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Journal of Addiction
Volume 2015, Article ID 575479, 11 pages
Research Article

Predictors of Intention to Quit Waterpipe Smoking: A Survey of Arab Americans in Houston, Texas

1Department of Pharmaceutical Health Outcomes and Policy, Texas Medical Center, University of Houston, 1441 Moursund Street, Houston, TX 77030, USA
2The University of Texas School of Public Health, 7000 Fannin Street, Houston, TX 77030, USA

Received 28 August 2014; Revised 24 January 2015; Accepted 19 February 2015

Academic Editor: Hua Yong

Copyright © 2015 Liqa Athamneh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Waterpipe smoking has been described as “the second global tobacco epidemic since the cigarette.” Both Middle Eastern ethnicity and having a friend of Middle Eastern ethnicity have been reported as significant predictors of waterpipe smoking. Addressing waterpipe smoking in this ethnic minority is essential to controlling this growing epidemic in the US. We investigated the predictors of an intention to quit waterpipe smoking by surveying 340 Arab American adults in the Houston area. Primary analyses were conducted using stepwise logistic regression. Only 27% of participants reported having an intention to quit waterpipe smoking. Intention to quit waterpipe smoking was significantly higher with history of cigar use, a prior attempt to quit, and not smoking when seriously ill and significantly lower with increasing age, medium cultural acceptability of using waterpipe among family, high cultural acceptability of using waterpipe among friends, longer duration of smoking sessions, and perceiving waterpipe smoking as less harmful than cigarettes. Educational programs that target Arab Americans in general, and specifically older adults, those who smoke waterpipe for more than 60 minutes, those whose family and friends approve waterpipe smoking, and those with no former attempts to quit, may be necessary to increase the intention to quit waterpipe smoking.