Waterpipe smoking among American military recruits

Kenneth D. Ward, Mark W. Vander Weg, George Relyea, Margaret DeBon, Robert Klesges

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Background.: Waterpipe smoking, a traditional Middle Eastern tobacco use method, has increased dramatically among Arab adolescents and young adults. Anecdotal evidence also suggests that usage is on the rise among young people in the U.S., but epidemiological data are lacking. Methods.: From self-report health surveys collected during 1999-2002, we examined the prevalence and predictors of waterpipe use among U.S. Air Force recruits (n = 20,673; mean age = 20.0 years; range = 17-35). Results.: Waterpipe use was reported by 0.3% (n = 59) of recruits and was unrelated to age, gender, ethnicity, or family income. Compared to non-users, waterpipe users were more likely to plan to smoke cigarettes in the coming year (P value < 0.05) and to believe that switching from cigarettes to other tobacco products reduces smoking-related health risks (P values < 0.002). Multivariate (logistic regression) analyses revealed several factors that distinguished waterpipe users from non-users, including higher education level (odds ratio [OR] = 1.94), having experimented with cigarettes before Basic Military Training (BMT; OR = 1.99), and using cigarettes (OR = 2.17) and other tobacco products (OR = 13.81) at the time of entry into BMT. Compared to recruits who used cigarettes only, waterpipe smokers were more educated (OR = 1.83), more likely to have engaged in experimental (OR = 3.30) or regular (OR = 3.87) use of tobacco products other than cigarettes prior to BMT, and less likely to have been a current (OR = 0.10) or former (OR = 0.11) smoker at the time of entry into BMT. Conclusion.: Despite concerns that waterpipe smoking is increasing among young people in the U.S., use was low among military recruits.

Original languageEnglish (US)
Pages (from-to)92-97
Number of pages6
JournalPreventive Medicine
Volume43
Issue number2
DOIs
StatePublished - Aug 1 2006

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Tobacco Products
Smoking
Odds Ratio
Tobacco Use
Health Surveys
Smoke
Self Report
Young Adult
Logistic Models
Air
Regression Analysis
Education
Health

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Ward, K. D., Vander Weg, M. W., Relyea, G., DeBon, M., & Klesges, R. (2006). Waterpipe smoking among American military recruits. Preventive Medicine, 43(2), 92-97. https://doi.org/10.1016/j.ypmed.2006.03.010

Waterpipe smoking among American military recruits. / Ward, Kenneth D.; Vander Weg, Mark W.; Relyea, George; DeBon, Margaret; Klesges, Robert.

In: Preventive Medicine, Vol. 43, No. 2, 01.08.2006, p. 92-97.

Research output: Contribution to journalArticle

Ward, KD, Vander Weg, MW, Relyea, G, DeBon, M & Klesges, R 2006, 'Waterpipe smoking among American military recruits', Preventive Medicine, vol. 43, no. 2, pp. 92-97. https://doi.org/10.1016/j.ypmed.2006.03.010
Ward KD, Vander Weg MW, Relyea G, DeBon M, Klesges R. Waterpipe smoking among American military recruits. Preventive Medicine. 2006 Aug 1;43(2):92-97. https://doi.org/10.1016/j.ypmed.2006.03.010
Ward, Kenneth D. ; Vander Weg, Mark W. ; Relyea, George ; DeBon, Margaret ; Klesges, Robert. / Waterpipe smoking among American military recruits. In: Preventive Medicine. 2006 ; Vol. 43, No. 2. pp. 92-97.
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