Youth Hookah Use

Hookah
	Middle School																	High School
	2002	2004	2006	2009	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2002	2004	2006	2009	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Total	--	--	--	--	1.0	1.2	1.1	2.5	2.0	2.0	1.3	1.2	1.6	1.3	0.4	0.5	1.0	--	--	--	--	4.0	5.2	5.2	9.3	7.2	4.8	3.2	4.1	3.4	2.7	1.2	1.5	1.1
Male	--	--	--	--	1.0	1.5	0.9	2.4	1.9	2.1	1.6	1.5	1.3	1.2	N/A	0.4	0.8	--	--	--	--	4.5	5.9	5.6	8.9	7.4	4.5	3.3	4.0	3.6	2.6	1.2	1.7	0.9
Female	--	--	--	--	0.9	1.0	1.3	2.6	2.0	1.9	1.1	1.0	1.8	1.5	N/A	0.6	N/A	--	--	--	--	3.4	4.4	4.8	9.8	6.9	5.1	3.2	4.1	3.2	2.9	1.3	1.3	1.4
Non-Hispanic White	--	--	--	--	0.9	0.8	0.7	1.4	1.6	0.9	0.6	0.8	N/A	0.7	N/A	N/A	0.4	--	--	--	--	4.1	5.9	5.3	9.4	6.9	4.5	2.8	3.3	2.5	1.8	0.8	1.1	N/A
Non-Hispanic Black	--	--	--	--	N/A	N/A	N/A	N/A	N/A	2.8	1.8	N/A	N/A	N/A	N/A	N/A	N/A	--	--	--	--	N/A	2.1	2.4	5.6	6.4	4.1	3.1	3.7	6.4	3.9	3.2	3.3	N/A
Hispanic	--	--	--	--	1.5	2.9	2.4	5.6	3.2	3.7	2.7	2.2	2.4	2.4	N/A	0.9	1.8	--	--	--	--	4.8	6.3	7.1	13.0	8.7	6.4	4.6	6.0	4.0	4.4	1.3	1.7	1.0

Sources:
Centers for Disease Control and Prevention. National Youth Tobacco Survey, 2011-2022. Analysis by the American Lung Association Epidemiology and Statistics Unit using SPSS software. 2002-2009, 2023 from MMWRs.

N/A Estimate is unreliable due to a sample size of less than 20.
Page Last Updated: June 10, 2019

Page last updated: February 25, 2026

Trends in Youth Use of Other Tobacco Products: Hookah

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