(1) Introduction: Arab American (ArA) men have higher smoking rates than the general population, driven by cultural norms. Culturally tailored interventions that incorporate ArA cultural, linguistic, and social contexts are essential for addressing tobacco use and promoting health equity. This study aimed to evaluate a culturally tailored smoking cessation intervention for ArA men living in North Carolina. (2) Methods: This pilot study employed a one-group pre- and post-test design to evaluate program effectiveness within financial and time constraints. The participants completed questionnaires and Carbon monoxide measurements and were provided with Nicotine Replacement therapy. (3) Results: The study found that participants experienced anxiety and stress when delaying their first morning cigarette, which hindered cessation. Although smoking was reduced, relapse was common, highlighting the need for personalized support, especially for those with higher nicotine dependence. While telephone Motivational Interviewing helped reduce anxiety, it was insufficient for complete cessation, underscoring the need for tailored approaches addressing both psychological and physical factors. (4) Conclusions: The study suggests that culturally tailored telephone counseling did not show promise as a smoking cessation strategy for Arab Americans in North Carolina due to low participation. The sample size is really too small to test the efficacy of the intervention itself. It seems to have been more successful in another state. Future efforts should address cultural factors, emerging nicotine products, and expanded research. The project is significant for addressing health disparities among Arab Americans by integrating culturally relevant smoking cessation strategies with evidence-based methods like Nicotine Replacement Therapy.

Hookah smoking has become a persistent social phenomenon among young adults in the United States, despite decades of tobacco control efforts. Moreover, hookah smoking presents unique public health challenges due to its strong social appeal, cultural relevance, and widespread use in urban centers and college communities. This paper provides a broad review of recent trends, health implications, regulatory responses, and sociocultural factors influencing hookah smoking. A narrative literature review was conducted using peer-reviewed articles and grey literature sources published between 2019–2025. Electronic databases included PubMed, CINAHL, and Google Scholar, along with reports from professional organizations and government agencies including CDC, FDA, WHO, and health department agencies, to review current public health recommendations and practice guidelines. Review materials were selected that focus on prevalence, health implications, and regulations of hookah smoking. Findings were synthesized to identify key applications, challenges and concerns, and future directions. This review provided a rapid and broad review of the current trends, health implications, regulatory responses, and sociocultural factors of hookah smoking among young adults in the United States. Interdisciplinary research and policy innovation are necessary to address the ongoing public health burden of hookah smoking among young adults in the United States.