The Open Pediatric Medicine Journal


ISSN: 1874-3099 ― Volume 10, 2020

Water-Pipe Tobacco Smoking: An Emerging Health Risk Behavior in Adolescents in the United States

The Open Pediatric Medicine Journal, 2009, 3: 33-37

Walid Abuhammour, Nida Yousef, Joyvina Evans, Rudayna Zureikat, Mutaz Abuhammour, Rashed A. Hasan

University of Toledo Medical School, St. Vincent Mercy Children’s Hospital, 2213 Cherry St., Toledo, OH 43608, USA.

Electronic publication date 30/4/2009
[DOI: 10.2174/1874309900903010033]


Objective: To assess the attitude and practices of adolescents regarding water-pipe smoking (WPS) in a predefined ‘perceived’ high risk group of youth 12-18 years of age in the Detroit metropolitan area.

Methods: This was a cross-sectional survey (conducted March1st through June 30th, 2008) in which participants completed a self-reported questionnaire, which included demographics, WPS, other types of smoking, and their perception about the hazards of WPS.

Results: A total of 272 [85% response rate (272/320] surveys were completed. One hundred and sixty seven (61%) were WPS “users”. Fifty-six (22%) used WPS at home, 34 (13%) at coffee shops, 74 (29%) at both locations, and 3 (1%) at other locations. Relative to non-users, WPS users were more likely to be cigarette smokers (OR = 1.7, unadjusted OR = 2.5, p < 0.05), to have someone else in the household who uses WPS (OR = 2.2), to believe that WPS is safe (OR = 1.4, unadjusted OR = 2.0) and that WPS is less harmful than cigarettes (OR = 1.2 unadjusted OR = 1.6, p<0.05). In addition WPS use was associated with less likelihood of believing that one may acquire an infection (OR = 0.9) and that the toxicity of the inhalants was equivalent to cigarette smoking (OR = 0.8).

Conclusions: WPS represents a growing public health issue for adolescents in the US. Aggressive education of adolescents is essential in combating the misperception associated this form of smoking.

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