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Table 2 Description of included studies Factors associated with hookah smoking Intrapersonal factors Positive attitude Having a positive attitude was reported in both qualitative and quantitative studies as the most prevalent cause of hookah smoking among women

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Likewise, Americans who are better educated will associate with other people of a similar educational standing, which further reduces the likelihood that anyone in that particular group will smoke

population in recent years, dropping from 20.9% of adults in 2005 to 12.5% in 2020