Results: 27.8% of participants endorsed hookah use;
there were no significant differences between age,
gender, race or university for hookah use. Hookah
users reported smoking tobacco (78%), hash (12%)
and both tobacco and marijuana/hash (10%) in their
hookah. Compared with non-hookah smokers, hookah
smokers were more likely to report using cigarettes
(OR=3.41, 95%CI=1.2 to 9.64) and marijuana
(OR=15.01, 95%CI=6.5 to 34.65). Hookah references
were present on 5% of Facebook profiles.
Conclusions: More than one quarter of college
students smoke hookah. Most smoke tobacco in their
hookah, and hookah smoking is associated with
polysubstance use. Hookah may present new risks for
nicotine addiction in this population.