Online Program

Hookah waterpipe: More prevalent than the cigarette among community college students

Tuesday, November 5, 2013 : 10:50 a.m. - 11:10 a.m.

Maria De Borba-Silva, DrPH, MPH, CPH, MCHES, Department of Public Health, William Paterson University, Elmsford, NY
Pramil Singh, DrPH, MPH, School of Public Health, Loma Linda University, Loma Linda, CA
Hildemar Dos Santos, MD, DrPH, CHES, ACSM, Department of Health Promotion and Education, Loma Linda University School of Public Health, Loma Linda, CA
Jayakaran S. Job, MD, DrPH, School of Public Health, Loma Linda University, Loma Linda, CA
T.L. Brink, PhD, MBA, Department of Psychology, Crafton Hills College, Yucaipa, CA
Susanne Montgomery, PhD, MPH, MS, Behavioral Health Institute, Loma Linda University, Loma Linda, CA
Results from the first ever community college study on waterpipe use (n=1,207) in fall 2011 at two demographically diverse schools in Southern California found use in the higher range of the collegiate literature (seventeen peer-reviewed studies; all from four-year schools, 2004-2011) - 55.5% reported ever using the waterpipe, and more than one in three (34.1%) used it in the previous year. More students have experimented with the waterpipe than ever smoked a cigarette, 48.8%. Current use, 10.8%, is associated with current alcohol (AOR=2.8, p<.001), current cigar (AOR=2.5, p<.01) and current cigarette use (AOR=1.8, p<.05) as well as female binge drinking (AOR=1.8, p=<.05). Compared to African-Americans, Whites are 2.9 times (p<.05) more likely to be current users. Current marijuana, illegal drug, and smokeless tobacco use are not associated with any measure of waterpipe use and there are also no gender or economic (financial aid, first generation, and hours worked per week status) differences. Self-identified athletes have and currently use the waterpipe just as equally as non-athletes. Students believing the waterpipe very socially acceptable are 21 times (p<.001) more likely to be current users than those who believe it not at all acceptable. The community college is a high risk environment for waterpipe use, adding a new dimension to this growing trend. Waterpipe health education and cessation programs are needed at the college and pre-college levels, as well as more stringent tobacco control measures. Regulations and ordinances must specifically reference the waterpipe and target locales where it is used, served, and sold.

Learning Areas:

Assessment of individual and community needs for health education
Diversity and culture
Public health or related research

Learning Objectives:
Discuss prevalence and correlates of hookah waterpipe use among a diverse two-year community college student population in Southern California.

Keyword(s): Tobacco, School Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conducted this primary research for my health education dissertation at Loma Linda University and I was an adjunct health instructor at one of the community colleges surveyed.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.