Smoking motivators are different among cigarette and waterpipe smokers: The results of ITUPP

Hamidreza Roohafza; Kamal Heidari; Tahereh Alinia; Razieh Omidi; Masoumeh Sadeghi; Elham Andalib; Ali Ajami; Nizal Sarrafzadegan

doi:10.1016/j.jegh.2014.12.003

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Volume 5, Issue 3, September 2015, Pages 249 - 258

Smoking motivators are different among cigarette and waterpipe smokers: The results of ITUPP

Authors

Hamidreza Roohafza^a^,roohafza@crc.mui.ac.ir, Kamal Heidari^b^,Heidari.kamal@yahoo.com, Tahereh Alinia^c^{, *}^,alinia_t@yahoo.com, Razieh Omidi^b^,omidi@phc.mui.ac.ir, Masoumeh Sadeghi^d^,M_sadeghi@crc.mui.ac.ir, Elham Andalib^e^,Elhamandalib27@yahoo.com, Ali Ajami^b^,Aliajami99@gmail.com, Nizal Sarrafzadegan^e^,nsarrafzadegan@gmail.com

^aTobacco Control Unit, Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

^bIsfahan Province Health Center, Isfahan University of Medical Sciences, Isfahan, Iran

^cEpidemiology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran

^dCardiac Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

^eCardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

^*Corresponding author. Tel.: +98 9148601504, +98 311 3359797; fax: +98 311 3373435.

Corresponding Author

Tahereh Aliniaalinia_t@yahoo.com

Received 12 May 2014, Revised 4 December 2014, Accepted 16 December 2014, Available Online 30 January 2015.

DOI: 10.1016/j.jegh.2014.12.003 How to use a DOI?
Keywords: Adolescence; Cigarette; Motive; Initiation; Smoking; Waterpipe
Abstract: The present study explores different drivers of cigarette and water pipe smoking among middle and high school students in Isfahan province. A questionnaire-based cross-sectional study was conducted. Trained staff collected questionnaires and saliva samples for response accuracy evaluation. Prevalence by demographic, parental and educational factors was calculated. Logistic regression was applied to compare behavior drivers of those who purely smoked cigarettes or a waterpipe. Waterpipe smokers were considered as the reference category. This study reported ORs along 95% confidence intervals; 5408 questionnaires were returned. The sample age was 15.37 ± 01.70 on average. The self-reported prevalence of cigarette and waterpipe experimentation was 11.60% (n = 624) and 20.70% (n = 1,109), respectively; and 5.08% (n = 311), 11.06% (n = 619) for smokers, and 13.30% (n = 711) for the whole sample. Psychological factors were the most important driver for cigarette smoking; bad event happening with odds of 2.38 (95% CI: 1.29–4.39); angriness 2.58 times (95% CI: 1.51–4.43); and distress by 2.49 times (95% CI: 1.42–4.40). Habitual situations were strong predictors of cigarette smoking, but not a predictor of waterpipe smoking, such as smoking after a meal (OR = 3.11, 95% CI: 1.67–5.77); and smoking after waking up (OR = 2.56, 95% CI: 1.42–4.40). Comprehensive and multifaceted preventive programs must tailor identified factors and increase family’s awareness.
Open Access: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Journal: Journal of Epidemiology and Global Health
Volume-Issue: 5 - 3
Pages: 249 - 258
Publication Date: 2015/01/30
ISSN (Online): 2210-6014
ISSN (Print): 2210-6006
DOI: 10.1016/j.jegh.2014.12.003 How to use a DOI?
Open Access: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

ris enw bib

TY  - JOUR
AU  - Hamidreza Roohafza
AU  - Kamal Heidari
AU  - Tahereh Alinia
AU  - Razieh Omidi
AU  - Masoumeh Sadeghi
AU  - Elham Andalib
AU  - Ali Ajami
AU  - Nizal Sarrafzadegan
PY  - 2015
DA  - 2015/01/30
TI  - Smoking motivators are different among cigarette and waterpipe smokers: The results of ITUPP
JO  - Journal of Epidemiology and Global Health
SP  - 249
EP  - 258
VL  - 5
IS  - 3
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2014.12.003
DO  - 10.1016/j.jegh.2014.12.003
ID  - Roohafza2015
ER  -

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