Nearly one out of every five high school seniors in the United States report using hookahs to smoke tobacco in the past year.
Researchers analyzed data from a nationally represented sample of students from public and private schools across the 48 contiguous states.
They identified nearly 9,000 high school seniors who were surveyed on hookah use and found 19-percent reported using a hookah at least once over the past year, nearly 40-percent users say they used the devices at least six times in the past year.
Out of the students who reported using a hookah, more than half said they did not currently use cigarettes.
Researchers say this suggests adolescents may be turning to alternative ways to smoke tobacco.
Health experts say in order to counteract this trend, tobacco prevention and intervention efforts need to collect data and address hookah use specifically.
Findings appear in the ‘American Journal of Preventive Medicine.’