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

作者：Thomas J L^*; Bengtson J E; Wang Q; Luo X; Marigi Erick; Ghidei Winta; Ahluwalia J S

来源：Preventive Medicine, 2015, 76: 20-25.

DOI：10.1016/j.ypmed.2015.03.010

• Cigarette smoking
• Hookah smoking
• Smoking cessation
• Awards and prizes
• Young adult
• College students

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 30 days. 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 = 037, 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.

• 出版日期2015-7