Reminder: Smoking Hookah For An Hour Is Like Smoking 100 Cigarettes

Unfortunately, a new study suggests young people believe a hookah is safer.

You hopefully wouldn't smoke 100 cigarettes in 60 minutes -- that's five entire packs of so-called cancer sticks.

If you casually dabble with hookah, however, you might not bat an eye at an hour-long smoking session. New research shows lots of young people don't know that 100 cigarettes and an hour of hookah are about equal in terms of the amount of smoke inhaled -- and therefore in the damage they can cause to a person's health, including increased risk for heart disease, cancers, stroke, blood clots and death, to name a few.

How Can It Be?

A 2005 report by the World Health Organization found that hookah smokers typically take 200 puffs during an hour-long smoking session, while people take an average of 8-12 puffs per cigarette. Considering the amount of smoke inhaled per method, the organization wrote, a 60-minute water pipe session may be the same as smoking 100 cigarettes or more.

Yikes. If the parallel is surprising to you, you're not alone. A study just published in the journal Health Education & Behavior found that many young adults believe smoking hookah and cigarette alternatives is a less risky behavior than smoking cigarettes. Researchers analyzed data from 2,871 smoking and non-smoking millennials, roughly 25 percent of whom said they believe hookah is safer than cigarettes. Once again, this is false.

How about E-Cigarettes

For now, there's an ashtray's worth of contradicting information about e-cigarettes. Electronic cigarettes may be less hazardous than cigarettes because they release vapor instead of smoke, and they don't burn. Some experts argue that they are safer -- though not "safe" -- and can help smokers eventually quit their smoking habit altogether. But a recent study revealed that e-cigs can also be a catalyst for conventional smoking: they're a gateway drug. 

While the safety of e-cigarettes continues to be explored, anyone considering picking up the habit should know that they won't be doing themselves any favors. The same goes for smoking hookah: Both hookah and e-cigs can be addictive, and both transfer cancer-causing chemicals into the mouth and lungs of a smoker.

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