Hookah use among high school children in an Indian city

J Indian Soc Pedod Prev Dent. Jul-Sep 2013;31(3):180-3. doi: 10.4103/0970-4388.117980.


Context: Use of hookah is on the rise among youngsters. A growing body of evidence suggests that these children are experimenting with this form of tobacco.

Aims: The study was carried out to know prevalence estimates of hookah use and factors associated with it among high school students.

Settings and design: This study adds to the current literature by providing prevalence estimates and factors associated with hookah use among high school students of Indore - a city in central India.

Materials and methods: A cross-sectional survey of 1000 students from high schools was conducted to find hookah users and factors associated with its use.

Results: Hookah users in this study population were 7.6%. Most of them first learned about hookah from friends (63.2%). They usually smoked in hookah lounges (85.5%). These children believed that hookah was safer and more socially acceptable than cigarettes.

Conclusions: Misperceptions of safety and popularity of hookah among the younger generation are cause for concern. Presence of hookah lounges should be a target for further regulation. Prevention activities are necessary to prevent this rising public health concern.

MeSH terms

  • Adolescent
  • Adolescent Behavior
  • Cross-Sectional Studies
  • Female
  • Humans
  • India / epidemiology
  • Male
  • Prevalence
  • Smoking / epidemiology*
  • Surveys and Questionnaires