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. 2015 Feb:71:88-93.
doi: 10.1016/j.ypmed.2014.12.012. Epub 2014 Dec 20.

Water pipe tobacco smoking in the United States: findings from the National Adult Tobacco Survey

Ramzi G Salloum  1 , James F Thrasher  2 , Frederick R Kates  3 , Wasim Maziak  4
Affiliations

Water pipe tobacco smoking in the United States: findings from the National Adult Tobacco Survey

Ramzi G Salloum et al. Prev Med. 2015 Feb.

Abstract

Objective: To report prevalence and correlates of water pipe tobacco smoking (WTS) use among U.S. adults.

Methods: Data were from the 2009-2010 National Adult Tobacco Survey, a nationally representative sample of U.S. adults. Estimates of WTS ever and current use were reported overall, and by sex, age, race/ethnicity, educational attainment, annual household income, sexual orientation, and cigarette smoking status. State-level prevalence rates of WTS ever were reported using choropleth thematic maps for the overall population and by sex.

Results: The national prevalence of WTS ever was 9.8% and 1.5% for current use. WTS ever was more prevalent among those who are male (13.4%), 18-24 years old (28.4%) compared to older adults, non-Hispanic White (9.8%) compared to non-Hispanic Black, with some college education (12.4%) compared to no high school diploma, and reporting sexual minority status (21.1%) compared to heterosexuals. States with highest prevalence included DC (17.3%), NV (15.8%), and CA (15.5%).

Conclusion: WTS is now common among young adults in the US and high in regions where cigarette smoking prevalence is the lowest and smoke-free policies have a longer history. To reduce its use, WTS should be included in smoke-free regulations and state and federal regulators should consider policy development in other areas, including taxes, labeling, and distribution.

Keywords: Hookah; Shisha; Smoking; Tobacco; Water pipe.

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Conflict of interest statement

Conflict of interest statement

The authors declare that there are no conflicts of interest.

Figures

Figure 1
Figure 1
Percent of US adults who have ever smoked tobacco from a waterpipe, by state, in the United States: National Adult Tobacco Survey, 2009–2010 (A) Overall (B) Among males only (C) Among females only
Figure 1
Figure 1
Percent of US adults who have ever smoked tobacco from a waterpipe, by state, in the United States: National Adult Tobacco Survey, 2009–2010 (A) Overall (B) Among males only (C) Among females only
Figure 1
Figure 1
Percent of US adults who have ever smoked tobacco from a waterpipe, by state, in the United States: National Adult Tobacco Survey, 2009–2010 (A) Overall (B) Among males only (C) Among females only
See this image and copyright information in PMC

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