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）：使用水管（又称水烟）吸烟的烟草是一种新兴趋势，也是对美国公共卫生的威胁。水烟烟草烟雾含有大量的毒物（例如CO，Tar，Nicotine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，便利样本研究表明，20-40％的美国大学生报告了过去一年中吸烟的水烟烟草。此外，有30-50％的水烟烟草吸烟者从未使用过香烟，这表明水管向数百万个人幼稚的人提供烟草。了解有关美国水管使用者的更多信息，水管吸烟的吸收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至关重要，以防止水烟烟草吸烟成为美国烟草流行病的新菌株。美国大学卫生协会的新国家大学健康评估（NCHA）每年调查超过90,000人，这将是首次包括评估水烟烟草吸烟的基本项目的大规模调查。该项目利用这些数据来帮助我们确定大量美国大学生样本中吸烟烟草吸烟的普遍性和相关性（特定目标1）。多变量模型将评估水管吸烟结果与（1）受访者之间的独立关联，例如年龄，性别，种族/种族，社会经济地位和其他药物使用； （2）环境变量，例如大学/大学环境和地理区域。接下来，我们将使用定性评估来告知一个理论框架，描述了与吸收烟斗吸烟有关的因素（特定的目标2）。该组件将涉及（1）水池烟草网站的国家内容分析； （2）在抽烟的8种不同环境中对行为的直接人种学观察； （3）6个深度焦点小组与水培烟草使用者按年龄和性别分层。这些分析将为我们的理论模型提供了描述与吸收烟草吸烟有关的因素。最后，我们将对3700名15-30岁的人进行全国代表性的纵向研究，研究含水罐吸烟的轨迹和后果（特定目标3）。这项研究的数据将使我们能够（1）从特定目标2中测试概念模型； （2）确定水管烟草实验与随后的烟草使用和意图结果之间的纵向关联。总而言之，吸水烟草吸烟似乎是日益增长的公共卫生威胁，尤其是在美国已故青少年和年轻人中。这个及时，创新的项目将结合对现有数据集，密集定性评估的分析以及原始的纵向数据收集，以提供至关重要的信息，最终将有助于开发旨在减少供水烟斗烟草吸烟带来的公共健康威胁的干预措施。