Evidence map›Paper›PMID 22641433›Full record

ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2013

Waterpipe smoking among U.S. university students.

Brian A Primack, Ariel Shensa, Kevin H Kim, Mary V Carroll, Mary T Hoban, E Victor Leino, Thomas Eissenberg, Kathleen H Dachille, Michael J Fine

Abstract read
In one paragraph

Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Pooled it
  5. Characterizing Young Adults' Susceptibility to Waterpipe Tobacco Use and Their Reactions to Messages About Product Harms and Addictiveness.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017
    Trial
  6. Hookah Tobacco Smoking During the Transition to College: Prevalence of Other Substance Use and Predictors of Initiation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016
    Trial
  7. CO exposure and puff topography are associated with Lebanese waterpipe dependence scale score.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2013
    Trial
  8. Comparison of nicotine and carcinogen exposure with water pipe and cigarette smoking.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2013
    Trial
  9. Waterpipe and Co-Use of Inhaled Nicotine and Tobacco Products: Findings from a Population-Based Cross-Sectional Household Survey in Germany.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
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26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Brian A PrimackDepartment of Medicine, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA. bprimack@pitt.edu
Ariel Shensa
Kevin H Kim
Mary V Carroll
Mary T Hoban
E Victor Leino
Thomas Eissenberg
Kathleen H Dachille
Michael J Fine

Funding

Waterpipe tobacco smoke: toxicant exposure and effectsR01CA120142 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI EISSENBERG, THOMAS EVAN · 2008 to 2012
$2.8M
Waterpipe Tobacco Smoking among U.S. Adolescents and Young AdultsR01CA140150 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PRIMACK, BRIAN A. · 2010 to 2015
$2.4M
Media Literacy to Prevent Adolescent Smoking InitiationK07CA114315 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PRIMACK, BRIAN A. · 2006 to 2010
$766k
NCI NIH HHS K07 CA114315NCI NIH HHS K07-CA114315NCI NIH HHS R01 CA120142NCI NIH HHS R01-CA120142NCI NIH HHS R01 CA140150NCI NIH HHS R01-CA140150
6 · The paper itself

Abstract

introductionWhile cigarette use is declining, smoking tobacco with a waterpipe is an emerging trend. We aimed to determine the prevalence of waterpipe use in a large diverse sample of U.S. university students and to assess the association of waterpipe use with individual and institution-related characteristics.

methodsWe assessed students from 152 U.S. universities participating in the National College Health Assessment during 2008-2009. We used multivariable regression models to determine independent associations between individual and institutional characteristics and waterpipe tobacco use in the past 30 days and ever.

resultsOf 105,012 respondents included in the analysis, most were female (65.7%), White (71.2%), and attending public (59.7%) nonreligious (83.1%) institutions. Mean age was 22.1 years. A total of 32,013 (30.5%) reported ever using a waterpipe to smoke tobacco. Rates for current tobacco use were 8.4% for waterpipes, 16.8% for cigarettes, 7.4% for cigars (including cigarillos), and 3.5% for smokeless tobacco. Of current waterpipe users, 51.4% were not current cigarette smokers. Although current waterpipe use was reported across all individual and institutional characteristics, fully adjusted multivariable models showed that it was most strongly associated with younger age, male gender, White race, fraternity/sorority membership, and nonreligious institutions in large cities in the western United States.

conclusionsAfter cigarettes, waterpipe use was the most common form of tobacco use among university students. Because waterpipe use affects groups with a wide variety of individual and institutional characteristics, it should be included with other forms of tobacco in efforts related to tobacco surveillance and intervention.

Indexed as

CitiesFemaleHumansMaleMultivariate AnalysisSmokingStudentsTobacco, SmokelessUnited StatesUniversitiesWhite PeopleYoung Adult

Identifiers

PMID22641433
PMCPMC3524056

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.