title: Opportunities for policy interventions to reduce youth hookah smoking in the United States.
abstract: Preventing youth smoking initiation is a priority for tobacco control programs, because most adult tobacco smokers become addicted during adolescence. Interventions that restrict the affordability, accessibility, and marketing of cigarettes have been effective in reducing youth cigarette smoking. However, increasing numbers of youth are smoking tobacco using hookahs. Predictors of smoking tobacco with hookahs are the same as those for smoking cigarettes. Established interventions that curb youth cigarette smoking should therefore be effective in reducing hookah use. Potential policy interventions include equalizing tobacco tax rates for all tobacco types, requiring warning labels on hookah tobacco and accurate labeling of product contents, extending the cigarette flavoring ban to hookah tobacco, enacting smoke-free air laws and removing exemptions for hookah lounges, and expanding shipping restrictions on tobacco products.
authors.affiliation: Oregon Health Authority, Public Health Division, 800 NE Oregon St, Suite 640, Portland, OR 97232, USA. daniel.s.morris@state.or.us
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Morris
authors.forename: Steven C
authors.initials: SC
authors.lastname: Fiala
authors.forename: Rebecca
authors.initials: R
authors.lastname: Pawlak
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006266:Health Education; D006291:Health Policy; D006801:Humans; D008297:Male; D011356:Product Labeling / Q000592:standards; D012907:Smoking / Q000191:economics / Q000331:legislation & jurisprudence; D000074606:Smoking Prevention; D013660:Taxes / Q000331:legislation & jurisprudence; D019460:Tobacco Industry; D020340:Tobacco Use Cessation / Q000523:psychology; D014481:United States; D014026:Nicotiana