual model from Specific Aim 2; and (2) to determine longitudinal associations between waterpipe tobacco experimentation and subsequent tobacco use and intention outcomes. In sum, waterpipe tobacco smoking appears to be a growing public health threat, particularly among U.S. late adolescents and young adults. This timely and innovative project will combine analysis of an existing data set, intensive qualitative assessments, and an original longitudinal data collection to provide crucial information that will ultimately help develop interventions aimed at reducing the public health threat posed by waterpipe tobacco smoking.

描述（由申请人提供）：使用水烟（又名水烟）吸烟是一种新兴趋势，对美国公众健康构成威胁。水烟烟含有大量有毒物质（如一氧化碳、焦油、尼古丁和重金属），并与成瘾和其他不良健康后果有关。尽管有这些事实，抽样研究表明，在过去的一年里，20- 40%的美国大学生报告使用水烟。此外，30- 50%的水烟吸烟者从未吸过香烟，这表明，水烟将烟草输送给了数百万原本对尼古丁一无所知的人。更多地了解美国水烟使用者，水烟吸烟的机制，以及其使用的轨迹和后果，对于制定有针对性的干预措施以防止水烟吸烟成为美国烟草流行的新品种至关重要。美国大学健康协会的新全国大学健康评估（NCHA）每年对9万多人进行调查，这将是第一次大规模调查，包括评估水烟吸烟的基本项目。这个项目利用这些数据来帮助我们确定在美国大学生的大样本中水烟吸烟的流行程度和相关关系（具体目标1）。多变量模型将评估水烟吸烟结果与(1)年龄、性别、种族/民族、社会经济地位和其他物质使用等应答因素之间的独立关联；(2)环境变量，如学院/大学设置和地理区域。接下来，我们将使用定性评估来提供描述与水烟吸烟相关因素的理论框架（具体目标2）。这一组成部分将涉及(1)全国水烟网站内容分析；(2)对8种不同水烟吸烟环境下的行为进行直接人种学观察；(3)按年龄和性别分层的6个水烟使用者深度焦点小组。这些分析将为我们的理论模型提供信息，以描述与水烟吸烟有关的因素。最后，我们将对3700名15-30岁的人进行一项具有全国代表性的纵向研究，调查水烟吸烟的轨迹和后果（具体目标3）。本研究的数据将使我们能够(1)检验来自Specific Aim 2的概念模型；(2)确定水烟试验与随后的烟草使用和意向结果之间的纵向关联。总之，水烟吸烟似乎是一个日益严重的公共健康威胁，特别是在美国晚期青少年和年轻人中。这一及时和创新的项目将结合对现有数据集的分析、密集的定性评估和原始的纵向数据收集，提供关键信息，最终有助于制定旨在减少水烟吸烟对公众健康构成威胁的干预措施。