title: Intention to smoke tobacco using a waterpipe among students in a southeastern U.S. College.
abstract: OBJECTIVE
  Guided by the Theory of Reasoned Action, this study examined the association of behavioral beliefs, attitudes, normative beliefs, and subjective norms with waterpipe tobacco smoking intention in college students.
  
  
  METHODS
  A cross-sectional design was used. A Web-based survey was sent to a random sample of 1,000 undergraduate students from a public institution in the southeast to recruit participants.
  
  
  METHODS
  The Theory of Reasoned Action Waterpipe Questionnaire, a modified version of the Fishbein-Ajzen-Hanson Questionnaire, was used to capture modal constructs of the Theory of Reasoned Action related to waterpipe use. Cronbach's α coefficients for the scales of the Theory of Reasoned Action Waterpipe Questionnaire ranged from .76 to .95.
  
  
  RESULTS
  Of the sample (n=223), 13.5% currently smoked a waterpipe and 61% had ever done so. Using multiple regression, attitudes, behavioral beliefs, and subjective norms were associated with intention to smoke a waterpipe in the next 3 months and collectively explained 35% of the variance in intention. The full model, which included all the constructs of the Theory of Reasoned Action, demographic variables, and tobacco use variables, explained 83% of the variance in intention to smoke a waterpipe in the next 3 months.
  
  
  CONCLUSIONS
  This study provides valuable information that may be used to target students at risk for waterpipe smoking and serves as a starting point in developing theoretically driven interventions to prevent waterpipe smoking.
authors.affiliation: University of Michigan School of Nursing, Ann Arbor, Michigan 48109-5482, USA. noonande@hotmail.com
authors.forename: Devon
authors.initials: D
authors.lastname: Noonan
authors.forename: Pamela
authors.initials: P
authors.lastname: Kulbok
authors.forename: Guofen
authors.initials: G
authors.lastname: Yan
mesh_terms: D000293:Adolescent; D003430:Cross-Sectional Studies; D005260:Female; D006293:Health Promotion; D006801:Humans; D033182:Intention; D008297:Male; D040242:Risk Reduction Behavior; D012907:Smoking; D015144:Southeastern United States; D014481:United States; D014495:Universities; D014867:Water; D055815:Young Adult
chemical_list: D014867:Water
references.citation: MMWR Morb Mortal Wkly Rep. 2008 Nov 14;57(45):1226-8
references.pmid: 19008791
references.citation: Nicotine Tob Res. 2008 Mar;10(3):519-23
references.pmid: 18324571
references.citation: Subst Use Misuse. 2010 Jun;45(7-8):1245-61
references.pmid: 20441461
references.citation: Atmos Environ (1994). 2010 Jan 1;44(1):8-14
references.pmid: 20161525
references.citation: Nicotine Tob Res. 2007 Dec;9(12):1339-46
references.pmid: 18058352
references.citation: Pediatrics. 2010 Jun;125(6):1184-9
references.pmid: 20457679
references.citation: Am J Health Behav. 2010 May-Jun;34(3):275-85
references.pmid: 20001185
references.citation: Am J Prev Med. 2009 Dec;37(6):518-23
references.pmid: 19944918
references.citation: Food Chem Toxicol. 2005 May;43(5):655-61
references.pmid: 15778004
references.citation: MMWR Morb Mortal Wkly Rep. 2006 Oct 27;55(42):1145-8
references.pmid: 17065979
references.citation: Food Chem Toxicol. 2008 May;46(5):1582-90
references.pmid: 18308445
references.citation: Addict Behav. 2011 Jan-Feb;36(1-2):1-5
references.pmid: 20888700
references.citation: Ann Behav Med. 2008 Aug;36(1):81-6
references.pmid: 18719977
references.citation: J Stud Alcohol Drugs. 2008 May;69(3):472-5
references.pmid: 18432392
references.citation: MMWR Morb Mortal Wkly Rep. 2005 Nov 11;54(44):1121-4
references.pmid: 16280969
references.citation: Nurs Res. 1997 May-Jun;46(3):155-62
references.pmid: 9176505
references.citation: Tob Control. 2004 Dec;13(4):327-33
references.pmid: 15564614
references.citation: Public Health Nurs. 2010 Jan-Feb;27(1):49-53
references.pmid: 20055968
references.citation: Nicotine Tob Res. 2008 Feb;10(2):393-8
references.pmid: 18236304
references.citation: J Adolesc Health. 2008 May;42(5):526-9
references.pmid: 18407049