Despite its harmful health effects, waterpipe smoking is quite common among college students. Future research with better methodologies and theoretical frameworks are needed to advance the field.

This study examined the prevalence and predictors of argileh (hookah pipe) use among a sample of nonselected college students. Method: Participants were 602 students (24% male; 43% white; mean age = 22.06) at a large, ethnically diverse, urban university. All participants completed an online survey designed to assess various types of substance use. Results: More than 15% of the sample reported having used argileh at least once in their lifetime, exceeding the percentage of students who had tried stimulants, barbiturates, cocaine , Ecstasy, heroin, or psychedelics. Arab ethnicity and cigarette smoking were the strongest predictors of argileh use; however, a substantial percentage of non-Arabs and nonsmokers also had tried argileh. Conclusions: Findings suggest that, in comparison with other substances, the prevalence of argileh use is high among college students in the United States. Physical health implications of these findings are discussed.

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