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Prevalence of Hookah Smoking among University Students in Iran: A Meta-Analysis of Observational Studies.

Iran J Public Health · 2020 · PMC7152648 · PMID 32309218

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a decreasing trendno p-value reported
Among EMR countries, hookah smoking had a decreasing trend for the most part of the 20 th century.

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an increasing trendno p-value reported
In Iran, based on the results of two national health and disease evaluations in 1991 and 1999, the prevalence of hookah smoking had an increasing trend among 15–24 years old males and females ( 13 ).

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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.