Randomized Controlled Trial

. 2015 Jul:76:20-5.

doi: 10.1016/j.ypmed.2015.03.010. Epub 2015 Mar 13.

Abstinence rates among college cigarette smokers enrolled in a randomized clinical trial evaluating Quit and Win contests: The impact of concurrent hookah use

J L Thomas¹, J E Bengtson², Q Wang³, X Luo⁴, Erick Marigi⁵, Winta Ghidei⁶, J S Ahluwalia⁷

Affiliations

¹ Department of Medicine, Division of General Internal Medicine, University of Minnesota, 717 Delaware St. SE Minneapolis, MN 55414, USA. Electronic address: jthomas@umn.edu.
² Department of Medicine, Division of General Internal Medicine, University of Minnesota, 717 Delaware St. SE Minneapolis, MN 55414, USA. Electronic address: jeronco@umn.edu.
³ Clinical and Translational Science Institute, University of Minnesota, 717 Delaware St. SE Minneapolis, MN 55414, USA. Electronic address: wangx890@umn.edu.
⁴ School of Public Health, Division of Biostatistics, University of Minnesota, 420 Delaware St SE Minneapolis, MN 55455, USA; Masonic Cancer Center, University of Minnesota, 420 Delaware St SE Minneapolis, MN 55455, USA. Electronic address: luox0054@umn.edu.
⁵ Department of Medicine, Division of General Internal Medicine, University of Minnesota, 717 Delaware St. SE Minneapolis, MN 55414, USA. Electronic address: Marig002@umn.edu.
⁶ Department of Medicine, Division of General Internal Medicine, University of Minnesota, 717 Delaware St. SE Minneapolis, MN 55414, USA. Electronic address: Ghide002@umn.edu.
⁷ Department of Medicine, Division of General Internal Medicine, University of Minnesota, 717 Delaware St. SE Minneapolis, MN 55414, USA; Center for Health Equity, University of Minnesota, 717 Delaware St. SE Minneapolis, MN 55414, USA. Electronic address: jahluwal@umn.edu.

PMID: 25773472
PMCID: PMC4704681
DOI: 10.1016/j.ypmed.2015.03.010

Randomized Controlled Trial

Abstinence rates among college cigarette smokers enrolled in a randomized clinical trial evaluating Quit and Win contests: The impact of concurrent hookah use

J L Thomas et al. Prev Med. 2015 Jul.

. 2015 Jul:76:20-5.

doi: 10.1016/j.ypmed.2015.03.010. Epub 2015 Mar 13.

Authors

J L Thomas¹, J E Bengtson², Q Wang³, X Luo⁴, Erick Marigi⁵, Winta Ghidei⁶, J S Ahluwalia⁷

Affiliations

¹ Department of Medicine, Division of General Internal Medicine, University of Minnesota, 717 Delaware St. SE Minneapolis, MN 55414, USA. Electronic address: jthomas@umn.edu.
² Department of Medicine, Division of General Internal Medicine, University of Minnesota, 717 Delaware St. SE Minneapolis, MN 55414, USA. Electronic address: jeronco@umn.edu.
³ Clinical and Translational Science Institute, University of Minnesota, 717 Delaware St. SE Minneapolis, MN 55414, USA. Electronic address: wangx890@umn.edu.
⁴ School of Public Health, Division of Biostatistics, University of Minnesota, 420 Delaware St SE Minneapolis, MN 55455, USA; Masonic Cancer Center, University of Minnesota, 420 Delaware St SE Minneapolis, MN 55455, USA. Electronic address: luox0054@umn.edu.
⁵ Department of Medicine, Division of General Internal Medicine, University of Minnesota, 717 Delaware St. SE Minneapolis, MN 55414, USA. Electronic address: Marig002@umn.edu.
⁶ Department of Medicine, Division of General Internal Medicine, University of Minnesota, 717 Delaware St. SE Minneapolis, MN 55414, USA. Electronic address: Ghide002@umn.edu.
⁷ Department of Medicine, Division of General Internal Medicine, University of Minnesota, 717 Delaware St. SE Minneapolis, MN 55414, USA; Center for Health Equity, University of Minnesota, 717 Delaware St. SE Minneapolis, MN 55414, USA. Electronic address: jahluwal@umn.edu.

PMID: 25773472
PMCID: PMC4704681
DOI: 10.1016/j.ypmed.2015.03.010

Abstract

Objective: To examine baseline characteristics and biochemically verified 1-, 4-, and 6-month tobacco quit rates among college students enrolled in a Quit and Win cessation trial, comparing those who concurrently smoke both hookah and cigarettes with those who deny hookah use.

Methods: Analyses were conducted on data from 1217 college students enrolled in a Quit and Win tobacco cessation randomized clinical trial from 2010-2012. Multivariable logistic regression (MLR) analyses examined group differences in baseline characteristics and cotinine verified 30-day abstinence at 1, 4, and 6-month follow-up, adjusting for baseline covariates.

Results: Participants smoked 11.5(±8.1) cigarettes per day on 28.5(±3.8) days/month, and 22% smoked hookah in the past 30days. Hookah smokers (n=270) were more likely to be male (p<0.0001), younger (p<0.0001), report more binge drinking (p<0.0001) and score higher on impulsivity (p<0.001). MLR results indicate that hookah users, when compared to non-users, had a 36% decrease in odds of self-reported 30-day abstinence at 4-months (OR=0.64, 95% CI=0.45-0.93, p=0.02) and a 63% decrease in odds in biochemically verified continuous abstinence at 6-months (OR=0.37, CI=0.14-0.99, p=0.05).

Conclusion: College cigarette smokers who concurrently use hookah display several health risk factors and demonstrate lower short and long-term tobacco abstinence rates.

Trial registration: ClinicalTrials.gov NCT01096108.

Keywords: Awards and prizes; Cigarette smoking; College students; Hookah smoking; Smoking cessation; Young adult.

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Conflict of interest statement

Conflict of Interest Statement

The authors declare that there are no conflicts of interest.

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References

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Abstinence rates among college cigarette smokers enrolled in a randomized clinical trial evaluating Quit and Win contests: The impact of concurrent hookah use

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Abstinence rates among college cigarette smokers enrolled in a randomized clinical trial evaluating Quit and Win contests: The impact of concurrent hookah use

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