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This finding is comparable to regional data, notably the 33.1% prevalence reported among Palestinian university students ( Unlike previous studies reporting significant gender differences in depression, particularly highlighting a higher prevalence among females ( Regarding caffeine use, our findings correspond with a Palestinian study that identified chocolate as the primary source of caffeine, followed by tea and non-Arabic coffee, with higher consumption among females ( Tobacco consumption patterns observed in our study revealed waterpipes as the most frequently used tobacco product among both genders, aligning with findings from Palestinian universities ( Our study found that 24.1% of males and 24.2% of females use tobacco to relief stress and that there is no significant difference in depression level between genders contrary to other studies where females smoke to cope with stress more than male since they suffer more from anxiety disorders ( Our results indicated a significant difference in the consumption of caffeinated products between males and females for all substances except energy drinks

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