Curiosity and susceptibility to cigarette smoking among cigarette-naïve, waterpipe smoking US youth: National Youth Tobacco Survey, 2014
Raed Bahelah 1  
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Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, United States
Raed Bahelah   

Florida International University, 15467 SW 86 Terrace, 33193 Miami, United States
Publication date: 2017-11-29
Submission date: 2017-08-05
Final revision date: 2017-10-24
Acceptance date: 2017-11-11
Tob. Prev. Cessation 2017;3(November):132
Waterpipe smoking is harmful and addictive and can be a gateway to cigarette smoking. This study examined the association between curiosity and susceptibility to cigarette smoking among cigarette-naïve US youth who smoke waterpipe using cross-sectional data from the National Youth Tobacco Survey, 2014.

Susceptibility to cigarettes was assessed using a composite index of three questions: ‘Do you think you will smoke a cigarette in the next year?’, ‘Do you think that you will try a cigarette soon?’, and ‘If one of your best friends were to offer you a cigarette, would you smoke it?’. Curiosity was assessed by one question: ‘Have you ever been curious about smoking a cigarette?’.

Among current waterpipe smokers, 48.5% (95% CI: 43.1-53.9) were susceptible to cigarettes and 42.6% (95% CI: 36.5-48.9) were curious about cigarettes. Overall, 45.1% (95% CI: 38.9-51.4) and 46.5% (95% CI: 40.2-52.8) of those living with a waterpipe smoker were susceptible and curious about cigarettes, respectively. Current waterpipe smokers had significantly higher odds of susceptibility to cigarettes (aOR=1.5, 95% CI: 1.1-2.3, p<0.04), but not for curiosity about cigarettes (aOR=1.2, 95% CI: 0.83-1.70, p=0.3).

Initiation of cigarettes among adolescents who smoke waterpipe can be due to increasing susceptibility to cigarette smoking rather than increasing curiosity about cigarettes.

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