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Showing 4 results for Mirzazadeh

Aa Haghdoost, A Mirzazadeh,
Volume 2, Issue 1 (23 2006)
Abstract

Background & Objectives: There is no shortage of evidence linking coronary heart disease (CHD) to various genetic and environmental factors. Nonetheless, exploring the familial aggregation of major risk factors in the Iranian population could add valuable information to the existing body of knowledge.
Methods: We received data on 656 families (1614 individuals) from the Provincial Health Authority in Kerman. The data had been originally collected in a nationwide non-communicable disease control project, under the auspices of the Health Ministry's Public Health Department. In this study, we divided subjects into high- and low-risk groups based on the 75th percentiles of risk factor levels. Using a random-effect Poisson regression model, we looked at the association between risk factors within families. In all models, the risk ratios (RR) were adjusted for the age gap between parents and children.
Results: Excessive weight in children showed a stronger association with overweight in the father than with the same problem in the mother (RR: 2.35 versus 1.59). Risk of high blood pressure in the father was significantly related to the risk in the mother and the child. The risk of high blood glucose showed a significant association only between parents. Similarly, hypercholesterolemia did not show a significant association between parents and children, but its RR in parent-parent associations was around 2. We did not find any significant familial aggregation for smoking. However, physical exercise in mothers doubled the rate of exercise in other family members.
Conclusions: Although our sample size was relatively small, we found stronger associations within parent couples than between parents and children. This implies that common lifestyle may be a more prominent factor than genetic make-up.
A Mirzazadeh, B Hajarizadeh, B Mesgarpour, A Golozar, K Holakouie Naieni,
Volume 4, Issue 3 (20 2009)
Abstract

Background & Objectives: Recent reports indicated an increase in cutaneous Leishmaniosis (CL) cases. We designed the study in the context of community assessment process to identify and address the major public health related issues by explore the risk map of CL and assessing the environmental risk factors in Kerman.
Methods: All the registered CL in the only referral center for CL from 2002 to 2006, localized on Kerman digital map. The level of data dissemination was townships. Based on data from the national statistics organization, we determined the population and calculated the incidence of CL of each township. Secondly, the highest endemic townships were observed deeply with a specific checklist to determine the environmental risk factors.
Results: 771 cases were included. All the high endemic areas were located in the east part of Kerman. The eastern township, Sarasiyab, with 123 (15.9%) cases was the most infected region. The highest endemic townships were Sarasiyab, Emam and Sarbaz with 54.9, 52.8 and 51.2 cases per 10,000, respectively. Some minor endemic areas such as Shahab, Abouzar and Shahzadeh Mohammad (South and central regions) were going to be disappeared while Shariati, Naseriyeh-Seyedi (North and North-East regions) were the new high-risk townships (P<0.01).
Conclusions: the east and central part of Kerman, were always the high endemic regions. Some other new high-risk areas were also detected. The most environmental factors were the bare lands between the houses, ground passages and the timeworn architecture on the buildings.
M Vameghi, M Dejman, H Rafiey, P Roshanfekr, As Forouzan, Ar Shoghli, A Mirzazadeh,
Volume 11, Issue 1 (Vol 11, No 1 2015)
Abstract

  Background & Objectives : Children who work or live on the street are one of key populations at risk for HIV and hard to reach for study or providing services. Here, as a methodological paper, we present the methods and steps of a rapid assessment and response (RARE) project conducted among street children in Tehran.

  Methods : We applied a mixture of qualitative (literature review, focus group discussion, in-depth interview) and quantitative (structure interview) methods to collect data from key informants in non-governmental and governmental agencies as well as street children. We applied targeted sampling to recruit key informants and time location sampling to recruit street children.

 Results: The study was conducted in eight steps to recognize the involved stakeholders, define target population (street children) and to guide on how to approach them (steps 1 to 2: Initial Consultation, Study Area Profile), to map the venues and gathering spots and ethnographic findings crucial for further recruitment into surveys (steps 3 to 5: Contextual Assessment, Population and Setting Assessment, Health Issues Assessment), assess the risk behaviors (step 6: Assessment Behavior Risk and Health), evaluate the response (step 7: Intervention Assessment), and develop an operational plan for improving the services (step 8: Developing an Action Plan).

  Conclusion: RARE is a participatory mix research method with sufficient flexibility to study complex health problems such as stigmatized HIV risk behaviors among high risk and hard to reach populations and also to assess the health sector response.


M Faghir Gangi, Ali Mirzazadeh, H Rastad, S Nedjat, A Rahimi-Movaghar, K Yazdani,
Volume 17, Issue 3 (Vol 17,No.3, Atumn 2021 2021)
Abstract

Background and Objectives: This qualitative study was conducted to identify reasons for not using condoms by people who inject drugs (PWID) in Iran.
 
Materials and Methods: Purposeful sampling was applied to recruit four groups [male PWID (n = 14), female PWID (n=6), service providers (n=8), and HIV/Addiction experts (n = 9)] into a qualitative study. Data were collected through focus group discussions (FGDs) or individual in-depth interviews. Data were analyzed using conventional content analysis.
 
Results: The mean age was 44.0 years for male and 38.2 for female PWID. Qualitative analysis showed 16 themes for not using a condom, which were grouped in three main categories, including knowledge (3 themes), accessibility (4 themes), and individual barriers to use condoms (9 themes). Poor knowledge included low perceived level of risk, insufficient training, and misconceptions. Lack of access to condoms resulted from the country's new policy for population growth control and decrease in the number of pharmacies and harm reduction centers and prisons where condoms were previously distributed free of charge. Common reported individual barriers to condom use were poverty, homelessness, depression, low self-care, and low self-esteem, less pleasure, having sex under the influence of drugs, and stigma.
 
Conclusion: Both structural and individual factors may play a role as barriers to condom use among PWID.

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