Grant Details
| Grant Number: | 5R01CA140150-04 Interpret this number |
| Primary Investigator: | Primack, Brian |
| Organization: | University Of Pittsburgh At Pittsburgh |
| Project Title: | Waterpipe Tobacco Smoking Among U.S. Adolescents and Young Adults |
| Fiscal Year: | 2013 |
Abstract
DESCRIPTION (provided by applicant): Tobacco smoking using a waterpipe (a.k.a., hookah) is an emerging trend and a threat to U.S. public health. Waterpipe tobacco smoke contains large amounts of toxicants (e.g., CO, tar, nicotine, and heavy metals) and has been associated with addiction and other adverse health consequences. Despite these facts, convenience sample studies demonstrate that 20-40 percent of U.S. University students report waterpipe tobacco smoking in the past year. Moreover, 30-50 percent of waterpipe tobacco smokers have never used cigarettes, suggesting that waterpipes deliver tobacco to millions of individuals who otherwise would have been naive to nicotine. Learning more about U.S. waterpipe users, mechanisms of waterpipe smoking uptake, and the trajectory and consequences of its use will be essential for developing targeted interventions to prevent waterpipe tobacco smoking from becoming a new strain in the U.S. tobacco epidemic. The American College Health Association's new National College Health Assessment (NCHA) surveys more than 90,000 individuals annually and will be the first large scale survey to include basic items that assess waterpipe tobacco smoking. This project leverages these data to help us determine the prevalence and correlates of waterpipe tobacco smoking among a large sample of U.S. university students (Specific Aim 1). Multivariable models will assess independent associations between waterpipe smoking outcomes and (1) respondent factors such as age, gender, race/ethnicity, socioeconomic status, and other substance use; and (2) environmental variables such as college/university setting, and geographic region. Next, we will use qualitative assessments to inform a theoretical framework describing the factors related to uptake of waterpipe tobacco smoking (Specific Aim 2). This component will involve (1) a national content analysis of waterpipe tobacco Web sites; (2) direct ethnographic observation of behavior in 8 different settings where waterpipe tobacco is smoked; and (3) 6 in- depth focus groups with waterpipe tobacco users stratified by age and gender. These analyses will inform our theoretical model describing the factors related to uptake of waterpipe tobacco smoking. Finally, we will conduct a nationally-representative, longitudinal study of 3700 individuals aged 15-30 investigating the trajectories and consequences of waterpipe tobacco smoking (Specific Aim 3). Data from this study will enable us (1) to test the conceptual model from Specific Aim 2; and (2) to determine longitudinal associations between waterpipe tobacco experimentation and subsequent tobacco use and intention outcomes. In sum, waterpipe tobacco smoking appears to be a growing public health threat, particularly among U.S. late adolescents and young adults. This timely and innovative project will combine analysis of an existing data set, intensive qualitative assessments, and an original longitudinal data collection to provide crucial information that will ultimately help develop interventions aimed at reducing the public health threat posed by waterpipe tobacco smoking. PUBLIC HEALTH RELEVANCE: Tobacco smoking using a waterpipe (a.k.a., hookah) is an emerging trend in the U.S. that poses a great threat to the public health. This project leverages the new inclusion of waterpipe smoking questions in a large national survey to determine how common waterpipe tobacco smoking is among college students nationwide. It will also feature an intensive qualitative component that will help us understand through on-site observations and focus groups why this behavior is increasing. Finally, it will include a nationally-representative, longitudinal data collection investigating the trajectories and consequences of waterpipe tobacco smoking.
Publications
Associations of mental health problems with waterpipe tobacco and cigarette smoking among college students.
Authors: Primack BA, Land SR, Fan J, Kim KH, Rosen D
Source: Subst Use Misuse, 2013 Feb;48(3), p. 211-9.
EPub date: 2013 Jan 10.
PMID: 23302059
Related Citations
Grant Numbers:
| NCI NIH HHS - R01-CA140150 | NCI NIH HHS - K07 CA114315 | NCI NIH HHS - R01 CA140150 |
Associations between hookah tobacco smoking knowledge and hookah smoking behavior among US college students.
Authors: Nuzzo E, Shensa A, Kim KH, Fine MJ, Barnett TE, Cook R, Primack BA
Source: Health Educ Res, 2013 Feb;28(1), p. 92-100.
EPub date: 2012 Sep 17.
PMID: 22987864
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Grant Numbers:
| NCI NIH HHS - R01-CA140150 | NCI NIH HHS - K07 CA114315 | NCI NIH HHS - R01 CA140150 |
Substance and hookah use and living arrangement among fraternity and sorority members at US colleges and universities.
Authors: Sidani JE, Shensa A, Primack BA
Source: J Community Health, 2013 Apr;38(2), p. 238-45.
PMID: 22903805
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Grant Numbers:
| NCI NIH HHS - K07 CA114315 | NCI NIH HHS - K07-CA114315 | NCI NIH HHS - CA-140150 |
| NCI NIH HHS - R01 CA140150 |
US health policy related to hookah tobacco smoking.
Authors: Primack BA, Hopkins M, Hallett C, Carroll MV, Zeller M, Dachille K, Kim KH, Fine MJ, Donohue JM
Source: Am J Public Health, 2012 Sep;102(9), p. e47-51.
EPub date: 2012 Jul 24.
PMID: 22827447
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Grant Numbers:
| NCI NIH HHS - R01-CA140150 | NCI NIH HHS - K07 CA114315 | NCI NIH HHS - R01 CA140150 |
MeSH Terms:
| United States | Tobacco Smoke Pollution | Demography |
| Smoking | Cities | Humans |
| Smoking Cessation | Adult | Health Policy |
ER vs. ED: a comparison of televised and real-life emergency medicine.
Authors: Primack BA, Roberts T, Fine MJ, Dillman Carpentier FR, Rice KR, Barnato AE
Source: J Emerg Med, 2012 Dec;43(6), p. 1160-6.
EPub date: 2012 Jul 4.
PMID: 22766407
Related Citations
Grant Numbers:
| NCI NIH HHS - R01-CA140150 | NCI NIH HHS - K07 CA114315 | NCI NIH HHS - K07-CA114315 |
MeSH Terms:
| United States | Young Adult | Humans |
| Aged | Child | Emergency Service, Hospital |
| Patients | Child, Preschool | Infant |
| Socioeconomic Factors | Television | Adult |
| Middle Aged | Adolescent | Female |
| Male |
Tobacco, marijuana, and alcohol use in university students: a cluster analysis.
Authors: Primack BA, Kim KH, Shensa A, Sidani JE, Barnett TE, Switzer GE
Source: J Am Coll Health, 2012;60(5), p. 374-86.
PMID: 22686360
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Grant Numbers:
| NCATS NIH HHS - UL1 TR000005 | NCRR NIH HHS - UL1 RR024153 | NCI NIH HHS - K07 CA114315 |
| NCI NIH HHS - K07-CA114315 | NCI NIH HHS - CA-140150 | NCI NIH HHS - R01 CA140150 |
MeSH Terms:
Waterpipe smoking among U.S. university students.
Authors: Primack BA, Shensa A, Kim KH, Carroll MV, Hoban MT, Leino EV, Eissenberg T, Dachille KH, Fine MJ
Source: Nicotine Tob Res, 2013 Jan;15(1), p. 29-35.
EPub date: 2012 May 28.
PMID: 22641433
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Grant Numbers:
| NCI NIH HHS - R01-CA140150 | NCI NIH HHS - K07 CA114315 | NCI NIH HHS - K07-CA114315 |
| NCI NIH HHS - R01-CA120142 | NCI NIH HHS - R01 CA140150 |
Role of video games in improving health-related outcomes: a systematic review.
Authors: Primack BA, Carroll MV, McNamara M, Klem ML, King B, Rich M, Chan CW, Nayak S
Source: Am J Prev Med, 2012 Jun;42(6), p. 630-8.
PMID: 22608382
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Grant Numbers:
| NCI NIH HHS - R01-CA140150 | NCI NIH HHS - K07 CA114315 | NCI NIH HHS - K07-CA114315 |
| NCRR NIH HHS - KL2 RR024154 | NCRR NIH HHS - KL2 RR024154-02 |
MeSH Terms:
Waterpipe tobacco and cigarette smoking among university students in Jordan.
Authors: Khabour OF, Alzoubi KH, Eissenberg T, Mehrotra P, Azab M, Carroll MV, Afifi RA, Primack BA
Source: Int J Tuberc Lung Dis, 2012 Jul;16(7), p. 986-92.
EPub date: 2012 Apr 16.
PMID: 22525279
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Grant Numbers:
| NCI NIH HHS - R01-CA140150 | FIC NIH HHS - R03-TW008371 | NCI NIH HHS - K07 CA114315 |
| NCI NIH HHS - R01-CA120142 | NCI NIH HHS - R01 CA140150 |
MeSH Terms:
| Young Adult | Questionnaires | Humans |
| Students | Tobacco Products | Smoking |
| Jordan | Logistic Models | Risk Factors |
| Adolescent | Universities | Female |
| Male | Prevalence |
Association of established smoking among adolescents with timing of exposure to smoking depicted in movies.
Authors: Primack BA, Longacre MR, Beach ML, Adachi-Mejia AM, Titus LJ, Dalton MA
Source: J Natl Cancer Inst, 2012 Apr 4;104(7), p. 549-55.
EPub date: 2012 Mar 14.
PMID: 22423010
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Grant Numbers:
| NCI NIH HHS - R01-CA077026 | NCI NIH HHS - K07 CA114315 | NCI NIH HHS - K07-CA114315 |
| NCI NIH HHS - R01-CA108918 | NCI NIH HHS - R01 CA077026 | NCI NIH HHS - R01 CA140150 |
| NCI NIH HHS - R01 CA108918 |
MeSH Terms:
A comparison of cigarette- and hookah-related videos on YouTube.
Authors: Carroll MV, Shensa A, Primack BA
Source: Tob Control, 2012 Feb 23;null, p. null.
EPub date: 2012 Feb 23.
PMID: 22363069
Related Citations
Grant Numbers:
| NCI NIH HHS - K07 CA114315 | NCI NIH HHS - R01 CA140150 |
U.S. hookah tobacco smoking establishments advertised on the internet.
Authors: Primack BA, Rice KR, Shensa A, Carroll MV, DePenna EJ, Nakkash R, Barnett TE
Source: Am J Prev Med, 2012 Feb;42(2), p. 150-6.
PMID: 22261211
Related Citations
Grant Numbers:
| NCI NIH HHS - R01-CA140150 | NCI NIH HHS - K07 CA114315 | NCI NIH HHS - K07-CA114315 |
| NCI NIH HHS - R01 CA140150 |
MeSH Terms:
| United States | Smoking | Restaurants |
| Internet | Advertising as Topic |
Motives for smoking in movies affect future smoking risk in middle school students: an experimental investigation.
Authors: Shadel WG, Martino SC, Setodji C, Haviland A, Primack BA, Scharf D
Source: Drug Alcohol Depend, 2012 Jun 1;123(1-3), p. 66-71.
EPub date: 2011 Nov 8.
PMID: 22074766
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Grant Numbers:
| NIDA NIH HHS - R01DA022496 | NIDA NIH HHS - R01 DA022496-01A2 | NCI NIH HHS - K07 CA114315 |
| NCI NIH HHS - R01 CA140150 |
MeSH Terms:
| Age Factors | Adolescent Behavior | Motivation |
| Humans | Child | Attitude |
| Students | Risk | Smoking |
| Ethnic Groups | Motion Pictures as Topic | Adolescent |
| Female | Male |
College students and use of K2: an emerging drug of abuse in young persons.
Authors: Hu X, Primack BA, Barnett TE, Cook RL
Source: Subst Abuse Treat Prev Policy, 2011 Jul 11;6, p. 16.
EPub date: 2011 Jul 11.
PMID: 21745369
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Grant Numbers:
| NCI NIH HHS - R01-CA140150 | NCI NIH HHS - K07 CA114315 | NCI NIH HHS - R01 CA140150 |
MeSH Terms:
| Young Adult | Age Factors | Adolescent Behavior |
| Sex Characteristics | Humans | Students |
| Cannabinoids | Street Drugs | Substance-Related Disorders |
| Adolescent | Universities | Female |
| Male | Prevalence |
Using ecological momentary assessment to determine media use by individuals with and without major depressive disorder.
Authors: Primack BA, Silk JS, DeLozier CR, Shadel WG, Dillman Carpentier FR, Dahl RE, Switzer GE
Source: Arch Pediatr Adolesc Med, 2011 Apr;165(4), p. 360-5.
PMID: 21464384
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Grant Numbers:
| NCI NIH HHS - R01-CA140150 | NCI NIH HHS - K07 CA114315 | NCI NIH HHS - K07-CA114315 |
| NIMH NIH HHS - P01-MH41712 | NCI NIH HHS - K07 CA114315-05 |
MeSH Terms:
| Adolescent Behavior | Child Behavior | Humans |
| Child | Depressive Disorder, Major | Risk Factors |
| Cohort Studies | Communications Media | Health Surveys |
| Case-Control Studies | Adolescent | Female |
| Male |
Burnout among early career clinical investigators.
Authors: Primack BA, Dilmore TC, Switzer GE, Bryce CL, Seltzer DL, Li J, Landsittel DP, Kapoor WN, Rubio DM
Source: Clin Transl Sci, 2010 Aug;3(4), p. 186-8.
PMID: 20718821
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Grant Numbers:
| NCI NIH HHS - K07 CA114315-04S1 | NCI NIH HHS - R01-CA140150 | NCRR NIH HHS - UL1 RR024153 |
| NCI NIH HHS - K07 CA114315 | NCI NIH HHS - K07-CA114315 | NCRR NIH HHS - K12 RR023267-03 |
| NCI NIH HHS - K07 CA114315-04 |
MeSH Terms:
Smoking motives in movies are important for understanding adolescent smoking: a preliminary investigation.
Authors: Shadel WG, Martino SC, Haviland A, Setodji C, Primack BA
Source: Nicotine Tob Res, 2010 Aug;12(8), p. 850-4.
EPub date: 2010 Jun 24.
PMID: 20576800
Related Citations
Grant Numbers:
| NCI NIH HHS - K07 CA114315-04S1 | NCI NIH HHS - R01 CA140150-02 | NCI NIH HHS - K07 CA114315 |
| NCI NIH HHS - K07 CA114315-04 | NIDA NIH HHS - R01 DA022496 |
MeSH Terms:
| Smoking | Adolescent Behavior | Humans |
| Motion Pictures as Topic | Child | Adolescent |
| Male | Female |
Water pipe tobacco smoking among university students in Jordan.
Authors: Azab M, Khabour OF, Alkaraki AK, Eissenberg T, Alzoubi KH, Primack BA
Source: Nicotine Tob Res, 2010 Jun;12(6), p. 606-12.
EPub date: 2010 Apr 23.
PMID: 20418383
Related Citations
Grant Numbers:
MeSH Terms:
| Young Adult | Smoking | Jordan |
| Humans | Adult | Universities |
| Students | Male | Female |
Waterpipe and cigarette smoking among college athletes in the United States.
Authors: Primack BA, Fertman CI, Rice KR, Adachi-Mejia AM, Fine MJ
Source: J Adolesc Health, 2010 Jan;46(1), p. 45-51.
EPub date: 2009 Jul 8.
PMID: 20123257
Related Citations
Grant Numbers:
MeSH Terms:
| United States | Young Adult | Odds Ratio |
| Humans | Sports | Students |
| Multivariate Analysis | Smoking | Data Collection |
| Adolescent | Universities | Female |
| Male |
Water-pipe tobacco smoking among middle and high school students in Arizona.
Authors: Primack BA, Walsh M, Bryce C, Eissenberg T
Source: Pediatrics, 2009 Feb;123(2), p. e282-8.
PMID: 19171581
Related Citations
Grant Numbers:
MeSH Terms:
| Smoking | Humans | Arizona |
| Adolescent | Water | Male |
| Female | Prevalence |
Prevalence of and associations with waterpipe tobacco smoking among U.S. university students.
Authors: Primack BA, Sidani J, Agarwal AA, Shadel WG, Donny EC, Eissenberg TE
Source: Ann Behav Med, 2008 Aug;36(1), p. 81-6.
EPub date: 2008 Aug 22.
PMID: 18719977
Related Citations
Grant Numbers:
| NCI NIH HHS - R01-CA103827 | FIC NIH HHS - R01-TW005962 | NCI NIH HHS - K07 CA114315 |
| NIDA NIH HHS - R01-DA11082 | NCI NIH HHS - K07-CA114315 | NCI NIH HHS - K07 CA114315-02 |
| NCI NIH HHS - R01 CA140150 |
MeSH Terms:
An old custom, a new threat to tobacco control.
Authors: Primack BA, Aronson JD, Agarwal AA
Source: Am J Public Health, 2006 Aug;96(8), p. 1339.
EPub date: 2006 Jun 29.
PMID: 16809578
Related Citations
Grant Numbers:
| NCI NIH HHS - K07 CA114315 | NCI NIH HHS - R01 CA140150 | NCI NIH HHS - K07 CA114315-01A1 |
MeSH Terms:
| Flavoring Agents | Smoking | Restaurants |
| Humans | Marketing | Tobacco Industry |
| Adolescent |
