• Mary P Martinasek, Linda G Haddad, Christopher W Wheldon, and Tracey E Barnett.
• Department of Health Sciences and Human Performance, University of Tampa, Tampa, Florida. MMartinasek@ut.edu.
• Respir Care. 2017 Mar 1; 62 (3): 370-379.

BackgroundThis study explores the differences among smokers of waterpipe tobacco in a college population to better inform campaigns to curb waterpipe use.MethodsParticipants included undergraduate and graduate students attending a liberal arts university in Florida. E-mail-based, cross-sectional surveys were collected in 2 sequential years.ResultsThe majority of respondents (64%) reported having ever smoked a hookah, even if just 1-2 puffs. Of those who had ever smoked a hookah, 34% reported smoking a hookah within the previous 30 d. Constructs from the theory of reasoned action were all correlated with smoking behavior. The range of beliefs endorsed by smokers were more strongly associated with hookah-related attitudes compared with subjective norms. Concerns about health were stronger among never-smokers.ConclusionsYoung adult college students continue to engage in waterpipe tobacco smoking at high rates. Campaigns need to focus on subsets of smokers and nonsmokers, independently.Copyright © 2017 by Daedalus Enterprises.

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