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Journal article
Initial development of the Hookah Smoker Scale: Assessing young adults’ mental schemas about hookah “smokers”
Translational behavioral medicine, v 11(1), pp 206-215
01 Jan 2021
PMID: 31722424
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Young adults characterize a hookah “smoker” by use patterns and associate the health and addictive risks of hookah smoking with regular, but not social use.
Many young adult hookah tobacco users do not consider themselves hookah “smokers,” but data on this topic are limited. There are no existing measures of young adults’ mental schemas of hookah “smokers.” We examined the factor structure and reliability of the Hookah Smoker Scale and examined associations with perceived harm and addictiveness and attitudes toward hookah. Two hundred and forty-six young adult (ages 18–30) hookah smokers participated in a cross-sectional online study. Participants completed items assessing schemas characterizing hookah smokers and valid measures of perceived harm and addictiveness of hookah smoking, risk appraisals, and attitudes toward hookah. Exploratory factor analysis using principal axis factoring with oblique rotation extracted a 12-item scale with three dimensions (Regular Use, Social-Enabled Use, and Self-Enabled Use). The scale explained 69.7% of the variance (eigenvalue = 9.2). Cronbach’s α for the scale was .89, with Cronbach’s α ≥ .80 for four-item subscales. Higher subscale scores indicate stronger beliefs that the dimension characterizes a hookah smoker. Higher Regular Use scores (score variance = 46.9%; eigenvalue = 5.6) were associated with greater perceived harm and addictiveness (β = 0.21,
p
= .01), greater risk appraisals (β = 0.20,
p
= .02), and more negative attitudes toward hookah (β = −0.18,
p
= .03). The Hookah Smoker Scale is a promising measure that can be used to identify targets for preventing and reducing young adults’ hookah tobacco use. Findings also suggest young adults associate health risks of hookah with daily smoking, but not with intermittent social smoking patterns.
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Details
- Title
- Initial development of the Hookah Smoker Scale: Assessing young adults’ mental schemas about hookah “smokers”
- Creators
- Lilianna Phan - Georgetown University Medical CenterDarren Mays - Georgetown University Medical CenterKenneth P Tercyak - Georgetown University Medical CenterAndrea C Johnson - Georgetown University Medical CenterKathryn Rehberg - Georgetown University Medical CenterIsaac M Lipkus - Duke University
- Publication Details
- Translational behavioral medicine, v 11(1), pp 206-215
- Publisher
- Oxford University Press
- Grant note
- R01 CA217861 / ; ; P30CA051008 / ; ; K07 CA172217 / ; ;
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000649396700022
- Scopus ID
- 2-s2.0-85102098428
- Other Identifier
- 991021894659404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health