Psychosocial Factors and Health-Risk Behaviors Associated with Hookah use among College Students | OMICS International | Abstract
ISSN: 2155-6105

Journal of Addiction Research & Therapy
Open Access

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Research Article

Psychosocial Factors and Health-Risk Behaviors Associated with Hookah use among College Students

Carla J. Berg1*, Gillian L. Schauer1, Omar A. Asfour1, Akilah N. Thomas1 and Jasjit S. Ahluwalia2

1Department of Behavioral Sciences and Health Education, Emory University School of Public Health, 1518 Clifton Rd NE, Atlanta, GA 30322, USA

2Department of Medicine and Center for Health Equity, University of Minnesota Medical School, 717 Delaware St. SE, Minneapolis, MN 55414, USA

*Corresponding Author:
Carla J. Berg, PhD
Department of Behavioral Sciences and Health Education
Emory University School of Public Health, 1518 Clifton Road
NE, Room 524, Atlanta, GA 30322, USA
Tel: 404-727-7589
Fax: 404-727- 1369
E-mail: [email protected]

Received September 27, 2011; Accepted October 20, 2011; Published October 24, 2011

Citation: Berg CJ, Schauer GL, Asfour OA, Thomas AN, Ahluwalia JS (2011) Psychosocial Factors and Health-Risk Behaviors Associated with Hookah use among College Students. J Addict Res Ther S2:001. doi:10.4172/2155-6105.S2-001

Copyright: © 2011 Berg CJ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Introduction: Prevalence of hookah or waterpipe smoking is increasing in the United States, particularly among college-aged students. Little research has examined the relationship between hookah smoking, other risk-seeking behaviors, and specific personality factors. The current study aims to address this gap in the literature.

Methods: A random sample of 10,000 students at two southeastern state universities were recruited to complete an online survey containing 230 questions assessing sociodemographics, other substance use, and psychosocial factors. Of students invited to participate, 2,206 (22.1%) returned a completed survey.

Results: Past 30-day hookah use was found among 6.8% (n=141) of the sample. Binary logistic regression indicated that, after controlling for age, ethnicity, and highest parental education, hookah use was associated with being male (p<.001), being a nondaily or daily smoker versus a nonsmoker (p<.001), more frequent alcohol consumption (p<.001), greater sensation seeking (p<.001), lower levels of conscientiousness (p<.001), and greater openness to experiences (p=.01).

Conclusions: Understanding the psychological and personality profiles of hookah users may allow public health practitioners and health care providers to identify high-risk individuals and design targeted interventions addressing users and those at risk for use.