Hookah use as a predictor of other tobacco product use: A longitudinal analysis of Texas college students

Kathleen R. Case, Me Lisa R. Creamer, Maria R. Cooper, Alexandra Loukas, Cheryl L. Perry

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Introduction: Hookah use is particularly prevalent among U.S. college students; however, few studies have investigated whether hookah use is a risk factor for the initiation of other tobacco products. This study examined whether hookah use predicted subsequent initiation of other combustible tobacco products (conventional cigarettes and cigar products) and Electronic Nicotine Delivery Systems (ENDS) among Texas college students during a 2.5-year study period. Methods: This study involved a longitudinal analysis of data from Waves 1–6, with 6 months between each wave, of the Marketing and Promotions Across Colleges in Texas Project (Project M-PACT). Two separate multilevel discrete-time survival analyses were used to model the associations between past 30-day hookah use and subsequent initiation of 1) other combustible tobacco products, and 2) ENDS during the 2.5 year study period, after controlling for demographic, other tobacco use, and risk-taking personality characteristics (i.e. sensation seeking and impulsivity). Results: After controlling for covariates, past 30-day hookah use was associated with significantly higher odds of subsequent initiation of other combustible tobacco products. Past 30-day hookah use also predicted subsequent initiation of ENDS after controlling for covariates. Conclusions: This study is one of the first to demonstrate that hookah use is a predictor of subsequent initiation of other combustible tobacco products and ENDS among college students. These findings suggest that hookah may prime individuals to use other tobacco products, which has important implications for prevention programs and future research.

Original languageEnglish (US)
Pages (from-to)131-137
Number of pages7
JournalAddictive Behaviors
Volume87
DOIs
StatePublished - Dec 2018
Externally publishedYes

Keywords

  • College students
  • Electronic cigarettes
  • Hookah
  • Tobacco products

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Toxicology
  • Psychiatry and Mental health

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