This systematic review summarizes and assesses the literature related to hookah use among adolescents (11 to 18 years of age) in the U.S. from 2009 to 2017. Authors reviewed 461 articles for inclusion and included 55 articles which were coded for study themes, study quality and their relevance to FDA’s research priorities.
· The following themes were identified: (1) prevalence of hookah use (n=42); (2) tobacco use transitions (n=7); (3) sociodemographic correlates (n=35); (4) psychosocial risk factors (n=21); (5) concurrent use of other tobacco products (n=31); (6) concurrent use of other substances (n=9); and (7) other (n=15) which includes low prevalence themes.
· Older age, male gender, positive social normative beliefs, higher peer use as well as lower perceived risk were associated with hookah use.
· Longitudinal studies of youth hookah use showed bidirectional relationships between use of hookah and other tobacco products.
· All articles fell within FDA’s research priority related to “behavior.” Three priorities (“impact analysis,” “health effects,” and “toxicity”) have not been explored for hookah use among U.S. youth since 2009.
The researchers concluded that the prevalence of hookah use among youth in the U.S. is increasing, thus more research is needed to inform policies targeted to protect this vulnerable population.
Source: Cooper et al. (2018). Hookah Use among U.S. Youth: A Systematic Review of the Literature from 2009-2017. Nicotine & Tobacco Research, Jun 28. doi: 10.1093/ntr/nty135. [Epub ahead of print].
Who Is More Likely To Initiate Tobacco Product Use: Youth or Young Adults?
A recently published study examined the initiation of tobacco product use, including cigarettes, e-cigarettes, cigar products, and hookah, among contemporary youth and young adults, to determine whether the developmental timing (youth vs. young adulthood) of initiation has changed. Researchers analyzed data from the national Population Assessment of Tobacco and Health Study, and two Texas cohort studies, the Texas Adolescent Tobacco and Marketing Surveillance System (TATAMS), and the Marketing and Promotions Across Colleges in Texas (M-PACT) project. Findings indicate that young adults who were never users began to ever and currently use all tobacco products more than youth in these samples, a marked departure from prior decades of research.
Source: Perry et al. (2018). Youth or Young Adults: Which Group Is at Highest Risk for Tobacco Use Onset? The Journal of Adolescent Health, Jul 7. pii: S1054-139X(18)30188-5. doi: 10.1016/j.jadohealth.2018.04.011. [Epub ahead of print]