Hookah Use Research Articles

Investigating the relationship between high-risk behaviors and mental health in adolescents in Rabor city, Iran.

High-risk behaviors (HRBs) represent significant health threats for adolescents and significantly affect adolescents' mental health. Adolescents often engage in risky behaviors. The present study was conducted to investigate the relationship between high-risk behaviors (HRBs) and mental health in adolescents in Rabor. The present study was a cross-sectional analytical study that was performed on 334 girl and boy students aged 12-18years in Rabor city in 2021. In this study, adolescents answered high risk behaviors and mental health questionnaires. Data were analyzed using SPSS-26 software and the spearman correlation coefficient and linear regression analysis (univariate and multivariate analysis) were used to analyze the data. In this study, the mean age was 15.25±1.78. The findings indicate that smoking and hookah use were higher in boys than girls. Among the demographic variables, age and level of education had a positive and significant relationship with HRBs and mental health (p<0.05). The mean score of total mental health for all subjects was 12.83±10.82. The variables of age, sex, marital status of parents, the number of children in the family, educational level, smoking, hookah, and alcohol have been determined as influential and facilitating factors in HRBs of adolescents. Father's literacy was considered as a facilitator and age variables, alcohol consumption and parents' marital status were considered as deterrents to mental health. The present study showed that the male gender is one of the risk factors for alcohol, smoking and other substances, the tendency to high-risk sexual behaviors, depression, and suicide in adolescents. Among the determinants of the tendency to HRBs in adolescents, psychological variables are of particular importance at the individual, social, and family levels. Good mental health can improve quality of life, while poor mental health can make it worse.

Association of Non-Cigarette Tobacco Advertisements and Racial Discrimination With Non-Cigarette Tobacco Product Use Among Black Adults.

Black communities are targeted by more cigarette advertisements than White communities and racial discrimination among Black people is related to cigarette use. However, little is known about these factors with non-cigarette tobacco product use among Black adults. Therefore, this study assessed the association of non-cigarette advertisement exposure and racial discrimination with use of non-cigarette tobacco products among Black adults. Black adults (n = 533) from The Family and Community Health Study in 2016 were asked if they had seen advertisements for e-cigarettes, snus pouches, filtered cigars, large cigars, cigarillos, dissolvable tobacco, smokeless tobacco, hookah, and tobacco pipe and if they used these in the past month. For products with the highest past month use and significant correlations with advertisement exposure, separate logistic regression models were performed that evaluated the association between advertisement exposure, racial discrimination, and non-cigarette tobacco product use while controlling for cigarette use, sex, socioeconomic status, and age. Use of cigarillos, large cigars, and hookah were higher than other non-cigarette tobacco products assessed. Logistic regressions revealed that more advertisement exposure in the past month was associated with higher odds of using cigarillos, large cigars, and hookah (p < .01). More experiences of racial discrimination were associated with past month cigarillo use, but not hookah or large cigars (p < .01). Non-cigarette tobacco advertisement exposure was associated with the use of non-cigarette tobacco products. Experiences of racial discrimination were associated with the most used non-cigarette tobacco product among Black adults, cigarillos. This is the first time that a specific type of cigar (ie cigarillos) has been associated with experiences of racial discrimination among Black adults. Efforts to reduce non-cigarette tobacco marketing and eradicate exposure to racial discrimination among Black adults may aid in eliminating tobacco-related health disparities.

Relationship between Exposure to Hookah Smoke and Lung Capacity of Hookah Cafe Employees

Background: The aim of the present study was to investigate the effect of exposure to hookah smoke on the respiratory capacity of employees working in hookah cafes in Bandar Abbas. Methods: A total of 75 employees of hookah cafes and 64 people in the control group were the target population. Participants without a history of smoking, diabetes, and hypertension were included in the study. First, the height and weight of subjects were measured and then a respiratory test was performed by an occupational medicine specialist. At the same time, a checklist was completed, which contained demographic characteristics, history of working in hookah cafes, pulmonary diseases, hypertension, smoking, exercising, and a second job. Results: The mean age of the case and control groups was found to be 31.41 and 30.73 years, respectively. The mean values of the indices in the case and the control groups were as follows: forced expiratory volume (FEV1): 84.4% and 89.9%, forced vital capacity (FVC): 91.5% and 91.1%, forced expiratory flow 25-75 (FEF25-75): 78.7% and 75.9%, and peak expiratory flow (PEF): 87.2% and 95.2%, respectively. A significant relationship was found between exposure to hookah smoke and the lung capacity of employees working in hookah cafes (P &lt;0.001). Conclusion: Based on the findings of the study and in order to reduce passive exposure to hookah smoke and its negative consequences, officials should review and apply strict rules on hookah use and monitor and control the air quality inside hookah cafes.

Examining of Heavy Metal Concentrations in Hookah Smokers.

Hookah smoking has been spreading around the world, especially among young adults. The current study aimed to investigate the concentration of heavy metals and elements and clinical symptoms in hookah users in comparison with non-users. To the best of our knowledge, the present study represents the first scientific contribution indicating levels of several heavy metals and elements in urine and blood in hookah users and non-users as well as evaluating clinical symptoms. This research was implemented in Iran among 100 males divided into two groups (50/group): control and hookah users. Heavy metal contamination (lead, cadmium, arsenic, thallium, zinc, and copper) in blood and urine samples was assayed by graphite furnace atomic absorption spectrometry (GFAAS). Duration of hookah use was 7.06 ± 4.57years. The mean ± SD of lead, arsenic, and thallium concentrations was 3.77 ± 2.22, 8.50 ± 4.34, and 4.22 ± 2.69μg/L. The mean levels of blood for lead, arsenic, and urinary thallium in hookah users are significantly higher than the control group (p < 0.05). The most frequent clinical symptoms in hookah smokers were constipation and fatigue. Findings from this study might guide the development of policies to regulate hookah smoking and prevent adverse health effects associated with hookah smoking.

Hookah Smoking among Brazilian University Students: An Exploratory Survey on the Prevalence and Perceptions of Addiction and its Harmfulness.

This study aimed to determine the prevalence, beliefs, attitudes, and perceptions of hookah use in a population of undergraduate students at a large public university in Brazil. The sample consisted of 1348 undergraduate students aged over 18-year-old. They completed structured questionnaires on demographic information and close-ended questions on the past and current experiences of smoking hookah. The data underwent descriptive analysis and binary logistic regression. Finally, 1298 valid survey forms were obtained from printed and digital questionnaires. More than half (53.9%) of participants reported having tried hookah at least once, however, only 10.8% reported they had experienced it within the last 30 days. The majority of the studied population presented acceptable beliefs about the harmfulness and addictive capacity of hookah smoking. However, when comparing the perceptions of those who had smoked and those who had never smoked hookah, and also, the perceptions of users and non-users, significant differences were observed. Students who were users or had already tried hookah showed a tendency to underestimate the deleterious effects of this type of smoking. It could be concluded that hookah smoking was common among Brazilian university students. In addition, preoccupying misperceptions of hookah's harmfulness and addictive capacity were found. The results showed that the epidemic of hookah smoking, especially among young people, has spread far beyond the Arab world and the Persians. Accordingly, preventive measures must be taken if this population is to be protected from addiction and other serious health problems.

Physical activity status of hookah smokers

Abstract Background Studies concerning the effects of hookah use on smokers’ physical activity are few. The main aim of this study was to highlight briefly the main results of studies examining the effects of hookah use on smokers’ physical activity. Materials and methods Medline and Scopus were consulted on October 15, 2019, using the following combination: waterpipe and exercise. Only English original articles were retained. Results Three studies dealt with the effects of hookah use on smokers’ physical activity. They were performed in the Middle East (n=1), and Tunisia (n=2) and they reported conflicting results. Conclusion This report is a request to boost the upcoming investigation to detect the real impacts of hookah use on physical activity.

Association Between a History of Hookah Use and Breastfeeding Duration

Background: There is limited evidence on the relationship between hookah use and breastfeeding. This study examines the association between a history of hookah use and breastfeeding duration among women in the United States. Materials and Methods: This cross-sectional study examined 96,392 women from the Pregnancy Risk Assessment and Monitoring System (PRAMS) 2016-2019 data. The main outcome of interest was any breastfeeding for at least 3 months. Descriptive statistics, chi-square test, and multivariable regression analyses were performed. Results: Overall, 68.3% of women breastfed for at least 3 months and 4.6% reported using hookah in the last 2 years. Women who reported using hookah in the last 2 years were significantly less likely to breastfeed for at least 3 months compared with women who did not report using hookah in the last 2 years (56.0% versus 68.9%; p < 0.001). In the multivariable model, the odds of breastfeeding for at least 3 months were significantly lower in women who used hookah in the last 2 years compared with those who did not use hookah; odds ratio (95% confidence interval) 0.82 (0.74-0.92; p < 0.001). Additionally, the odds of breastfeeding for at least 3 months were significantly lower for dual users of hookah and cigarettes 0.48 (0.33-0.68; p < 0.001). Conclusion: A history of hookah use is associated with early weaning, independent of potential confounders. This finding suggests the need for educating women about the negative consequences of hookah use on breastfeeding during preconception, prenatal, and postpartum care encounters.

Correlates of tobacco product initiation among youth and young adults between waves 1–4 of the population assessment of tobacco and Health (PATH) study (2013–2018)

IntroductionWhile risk factors for cigarette smoking among youth and young adults are well-documented, less is known about the correlates of initiation of other tobacco products. This study aims to provide estimates and correlates of initiation among U.S. youth and young adults. MethodsData on youth aged 12–17 (n = 10,072) and young adults aged 18–24 (N = 5,727) who provided information on cigarettes, electronic nicotine delivery systems (ENDS), cigars, pipe, hookah and smokeless tobacco use in Wave 1 (W1: 2013–2014)-Wave 4 (W4: 2016–2018) of the nationally-representative PATH Study were used to calculate ever use initiation and correlates of initiation by W4. ResultsNearly 6 million youth and 2.5 million young adults used tobacco for the first time between W1-W4. Approximately one quarter of youth and young adult ENDS never users initiated ENDS between W1-W4 of the PATH Study. Among youth, use of other tobacco products, ever substance use, and high externalizing problems were associated with initiation of most products. Among young adults, use of other tobacco products and ever substance use were associated with initiation of most products. In both youth and young adults, Hispanics were more likely to initiate hookah use than their non-Hispanic White counterparts. While male sex was a risk factor for most tobacco product initiation across both age groups, it was not associated with hookah initiation. ConclusionsCigarette and non-cigarette products shared many correlates of initiation, although there are noteworthy demographic differences. Findings can help tailor product specific interventions to reach populations at risk during preliminary stages of use.

Factors associated with knowledge, attitudes and practices of hookah smoking cessation among southern Iranian women during the Covid19 pandemic: a cross-sectional study

ABSTRACT Objectives This research explored factors associated with knowledge, attitude and practice of hookah smoking cessation during the Covid-19 pandemic. Methods The participants were 650 women over 15. The data were collected by face-to-face interviews and structured questionnaires in multi-stage sampling. Result The results showed 63.5%, 56.3%, and 34.8% of the participants had a good knowledge, positive attitude, and a good practice. The age below 20 (AOR=1.134), college education (AOR=13.227), good economic status (AOR=2.153), holding a job (AOR=1.299), initiation age of hookah use>30years (AOR=3.956) were significantly associated with good knowledge. College education (AOR=1.215), and the initiation age of >30years (AOR= 1.350) were significantly associated with positive attitude. Besides, the initiation age of >30years, (AOR=2.513), history of HS< 5 years (AOR=1.884), no history of HS in family (AOR=1.678), the mere use of fruit tobacco, (AOR=2.131), good knowledge (AOR=9.264) and positive attitude (AOR=2.641) were significantly correlated with a good practice Conclusions Based on the results, besides knowledge and attitude, a set of influential internal and external factors should be considered to eliminate HS habit during the pandemic. Abbreviations COVID-19: Coronavirus Disease-2019, HS: hookah smoking, HSC: hookah smoking cessation, TU: tobacco use, SES: socio-economic-status

2021 Year in Review: E-Cigarettes, Hookah Use, and Vaping Lung Injuries During the COVID-19 Pandemic.

Electronic cigarettes (e-cigarettes) and hookah smoking have gained tremendous popularity over the past decade. With the constantly evolving e-cigarette market and potential impact of the COVID-19 pandemic on users of these tobacco products, research is needed to assess the prevalence and safety of these devices as well as potential public health implications and cessation tools. For this year in review, PubMed was searched from January 2021-December 14, 2021, for articles related to e-cigarettes, vaping-related lung injury, and hookah smoking. Relevant articles addressing the objectives were included in this review. This review focused primarily on articles based on United States populations. Gray literature and nonpublished articles were not included in this review. The 2020 pandemic resulted in a decline in e-cigarette usage among youth (potentially due to the COVID-19 pandemic); however, recent research in 2021 suggests that e-cigarette usage is increasing again among youth. Conflicting evidence exists for e-cigarettes and the risk of COVID-19 infection, but biological plausibility suggests that e-cigarette users are more susceptible to COVID-19 infection and more severe COVID-19 infection compared to non-e-cigarette users. Hookah smoking has remained stable across the past several years and remains a primarily social activity among youth. New e-cigarette devices are constantly emerging, resulting in an increased demand to understand the safety of these devices. Additionally, hookah smoking continues to be a concerning public health issue with the increase in hookah bars and venues coupled with lack of policy regulations for hookah smoking.

Tobacco Product Harm Perceptions Among US Middle and High School Students, 2016–2020

PurposeThe aim of this study is to examine US youths’ harm perceptions toward nondaily use of e-cigarettes, cigarettes, cigars, smokeless tobacco, and hookahs. MethodsThe nationally representative, cross-sectional National Youth Tobacco Survey annually assessed the following: “How much do you think people harm themselves when they [use tobacco products] some days but not every day?” Weighted estimates for 2020 were generated overall (grades 6–12) and by select demographics. Multivariable regression examined linear and quadratic changes during 2016–2020 (excluding cigars). ResultsIn 2020, the prevalence of middle and high school students reporting “no” or “little” harm (vs. “some” or “a lot”) was 20.1% for e-cigarettes, 17.4% for hookahs, 14.6% for cigars, 13.5% for smokeless tobacco, and 11.0% for cigarettes. During 2016–2020, perceptions of “no” or “little” harm decreased for e-cigarettes, increased for cigarettes and smokeless tobacco, and exhibited nonlinear changes for hookahs. DiscussionMost youth are aware of tobacco product harms, but opportunities exist to educate youth about the harms of nondaily tobacco product use.

The effect of an educational program for hookah use prevention among high school male students: Application of the prototype willingness model

1. Elias W, Assy N, Elias I, Toledo T, Yassin M, Bowirrat A. The detrimental danger of Water-Pipe (Hookah) transcends the hazardous consequences of general health to the driving behavior. J Transl Med. 2012;10:126. doi:10.1186/1479-5876-10-126 CrossRef Google Scholar

The Effect of Perceptions of Hookah Harmfulness and Addictiveness on the Age of Initiation of Hookah Use among Population Assessment of Tobacco and Health (PATH) Youth.

Despite the negative health consequence of hookah, hookah risk perceptions are misguided among youth. Secondary data analysis of 12–17-year-old never hookah users at their first wave of PATH participation (2013–2019) was performed. The effect of perceptions of hookah harmfulness and addictiveness on the age of initiation ever, past 30-day, and fairly regular hookah use were estimated using interval-censored Cox proportional hazards models. The distribution of the age of initiation of hookah outcomes by perception levels of harmfulness and addictiveness are reported as cumulative incidence and 95% CI. Youth who perceived hookah to be neither harmful nor addictive were 173% more likely to initiate ever, 166% more likely to first report past 30-day use, and 142% more likely to first report fairly regular hookah use at earlier ages compared to youth who considered hookah to be both harmful and addictive. By age 18, 25.5% of youth who perceived hookah as neither harmful nor addictive were estimated to initiate ever hookah use while 9.3% of youth who perceived hookah as harmful and addictive were estimated to initiate ever hookah use. These findings indicate the need to provide prevention and education campaigns to change perceptions of the harmfulness and addictiveness of hookah to delay the age of initiation of hookah use.

The Comparison of Hookah Smoking Prevalence in Medical Students between 2009 and 2014

&#x0D; Background: Hookah smoking is increasing worldwide. It is estimated the worldwide prevalence of daily hookah smoking is 100 million. The aim of this study was to compare hookah smoking prevalence in Islamic Azad University medical students in the city of Ardabil between 2009 and 2014.&#x0D; Method: Of 2956 Islamic Azad University medical students, Ardabil branch, almost 25% of students {737 students (226 males vs. 511 females; 436 subjects at 2009 vs. 301 subjects at 2014)} were randomly selected to participate in this survey. An anonymous self-administered questionnaire was used after verbal informed consent according to the Review Committee of Ardabil Branch Islamic Azad University Medicine School approved protocol. A cluster sampling technique was used. The questions focused on gender, hookah smoking status, and students’ replies for the following issues: (1) Kind of hookah (2) Frequency of smoking (3) Motivation of hookah use (4) Place of smoking use (5) and Second-hand exposure to hookah.&#x0D; Results: Hookah use showed significant decrease in male students compared with five years ago (P&lt;0.05). Frequency of molasses (tobacco with sweetened fruit flavors and mild aromatic smoke) use has significantly enhanced among both genders in 2014 compared with 2009 (P&lt;0.05). Furthermore, second-hand exposure to hookah was significantly higher among both nonsmoker genders at 2014 compared with 2009 (32.7% at 2014 vs. 13.2% at 2009). Conclusion: Unfortunately, in spite of knowledge promotion among medicine school students in recent years, hookah use is still prevalent among medical students. Molasses use has significantly increased and second hand exposure to tobacco has escalated since 2009.&#x0D;

Tobacco Use and Respiratory Symptoms Among Adults: Findings From the Longitudinal Population Assessment of Tobacco and Health (PATH) Study 2014-2016.

IntroductionWe examined the relationship between current tobacco use and functionally important respiratory symptoms.MethodsLongitudinal cohort study of 16 295 US adults without COPD in Waves 2–3 (W2–3, 2014–2016) of the Population Assessment of Tobacco and Health Study. Exposure—Ten mutually exclusive categories of tobacco use including single product, multiple product, former, and never use (reference). Outcome—Seven questions assessing wheezing/cough were summed to create a respiratory symptom index; cutoffs of ≥2 and ≥3 were associated with functional limitations and poorer health. Multivariable regressions examined both cutoffs cross-sectionally and change over approximately 12 months, adjusting for confounders.ResultsAll tobacco use categories featuring cigarettes (>2/3’s of users) were associated with higher risk (vs. never users) for functionally important respiratory symptoms at W2, for example, at symptom severity ≥ 3, risk ratio for exclusive cigarette use was 2.34 [95% CI, 1.92, 2.85] and for worsening symptoms at W3 was 2.80 [2.08, 3.76]. There was largely no increased symptom risk for exclusive use of cigars, smokeless tobacco, hookah, or e-cigarettes (adjustment for pack-years and marijuana attenuated the cross-sectional e-cigarette association from 1.53(95% CI 0.98, 2.40) to 1.05 (0.67, 1.63); RRs for these products were also significantly lower compared to exclusive use of cigarettes. The longitudinal e-cigarette–respiratory symptom association was sensitive to the respiratory index cutoff level; exclusive e-cigarette use was associated with worsening symptoms at an index cutoff ≥ 2 (RR = 1.63 [1.02, 2.59]) and with symptom improvement at an index cutoff of ≥ 3 (RR = 1.64 [1.04, 2.58]).Conclusions Past and current cigarette smoking drove functionally important respiratory symptoms, while exclusive use of other tobacco products was largely not associated. However, the relationship between e-cigarette use and symptoms was sensitive to adjustment for pack-years and symptom severity.ImplicationsHow noncigarette tobacco products affect respiratory symptoms is not clear; some studies implicate e-cigarettes. We examined functionally important respiratory symptoms (wheezing/nighttime cough) among US adults without COPD. The majority of adult tobacco users smoke cigarettes and have higher risk of respiratory symptoms and worsening of symptoms, regardless of other products used with them. Exclusive use of other tobacco products (e-cigarettes, cigars, smokeless, hookah) was largely not associated with functionally important respiratory symptoms and risks associated with their use was significantly lower than for cigarettes. The association for e-cigarettes was greatly attenuated by adjustment for cigarette pack-years and sensitive to how symptoms were defined.

A Qualitative Content Analysis of Psychosocial Needs Affecting Hookah Use by Women

Background: Hookah use has become highly popular among Iranian women. The objective of the present study was to identify the psychosocial factors affecting hookah use by women during 2018- 2019 using a conventional content analysis approach. Materials and Methods: Participants were invited to participate in a semi-structured interview by the purposeful method with maximum diversity in terms of age, education, occupation, hookah use status, and geographical areas of the city. Data were collected through in-depth individual interviews and analyzed through content analysis. The interview continued until obtaining no new category. Software MAXQDA (version 10) was used for data analysis. Results: In general, 36 participants were interviewed based on the study aim. In this study, the focus was on the category of psychosocial needs, including 9 subcategories of searching for peace of mind, inner gap, physical and psychological dependence, need for recreation, curiosity, tendency to express oneself, attraction, satisfaction, companionship and competition with others, leisure time, pleasure, and inexperience. Conclusion: Several psychosocial factors were effective in hookah use among women. Providing the necessary recreational facilities for women and families and training life skills can be effective in reducing hookah use.

The Systematic Review of Environmental Pollutants in the Indoor Air of Waterpipe Café

Waterpipe use has grown significantly in recent years. Hookah use has been shown to be associated with various human health problems such as cardiovascular disease, respiratory disease, and cancer. The aim of this review study was to investigate the pollutants in the indoor air of waterpipe cafes. An automated literature search was conducted to identify any relevant studies published up to February 2022. For this search, international digital databases (PubMed, ScienceDirect, and Scopus) were chosen. Multiple keywords were used in the systematic literature review, including "hookah" OR "waterpipe" OR "hubble-bubble" OR "narghile" OR "shisha" AND "café" AND "indoor air." After removing duplicate papers and analyzing titles, abstracts, and full texts, 25 studies remained for analysis and interpretation. Particulate matter, polycyclic aromatic hydrocarbons (PAH), BTEX compounds, carbon monoxide (CO), nicotine, aldehydes, and bioaerosols were found to be the most prevalent and challenging contaminants in the indoor air of waterpipe cafes. Because of the growing popularity of waterpipe use in cafes, particularly among young people and teenagers, and the high concentration of pollutants in this area, as well as the long-term presence of individuals in these areas, it is necessary for officials to adopt restrictive laws in these places.

Adolescent hookah pipe use: Comparing users’ and non-users’ harm perception, needs, and motivation

This study compared the harm perception, motivation, and basic psychological needs of adolescent hookah pipe users and non-users. We surveyed 1 201 adolescents aged 13–19 years old from South Africa who were hookah users (n = 256) and non-users (n = 909). Most participants were female (66.7%) and coloured/mixed race (57.5%), followed by black (37.5%), other (3.8%) and white (1.3%) participants. Independent t-tests results indicated both users and non-users had similar harm perceptions of smoking the hookah pipe and basic psychological needs. Users reported that they were intrinsically motivated to smoke. Non-users reported that they were intrinsically motivated not to smoke. These findings suggest South African adolescent hookah pipe users to be experimental rather than committed users, which would make them amenable to intervention to quit hookah pipe use.

Evaluation of tuberculosis risk factors in patients referred to Nikoopour clinic of Yazd from April 2020 to March 2021

Tuberculosis (TB) is a major infectious agent leading to death in the world, accounting for 26% of preventable deaths in developing countries. About a third of the world's population is infected with tuberculosis bacilli, the majority of which live in developing countries, including Iran. The aim of this study was to evaluate the risk factors for tuberculosis. This cross-sectional study was performed on 68 TB patients. After preparing the questionnaire, they were given to the infected patients who referred to a clinic in Yazd. Then the obtained data were analyzed. No significant relationship was found between tuberculosis based on gender, occupation, education, nationality, underlying disease, smoking, diabetes, hospitalization history, age, and body mass index. According to the results of the study, it can be concluded that none of the variables: gender, occupation, education, nationality, underlying disease, smoking, hookah use, alcohol, diabetes, TB, family history, age did not increase the incidence of tuberculosis and are not considered as key risk factors for tuberculosis.

Psychosocial predictors of longitudinal changes in tobacco and cannabis use among young adults

IntroductionIn recent years, cigarette use has decreased, but alternative tobacco product and cannabis use has increased in young adults. Thus, research regarding intraindividual changes in tobacco product and cannabis use in this population, and related psychosocial predictors, is warranted. MethodsWe analyzed data from 3,006 young adults (Mage = 24.56 [SD = 4.72], 54.8% female, 31.6% sexual minority, 60.2% racial/ethnic minority) in a 2-year, 5-wave longitudinal study (2018–2020). Latent growth modeling analyzed the outcomes of past 6-month use of cigarettes, e-cigarettes, traditional cigars, little cigars/cigarillos, smokeless tobacco (SLT), hookah, and cannabis across Waves 1–5 among all participants; psychosocial predictors included depressive symptoms, adverse childhood experiences (ACEs), and personality traits. ResultsResults indicated decreases in likelihood of using each tobacco product over time, but no significant change in likelihood of cannabis use. Psychosocial predictors of baseline use across products included depressive symptoms and extraversion, as well as ACEs and openness for nearly all products (e.g., except traditional cigars). Psychosocial predictors of less decreases in use likelihood over time included: for cigarettes and traditional cigars, ACEs; for e-cigarettes, extraversion; for little cigars/cigarillos, depressive symptoms and extraversion; for SLT, openness; and for hookah, neuroticism (controlling for sociodemographics). Predictors of greater decreases in likelihood of use over time included: for e-cigarettes and hookah, conscientiousness; and for cannabis, agreeableness. ConclusionsInterventions to reduce young adults’ use might target distinct risk/protective factors for using different products (and combinations). Moreover, results regarding decreasing likelihood of using tobacco products but not cannabis over time warrant replication and explanation in other samples.