Waterpipe smoking among secondary school students in Hong Kong

Nan Jiang, Sai Yin Ho (), Man Ping Wang, Lok Tung Leung and Tai Hing Lam
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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

International Journal of Public Health, 2016, vol. 61, issue 4, No 5, 427-434

Abstract: 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.

Keywords: Waterpipe smoking; Tobacco; Adolescent; Hong Kong (search for similar items in EconPapers)
Date: 2016
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Citations: View citations in EconPapers (4)

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DOI: 10.1007/s00038-016-0796-x

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