Citation

Galimov A, El Shahawy O, Unger JB, Masagutov R, Sussman S. Addict. Behav. 2018; 90: 258-264.

Affiliation

Department of Preventive Medicine, Keck School of Medicine, Institute for Health Promotion and Disease Prevention, University of Southern California, 2001 N Soto St., 3rd Floor, Los Angeles, CA 90089-9239, USA; Department of Psychology, University of Southern California, 3620 South McClintock Ave, Los Angeles, CA 90089-1061, USA; School of Social Work, University of Southern California, 669 W 34th St, Los Angeles, CA 90089-0411, USA.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.addbeh.2018.11.018

PMID

30471554

Abstract

Hookah use among adolescents is increasing globally. No prior studies in the published literature have examined hookah use among youth in the Russian Federation. We assessed demographic, psychological and behavioral factors associated with lifetime and past 30-day hookah use among Russian youth. This cross-sectional study was conducted in three areas of Bashkortostan, Russia. In 2015, we surveyed Russian high school students (n = 716) on socio-demographic characteristics, tobacco (cigarettes, e-cigarettes, hookah) and drug use (alcohol, marijuana, and other illicit drugs), coping strategies, and getting in trouble (self and/or family). We estimated hookah use prevalence and performed bivariate analyses prior to fitting two multilevel models evaluating lifetime and past 30-day hookah use. Within this sample, 34.92% and 9.36% were lifetime and last 30-day hookah users, respectively. Lifetime hookah use was associated with older age (OR = 1.29), higher anger coping (OR = 1.41), school troubles (OR = 2.30), lifetime cigarette (OR = 1.59), e-cigarette (OR = 4.62), alcohol (OR = 5.61), and marijuana use (OR = 8.05). Additionally, past 30-day hookah use was associated with older age (OR = 1.71), lifetime use of alcohol (OR = 5.39), school troubles (OR = 5.82), and anger coping strategies (OR = 1.40). Hookah use is currently high among Russian youth in Bashkortostan and is associated with other risky behaviors. Effective interventions targeting multiple substances and coping strategies are needed. Social media campaigns encouraging cessation and advocating against its use at home may be beneficial in curbing hookah use among youth.

Copyright © 2018 Elsevier Ltd. All rights reserved.

Language: en

Keywords

Hookah; Nicotine; Russia; Tobacco; Waterpipe; Youth