ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2014
Knowledge, attitudes, and normative beliefs as predictors of hookah smoking initiation: a longitudinal study of university students.
Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Knowledge, attitudes, and perceptions towards waterpipe tobacco smoking amongst college or university students: a systematic review.BMC public health · 2019Pooled it
- Visual Attention to Health Warning Labels on Waterpipe Venue Menus in Immersive Virtual Reality.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Trial
- Trial
- 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 · 2016Trial
- Theoretical Perspectives on Hookah Smoking Behavior: A Scoping Review of Studies Among Young Adults in Low- and Middle-Income Countries.Journal of community health · 2025Article
- Review
- Proportions and trends of global adolescent knowledge and attitudes toward tobacco smoking from 1999 to 2019.Frontiers in public health · 2025Article
- Article
- "It's nice to just be": A qualitative study on the meaning-imbued reality of waterpipe smoking among young adults in Sweden.Nordisk alkohol- & narkotikatidskrift : NAT · 2023Article
- The association between objectively measured exposure to tobacco outlets and smoking cognitions: a study among non-smoking adolescents in four Dutch cities.Addiction (Abingdon, England) · 2023Article
- Predictors of e-cigarette initiation and use among middle school youth in a low-income predominantly Hispanic community.Frontiers in public health · 2022Article
- Psychophysiological responses to hookah tobacco public education messages among young adults.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021Article
- Knowledge, Attitudes, Prevalence and Associated Factors of Cigarette Smoking Among University Students: A Cross Sectional Study.Journal of community health · 2021Article
- Development and Pretesting of Hookah Tobacco Public Education Messages for Young Adults.International journal of environmental research and public health · 2020Article
- Construction and validation of the water pipe harm perception scale (WHPS-6) among the Lebanese population.Environmental science and pollution research international · 2020Article
- Waterpipe tobacco use in college and non-college young adults in the USA.Family practice · 2019Article
- Hookah Use among Russian adolescents: Prevalence and correlates.Addictive behaviors · 2019Article
- Prevalence and factors associated with use of hookah tobacco among young adults in the U.S.Addictive behaviors · 2018Article
- Examining College Students' Social Environment, Normative Beliefs, and Attitudes in Subsequent Initiation of Electronic Nicotine Delivery Systems.Health education & behavior : the official publication of the Society for Public Health Education · 2018Article
- Comparison of toxicant load from waterpipe and cigarette tobacco smoking among young adults in the USA.Tobacco control · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
introductionWhile cross-sectional studies have shown that hookah tobacco smoking (HTS) is an increasingly popular behavior among university students, little is known about factors associated with initiation. This study sought to determine associations between knowledge, attitudes, and normative beliefs and initiation of HTS among university students.
methodsData were from a prospective longitudinal cohort study of 569 randomly selected first- and second-year university students. Online questionnaires that were developed in accordance with our composite theoretical model were completed in September 2010 and April 2011.
resultsAbout one-seventh (13%) of participants initiated HTS by follow-up. Positive attitudes and favorable normative beliefs were associated with increased adjusted odds of initiation (AOR = 4.12, 95% CI = 2.56, 6.59; and AOR = 2.01, 95% CI = 1.35, 2.99, respectively), while negative attitudes were associated with decreased adjusted odds (AOR = 0.62, 95% CI = 0.48, 0.80). Correct knowledge regarding toxicants associated with HTS was not significantly associated with initiation.
conclusionsWhile positive attitudes and favorable normative beliefs are associated with initiation of HTS in a cohort of never-users, increased knowledge about toxins is not associated with lower initiation. It may be particularly valuable for educational interventions to attempt to alter positive attitudes and normative beliefs related to HTS.
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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.