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Hookah Smoking and Alcohol Use

A study was conducted to investigate whether alcohol use and age influence hookah tobacco smoking (HTS) and poly-tobacco use. A sample of 1223 adult cigarette smokers were surveyed and found that hookah users were more likely to be heavy alcohol users and binge drinkers. There was a three-way interaction between HTS, frequency of alcohol use, and age such that the association between HTS and number of tobacco products used was strongest for younger respondents who consumed alcohol more frequently. Alcohol is a significant factor when studying smoking behavior. The associations should be considered when developing educational and preventative initiatives.

The study “Hookah tobacco smoking in a large urban sample of adult cigarette smokers: Links with alcohol and poly-tobacco use,” is published in Addictive Behaviors. The National Cancer Institute supported this research effort.

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