Hookah smoking: behaviors and beliefs among young consumers in the United States

Soc Work Public Health. 2014;29(1):17-26. doi: 10.1080/19371918.2011.619443.


Hookah smoking is growing in popularity among college-age students in the United States. Community-based, semistructured, in-depth interviews were conducted with 20 college-age individuals who had used a hookah to smoke tobacco. A structured analysis of responses was conducted and framed in terms of the health belief model's four main constructs. Although hookah smokers were aware of the potential severity of tobacco-related illnesses, they did not express a perceived susceptibility to those illnesses. To the extent that cues to action exist with respect to hookah smoking, they generally serve to promote a risky behavior that is perceived to be largely social in nature.

MeSH terms

  • Adolescent
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Models, Psychological
  • Qualitative Research
  • Risk Assessment
  • Risk-Taking*
  • Smoking / psychology*
  • United States
  • Young Adult