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Substance abuse behaviors among university freshmen in Iran: a latent class analysis
Kourosh Kabir, Ali Bahari, Mohammad Hajizadeh, Hamid Allahverdipour, Mohammad Javad Tarrahi, Ali Fakhari, Hossein Ansari, Asghar Mohammadpoorasl
Epidemiol Health. 2018;40:e2018030.   Published online July 2, 2018
DOI: https://doi.org/10.4178/epih.e2018030
  • 12,619 View
  • 208 Download
  • 7 Web of Science
  • 7 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Substance abuse behaviors among university freshmen in Iran are poorly understood. This study aimed to identify, for the first time, subgroups of university freshmen in Iran on the basis of substance abuse behaviors. Moreover, it examined the effects of socio-demographic characteristics on membership in each specific subgroup.
METHODS
Data for the study were collected cross-sectionally in December 2013 and January 2014 from 4 major cities in Iran: Tabriz, Qazvin, Karaj, and Khoramabad. A total of 5,252 first-semester freshmen were randomly selected using a proportional cluster sampling methodology. A survey questionnaire was used to collect data. Latent class analysis (LCA) was performed to identify subgroups of students on the basis of substance abuse behaviors and to examine the effects of students’ socio-demographic characteristics on membership in each specific subgroup.
RESULTS
The LCA procedure identified 3 latent classes: the healthy group; the hookah experimenter group; and the unhealthy group. Approximately 82.8, 16.1, and 2.1% of students were classified into the healthy, hookah experimenter, and unhealthy groups, respectively. Older age, being male, and having a family member or a close friend who smoked increased the risk of membership in classes 2 and 3, compared to class 1.
CONCLUSIONS
Approximately 2.1% of freshmen exhibited unhealthy substance abuse behaviors. In addition, we found that older age, being male, and having a close friend or family member who smoked may serve as risk factors for substance abuse behaviors.
Summary

Citations

Citations to this article as recorded by  
  • A latent class analysis of multiple health-risk behaviours among Portuguese college students
    Regina Alves
    Revista de Estudios e Investigación en Psicología y Educación.2024;[Epub]     CrossRef
  • Current and life-time alcohol consumption in Iranian students: a systematic review and meta-analysis
    Neda Soleimanvandiazar, Salah Eddin Karimi, Mahboobeh Kamali, Marziyeh Moradi, Leila Janani, Saeed Ghanbari, Azadeh Mottaghi, Mojtaba Piri, Leila Ghalichi, Marzieh Nojomi
    Journal of Substance Use.2023; 28(6): 809.     CrossRef
  • Neighborhoods and adolescent polysubstance use in Jamaica
    Amrita Gill, Erica Felker-Kantor, Colette Cunningham-Myrie, Lisa-Gaye Greene, Parris Lyew-Ayee, Uki Atkinson, Wendel Abel, Simon G. Anderson, Katherine P. Theall
    PeerJ.2023; 11: e14297.     CrossRef
  • Designing and Psychometrically Evaluating Students’ Common Types of Misconceptions about Substance Abuse Inventory: A Methodological Study
    Hamid Sharif-Nia, Tahereh Heidari, Mehran Zarghami, Azar Ramezani Toyeh, Parvin Ghasemi Mianaee, Vahid Ganji, Hamideh Azimi Lolaty
    Journal of Nursing and Midwifery Sciences.2023;[Epub]     CrossRef
  • Latent Classes of Substance Use in Young Adults – A Systematic Review
    Martha Charlotta de Jonge, Andrea Johanna Bukman, Lonneke van Leeuwen, Simone Arianne Onrust, Marloes Kleinjan
    Substance Use & Misuse.2022; 57(5): 769.     CrossRef
  • Prevalence of hookah smoking among Iranian pupils and university students: An updated systematic review and meta‐analysis
    Hamid Zaheri, Yosra Raziani, Nesa Khademi, Yousef Moradi, Hossein Shahriari, Reza Ghanei‐Gheshlagh
    The Clinical Respiratory Journal.2022; 16(6): 425.     CrossRef
  • Lifestyle behaviors among undergraduate nursing students: A latent class analysis
    Tassia T. S. Macedo, Fernanda C. Mussi, Debra Sheets, Ana C. P. Campos, Ana L. Patrão, Caren L. M. Freitas, Melissa A. S. Paim
    Research in Nursing & Health.2020; 43(5): 520.     CrossRef
The effects of water-pipe smoking on birth weight: a population-based prospective cohort study in southern Iran
Shahrzad Nematollahi, Mohammad Ali Mansournia, Abbas Rahimi Foroushani, Mahmood Mahmoodi, Azin Alavi, Mohammad Shekari, Kourosh Holakouie-Naieni
Epidemiol Health. 2018;40:e2018008.   Published online March 13, 2018
DOI: https://doi.org/10.4178/epih.e2018008
  • 12,438 View
  • 228 Download
  • 19 Web of Science
  • 19 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Consecutive community health assessments revealed that water-pipe smoking in women and impaired growth in children were among the main health concerns in suburban communities in southern Iran. The aim of the present study was to identify the effects of water-pipe smoking during pregnancy on birth weight.
METHODS
Data from a population-based prospective cohort study of 714 singleton live pregnancies in the suburbs of Bandar Abbas in southern Iran in 2016-2018 were used in this study. Data about water-pipe smoking patterns and birth weight were collected by questionnaires during and after the pregnancy. Low birth weight (LBW) was defined as a birth weight below 2,500 g. Statistical analyses were performed using generalized linear models, and the results were presented in terms of relative risk (RR) and 95% confidence intervals (CI).
RESULTS
Fifty (8.2%) of the study subjects smoked water-pipe. The adjusted risk of LBW increased 2-fold in water-pipe smokers (adjusted RR [aRR], 2.09; 95% CI, 1.18 to 3.71), and by 2.0% for each 1-year increase in the duration of water-pipe smoking (aRR, 1.02; 95% CI, 0.99 to 1.05).
CONCLUSIONS
Our results showed that water-pipe smoking during pregnancy was an important risk factor for LBW in this population sample from southern Iran. The introduction of regulations onto prevent water-pipe smoking and the implementation of community health action plans aiming at empowering women and increasing women’s knowledge and awareness regarding the health consequences of water-pipe smoking are proposed.
Summary

Citations

Citations to this article as recorded by  
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    Radha Sharma, Mona Kanaan, Kamran Siddiqi
    Nicotine and Tobacco Research.2024; 26(7): 931.     CrossRef
  • Waterpipe Tobacco (Hookah) Use in Pregnancy: Associations with Nausea and Vomiting of Pregnancy
    Anna R. Whelan, Alexis C. Gimovsky, Nancy C. Jao, Erika F. Werner, Chrystal Vergara-Lopez, Laura R. Stroud
    American Journal of Perinatology.2023; 40(10): 1033.     CrossRef
  • Interventions for waterpipe smoking cessation
    Taghrid Asfar, Jonathan Livingstone-Banks, Kenneth D Ward, Thomas Eissenberg, Olusanya Oluwole, Zoran Bursac, Tarek Ghaddar, Wasim Maziak
    Cochrane Database of Systematic Reviews.2023;[Epub]     CrossRef
  • Dual and Poly Use of Tobacco Products in a Sample of Pregnant Smokers: A Cross-sectional Study
    André Luís Bertani, Suzana Erico Tanni, Irma Godoy
    Maternal and Child Health Journal.2023; 27(9): 1616.     CrossRef
  • Reproductive outcomes of water pipe smoking: A scoping review
    Sahar Rostami, Farzane Fereidouni, Arezoo Maleki-Hajiagha, Mohadese Motaharinejad, Somayye Majidi, Fardin Amidi
    Asian Pacific Journal of Reproduction.2023; 12(5): 211.     CrossRef
  • What are the intervention goals of women’s hookah cessation? A systematic, evidence-based and participatory study
    Sakineh Dadipoor, Teamur Aghamolaei, Mehdi Mirzaei-Alavijeh, Mohtasham Ghaffari, Ali Heyrani, Saeed Hosseini Teshnizi
    Journal of Ethnicity in Substance Abuse.2022; 21(4): 1468.     CrossRef
  • Maternal smoking status during pregnancy and low birth weight in offspring: systematic review and meta-analysis of 55 cohort studies published from 1986 to 2020
    Hong-Kun Di, Yong Gan, Kai Lu, Chao Wang, Yi Zhu, Xin Meng, Wen-Qi Xia, Min-Zhi Xu, Jing Feng, Qing-Feng Tian, Yan He, Zhi-Qiang Nie, Jun-An Liu, Fu-Jian Song, Zu-Xun Lu
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  • Using intervention mapping for hookah smoking cessation: a quasi-experimental evaluation
    Sakineh Dadipoor, Ali Heyrani, Mehdi Mirzaei-Alavijeh, Teamur Aghamolaei, Mohtasham Ghaffari, Amin Ghanbarnejad
    Addiction Science & Clinical Practice.2022;[Epub]     CrossRef
  • Association Between a History of Hookah Use and Breastfeeding Duration
    Zelalem T. Haile, Ilana R. Azulay Chertok, Mohammad Rifat Haider
    Breastfeeding Medicine.2022; 17(8): 678.     CrossRef
  • Waterpipe Tobacco Smoke Exposure during Lactation—Susceptibility of Reproductive Hormones and Oxidative Stress Parameters in Male Progeny Rats
    Nour A. Al-Sawalha, Indira D. Pokkunuri, Karem H. Alzoubi, Omar F. Khabour, Bashar N. Almomani
    Reproductive Sciences.2021; 28(1): 37.     CrossRef
  • Trends of maternal waterpipe, cigarettes, and dual tobacco smoking in Jordan. A decade of lost opportunities
    Khalid A. Kheirallah, Nuha Shugaa Addin, Maan M. Alolimat, Eman Sobh
    PLOS ONE.2021; 16(7): e0253655.     CrossRef
  • Effect of Water-Pipe Smoking on the Normal Development of Zebrafish
    Zain Zaki Zakaria, Shaima Ahmad Aladwi, Fatiha Benslimane, Enas S. Al-Absi, Mashael Al-Shafai, Huseyin C. Yalcin, Ashraf Khalil, Ala-Eddin Al Moustafa, Maha Al-Asmakh
    International Journal of Environmental Research and Public Health.2021; 18(21): 11659.     CrossRef
  • An intervention development for cessation of hookah smoking among Iranian women: study protocol for a systematic and theory-based approach to intervention design
    Sakineh Dadipoor, Gerjo Kok, Ali Heyrani, Teamur Aghamolaei, Mohtasham Ghaffari, Amin Ghanbarnezhad
    Addiction Science & Clinical Practice.2020;[Epub]     CrossRef
  • The effect of quitting water pipe during pregnancy on anthropometric measurements at birth: a population-based prospective cohort study in the south of Iran
    Shahrzad Nematollahi, Koroush Holakouie-Naieni, Abdolhossain Madani, Hossein Shabkhiz, Elham Torabi, Samane Lotfi
    BMC Pregnancy and Childbirth.2020;[Epub]     CrossRef
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    C. Garabedian, P. Berveiller, P. Guerby
    Gynécologie Obstétrique Fertilité & Sénologie .2020; 48(7-8): 583.     CrossRef
  • Predictors of Hookah Smoking among Women in Bandar Abbas, Southern Iran: A Cross-Sectional Study Based on the Intervention Mapping Protocol
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    Substance Use & Misuse.2020; 55(11): 1800.     CrossRef
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    Journal of Reproductive Immunology.2020; 141: 103173.     CrossRef
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    Expert Review of Respiratory Medicine.2019; 13(11): 1109.     CrossRef
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Epidemiol Health : Epidemiology and Health