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2015 ; 8
(ä): 441
Nephropedia Template TP
gab.com Text
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English Wikipedia
Determinants of waterpipe use amongst adolescents in Northern Sweden: a survey of
use pattern, risk perception, and environmental factors
#MMPMID26374502
Ramji R
; Arnetz J
; Nilsson M
; Jamil H
; Norström F
; Maziak W
; Wiklund Y
; Arnetz B
BMC Res Notes
2015[Sep]; 8
(ä): 441
PMID26374502
show ga
BACKGROUND: Determinants of waterpipe use in adolescents are believed to differ
from those for other tobacco products, but there is a lack of studies of possible
social, cultural, or psychological aspects of waterpipe use in this population.
This study applied a socioecological model to explore waterpipe use, and its
relationship to other tobacco use in Swedish adolescents. METHODS: A total of 106
adolescents who attended an urban high-school in northern Sweden responded to an
anonymous questionnaire. Prevalence rates for waterpipe use were examined in
relation to socio-demographics, peer pressure, sensation seeking behavior, harm
perception, environmental factors, and depression. RESULTS: Thirty-three percent
reported ever having smoked waterpipe (ever use), with 30% having done so during
the last 30 days (current use). Among waterpipe ever users, 60% had ever smoked
cigarettes in comparison to 32% of non-waterpipe smokers (95% confidence interval
1.4-7.9). The odds of having ever smoked waterpipe were three times higher among
male high school seniors as well as students with lower grades. Waterpipe ever
users had three times higher odds of having higher levels of sensation-seeking
(95% confidence interval 1.2-9.5) and scored high on the depression scales (95%
confidence interval 1.6-6.8) than non-users. The odds of waterpipe ever use were
four times higher for those who perceived waterpipe products to have pleasant
smell compared to cigarettes (95% confidence interval 1.7-9.8). Waterpipe ever
users were twice as likely to have seen waterpipe use on television compared to
non-users (95% confidence interval 1.1-5.7). The odds of having friends who
smoked regularly was eight times higher for waterpipe ever users than non-users
(95% confidence interval 2.1-31.2). CONCLUSION: The current study reports a high
use of waterpipe in a select group of students in northern Sweden. The study adds
the importance of looking at socioecological determinants of use, including peer
pressure and exposure to media marketing, as well as mental health among users.