Journal of Education and Health Promotion最新文献

{"title":"Inflammatory indices and bone density in osteoporosis: A cross-sectional study.","authors":"Nasrin Bazgir, MohammadHossein Sahami Gilan, Aliashraf Mozafari, Adel Mohammad Nejad","doi":"10.4103/jehp.jehp_752_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_752_25","url":null,"abstract":"<p><strong>Background: </strong>Osteoporosis and osteopenia, prevalent metabolic bone disorders, increase fracture risk, particularly in postmenopausal women. Chronic inflammation may contribute to bone loss. The association between inflammatory indices and bone mineral density (BMD) was investigated.</p><p><strong>Materials and methods: </strong>A cross-sectional analysis involving 99 patients over the age of 40 at the Ilam Rheumatology Clinic (2019-2022) evaluated BMD using the Hologic Discovery Wi DXA and assessed blood indices with the Sysmex XN-1000. Statistical analyses, including T-tests, ANOVA, and Pearson's correlation, were conducted utilizing SPSS version 16, with significance set at <i>P</i> < 0.05.</p><p><strong>Results: </strong>Among 99 patients (78.8% female, mean age 55.8 ± 9.7 years), the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) exhibited significant elevation in cases of osteoporosis (2.710 ± 0.610, <i>P</i> = 0.001) and osteopenia (2.230 ± 0.530, <i>P</i> = 0.001) than in normal BMD (1.840 ± 0.450). The BMD exhibited a negative correlation with the NLR (<i>r</i> = -0.430, <i>P</i> = 0.001) and the PLR (<i>r</i> = -0.370, <i>P</i> = 0.002). Patients with osteoporosis exhibited the lowest bone mineral density in the lumbar spine (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Increased levels of NLR and PLR correlate with diminished BMD, suggesting their potential as cost-effective biomarkers for osteoporosis risk assessment. Monitoring these indices could enhance early diagnosis and prevention strategies in at-risk populations.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"349"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of an online stroke education program on enhancing knowledge, awareness of stroke warning signs, and emergency medical services seeking among high-risk residents in Huanggang City, China.","authors":"Wu Xiangbo, Wei Tang, Fan Fan, Suneerat Yangyuen","doi":"10.4103/jehp.jehp_187_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_187_26","url":null,"abstract":"<p><strong>Background: </strong>Stroke is the leading cause of disability and death in china. Raising public awareness of warning signs is critical for improving access to emergency services and treatment outcomes. Prehospital delay remains a significant challenge, especially among high-risk populations. This study therefore aims to determine the effects of an online stroke education program (osp) on the knowledge, awareness of stroke warning signs, and seeking of emergency medical services (ems) among high-risk residents.</p><p><strong>Materials and methods: </strong>A randomized controlled trial was conducted from September 2024 to April 2025. One hundred and six high-risk residents were randomly allocated to intervention and control groups (<i>n</i> = 53 each). The intervention group received the 6-week OSP program, while the control group received regular health education. Data were collected via an interview questionnaire and analyzed using the Chi-squared test, McNemar's test, and multivariate regression.</p><p><strong>Results: </strong>Postintervention, the experimental group exhibited significantly higher enhancement of stroke-related knowledge, awareness of warning signs, and EMS-seeking behavior compared to the control group (<i>P</i> < 0.05). The intervention effects were robust, showing significant improvements in awareness (adjusted OR = 3.78, 95% CI: 1.41-8.13), knowledge (adjusted OR = 3.68, 95% CI: 1.52-8.94), and EMS seeking (adjusted OR = 3.33, 95% CI: 1.44-7.69).</p><p><strong>Conclusion: </strong>The OSP significantly improved stroke recognition and EMS-seeking intentions. This scalable model supports stroke care management by integrating digital education into primary care, effectively reducing prehospital delays. Such integration is crucial for improving clinical outcomes in acute stroke management and achieving public health targets.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"382"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fear of childbirth and its relationship with the attitude toward child bearing: A descriptive-analytical study.","authors":"Shokouh Jahanbakhsh, Azam Bakhteh, Shahab Rezaeian, Mastaneh Kamravamanesh","doi":"10.4103/jehp.jehp_617_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_617_25","url":null,"abstract":"<p><strong>Background and purpose: </strong>With regard to the importance of fear of childbirth, negative consequences, its impact on fertility, and the differences in the prevalence and related factors in different regions of Iran, this study was conducted with the aim of determining the status of fear of childbirth and its relationship with attitudes toward fertility in women of childbearing age in the city of Kermanshah.</p><p><strong>Materials and methods: </strong>This descriptive-analytical study was conducted on 600 married women referring to comprehensive health service centers in Kermanshah. The sampling method was multistage random sampling. The data collection tools included a demographic profile form, a questionnaire on childbirth expectations and experiences/attitudes toward fertility and childbearing, which were completed by the participants. The data were analyzed using statistical tests.</p><p><strong>Findings: </strong>The overall prevalence of fear of childbirth is 69.055%, and its subgroups are classified as mild (0.33), moderate (17.30), severe (66.83), and clinical (2.67) based on the fear of childbirth questionnaire scores in this study. The results also indicate an inverse relationship between the two variables of fear of childbirth and attitude toward childbearing (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>According to the results of the study, there is a significant level of fear of childbirth in women of reproductive age, and it is significantly related to attitudes toward the concept of childbearing. It is suggested that strategies be developed to manage the fear of childbirth.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"368"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship of body mass index with sexual function and marital satisfaction in reproductive-age women: A cross-sectional study in Iran.","authors":"Sanaz Bahrami-Samani, Shabnam Omidvar, Mojgan Firouzbakht, Maryam Golzar, Fatemeh Heydari","doi":"10.4103/jehp.jehp_352_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_352_25","url":null,"abstract":"<p><strong>Background: </strong>Obesity is a global issue and has negative effects on various aspects of life, including physical and psychosocial health, which leads to a reduced quality of life. The present study was conducted to investigate the relationships between body mass index, sexual function, and marital satisfaction in reproductive-aged women.</p><p><strong>Materials and methods: </strong>The present research was a cross-sectional study that was conducted using socio-demographic and obstetric checklist, and questionnaires, including the Female Sexual Function Inventory (FSFI) and Enrich Marital satisfaction questionnaire as well as using a weight scale and stadiometer to measure height on 350 women of reproductive age referred to health centers during 2022 in Babol, Iran. The data were analyzed using SPSS 25, and Chi-square tests and ANOVA were performed.</p><p><strong>Results: </strong>The results showed that there was a significant difference in the sexual function of women with a normal body mass index compared to overweight (<i>P</i> = 0.034) and obese (<i>P</i> < 0.001) women. Additionally, a significant correlation was observed between sexual function and marital satisfaction among the research participants (<i>r</i> = 0.109, <i>P</i> = 0.041).</p><p><strong>Conclusion: </strong>Considering the relationships among body mass index, sexual function, and marital satisfaction, it is important to screen women with higher body mass indices for sexual function and marital satisfaction and to offer suitable counseling and approaches to identify and address all related factors in addition to weight management recommendations.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"347"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prediction of phase angle based on body composition: Insights from a large population-based registry.","authors":"Ali Ebrahimi Dabagh, Najmeh Seifi, Mina Nosrati, Shima Shishehbor, Nioosha Samadi, Sara Asadzadeh, Faezeh Sadat, Mahdieh Kamaljoo, Gordon A Ferns, Habibollah Esmaily, Majid Ghayour-Mobarhan","doi":"10.4103/jehp.jehp_771_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_771_25","url":null,"abstract":"<p><strong>Background: </strong>Phase angle (PhA) is obtained through bioelectrical impedance analysis (BIA) and is a potential marker of nutritional health and cellular function. We aimed to develop an equation for estimating PhA using body composition parameters, focusing on skeletal muscle mass, body water, and fat mass.</p><p><strong>Materials and methods: </strong>This cross-sectional study enrolled participants from the Iranian National Obesity Registry. Data on age, gender, body composition, and BIA measurements were collected using an InBody 770 device. Exclusion criteria included pregnancy, pacemakers, implants, or edema. The study was approved by the Ethics Committee of Mashhad University of Medical Sciences.</p><p><strong>Results: </strong>A total of 5980 participants (28.7% men, 71.3% women) were included. PhA showed the strongest correlations with extracellular water/total body water (ECW/TBW) (<i>r</i> = -0.84, <i>P</i> < 0.001), followed by intracellular water (ICW) (<i>r</i> = 0.62, <i>P</i> < 0.001) and skeletal muscle mass (SMM) (<i>r</i> = 0.62, <i>P</i> < 0.001). Linear regression models revealed a significant negative association between ECW/TBW and PhA (β = -82.81, <i>P</i> < 0.001), explaining 71% of variance. Adding age (β = 0.012, <i>P</i> < 0.001) improved the model (<i>R</i>² = 0.75), and SMM (β = 0.039, <i>P</i> < 0.001) further increased explanatory power (<i>R</i>² = 0.85). Including body fat mass (BFM) (β = 0.005, <i>P</i> < 0.001) and height (β = -0.031, <i>P</i> < 0.001) led to the highest model fit (<i>R</i>² = 0.90).</p><p><strong>Conclusion: </strong>ECW/TBW, SMM, BFM, age, and height are significant predictors of PhA, with ECW/TBW showing the strongest negative association.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"353"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient safety culture and reporting barriers among healthcare professionals in the United Arab Emirates: A cross-sectional study.","authors":"Aaesha M Alblooshi, Saoud Al Tamimi, Fatima AlSaedi, Mahra Saif Obaid Al Farsi, Mouza Ahmed Abdulla Alzaabi, Lamya AlBlooshi, Mirah Hamdan Alshehhi, Hanouf Mahdi Alshaka, Sohrab Amiri, Moien Ab Khan","doi":"10.4103/jehp.jehp_157_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_157_26","url":null,"abstract":"<p><strong>Background: </strong>To assess patient safety culture using the Hospital Survey on Patient Safety Culture (HSOPSC) and to examine associations between occupational characteristics, perceived incident-reporting barriers, and overall safety culture scores among healthcare professionals in the United Arab Emirates.</p><p><strong>Materials and methods: </strong>A cross-sectional survey was conducted between January and March 2023 among 629 healthcare professionals in the United Arab Emirates, including physicians, nurses, and allied health professionals, using convenience sampling. Participants completed a sociodemographic and work characteristics questionnaire alongside the HSOPSC. Item-level positive response rates were calculated, and overall HSOPSC mean scores were compared across occupational characteristics and reporting-barrier frequency categories using <i>t</i>-tests and analysis of variance (two-sided; <i>P</i> < 0.05).</p><p><strong>Results: </strong>Reporting of near-miss events was limited (40.1%), despite high levels of perceived interpersonal respect (84.2%). Respondents reporting barriers seldom demonstrated significantly higher patient safety culture scores across the majority of barrier domains (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Targeted system-level interventions, including simplification of reporting processes, strengthening nonpunitive culture, and improving feedback mechanisms, are recommended to enhance reporting and patient safety outcomes.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"342"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the impact of artificial intelligence on dental education: Benefits, challenges, and future directions - A systematic review of the literature.","authors":"Zohreh Khoshgoftar, Salma Ghaiyoomi, Arezoo Alaee","doi":"10.4103/jehp.jehp_719_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_719_25","url":null,"abstract":"<p><p>The advent of artificial intelligence (AI) in dental education is a profound opportunity, spurred on by unprecedented technological change. It should be revamped in a way that supports immense capabilities, improves efficiency, and provides learning opportunities, but also has constraints that need to be understood. Thus, in this article, we discuss the benefits and challenges involved in adapting AI into dental education, as well as methods to improve the application of AI to enhance learning for students and instructors. We reviewed a total of 73 articles from multiple databases, including PubMed/Medline, Cochrane, Scopus, and Google Scholar. Through our review of articles from the past five years (2018-2024), the selected studies were evaluated based on relevance, recency, and credibility, which were sometimes difficult to distinguish between. We ultimately found 56 articles that met the above criteria for relevance. Using several combinations, we selected the relevant articles based on the keyword descriptions: AI in dentistry, AI in health care, deep learning in dentistry, machine learning in dentistry, AI in medical education, AI in dental education, AI constraints, and AI with dental students. Anything that was outdated, lacked credibility, or seemed to have redundant information was removed. Taken together, we reflect on the fact that AI has very exciting implications to innovate dental education, and the obstacles to broad-scale adoption can be overcome with responsible use and oversight. In conclusion, AI is a vital part of the contemporary dental curriculum and provides the potential for positive educational and clinical outcomes. AI provides an essential educational tool in the dental education curriculum for better teaching, learning, and patient care outcomes. If utilized effectively, then by identifying the limitations and guiding students on its ethical use, AI can narrow educational gaps and help students and mentors achieve better outcomes clinically and academically.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"343"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spiritual well-being, sleep quality as a buffer against burnout and in increasing professional fulfillment among healthcare professionals in the United Arab Emirates.","authors":"Sohrab Amiri, Muhammad Daniyal, Mohammed Al-Houqani, Shamma Al Neyadi, Ashraf Hefny, Syed F Javaid, Moien Ab Khan","doi":"10.4103/jehp.jehp_1001_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1001_25","url":null,"abstract":"<p><strong>Background: </strong>Burnout is a growing concern among healthcare professionals (HCPs) in the United Arab Emirates (UAE). Emerging evidence suggests that sleep quality and spiritual well-being may buffer against burnout and enhance professional fulfilment. This study explores the relationship between sleep disturbance, spiritual well-being, and burnout among HCPs in the UAE.</p><p><strong>Materials and methods: </strong>A cross-sectional survey was conducted among 661 healthcare professionals across the UAE. Validated instruments were used to measure sleep quality, circadian regularity, spiritual well-being, burnout, and professional fulfilment. Data was analyzed using correlation and regression models to identify predictive factors.</p><p><strong>Results: </strong>Poor sleep quality and irregular circadian patterns were significantly associated with higher levels of burnout. Conversely, higher spiritual well-being showed a strong negative correlation with burnout and a positive association with professional fulfilment. Multivariate analysis identified sleep regularity and spiritual well-being as significant independent predictors of both burnout and professional fulfilment.</p><p><strong>Conclusion: </strong>Sleep quality and spiritual well-being play a protective role against burnout and contribute to greater professional fulfilment among healthcare professionals in the UAE. These findings highlight the importance of addressing sleep issues and nurturing spiritual well-being to mitigate burnout and enhance job satisfaction among healthcare professionals, thereby facilitating targeted interventions for improved occupational health and well-being.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"344"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global perspectives on health tourism: A comparative review of research trends and future prospects (2000-2024).","authors":"Yunrong Lai, Hengbo Zhao, Haibo Wu, Yuanan Lu","doi":"10.4103/jehp.jehp_1406_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1406_25","url":null,"abstract":"<p><p>This study systematically reviews global research trends in health tourism (2000-2024), comparing international and Chinese scholarly perspectives to identify key themes, differences, and future directions for the field. We employed a systematic literature analysis approach, examining studies on health tourism definitions, classifications, motivations, influencing factors, evaluation systems, and development strategies. Comparative insights were drawn between international and Chinese research priorities. Findings reveal distinct research emphases: International scholars focus on global perspectives, interdisciplinary integration, cross-border service delivery, and ethical concerns, while Chinese researchers prioritize localized frameworks, regional characteristics, and policy applications. Both groups, however, share an interest in industrial integration and growth drivers. The study recommends that China enhance standardized evaluation methods, deepen quantitative research, and cultivate distinctive health tourism brands. Globally, researchers should strengthen qualitative studies with holistic perspectives and develop transferable models. Future research should integrate four key dimensions-theoretical advancement, technological innovation, and industrial collaboration-to address evolving demands in global health governance and industry transformation.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"358"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of group cognitive behavioral therapy on stress and psychological adjustment among cigarette, e-cigarette, and hookah smokers.","authors":"Feras Al-Habies, Mahmoud Rababah, Suzie Rababa'h, Sami Shannag, Mohammad Baniyounes, Ruba Mutabaqani","doi":"10.4103/jehp.jehp_1190_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1190_25","url":null,"abstract":"<p><strong>Background: </strong>The tobacco epidemic remains one of the world's major public health threats, causing preventable cancers and disabilities, and claiming over seven million lives each year. Over the past decade, the use of nicotine-containing electronic cigarettes has grown among adolescents and young adults. This study investigates the effectiveness of a group cognitive behavioral therapy program on stress and psychological adjustment among university students who want to quit smoking cigarettes or hookah.</p><p><strong>Materials and methods: </strong>The sample included 123 male students who smoked cigarettes and e-cigarettes and 134 students who smoked hookah, all of whom expressed a desire to quit smoking. Students who smoke both cigarettes and hookah were excluded from the study to ensure clear differentiation between the two groups of users. A nonprobability sampling method was used. Psychological stress and psychological adjustments were measured twice: before the group treatment program began and after the program was completed. The study employed an experimental pretest and posttest design to analyze data.</p><p><strong>Results: </strong>The results indicated that the program had an effective impact on users of cigarettes, electronic cigarettes, and hookah in terms of stress management strategies and psychological adjustment. Specifically, the program had a positive effect on reducing psychological stress but a negative effect on psychological adjustment, meaning that while stress levels decreased, psychological adjustment also decreased. The program had a greater impact on stress management strategies and psychological adjustment among cigarette and e-cigarette smokers compared to hookah smokers.</p><p><strong>Conclusion: </strong>The findings suggest that smokers of cigarettes and e-cigarettes are more likely to use stress-coping strategies but have a reduced ability to maintain psychological adjustment, which may be due to their dependence on nicotine. Therefore, it is recommended that awareness be raised about the necessity of involving psychologists in future treatment programs at the national level to help reduce this phenomenon.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"350"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}