Background and aims: Waterpipe smoking is regarded as a burgeoning public health problem due to its popularity among young adults. This study aims to understand the meaning-imbued reality of waterpipe smoking for young adults in Sweden. Method: Data from 18 individual interviews with ethnically diverse Swedish young adults were analysed using inductive latent-level qualitative content analysis. Results: The youth's experience of waterpipe smoking shows different dimensions (time, space, fun, community) that construct the practice of waterpipe smoking as a closed bubble characterised by harmlessness, cosiness and freedom to develop an adult self in the waterpipe group. The bubble provides a breathing space and timeout in everyday life, fuelled by an understanding of the hookah as hazard-free and liberating. A variety of control mechanisms are used to defend the bubble's constructed harmlessness, proving responsibility by applying practice-, communication- and Othering-oriented means. Conclusion: The study enhances the understanding of waterpipe smoking by highlighting its community- and self-forming meaning in a combined focus on ritualistic and symbolic qualities. For young adults, waterpipe smoking combines potentially beneficial and detrimental impacts on health. This complex situation requires a dialogical - rather than a traditional - approach to prevention that negotiates the risk landscape faced by young adults.

中文翻译：

---

“就这样真好”：一项关于瑞典年轻人吸水烟的意义现实的定性研究。

背景和目标：由于水烟在年轻人中的流行，它被视为一个新兴的公共卫生问题。本研究旨在了解瑞典年轻人吸水烟的现实意义。方法：使用归纳潜在水平定性内容分析对来自 18 名不同种族的瑞典年轻人的个人访谈数据进行分析。结果：青少年的吸水烟经历呈现出不同的维度（时间、空间、乐趣、社区），将吸水烟的实践构建为一个以无害、舒适和自由为特征的封闭气泡，在水烟群体中发展成人自我。水烟的气泡为日常生活提供了喘息的空间和暂停的时间，而人们对水烟无危险和解放的理解也推动了这一点。各种控制机制被用来捍卫泡沫的构建无害性，通过应用实践、沟通和其他导向的手段来证明责任。结论：该研究通过强调水烟的社区和自我形成意义，同时关注仪式和象征品质，增强了对吸水烟的理解。对于年轻人来说，吸水烟对健康既有潜在的有益也有有害的影响。这种复杂的情况需要一种对话式的预防方法，而不是传统的预防方法，以协商年轻人面临的风险状况。