Abstract
The study aimed to examine factors associated with past 30days waterpipe use among high school students in Jakarta, Indonesia. We surveyed a multistage cluster random sample of 1,318 students of grade 10th and 11th from 14 schools in Jakarta. Multiple logistic regressions were employed to examine the association between past 30days waterpipe use with sociodemographic characteristics, cigarettes smoking status, parental and peer use, availability and affordability. Of 1,318 participants, 3.3% of female and 8.4% of male currently smoked waterpipe. Multivariate analysis revealed that current waterpipe use was significantly associated with family use (AOR: 4.844, 95% CI: 1.225-19.151), friend use (AOR: 2.554, 95% CI: 1.424-4.582), and availability (AOR: 2.143, 95% CI: 1.127-4.076). Being current smokers were six times more likely (AOR: 6.055, 95% CI: 3.123-11.739) to use waterpipe in the past 30days. The finding suggests that smoking by a family member, friends, use of conventional cigarettes, and availability are significantly associated with increased probability of current waterpipe used among adolescents.
Highlights
Waterpipe smoking has been practiced in the Middle East since the Ottoman Empire in the fifteenth century [1]
Multivariate analysis revealed that current waterpipe use was significantly associated with family use (AOR: 4.844, 95% confidence interval (CI): 1.225– 19.151), friend use (AOR: 2.554, 95% CI: 1.424–4.582), and availability (AOR: 2.143, 95% CI: 1.127–4.076)
Current waterpipe use was significantly associated with sex (p
Summary
Waterpipe smoking has been practiced in the Middle East since the Ottoman Empire in the fifteenth century [1]. It rapidly spread to other parts of the world and Waterpipe use was traditionally known as a cultural phenomenon [5]. Waterpipe offers a unique sensation when young smokers and their friends have a social gathering [7]. Sharing the same mouthpiece of waterpipe in the restaurant, café or bar is a common practice for this group [2]. The waterpipe smoking venues may get benefit from the lack or absent of regulation [8]. Weak regulation and growing café culture make waterpipe commercial venue viewed as a good prospect business [9]. The waterpipe retail venues are flourishing in popular hangout spots and even nearby schools/universities [2]
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