 Tobacco consumption rates in post-secondary students vary dependent on the geographical location and gender of student.In North America, the National College Health Assessment (NCHA) for spring 2019 reported that 6.4% of students used cigarettes within the last 30 days, 12.6% used e-cigarettes, and 2.1% used water pipes (also known as shisha or hookah).In each category, use of tobacco products by men was more frequent.