ArticleThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease2015
Waterpipe a gateway to cigarette smoking initiation among adolescents in Irbid, Jordan: a longitudinal study.
Article in The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions for waterpipe smoking cessation.The Cochrane database of systematic reviews · 2023Pooled it
- Cluster analysis of conformity and social desirability: Association with use and problematic use of licit substances.Addictive behaviors reports · 2026Article
- Utilisation of waterpipe tobacco imagery in cigarette advertising: a case study of American tobacco company and RJ Reynolds tobacco company.Tobacco control · 2025Article
- Prevalence and associated factors of waterpipe tobacco smoking in Japan.Tobacco induced diseases · 2025Article
- Article
- Psychosocial, emotional and behavioral problems, quality of life, and mental health care seeking behaviors among children and adolescents in Jordan: a national school-based survey.Frontiers in public health · 2024Article
- "Scary and Effective, Definitely Pushes Me to Quit Smoking": Developing Waterpipe Pictorial Health Warnings Targeting Young Adults in Lebanon.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Article
- Personality Traits and Sociodemographic Factors Associated with the Use of E-Cigarettes, Waterpipe and Conventional Cigarettes among Medical University Students.International journal of environmental research and public health · 2022Article
- Use of waterpipes and other substances in adolescents: Prevalence and potential associations with mental and behavioral well-being, a cross-sectional study.Tobacco prevention & cessation · 2021Article
- Risk factors associated with subsequent initiation of cigarettes and e-cigarettes in adolescence: A structural equation modeling approach.Drug and alcohol dependence · 2020Article
- Evidence of compensation among waterpipe smokers using harm reduction components.Tobacco control · 2020Article
- Water Pipe (Hookah) Smoking and Cardiovascular Disease Risk: A Scientific Statement From the American Heart Association.Circulation · 2019Review
- Association of Electronic Cigarette Use With Subsequent Initiation of Tobacco Cigarettes in US Youths.JAMA network open · 2019Article
- One-item susceptibility measure predicts waterpipe and little cigar/cigarillo uptake in a national sample of adolescents and young adults in the United States.Tobacco prevention & cessation · 2019Article
- Hookah use as a predictor of other tobacco product use: A longitudinal analysis of Texas college students.Addictive behaviors · 2018Article
- Bidirectional associations of e-cigarette, conventional cigarette and waterpipe experimentation among adolescents: A cross-lagged model.Addictive behaviors · 2018Article
- E-cigarette and waterpipe use in two adolescent cohorts: cross-sectional and longitudinal associations with conventional cigarette smoking.European journal of epidemiology · 2018Article
- Association of Noncigarette Tobacco Product Use With Future Cigarette Smoking Among Youth in the Population Assessment of Tobacco and Health (PATH) Study, 2013-2015.JAMA pediatrics · 2018Article
- Exclusive and concurrent use of cigarettes and alternative tobacco products among Hong Kong adolescents.Tobacco prevention & cessation · 2018Article
- Trends in smoking and smokeless tobacco use among Danish Adolescents, 1997-2014.Tobacco prevention & cessation · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
settingAccording to anecdotal evidence, waterpipe smoking may lead to the initiation of cigarette smoking among young people. This hypothesis is yet to be examined using an appropriate study design and a theoretical model for behavioral change.
objectiveTo compare the risk of cigarette smoking initiation among waterpipe-only smokers and never smokers in a school-based sample of adolescents from Irbid, Jordan.
methodsA total of 1454 cigarette-naïve participants were drawn from a longitudinal study on smoking behavior conducted in Irbid among 1781 seventh graders who were enrolled at baseline (2008) and completed the study questionnaire on smoking behavior annually until 2011. Grouped time-survival analysis was used to compare the risk of subsequent initiation of cigarette smoking between waterpipe smokers (n = 298) and never smokers (n = 1156) using adjusted hazard ratios (aHRs) and 95% confidence intervals (95%CI).
resultsRisk of initiation of cigarette smoking among waterpipe smokers was significantly higher than among never smokers after adjusting for potential confounders (aHR 1.67, 95%CI 1.46-1.92). The association between waterpipe and cigarette smoking initiation was dose-dependent. The risk of initiating cigarette smoking increased with increase in the frequency of waterpipe smoking (P for linear trend < 0.001).
conclusionsWaterpipe smoking led to the initiation of cigarette smoking among this cohort of Jordanian adolescents; the effect was dose-dependent.
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