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Waterpipe smoking among secondary school students in Hong Kong

Author

Listed:
  • Nan Jiang

    (School of Public Health, The University of Hong Kong)

  • Sai Yin Ho

    (School of Public Health, The University of Hong Kong)

  • Man Ping Wang

    (School of Nursing, The University of Hong Kong)

  • Lok Tung Leung

    (School of Public Health, The University of Hong Kong)

  • Tai Hing Lam

    (School of Public Health, The University of Hong Kong)

Abstract

Objectives To examine the prevalence of waterpipe smoking and its associated factors among adolescents in Hong Kong. Methods We analyzed data of the School-based Survey on Smoking among Students 2012/2013 from a representative sample of 45,857 secondary school students in Hong Kong (mean age 14.8, SD 1.9). We conducted Chi-square tests and t test to compare current (past 30 days) waterpipe users and nonusers by sociodemographic variables and other covariates. Univariate and multivariable logistic regression models were used to examine the factors associated with current waterpipe smoking. Results Overall, 1.2 % of students reported current waterpipe smoking, of whom 43 % reported concurrent use of cigarettes. Waterpipe was the most popular alternative tobacco product (non-cigarette) used by students. Current waterpipe smoking was associated with older age, male sex, higher self-perceived family financial status, poor knowledge about the harm of cigarette smoking, positive attitudes toward smoking, current cigarette smoking, other tobacco use, and alcohol consumption. Conclusions Waterpipe smoking was the most popular alternative tobacco product among Hong Kong adolescents. Despite the low prevalence, it should be routinely monitored. Education programs and cessation interventions need to address waterpipe smoking in addition to cigarette smoking.

Suggested Citation

  • Nan Jiang & Sai Yin Ho & Man Ping Wang & Lok Tung Leung & Tai Hing Lam, 2016. "Waterpipe smoking among secondary school students in Hong Kong," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(4), pages 427-434, May.
    • Handle: RePEc:spr:ijphth:v:61:y:2016:i:4:d:10.1007_s00038-016-0796-x
    DOI: 10.1007/s00038-016-0796-x
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    References listed on IDEAS

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    1. Chen, K.-T. & Chen, C.-J. & Fagot-Campagna, A. & Narayan, K.M.V., 2001. "Tobacco, betel quid, alcohol, and illicit drug use among 13- to 35-year-olds in I-Lan, rural Taiwan: Prevalence and risk factors," American Journal of Public Health, American Public Health Association, vol. 91(7), pages 1130-1134.
    2. Hamidreza Roohafza & Masoumeh Sadeghi & Maryam Shahnam & Ahmad Bahonar & Nizal Sarafzadegan, 2011. "Perceived factors related to cigarette and waterpipe (ghelyan) initiation and maintenance in university students of Iran," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(2), pages 175-180, April.
    3. Barnett, T.E. & Curbow, B.A. & Weitz, J.R. & Johnson, T.M. & Smith-Simone, S.Y., 2009. "Water pipe tobacco smoking among middle and high school students," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 2014-2019.
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    Cited by:

    1. Mo, Phoenix Kit-han & Lau, Joseph Tak Fai, 2020. "Psychoactive substance use among Chinese non-engaged youth: The application of the Health Belief Model," Children and Youth Services Review, Elsevier, vol. 113(C).
    2. Chun Chen & Chunyan Yang & Qian Nie, 2021. "Social-Emotional Learning Competencies and Problematic Internet Use among Chinese Adolescents: A Structural Equation Modeling Analysis," IJERPH, MDPI, vol. 18(6), pages 1-17, March.
    3. Li, Jinfeng & Li, Dongping & Jia, Jichao & Li, Xian & Wang, Yanhui & Li, Yang, 2018. "Family functioning and internet addiction among adolescent males and females: A moderated mediation analysis," Children and Youth Services Review, Elsevier, vol. 91(C), pages 289-297.
    4. Amen Alrobai & Abdullah Algashami & Huseyin Dogan & Tessa Corner & Keith Phalp & Raian Ali, 2019. "COPE.er Method: Combating Digital Addiction via Online Peer Support Groups," IJERPH, MDPI, vol. 16(7), pages 1-39, March.

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