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College Student Beliefs and Behavior Regarding Sharing When Smoking Hookahs
Nada O F Kassem1, Sheila R Jackson2, Noura O Kassem3
1Associate Director, Center for Behavioral Epidemiology and Community Health (CBEACH), San Diego State University Research Foundation, San Diego, CA;,
American Journal of Health Behavior
|December 8, 2018
Summary
Most college students share hookahs upon first use, often with friends, due to social norms and perceived low risk. Interventions are needed to reduce hookah sharing and disease transmission risks.
Area of Science:
- Public Health
- Behavioral Science
- Infectious Disease Prevention
Background:
- Hookah use is prevalent among college students.
- Hookah sharing poses significant risks for disease transmission.
- Understanding initiation behaviors is crucial for prevention.
Purpose of the Study:
- To examine college students' beliefs and behaviors regarding hookah sharing.
- To identify reasons for hookah sharing at initiation.
- To assess the use of protective measures like mouth tips.
Main Methods:
- Cross-sectional, web-based survey.
- Targeted undergraduate hookah users (N=970) at a US university.
- Collected data on initiation behaviors and sharing practices.
Main Results:
- 96.9% of first-time hookah users shared the device.
- Sharing occurred primarily with friends in social settings.
- Reasons for sharing included social acceptability, perceived safety, and cost.
- Lack of mouth tip use was common due to perceived necessity and availability issues.
Conclusions:
- Hookah sharing is deeply ingrained from the point of initiation.
- Public health efforts should focus on normalizing non-sharing behaviors.
- Interventions should include education on health risks and provision of hygiene supplies like disposable mouth tips.
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