Poly-Tobacco Use among Young Adult Waterpipe Smokers: Insights from University Students in Three Eastern Mediterranean Countries

被引:5
作者
Darawad, Muhammad W. [1 ]
Rezk-Hanna, Mary [2 ]
Alhussami, Mahmoud [1 ]
Lee, Juhan [3 ]
Mostafa, Aya [4 ]
Abu-Rmeileh, Niveen [5 ]
Kheirallah, Khalid [6 ]
Salama, Mohammed [7 ]
Nakkash, Rima [8 ]
Saleh, Zeyad [1 ]
Salloum, Ramzi [3 ]
机构
[1] Univ Jordan, Sch Nursing, Amman 11942, Jordan
[2] Univ Calif Los Angeles, Sch Nursing, Los Angeles, CA 90024 USA
[3] Univ Florida, Coll Med, Dept Hlth Outcomes & Policy, Gainesville, FL USA
[4] Ain Shams Univ, Fac Med, Dept Community Environm & Occupat Med, Cairo, Egypt
[5] Birzeit Univ, Inst Community & Publ Hlth, Birzeit, Palestine
[6] Jordan Univ Sci & Technol, Dept Publ Hlth, Med Sch, Irbid, Jordan
[7] Mansoura Univ, Clin Nursing Dept, Mansoura, Egypt
[8] Amer Univ Beirut, Fac Hlth Sci, Beirut, Lebanon
关键词
Waterpipe; poly-tobacco use; quitting; university students; East Mediterranean Region; CIGARETTE-SMOKING; UNITED-STATES; PRODUCT USE; POLYTOBACCO USE; YOUTH; ADOLESCENTS; MIDDLE; EPIDEMIOLOGY; ATTITUDES; PATTERNS;
D O I
10.1080/10826084.2020.1790010
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Introduction There is a tendency of waterpipe smokers to advance their practice toward concurrent use (poly-tobacco use) of other tobacco products and nicotine delivery systems. This study investigated poly-tobacco use among waterpipe smokers, and its effect on their quit intention. Methods Descriptive cross-sectional design was utilized to recruit a convenience sample of university students who used waterpipe in three East Mediterranean countries. Using an internet-based survey, data were collected regarding participants' demographics, use of alternative tobacco products and nicotine delivery systems, and waterpipe quitting profile.Results:A total of 2290 students agreed to participate, among which 1116 (45.3%) reported using at least one tobacco product beside waterpipe. Poly-tobacco use was highest (61.1%) in Egypt, followed by Jordan (45.1%) and Palestine (33.1%). Across countries, cigarettes were the most common product (45.2%,n = 924) followed by cigar (18.6%,n = 374) and e-shisha (17.5%,n = 353). Conversely, the least reported product was smokeless tobacco (7.5%,n = 151) preceded by regular pipe (9.5%,n = 193). Participants who were males (OR = 2.83, 95% CI: 2.18-3.65), older (22-29 years) (OR = 1.15, 95% CI: 1.09-1.22), unemployed (OR = 1.58, 95% CI: 1.22-2.04), and those who initiated waterpipe at a younger age (OR = 0.87, 95% CI: 0.87-0.91) had higher odds of being poly-smokers. Poly-tobacco users were significantly more resistant to quit waterpipe.Conclusion:This study demonstrates poly-tobacco use as a rising phenomenon among waterpipe smokers and highlights the necessity for initiating advanced interventions to help waterpipe poly-tobacco users quit this dangerous type of addiction. Various country-specific programs are needed considering the various products used by the users.
引用
收藏
页码:2099 / 2108
页数:10
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