Determinants of waterpipe smoking initiation among school children in Irbid, Jordan: a 4-year longitudinal analysis.

ABSTRACT:

Objective

Guided by the Attitude-Social influence-self Efficacy (ASE) theory, this study identified predictors of waterpipe (WP) smoking initiation in a WP naïve cohort of Jordanian school children.

Methods

A school-based cohort of all 7th grade students (N=1781) in 19 of 60 schools in Irbid, Jordan, was followed from 2008 to 2011. Generalized linear mixed modeling was used to examine predictors of WP initiation among WP-naïve students (N=1243).

Results

During the 3-year study, WP initiation was documented in 39% of boys and 28% of girls. Prior cigarette smoking (boys: odds ratio 7.41; 95% confidence interval 4.05-12.92 and girls: 8.48; 4.34-16.56) and low WP refusal self-efficacy (boys: 26.67; 13.80-51.53 and girls: 11.49; 6.42-20.55) were strongly predictive of init

SUBMITTER: McKelvey K 

PROVIDER: S-EPMC4138134 | biostudies-literature | 2014 Sep

REPOSITORIES: biostudies-literature