High prevalence of hookah smoking among secondary school students in a disadvantaged community in Johannesburg

Smoking of hookahs (also known as water-pipes) represents an emerging trend in tobacco use. Hookah smokers are at risk for the same diseases caused by cigarette smoking – cancer, respiratory and heart diseases, and pregnancy-related complications. Globally, the highest rates occur in the North African and East Mediterranean regions and among young people in the USA and European countries. There has been little research on hookah smoking in southern Africa.