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Hookah Use Among Florida High School Students, 2011–2014

Published:December 05, 2016DOI:https://doi.org/10.1016/j.amepre.2016.10.027

      Introduction

      Adolescent use of hookah continues to increase in the U.S., even in states that have reported decreases in traditional cigarette use among youth. Hookah use typically involves smoking a moistened, loose, sweetened tobacco product with charcoal as the heat source.

      Methods

      Data from the 2011–2014 Florida Youth Tobacco Survey were analyzed in 2016 to determine trends in the prevalence of lifetime hookah use (at least once in the adolescent’s lifetime) and current hookah use (used in the past 30 days) among high school students (grades 9–12).

      Results

      In 2014, a total of 22.5% of Florida public high school students reported ever smoking a hookah, up from 18.2% in 2011. Current hookah use was reported by 11.6% of high school students, an increase from 8.0% in 2011. Female high school students had an increase in use whereas male students’ prevalence was relatively stable. Hispanic and non-Hispanic black students reported significant increases over time.

      Conclusions

      The increase in hookah use among adolescents needs continuous monitoring given the recent increase after relatively stable patterns. Efforts are needed to reduce the appeal and use of hookah by young people.
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      References

        • Arrazola R.A.
        • Singh T.
        • Corey C.G.
        • et al.
        Tobacco use among middle and high school students – United States, 2011–2014.
        MMWR Morb Mortal Wkly Rep. 2015; 64: 381-385
        • Barnett T.E.
        • Forrest J.
        • Porter L.
        • Curbow B.A.
        A multiyear assessment of hookah use prevalence among Florida high school students.
        Nicotine Tob Res. 2014; 16: 373-377https://doi.org/10.1093/ntr/ntt188
        • Shihadeh A.L.
        • Eissenberg T.E.
        Significance of smoking machine toxicant yields to blood-level exposure in water pipe tobacco smokers.
        Cancer Epidemiol. 2011; 20: 2457-2460https://doi.org/10.1158/1055-9965.EPI-11-0586
      1. Florida Youth Tobacco Survey. www.floridahealth.gov/statistics-and-data/survey-data/fl-youth-tobacco-survey/index.html. Accessed July 7, 2016.

        • Schenker N.
        • Gentleman J.F.
        On judging the significance of differences by examining the overlap between confidence intervals.
        Am Stat. 2001; 55: 182-186https://doi.org/10.1198/000313001317097960
        • Bover Manderski M.T.
        • Hrywna M.
        • Delnevo C.D.
        Hookah use among New Jersey youth: associations and changes over time.
        Am J Health Behav. 2012; 36: 693-699https://doi.org/10.5993/AJHB.36.5.11
        • Barnett T.E.
        • Soule E.K.
        • Forrest J.R.
        • Porter L.
        • Tomar S.L.
        Adolescent electronic cigarette use: associations with conventional cigarette and hookah smoking.
        Am J Prev Med. 2015; 49: 199-206https://doi.org/10.1016/j.amepre.2015.02.013
        • Soneji S.
        • Sargent J.D.
        • Tanski S.E.
        • Primack B.A.
        Associations between initial water pipe tobacco smoking and snus use and subsequent cigarette smoking: results from a longitudinal study of U.S. adolescents and young adults.
        JAMA Pediatr. 2015; 169: 129-136https://doi.org/10.1001/jamapediatrics.2014.2697
        • Ambrose B.K.
        • Day H.R.
        • Rostron B.
        • et al.
        Flavored tobacco product use among US youth aged 12-17 years, 2013-2014.
        JAMA. 2015; 314: 1871-1873https://doi.org/10.1001/jama.2015.13802
        • Corey C.G.
        • Ambrose B.K.
        • Apelberg B.J.
        • King B.A.
        Flavored tobacco product use among middle and high school students--United States, 2014.
        MMWR Morb Mortal Wkly Rep. 2015; 64: 1066-1070https://doi.org/10.15585/mmwr.mm6438a2
        • Castaneda G.
        • Barnett T.E.
        • Soule E.K.
        • Young M.E.
        Hookah smoking behavior initiation in the context of Millennials.
        Public Health. 2016; 137: 124-130https://doi.org/10.1016/j.puhe.2016.02.013
        • Amrock S.M.
        • Gordon T.
        • Zelikoff J.T.
        • Weitzman M.
        Hookah use among adolescents in the United States: results of a national survey.
        Nicotine Tob Res. 2014; 16: 231-237https://doi.org/10.1093/ntr/ntt160
        • Johnston L.D.
        • O’Malley P.M.
        • Bachman J.G.
        • Schulenberg J.E.
        Monitoring the future: national results on adolescent drug use. Overview of key findings, 2011.
        Institute for Social Research, The University of Michigan, Ann Arbor, MI2012