ArticleBMC research notes2015
Determinants of waterpipe use amongst adolescents in Northern Sweden: a survey of use pattern, risk perception, and environmental factors.
Article in BMC research notes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Review
- Prevalence and characteristics of smoking cigarette and narghile among Syrian refugee parents in Ontario, Canada.PLOS global public health · 2024Article
- Sociocultural factors contributing to waterpipe tobacco smoking among adolescents and young adult women: a qualitative study in Iran.International journal of qualitative studies on health and well-being · 2021Article
- E-cigarette use perceptions that differentiate e-cigarette susceptibility and use among high school students.The American journal of drug and alcohol abuse · 2021Article
- Association of characters and temperaments with cigarette and waterpipe dependence among a sample of Lebanese adults.Environmental science and pollution research international · 2021Article
- 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
- Determinants of Waterpipe Smoking Among Women: A Systematic Review.International journal of preventive medicine · 2021Review
- [The use of water pipe and its impact on university students' lifestyle and their psychological distress: a cross-sectional study.]Revista espanola de salud publica · 2020Observational
- Water Pipe as Growing Public Health Challenge Among School Children in the Federation of Bosnia and Herzegovina.Materia socio-medica · 2020Article
- Determinants of shisha use among secondary school students in Sudan.BMC public health · 2019Article
- Toxicological impact of waterpipe smoking and flavorings in the oral cavity and respiratory system.Inhalation toxicology · 2017Review
- Health Effects of Waterpipe Tobacco Use: Getting the Public Health Message Just Right.Tobacco use insights · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDeterminants of waterpipe use in adolescents are believed to differ from those for other tobacco products, but there is a lack of studies of possible social, cultural, or psychological aspects of waterpipe use in this population. This study applied a socioecological model to explore waterpipe use, and its relationship to other tobacco use in Swedish adolescents.
methodsA total of 106 adolescents who attended an urban high-school in northern Sweden responded to an anonymous questionnaire. Prevalence rates for waterpipe use were examined in relation to socio-demographics, peer pressure, sensation seeking behavior, harm perception, environmental factors, and depression.
resultsThirty-three percent reported ever having smoked waterpipe (ever use), with 30% having done so during the last 30 days (current use). Among waterpipe ever users, 60% had ever smoked cigarettes in comparison to 32% of non-waterpipe smokers (95% confidence interval 1.4-7.9). The odds of having ever smoked waterpipe were three times higher among male high school seniors as well as students with lower grades. Waterpipe ever users had three times higher odds of having higher levels of sensation-seeking (95% confidence interval 1.2-9.5) and scored high on the depression scales (95% confidence interval 1.6-6.8) than non-users. The odds of waterpipe ever use were four times higher for those who perceived waterpipe products to have pleasant smell compared to cigarettes (95% confidence interval 1.7-9.8). Waterpipe ever users were twice as likely to have seen waterpipe use on television compared to non-users (95% confidence interval 1.1-5.7). The odds of having friends who smoked regularly was eight times higher for waterpipe ever users than non-users (95% confidence interval 2.1-31.2).
conclusionThe current study reports a high use of waterpipe in a select group of students in northern Sweden. The study adds the importance of looking at socioecological determinants of use, including peer pressure and exposure to media marketing, as well as mental health among users.
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