Background and Objective: Nowadays, smoking is a widespread health problem in the world. Hookah smoking is common in many countries, especially in the Middle East and Africa. This study aimed to investigate the causes of hookah smoking in adolescents in Kurdkoy, 2013.

Material and Methods: This cross-sectional study was conducted on 266 teenagers selected via multi stage sampling. The questionnaires were distributed among  the  people who were present at the Coffeehouses and the results were reported by descriptive statistics.

Results: The results showed that 51.5% of the participants said they use Hookah every day. The reasons were pastime (56.4), unemployment (41.7), Pleasant feeling (33.8), being with friends (33.5), fatigue reduction (33.5) and the availability of hookah (32.3).

Conclusion: To minimize the tendency to Hookah smoking, we recommend planning some activities for leisure time, "learning to say no" and training how to reduce anxiety and fatigue.