In a study involving more than 5,500 high-school seniors, researchers found that 18% reported using hookahs in the past year. Hookah smoking rates were higher among students who were white, male and came from families of higher socioeconomic status. Study authors said part of the reason for the use may be a misperception that hookah use is less addictive and harmful than cigarettes. The findings were published in the journal Pediatrics.

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