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Waterpipe smoking, internet addiction and depression: A public health problem trio?
Nilufer Emre1, Tamer Edirne1, Aysun Ozsahin1
1Medical School, Department of Family Medicine, Pamukkale University, Denizli, Turkey.
Background:
Waterpipe smoking and Internet addiction may result in a new public health problem globally. This study aimed to explore waterpipe use among a large group of adolescents and its association with Internet use, mental health, primarily depression and their demographic characteristics.
Methods:
Using a stratified random sampling method, 2054 tertiary school students aged 14-18 years were recruited in 2019. Demographical information and use of tobacco products (eg, waterpipe) were explored and compared with severity of Internet addiction and mental status.
Results:
A total of 288 (14.0%) adolescents had ever used waterpipe. Multivariate logistic regression analyses suggested that being male (OR = 2.55 and 95% CI = 1.98-3.30; P = .0001), being depressed (OR = 1.62 and 95% CI = 1.24-2.11) and excessive Internet use (OR = 1.94 and 95% CI = 1.50-2.52; P = .0001) were significantly associated with waterpipe use. Family income and parents' educational status showed no relationship with waterpipe smoking.
Conclusions:
We suggest that adolescents who are depressed and who use the Internet excessively are at an increased risk for waterpipe use, independent of income and parenteral education.
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