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Efficacy of Life Style Educational Intervention on CHD Risk Factors: A Systematic Review Study
F Rahmati Najarkolaei, E Ghaffarpasand, M Gholami Fesharaki ,
Volume 10, Issue 2 (Vol 10, No 2 2014)
Abstract

Background and Objectives: Nowadays 60% of deaths and 47% of diseases load worldwide caused by chronic diseases. Considering the different results of the conducted studies, the current study was performed to review the effect of life style educational intervention on improving cardiovascular risk factors.

Methods: In this review, English and Persian databases were investigated. All types of studies were included. There was no time limit. The articles in any other languages but English (except for Persian), and also abstracts presented in international congresses and meetings were excluded. Other studies were included if they had an acceptable JADAD score.

Results: During the primary search, 194 articles were found which through investigations 43 articles were finally included. The articles were published from 1989 to 2013. There were 3 domestic papers. Only two articles (4.65%) did not show any improvement in the risk factors while the others suggested significant improvements in the risk factors following educational intervention.

 Conclusion: Considering the general findings of the reviewed articles, it seems that the majority of the articles confirmed the effect of lifestyle education on cardiovascular risk factors- blood cholesterol, systolic and diastolic blood pressure, and cigarette smoking along with knowledge and attitude in high risk patients. The finding shows the necessity of “lifestyle” educational intervention in patients at risk for cardiovascular events.


Exploring Prospective Job Opportunities for Epidemiologists in Public and Non-Governmental Sectors and Projecting the Required Workforce in Iran Until 2027
Shoboo Rahmati, Reza Goujani, Zahra Abdolahinia, Naser Nasiri, Sakineh Narouee, Amir Hossein Nekouei, Hamid Sharifi, Ali Akbar Haghdoost,
Volume 19, Issue 3 (Vol.19, No.3, Autumn 2023)
Abstract
Background and Objectives: The influential role of epidemiologists in improving health outcomes and conducting pertinent research becomes apparent  when they are strategically positioned and available in sufficient numbers within a nation. This study aims to identify potential job positions in epidemiology within both governmental and non-governmental sectors while estimating the necessary workforce of epidemiologists in the country until 2027.
Materials and Methods: The present study was conducted as a combination in two quantitative and qualitative parts. In the qualitative part, interviews were conducted with experts, policy makers, graduates and students of this field in the field of job opportunities. In the quantitative part, the number of epidemiologists needed was estimated using modeling and parameters obtained from the review of the literature and the opinions of experts in this field. In this study, the current and near future needs up to 1406 have been considered.
Results: Based on the interviewes, job opportunities for epidemiologists in the country encompass diverse domains, including problem management and analysis, conducting applied research, data analysis, dashboard development, teaching, training, and future-oriented work (forecasting). Acounting for lost job opportunities, the estimated number of epidemiologists required in the country until 2027 is 1122 individuals, that most of them contribute to the country's health system if job opportunities are created. The highest demand for epidemiologists was identidied in units of the Ministry of Health, medical universities, research centers, and hospitals.
Conclusion: Estimating the number of epidemiologists needed using modeling in the country and paying attention to the current number of graduates, reveals that the growth of this field and the increase in graduates can only occur if job opportunities are clearly defined, created, and implemented across proposed job levels.

Challenges of the Field of Epidemiology and the Reasons for the Migration of Epidemiologists in Iran: A Qualitative Study
Shoboo Rahmati, Zahra Abdolahinia, Sakineh Narouee, Naser Nasiri, Reza Goujani, Ali Akbar Haghdoost,
Volume 19, Issue 4 (Vol.19, No.4, Winter 2024)
Abstract
Background and Objectives: Given the significant migration of educated individuals, particularly epidemiologists, throughout the country, it is crucial to investigate the underlying causes. This article presents the findings of an extensive study that sought to explore this issue by gathering insights from experts in the field.
Methods: The study was conducted using qualitative methods, employing content analysis. Data were collected between summer and autumn 2023 through semi-structured interviews with 32 epidemiologists in the country. Analysis followed the steps outlined by Lundman and Graneheim, with coding facilitated by MAXQDA software.
Results: The main challenges of epidemiology in Iran were divided into six main categories. In the field of graduate students, problems in recruitment and employment due to the lack of suitable careers, infrastructure and structural problems of the system, research problems and insufficient knowledge about the performance of this field are the most important challenges, and in the field of students, education problems, structural and infrastructure problems were reported. Also, the main reasons for the migration of epidemiologists were the lack of meritocracy and specialization, inappropriate privileges (including the application of unconventional recruitment quotas), lack of a job market and opportunities for graduates, and inadequate compensation and benefits.
Conclusion: Based on the results of this study, it seems that the migration of epidemiologists as a valuable human resource abroad is a serious concern and problem. The lack of a suitable job position and ambiguity in the path to career advancement due to non-adherence to the meritocracy and skill-building system have increased the motivation to migrate in this group.

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