Evidence map›Paper›PMID 40924062›Full record

ArticleJournal of community health2026

Hookah Use and Knowledge of Harmful Substances among University Students in Iran.

Mousa Ghelichi-Gojogh, Mohammad Reza Jafari, Mohammad Hadi Tajik Jalayeri, Abdurrahman Charkazi

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Article in Journal of community health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mousa Ghelichi-GojoghNeonatal and Childrens Research, Department of Biostatistics and Epidemiology, School of Health, Golestan University of Medical Sciences, Gorgan, Iran.ORCID 0000-0002-0726-5509
Mohammad Reza JafariClinical Research Development Unit (CRDU), Sayad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
Mohammad Hadi Tajik JalayeriClinical Research Development Unit (CRDU), Sayad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran. drtajikinternist@gmail.com.ORCID 0000-0001-5570-7239
Abdurrahman CharkaziEnvironmental Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran. rcharkazi@yahoo.com.ORCID 0000-0003-4770-2002

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hookah use is a growing global health concern, particularly among young adults, with significant misconceptions about its safety. This study aimed to investigate the prevalence of hookah use and its association with knowledge of harmful substances and future susceptibility among university students in Iran. A cross-sectional study was conducted among 561 undergraduate students from Golestan University of Medical Sciences in Iran between April and June 2024. Data were collected using a questionnaire assessing demographics, hookah and cigarette use patterns, future susceptibility, and knowledge of harmful substances in hookah versus cigarettes. Statistical analyses included descriptive statistics, chi-square tests, and logistic regression. The lifetime prevalence of hookah use was 44.4%, with 16% reporting use in the past month. A significant portion of students (38.7%) were susceptible to future hookah use. Most participants demonstrated good knowledge regarding the harmful substances in hookah compared to cigarettes. However, knowledge of carbon monoxide and heavy metal content was associated with a lower risk of future hookah use susceptibility (AOR = 0.498 and AOR = 0.490, respectively). Prior hookah use (lifetime, past year, past month) was significantly associated with increased susceptibility to future use (p < 0.0001). Hookah use is prevalent among Iranian university students, and prior use significantly predicts future susceptibility. While knowledge of hookah's harmful effects is relatively high, it does not fully mitigate the risk of future use. Interventions should focus on addressing attitudes and social influences that promote hookah use, alongside enhancing knowledge about specific harmful components.

Indexed as

Health Knowledge, Attitudes, PracticeSmoking Water PipesStudentsWater Pipe SmokingAdolescentAdultCross-Sectional StudiesFemaleHumansIranMalePrevalenceSurveys and QuestionnairesUniversitiesYoung AdultHarmful substancesHealth behaviorHookahIranKnowledgePrevalenceStudentsSusceptibilityTobaccoWaterpipe

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.