RT Journal Article
SR Electronic
T1 Longitudinal pathways of exclusive and polytobacco hookah use among youth, young adults and adults in the USA: findings from the PATH Study Waves 1–3 (2013–2016)
JF Tobacco Control
JO Tob Control
FD BMJ Publishing Group Ltd
SP s155
OP s162
DO 10.1136/tobaccocontrol-2020-055625
VO 29
IS Suppl 3
A1 Eva Sharma
A1 Maansi Bansal-Travers
A1 Kathryn C Edwards
A1 Michael J Halenar
A1 Kristie A Taylor
A1 Karin A Kasza
A1 Hannah Day
A1 Hoda T Hammad
A1 Gabriella Anic
A1 Jean Limpert
A1 Lisa D Gardner
A1 Nicolette Borek
A1 Heather L Kimmel
A1 Wilson M Compton
A1 Andrew Hyland
A1 Cassandra A Stanton
YR 2020
UL http://tobaccocontrol.bmj.com/content/29/Suppl_3/s155.abstract
AB Objective The goal of this study is to examine cross-sectional rates of use and longitudinal pathways of hookah use among US youth (ages 12-17), young adults (ages 18-24), and adults 25+ (ages 25 and older).Design Data were drawn from the first three waves (2013–2016) of the Population Assessment of Tobacco and Health Study, a nationally representative, longitudinal cohort study of US adults and youth. Respondents with data at all three waves (youth, n=11 046; young adults, n=6478; adults 25+, n=17 188) were included in longitudinal analyses.Results Young adults had higher ever, past 12-month (P12M) and past 30-day cross-sectional prevalence of hookah use at each wave than youth or adults 25+. The majority of Wave 1 (W1) hookah users were P12M users of other tobacco products (youth: 73.9%, young adults: 80.5%, adults 25+: 83.2%). Most youth and adult W1 P12M hookah users discontinued use in Wave 2 or Wave 3 (youth: 58.0%, young adults: 47.5%, adults 25+: 63.4%). Most W1 P12M hookah polytobacco users used cigarettes (youth: 49.4%, young adults: 59.4%, adults 25+: 63.2%) and had lower rates of quitting all tobacco than exclusive hookah users or hookah polytobacco users who did not use cigarettes.Conclusions Hookah use is more common among young adults than among youth or adults 25+. Discontinuing hookah use is the most common pathway among exclusive or polytobacco hookah users. Understanding longitudinal transitions in hookah use is important in understanding behavioural outcomes at the population level.