Understanding tobacco-related attitudes among college and noncollege young adult hookah and cigarette users

J Am Coll Health. 2014;62(1):10-8. doi: 10.1080/07448481.2013.842171.


Objective: To examine differences in tobacco-related attitudes and hookah and cigarette use among college and noncollege young adults.

Participants: Time-location samples of young adult bar patrons in San Diego, California (N = 2,243), Tulsa (N = 2,095) and Oklahoma City (N = 2,200), Oklahoma, Albuquerque (N = 1,044) and Las Cruces (N = 894), New Mexico, between September 2009 and July 2011.

Methods: Multinomial logistic regression examined associations between hookah and cigarette use and tobacco-related attitudes.

Results: Current college students and graduates are less likely to smoke cigarettes, but more likely to use hookah. Among current hookah users, 22.6% were hookah-only users and 77.4% were dual users (cigarettes and hookah). College status is associated with different hookah use patterns, and those with anti-tobacco industry attitudes were more likely to smoke hookah.

Conclusions: Novel interventions are needed for college students using hookah. Existing strategies targeting smokers with anti-tobacco industry messages may be irrelevant to hookah users.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Binge Drinking / epidemiology
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Sex Factors
  • Smoking / epidemiology
  • Smoking / psychology*
  • Socioeconomic Factors
  • Students / psychology*
  • United States / epidemiology
  • Universities*
  • Young Adult