Hookah use patterns, social influence and associated other substance use among a sample of New York City public universi
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(2020) 15:65
RESEARCH
Open Access
Hookah use patterns, social influence and associated other substance use among a sample of New York City public university students Omar El Shahawy1,2,3* , Su Hyun Park1,4, Erin S. Rogers1,5, Jenni A. Shearston1,2,3,6, Azure B. Thompson7, Spring C. Cooper8, Nicholas Freudenberg8, Samuel A. Ball9, David Abrams3, Donna Shelley1,3 and Scott E. Sherman1,2,3,5
Abstract Background: Most hookah use studies have not included racial and ethnic minorities which limits our understanding of its use among these growing populations. This study aimed to investigate the individual characteristics of hookah use patterns and associated risk behaviors among an ethnically diverse sample of college students. Methods: A cross-sectional survey of 2460 students (aged 18–25) was conducted in 2015, and data was analyzed in 2017. Descriptive statistics were used to present the sociodemographic characteristics, hookah use-related behavior, and binge drinking and marijuana use according to the current hookah use group, including never, exclusive, dual/ poly hookah use. Multivariate logistic regression was conducted to examine how hookah related behavior and other risk behaviors varied by sociodemographics and hookah use patterns. Results: Among current hookah users (n = 312), 70% were exclusive hookah users and 30% were dual/poly hookah users. There were no statistically significant differences in sociodemographic characteristics except for race/ethnicity (p < 0.05). Almost half (44%) of the exclusive hookah users reported having at least five friends who also used hookah, compared to 30% in the dual/poly use group. Exclusive users were less likely to report past year binge drinking (17%) and past year marijuana use (25%) compared to those in the dual/poly use group (44 and 48% respectively); p < 0.001. Conclusions: The socialization aspects of hookah smoking seem to be associated with its use patterns. Our study calls for multicomponent interventions designed to target poly tobacco use as well as other substance use that appears to be relatively common among hookah users. Keywords: Hookah, Substance use, Young adults
* Correspondence: [email protected] 1 Department of Population Health, New York University School of Medicine, New York, NY, USA 2 NYU/Abu Dhabi Public Health Research Center, Abu Dhabi, United Arab Emirates Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons
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