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10.1016/j.drugalcdep.2014.06.038

http://scihub22266oqcxt.onion/10.1016/j.drugalcdep.2014.06.038
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C4138134!4138134 !25060962
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suck abstract from ncbi


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pmid25060962
      Drug+Alcohol+Depend 2014 ; 142 (ä): 307-13
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  • Determinants of waterpipe smoking initiation among school children in Irbid, Jordan: a 4-year longitudinal analysis #MMPMID25060962
  • McKelvey K ; Attonito J ; Madhivanan P ; Jaber R ; Yi Q ; Mzayek F ; Maziak W
  • Drug Alcohol Depend 2014[Sep]; 142 (ä): 307-13 PMID25060962 show ga
  • OBJECTIVE: Guided by the Attitude-Social influence-self Efficacy (ASE) theory, this study identified predictors of waterpipe (WP) smoking initiation in a WP naïve cohort of Jordanian school children. METHODS: A school-based cohort of all 7th grade students (N=1781) in 19 of 60 schools in Irbid, Jordan, was followed from 2008 to 2011. Generalized linear mixed modeling was used to examine predictors of WP initiation among WP-naïve students (N=1243). RESULTS: During the 3-year study, WP initiation was documented in 39% of boys and 28% of girls. Prior cigarette smoking (boys: odds ratio 7.41; 95% confidence interval 4.05-12.92 and girls: 8.48; 4.34-16.56) and low WP refusal self-efficacy (boys: 26.67; 13.80-51.53 and girls: 11.49; 6.42-20.55) were strongly predictive of initiating WP. Boys were also more likely to initiate WP smoking if they had siblings (2.30; 1.14-4.64) or teachers (2.07; 1.12-3.84) who smoked and girls if they had friends (2.96; 1.59-5.54) who smoked. CONCLUSION: There is a sizeable incidence of WP initiation among students of both sexes. These findings will help in designing culturally responsive prevention interventions against WP smoking. Gender-specific factors, refusal skills, and cigarette smoking need to be important components of such initiatives.
  • |*Self Efficacy [MESH]
  • |*Students [MESH]
  • |Adolescent [MESH]
  • |Age of Onset [MESH]
  • |Child [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Incidence [MESH]
  • |Jordan/epidemiology [MESH]
  • |Longitudinal Studies [MESH]
  • |Male [MESH]
  • |Schools [MESH]
  • |Smoking/*epidemiology/*psychology [MESH]


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