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Waterpipe tobacco a growing trend.

Researchers presenting during the APHA Annual Meeting found a "considerable overlap" between college students who smoke tobacco using a waterpipe and cigarette and marijuana use, highlighting the "need for further research to assess whether waterpipe tobacco use is a gateway" to trying other substances.

Gleaning data from a 2008 Web-based survey of more than 3,700 students from eight North Carolina colleges, study researchers found that 40 percent of students reported ever having smoked tobacco from a waterpipe, also known as a hookah, whereas 47 percent reported ever having smoked a cigarette. Also, about 17 percent reported current waterpipe tobacco use, while 25 percent reported being current cigarette smokers. Waterpipe tobacco use was also associated with daily and non-daily cigarette use, as well as marijuana use, illicit drug use and drinking. However, about 25 percent of waterpipe tobacco users said they had never tried a cigarette, "suggesting that waterpipe tobacco may have been their first tobacco product." (Abstract 205616)?

Note: The findings summarized here were presented during APHA's 137th Annual Meeting in November and may not have been published or may be preliminary. Abstracts and contact information for each are available online at
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Title Annotation:MEETING FINDINGS: Research from APHA's 137th Annual Meeting
Publication:The Nation's Health
Date:Dec 1, 2009
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