{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T18:25:37Z","timestamp":1787250337659,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T00:00:00Z","timestamp":1772236800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T00:00:00Z","timestamp":1772236800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Educating couples about reproductive and sexual health is crucial for enhancing marital well\u2010being, fostering healthy sexual relationships, and ultimately strengthening family bonds. The purpose of this study is to determine the impact of reproductive and sexual health education on knowledge and attitudes of couples in premarital counseling classes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This quasi\u2010experimental controlled intervention study involved 200 people (100 couples) attending the General Health Service Center No. 8 in Rasht city. Forty eligible couples were selected using simple random sampling and randomly assigned to two groups: the intervention group (20 couples) and the control group (20 couples). Data were collected using a researcher\u2010designed questionnaire comprising two sections: the first covered four demographic questions, while the second assessed couples' knowledge and attitudes toward reproductive and sexual health. The intervention group participated in a tailored reproductive and sexual health education program delivered five 60\u2010min sessions. Questionnaires were administered before the intervention and 3 months afterward. Data were analyzed using SPSS version 24, employing descriptive statistics, Chi\u2010square tests, Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      test, and Wilcoxon tests with a significance level of\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Demographic variables were homogeneous across both groups, with no statistically significant differences observed (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Prior to the intervention, there was no significant difference in the average knowledge and attitude scores between the intervention and control groups. However, following the educational program, the intervention group demonstrated a significant increase in these scores (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings underscore the effectiveness of premarital educational interventions in enhancing couples' knowledge and attitudes regarding reproductive and sexual health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.71921","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T04:25:30Z","timestamp":1773030330000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the Impact of Reproductive and Sexual Health Education on Knowledge and Attitudes of Couples in Premarital Counseling Classes: A Quasi\u2010Experimental Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4337-6457","authenticated-orcid":false,"given":"Elnaz","family":"Ashrafi","sequence":"first","affiliation":[{"name":"Department of Health Education and Promotion School of Health, Guilan University of Medical Sciences Rasht Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0766-4615","authenticated-orcid":false,"given":"Leila Baeiman","family":"Oskoei","sequence":"additional","affiliation":[{"name":"Health Promotion Research Center Iran University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8204-6218","authenticated-orcid":false,"given":"Mahasti Emami","family":"Hamzehkolaee","sequence":"additional","affiliation":[{"name":"PHD of Health Education and Promotion, Clinical Research Development Unit of Shahid Yahyanejad Hospital Babol University of Medical Sciences Babol Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bahare","family":"Izadi","sequence":"additional","affiliation":[{"name":"Health Promotion Research Center Iran University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2482-5424","authenticated-orcid":false,"given":"Morteza","family":"Mansourian","sequence":"additional","affiliation":[{"name":"Health Promotion Research Center Iran University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7933-9099","authenticated-orcid":false,"given":"Behrouz","family":"Bahadori","sequence":"additional","affiliation":[{"name":"Health Promotion Research Center Iran University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,28]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691058.2016.1215526"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.20286\/jech-010136"},{"key":"e_1_2_14_4_1","unstructured":"World Health Organization \u201cDraft Global Health Sector Strategies: Sexually Transmitted Infections 2016\u20132021 \u201d 2015 http:\/\/appswhoint\/gb\/ebwha\/pdf_files\/EB138\/B138_31-enpdf."},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2013.08.002"},{"issue":"67","key":"e_1_2_14_6_1","first-page":"57","article-title":"Development of a Sexual Health Education Package and Its Effectiveness on the Sexual Performance of Newly Married Working Couples","volume":"19","author":"Izadi M.","year":"2024","journal-title":"Women's and Family Cultural\u2010Educational 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