Context: Use of hookah is on the rise among youngsters. A growing body of evidence suggests that these children are experimenting with this form of tobacco.
Aims: The study was carried out to know prevalence estimates of hookah use and factors associated with it among high school students.
Settings and design: This study adds to the current literature by providing prevalence estimates and factors associated with hookah use among high school students of Indore - a city in central India.
Materials and methods: A cross-sectional survey of 1000 students from high schools was conducted to find hookah users and factors associated with its use.
Results: Hookah users in this study population were 7.6%. Most of them first learned about hookah from friends (63.2%). They usually smoked in hookah lounges (85.5%). These children believed that hookah was safer and more socially acceptable than cigarettes.
Conclusions: Misperceptions of safety and popularity of hookah among the younger generation are cause for concern. Presence of hookah lounges should be a target for further regulation. Prevention activities are necessary to prevent this rising public health concern.