The use of water pipe and its impact on university students’ lifestyle and their psychological distress: a cross-sectional study
e202012156
Keywords:
Water pipe, Psychological distress, Life-style, SleepAbstract
Background: In Spain, water pipe is a common device for substance abuse. It is the second most widespread way of cannabis abuse (11.9%) between young people from 14 to 23 years old. This use has become a public health problem, because of an intensive consumption in young people is considered as a predictor of excessive consumption in adulthood, and it causes health problems and increases the health costs. The aim of this study was to analyze the relationship between water pipe use, lifestyle (diet, physical activity and sleep) and psychological distress, also considering unexpected effects, in university students.
Methods: An observational and cross-sectional study was carried out, on a sample of 825 students from the University of Huelva, selected by random sampling stratified by conglomerates. The instruments used were extracted from a larger study called “Health Behavior in University”. SPSS 26.0 software was used for statistical analysis and statistical analysis was performed on the data collected.
Results: The use of water pipe was associated with less adherence to the Mediterranean diet (t=1.64; p=0.04; d=0.12), a lower number of hours of sleep during weekends (t=2.12; p =0.03; d=0.14) and with intense physical activity (t=-1.80; p=0.07; d=0.13). On the contrary, it was not associated with psychological distress.
Conclusions: The use of water pipe seems to be inversely related to some aspects of a lifestyle that could be associated with long-term metabolic and respiratory diseases.
Downloads
References
Galimov A, El Shahawy O, Unger JB, Masagutov R, Sussman S. Hookah Use among Russian adolescents: Prevalence and correlates. Addict Behav. 2019;90:258-64. doi: 10.1016/j.addbeh.2018.11.018
Maziak W, Taleb ZB, Bahelah R, Islam F, Jaber R, Auf R et al. The global epidemiology of waterpipe smoking. Tob Control. 2015;24Suppl1:i3-i12. doi: 10.1136/tobaccocontrol-2014-051903
Araujo P. Consumo de tabaco en pipas de agua entre los adolescentes de Educación Secundaria y Bachillerato de la provincia de Las Palmas [tesis doctoral]. Las Palmas: Universidad de Las Palmas de Gran Canaria; 2016.
Jawad M, Charide R, Waziry R, Darzi A, Ballout RA, Akl EA. The prevalence and trends of waterpipe tobacco smoking: A systematic review. PloS one. 2018;13(2):e0192191. doi: 10.1371/journal.pone.0192191
Filippidis FT, Jawad M, Vardavas CI. Trends and Correlates of Waterpipe use in the European Union: Analysis of Selected Eurobarometer Surveys (2009-2017). Nicotine Tob Res. 2019;21(4):469-74. doi: 10.1093/ntr/ntx255
Observatorio Español de las Drogas y las Adicciones Encuesta sobre alcohol y otras drogas en España (EDADES) 2019. Madrid: Ministerio de Sanidad, Consumo y Bienestar social; 2019.
Observatorio Español de las Drogas y las Adicciones. Encuesta sobre Uso de Drogas en Enseñanzas Secundarias en España (ESTUDES) 2018. Madrid: Ministerio de Sanidad, Consumo y Bienestar social; 2018.
Sáenz JM, Rico F, Luque LG. Waterpipe and cigarette smoking among adolescents in Seville (Spain): prevalence and potential determinants. Adicciones. 2019;31(2):170. doi: 10.20882/adicciones.1112
Sterling KL, Mermelstein R. Examining hookah smoking among a cohort of adolescent ever smokers. Nicotine Tob Res. 2011;13(12):1202–9. doi: 10.1093/ntr/ntr146
Shepardson RL, Hustad JT. Hookah tobacco smoking during the transition to college: prevalence of other substance use and predictors of initiation. Nicotine Tob Res. 2016;18(5):763-9. doi: 10.1093/ntr/ntv170
Jefferis B, Power C, Manor O. Adolescent drinking level and adult binge drinking in a national birth cohort. Addiction. 2005;100(4):543-9. doi: 10.111/j.1360-0443.2005.01034.x
Blomeyer D, Friemel CM, Buchmann AF, Banaschewski T, Laucht M, Schneider M. Impact of pubertal stage at first drink on adult drinking behavior. Alcohol Clin Exp Res. 2013;37(10):1804-11. doi: 10.1111/acer.12154
Simón M, Fuentes R, Garrido M, Serrano M, Díaz M, Yubero S. Perfil de consumo de drogas en adolescentes. Factores protectores. Medicina de Familia SEMERGEN. 2020; 46 (1): 33-40.
Etemadi A, Gandomkar A, Freedman ND, Moghadami M, Fattahi MR, Poustchi H et al. The association between waterpipe smoking and gastroesophageal reflux disease. Int J Epidemiol. 2017;46(6):1968-77. doi: 10.1093/ije/dyx158
Saffar S, Darroudi S, Tayefi M, Tirkani A, Moohebati M, Ebrahimi M et al. Hookah smoking is strongly associated with diabetes mellitus, metabolic syndrome and obesity: a population-based study. Diabetol Metab Syndr. 2018;10:33. doi: 10.1186/s13098-018-0335-4
Alzaabi A, Mahboub B, Salhi H, Kajingu W, Rashid N, El-Hasnaoui A. Waterpipe Use in the Middle East and North Africa: Data from the Breathe Study. Nicotine Tob Res. 2017;19(11):1375-80. doi: 10.1093/ntr/ntw256
Yalcin F, Er M, Hasanoglu H, Kilic H, Senturk A, Karalezli et al. Deteriorations of pulmonary function, elevated carbon monoxide levels and increased oxidative stress amongst water-pipe smokers. Int J Occup Environ Health. 2017;30(5): 731-42. doi: 10.13075/ijomeh.1896.00912
Scherr A, Schmidlin J, Albisser S, Tamm M, Stolz D. Airway reactivity to mannitol is similarly increased in chronic cigarette and water pipe smokers. Int J Chron Obstruct Pulmon Dis. 2018; 13:157-63. doi: 10.2147/COPD.S152085
Jorge P, Torres M, Marrero M, Navarro C. Creencias y actitudes de adolescentes españoles hacia el consumo de tabaco en pipa de agua. Enferm Global. 2018;17(2):65-85. doi: 10.6018/eglobal.17.2.278471
Rivero LR, Persson JL, Romine DC, Taylor JT, Toole TC, Trollman CJ et al. Towards the world-wide ban of indoor cigarette smoking in public places. Int J Hyg Environ Health. 2006;209(1):1-14. doi: 10.1016/j.ijheh.2005.07.003
Infosalus. Fumar cachimba, ¿tan nocivo como el tabaco? [Internet]. Madrid: Infosalus; 2019 [consultado el 20/08/2020]. Disponible en: https://www.infosalus.com/salud-investigacion/noticia-fumar-cachimba-tan-nocivo-tabaco-20190815081941.html
Roskin J, Aveyard P. Canadian and English students’ beliefs about waterpipe smoking: a qualitative study. BMC Public Health. 2009;9(1):10. doi: 10.1186/1471-2458-9-10
Griffiths MA, Ford EW. Hookah smoking: behaviors and beliefs among young consumers in the United States. Soc Work Public Health. 2014;29(1):17-26. doi: 10.1080/19371918.2011.619443
Akl EA, Ward KD, Bteddini D, Khaliel R, Alexander AC, Lotfi T et al. The allure of the waterpipe: a narrative review of factors affecting the epidemic rise in waterpipe smoking among young persons globally. Tob Control. 2015;24Suppl1: i13-i21. doi: 10.1136/tobaccocontrol-2014-051906
Abdollahifard G, Vakili V, Danaei M, Askarian M, Romito L, Palenik CJ. Are The Predictors of Hookah Smoking Differ From Those of Cigarette Smoking? Report of a population-based study in Shiraz, Iran, 2010. Int J Prev Med. 2013;4(4):459-66.
Ramji R, Arnetz J, Nilsson M. Determinants of waterpipe use amongst adolescents in Northern Sweden: a survey of use pattern, risk perception, and environmental factors. BMC Res Notes. 2015;8:441. doi: 10.1186/s13104-015-1413-4
Al-Sheyab NA, Alomari MA. Unhealthy eating habits among adolescent waterpipe smokers in Jordan: The Irbid-TRY study. Tob Induc Dis. 2018; 16:19. doi: 10.18332/tid/89976
Palmer CD, Harrison GA, Hiorns RW. Association between smoking and drinking and sleep duration. Ann Hum Biol. 1980;7(2):103-7. doi: 10.1080/03014468000004111
Poortinga W. The prevalence and clustering of four major lifestyle risk factors in an English adult population. Prev Med. 2007;44(2):124-8. doi: 10.1016/j.ypmed.2006.10.006
Larson NI, Story M, Neumark-Sztainer D, Hannan PJ, Perry CL. Peer Reviewed: Are diet and physical activity patterns related to cigarette smoking in adolescents? Findings from Project EAT. Prev Chronic Dis. 2007;4(3): A51.
Moreno-Gómez C, Romaguera-Bosch D, Tauler-Riera P, Bennasar-Veny M, Pericas-Beltran J, Martinez-Andreu S et al. Clustering of lifestyle factors in Spanish university students: the relationship between smoking, alcohol consumption, physical activity and diet quality. Public Health Nutr. 2012;15(11):2131-9. doi: 10.1017/S1368980012000080
Herbeth B, Samara A, Stathopoulou M, Siest G, Visvikis-Siest S. Alcohol Consumption, Beverage Preference, and Diet in Middle-Aged Men from the STANISLAS Study. J Nutr Metab. 2012;2012:987243. doi: 10.1155/2012/987243
Argimón J. Métodos de investigación clínica y epidemiológica. Barcelona: El Sevier (4ª ed.); 2012.
Goldberg D. Manual of the General Health Questionnaire. Windsor: NFER Publishing Company; 1978.
Sánchez M, Dresch V. The 12-Item General Health Questionnaire (GHQ-12): Reliability, external validity and factor structure in the Spanish population. Psicothema. 2008;20(4):839-43.
Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a Mediterranean Diet and Survival in a Greek Population. N Eng J Med. 2003;348(26):2599–608. doi: 10.1056/nejmoa025039
Consejería de Salud Junta de Andalucía. Cuestionario de Adherencia a la dieta mediterránea. [Internet]. Sevilla: Consejería de Salud Junta de Andalucía, 2007 [consultado el 20/08/2020]. Disponible en: https://www.juntadeandalucia.es/export/drupaljda/salud_5af95872a79e2_adherencia_dieta_mediterranea.pdf
Vicerrectorado de Estudiantes de la Universidad de Huelva. Número de estudiantes matriculados en el curso 2018-19. [Internet]. Huelva: Universidad de Huelva; 2018 [consultado el 20/08/2020]. Disponible en http://transparencia.uhu.es/transparenciaUHU/catalogo/estudiantes-matriculados-en-titulos-de-grado
Cohen J. Statistical Power Analysis for the Behavioral Science. Hillsdale NJ: Lawrence Erlbaum Associates; 1988.
Molina M. ¿Qué significa realmente el valor de p? Rev Pediatr Aten Primaria. 2017;19(76):377-81.
Barrios-Osuna I, Anido-Escobar V, Morera-Pérez M. Declaración de Helsinki: Cambios y exégesis. Rev Cub de Salud Pública. 2016; 42:132–42.
Díaz I, Gascón E, Lázaro S, Maximiano C. Guía de la Alimentación Mediterránea. Sevilla: Consejería de Agricultura y Pesca de la Junta de Andalucía; 2007.
Durá Travé T, Castroviejo Gandarias A. Adherence to a Mediterranean diet in a college population. Nutr Hosp. 2011;26(3):602-8. doi: 10.1590/S0212-16112011000300025
Ramji R, Arnetz BB, Nilsson M, Wiklund Y, Jamil H, Maziak W et al. Waterpipe use in adolescents in Northern Sweden: Association with mental well-being and risk and health behaviours. Scand J Public Health. 2018;46(8):867-76. doi: 10.1177/1403494817746534
Sarrafzadegan N, Toghianifar N, Roohafza H, Siadat Z, Mohammadifard N, O’Loughlin J. Lifestyle-related determinants of hookah and cigarette smoking in Iranian adults. J Community Health. 2010;35(1):36-42. doi: 10.1007/s10900-009-9186-0
Carrera-Hernández L, Aizpitarte-Pejenaute E, Zugazagoitia-Ciarrusta N, Goñi-Viguria R. Percepción del sueño de los pacientes en una Unidad de Cuidados Intensivos. Enferm Intensiva. 2018;29(2):53-63. doi: 10.1016/j.enfi.2018.01.002
Bahelah R, DiFranza JR, Ward KD, Fouad FM, Eissenberg T, Ben Taleb Z et al. Correlates of nicotine dependence among adolescent waterpipe smokers. Drug Alcohol Depend. 2016;168:230-38. doi: 10.1016/j.drugalcdep.2016.09.019
Momenabadi V, Hossein Kaveh PhD M, Hashemi SY, Borhaninejad VR. Factors affecting hookah smoking trend in the society: a review article. Addict Health. 2016;8(2):123-35.
Karimy M, Niknami S, Heidarnia AR, Hajizadeh E, Shamsi M. Refusal self-efficacy, self-esteem, smoking refusal skills and water pipe (Hookah) smoking among iranian male adolescents. Asian Pac J Cancer Prev. 2013;14(12):7283-8. doi: 10.7314/apjcp.2013.14.12.7283
McKelvey K, Attonito J, Madhivanan P et al. Determinants of waterpipe smoking initiation among school children in Irbid, Jordan: a 4-year longitudinal analysis. Drug Alcohol Depend. 2014;142:307-313.
doi: 10.1016/j.drugalcdep.2014.06.038
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2020 Sara Domínguez-Salas, Marina Piqueras-Torrico, Regina Allande-Cussó, Juan Gómez-Salgado, Montserrat Andrés-Villas
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Usted es libre de:
Compartir — copiar y redistribuir el material en cualquier medio o formato.
La licenciante no puede revocar estas libertades en tanto usted siga los términos de la licencia.
Bajo los siguientes términos:
Atribución — Usted debe dar crédito de manera adecuada , brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
SinDerivadas — Si remezcla, transforma o crea a partir del material, no podrá distribuir el material modificado.
No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
Avisos:
No tiene que cumplir con la licencia para elementos del material en el dominio público o cuando su uso esté permitido por una excepción o limitación aplicable.
No se dan garantías. La licencia podría no darle todos los permisos que necesita para el uso que tenga previsto. Por ejemplo, otros derechos como publicidad, privacidad, o derechos morales pueden limitar la forma en que utilice el material.
