PROVIDENCE, R.I. Nearly a quarter of college women try smoking tobacco with a hookah, or water pipe, for the first time during their freshman year, according to new research from The Miriam Hospital's Center for Behavioral and Preventive Medicine.
The study, published online by Psychology of Addictive Behaviors, suggests a possible link to alcohol and marijuana use. Researchers found the more alcohol women consumed, the more likely they were to experiment with hookah smoking, while women who used marijuana engaged in hookah smoking more frequently than their peers.
They say the findings are troubling since hookah smoking rates have increased dramatically among young adults over the last two decades, with some studies putting it on par with cigarette smoking. Many college students also mistakenly believe hookah smoking is safer than cigarettes, even though hookah use has been linked to many of the same diseases caused by cigarette smoking, including lung cancer, respiratory illness and periodontal disease.
"The popularity and social nature of hookah smoking, combined with the fact that college freshmen are more likely to experiment with risky behavior, could set the stage for a potential public health issue, given what we know about the health risks of hookah smoking," said lead author Robyn L. Fielder, M.S., a research intern at The Miriam Hospital's Centers for Behavioral and Preventive Medicine.
Originating in ancient Persia and India, hookah smoking is a highly social activity during which users smoke tobacco filtered through a water pipe, according to the American Lung Association. The tobacco mixtures used in the hookahs vary in composition, with some having flavorings and additives, such as candy and fruit flavors, that help disguise the harshness of the smoke. Hookah smokers are exposed to higher doses of nicotine compared to cigarettes, as well as carbon monoxide and a very high volume of smoke, which contai
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