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Knowledge, Attitudes, and Normative Beliefs as Predictors of Hookah Smoking Initiation: A Longitudinal Study of University Students.
- Source :
- Nicotine & Tobacco Research; Jun2014, Vol. 16 Issue 6, p647-654, 8p, 2 Charts
- Publication Year :
- 2014
-
Abstract
- Introduction: While cross-sectional studies have shown that hookah tobacco smoking (HTS) is an increasingly popular behavior among university students, little is known about factors associated with initiation. This study sought to determine associations between knowledge, attitudes, and normative beliefs and initiation of HTS among university students. Methods: Data were from a prospective longitudinal cohort study of 569 randomly selected first- and second-year university students. Online questionnaires that were developed in accordance with our composite theoretical model were completed in September 2010 and April 2011. Results: About one-seventh (13%) of participants initiated HTS by follow-up. Positive attitudes and favorable normative beliefs were associated with increased adjusted odds of initiation (AOR = 4.12, 95% CI = 2.56, 6.59; and AOR = 2.01, 95% CI = 1.35, 2.99, respectively), while negative attitudes were associated with decreased adjusted odds (AOR = 0.62, 95% CI = 0.48, 0.80). Correct knowledge regarding toxicants associated with HTS was not significantly associated with initiation. Conclusions: While positive attitudes and favorable normative beliefs are associated with initiation of HTS in a cohort of never-users, increased knowledge about toxins is not associated with lower initiation. It may be particularly valuable for educational interventions to attempt to alter positive attitudes and normative beliefs related to HTS. [ABSTRACT FROM PUBLISHER]
- Subjects :
- HOOKAHS
TOBACCO pipes
TOBACCO use
RESEARCH
COLLEGE students
HEALTH literacy
SMOKING & psychology
ATTITUDE (Psychology)
BEHAVIOR
CONFIDENCE intervals
HEALTH attitudes
LONGITUDINAL method
QUESTIONNAIRES
RESEARCH funding
STATISTICAL sampling
TOBACCO
THEORY of reasoned action
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 14622203
- Volume :
- 16
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Nicotine & Tobacco Research
- Publication Type :
- Academic Journal
- Accession number :
- 96092959
- Full Text :
- https://doi.org/10.1093/ntr/ntt201