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Evidence of emerging hookah use among university students: a cross-sectional comparison between hookah and cigarette use.

BMC Public Health · 2013 · PMC3626777 · PMID 23560649

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an increasing trendno p-value reported
cities and evidence points to an increasing trend for college students.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.