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Waterpipe use in adolescents in Northern Sweden: Association with mental well-being and risk and health behaviours
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Allmänmedicin och preventivmedicin.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Allmänmedicin och preventivmedicin. Umea Univ, Dept Publ Hlth & Clin Med, Unit Epidemiol & Global Hlth, Umea, Sweden;Michigan State Univ, Dept Family Med, Coll Human Med, E Lansing, MI 48824 USA.ORCID-id: 0000-0001-7173-4333
Umea Univ, Dept Publ Hlth & Clin Med, Unit Epidemiol & Global Hlth, Umea, Sweden;Vasterbotten Cty Council, Umea, Sweden.
Vasterbotten Cty Council, Umea, Sweden.
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2018 (Engelska)Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, nr 8, s. 867-876Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aims: There is a lack of studies examining the association between waterpipe smoking and mental well-being among adolescents. This study sought to determine whether waterpipe smoking is associated with mental well-being and other risk and health behaviours in adolescents. Methods: A questionnaire was distributed to 1006 adolescents in grades 9-12 (with a response rate of >95%), containing questions on measures of stress, mental energy and sleep. In addition, the questionnaire assessed risk and health behaviours, including use of a waterpipe, cigarettes, e-cigarettes, snus, alcohol, narcotics, gambling and exercise. Logistic regression was used to assess factors associated with waterpipe use. Results: Thirty-seven per cent (n=371) of the participants had used a waterpipe at some point. Waterpipe use was associated with lower mental energy (odds ratio [OR] = 0.90, 95% confidence interval [CI] 0.81-0.99), higher stress (OR = 1.10, 95% CI 1.02-1.20) and use of cigarettes (OR = 3.82, 95% CI 2.33-6.03), e-cigarettes (OR = 3.26, 95% CI 2.12-4.99), snus (OR = 2.29, 95% CI 2.12-4.99), alcohol (OR = 1.92, 95% CI 1.07-3.44) and narcotics (OR = 3.64, 95% CI 1.75-7.58). Waterpipe use was not significantly associated with gambling, exercise or sleep quality. Conclusions: Waterpipe use in adolescents is associated with worse mental well-being, as well as use of other nicotine products, alcohol and narcotics. Prospective studies are needed to delineate causal and temporal relationships further between waterpipe use and mental well-being and its relationship to other risky behaviours in order to design effective prevention programs.

Ort, förlag, år, upplaga, sidor
2018. Vol. 46, nr 8, s. 867-876
Nyckelord [en]
Hookah/shisha, e-cigarette, snus, risk behaviour, high-school students
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:uu:diva-372701DOI: 10.1177/1403494817746534ISI: 000452310700011PubMedID: 29226800OAI: oai:DiVA.org:uu-372701DiVA, id: diva2:1277084
Forskningsfinansiär
Folkhälsomyndigheten, 1059/2014-6.2Tillgänglig från: 2019-01-09 Skapad: 2019-01-09 Senast uppdaterad: 2019-01-09Bibliografiskt granskad

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Ramji, RathiArnetz, BengtArnetz, Judy

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Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

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