Journal of Community Health

, Volume 43, Issue 6, pp 1037–1043 | Cite as

Hookah Use Among College Students: Recent Use, Knowledge of Health Risks, Attitude and Reasons for Use

  • Bradley FevrierEmail author
  • Laura Nabors
  • Rebecca A. Vidourek
  • Keith A. King
Original Paper


Notwithstanding the efforts of health educators and other health professionals regarding tobacco and smoking cessation, research indicates that hookah smoking among college students remains a health concern. Research shows an upward trend in college students’ hookah use. The purpose of this study was to identify and describe potential patterns/differences in college students’ hookah use, and the relations among attitudes toward and knowledge about hookah use and use of this drug. A four-page, 20-item survey was used to collect data from participants (N = 403) and to measure participants ‘recent use, knowledge of health risks, attitudes and reasons for hookah use among college students. Results indicated increased prevalence rates (53.8%) among participants of this study. Participants’ recent hookah use was consistent with that of current research. Study findings supports current research, which found that college students have low negative perceptions of the health risks (addictive and detrimental properties) of hookah use. Analyses also determined that college students’ attitudes toward hookah was associated with use of this drug. Regarding reasons why students may use hookah, data analysis indicated statistical significance in lifetime hookah use based on reasons for use. Study provide information for health educators creating hookah risk awareness educational programs aimed at reducing rates of hookah smoking among college students.


Shisha Co-occurring substance use Hookah Alcohol Marijuana Hookah and other drug use 


Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflicts of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Health and Human Performance, UNC-PembrokePembrokeUSA
  2. 2.Health Promotion & EducationUniversity of CincinnatiCincinnatiUSA
  3. 3.Health Promotion & EducationUniversity of CincinnatiCincinnatiUSA
  4. 4.Health Promotion & EducationUniversity of CincinnatiCincinnatiUSA

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