Abstract：
INTRODUCTION:Waterpipe use is common among U.S. young adults (aged 18-24 years), with estimates considerably higher than other age groups. Although studies have examined attitudes and beliefs associated with waterpipe use, no study has examined reasons for use in a nationally representative sample. METHODS:Using latent class analyses, this study examined subgroups based on self-reported reasons for use of past 30-day young adult (aged 18-24 years) waterpipe users (n=1,198) from Wave 1 (2013-2014) of the Population Assessment of Tobacco and Health Study. Data analyses were conducted in 2017. Covariates included sociodemographic characteristics, substance use, and internalizing and externalizing problems. RESULTS:A three-class model was identified: Class 1 (socializing and flavors, 57%), Class 2 (many reasons [flavors, socializing, less harmful than cigarettes, and affordability], 20%), and Class 3 (socializing, 23%). Class 3 was considered the referent group. Compared with non-Hispanic whites, non-Hispanic blacks were less likely to belong to Class 1, whereas Hispanics were more likely to belong to Class 2. Compared with less than high school education, greater than high school education was associated with membership in Class 1; however, high school graduation was associated with membership in Class 2. Past-year alcohol users compared with non-users were less likely to belong to Class 2. Past 30-day poly-tobacco users compared with non-users were more likely to belong to Class 2. CONCLUSIONS:This study revealed distinct classes of waterpipe users based on self-reported reasons for use. Findings inform targeted policies for waterpipe tobacco control as part of public health efforts to mitigate harms associated with tobacco use.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Silveira ML,Hilmi NN,Conway KPdoi
10.1016/j.amepre.2018.06.004subject
Has Abstractpub_date
2018-11-01 00:00:00pages
650-655issue
5eissn
0749-3797issn
1873-2607pii
S0749-3797(18)31949-4journal_volume
55pub_type
杂志文章abstract：INTRODUCTION:Serving as the center of community-engaged health programs, local health departments can play a critical role in promoting community mental health. The objectives of this study were to explore the association between local health department activities and (1) preventable hospitalizations for individuals wi...
journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
pub_type： 杂志文章,随机对照试验
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journal_title：American journal of preventive medicine
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doi：
更新日期：1996-07-01 00:00:00
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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doi：
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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更新日期：2005-12-01 00:00:00
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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更新日期：2020-09-01 00:00:00
