Abstract
The use of water pipes is an alternative to cigarette smoking. Current studies show that water pipe smoking is as hazardous as smoking cigarettes. However, rates of water pipe consumption are still high. The consumption behaviour of students was investigated within the evaluation of the school-based prevention program Rauchzeichen. Data about the water pipe use of students was collected using a specially designed questionnaire. Water pipe user rates among students of 8th to 10th grade are still high (7.5 - 21.2 %). 13.2 % of the students, who consume water pipe regularly, state to be non smokers. It seems that many adolescents do not estimate water pipe use as smoking, which might lead to an underestimation of health risks or the use of the water pipe as an alternative addictive drug.
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