Journal of

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Background: Health care providers have important role in identification and management of domestic violence against women. The purpose of this study was to explore views and ideas of the women health worker about the screening and management programs related to domestic violence against women, their benefits and barriers and introducing the appropriate interventions for removing the barriers.      

Materials and methods: This qualitative study was held through six focus group discussions and three in-depth interviews by the participation of fifty-six women who had provided reproductive health care of South Tehran, Rey and Eslamshahr Health Networks. The health care providers' views about domestic violence screening and management were extracted, categorized and analyzed.  

Results: The majority of health care providers were aware of the importance of identifying and management of domestic violence cases in health care facilities. Respondents felt that they have responsibility to screen for domestic violence. Major barriers to domestic violence screening and management included perceived lack of time and place, insufficient knowledge and skills related to domestic violence screening and management, insufficient personnel and referral services.

Conclusion: : Improvement of identifying and management of domestic violence in health care settings by removing the barriers to screening and improvement of referral and supportive services, can lead to decreasing in domestic violence against women cases.

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Background: Establishing an effective communication between health team professionals and diabetic patients is an important issue in living with type 2 diabetes. This study was conducted to assess communication between health workers as an obstacle in living with diabetes among type 2 diabetic patients referring to affiliated hospitals of Tehran University of Medical Sciences.
Materials and Methods: This survey was a descriptive, analytic cross-sectional with 600 patients selected by a simple random method. Data were collected using a two part questionnaire including demographic information, health and disease related variables and HbA1C index (containing 10 questions) and communication of health workers with diabetic patients (containing 18 questions) which was measured by a five-level Likert scale [absolutely agree (5) to absolutely disagree (1)]. Validity and reliability of the questionnaire was verified. Questionnaires was filled by interview. SPSS software version 11.5 and descriptive statistical tests (mean and standard deviation) and inferential tests (chisquared, logistic regression model) were used for data analysis. Level of significance was assumed to be less than 0.05.
Results: Mean and standard deviation of communication between health workers and patients as an obstacle were 56.78± 7.17. Study results indicated that there were statistically significant relationships between sex(p<0.001), disease duration (p<0.001) , level of education (p<0.001) , type of treatment (p<0.001), occupation status (p<0.001), age categories (p<0.001), income status (p<0.001), marital status (p<0.001) and HbA1C index (p<0.001) and communication with health care as an obstacle. In addition results of the logistic regression model showed that the ratio of intensity of health worker communication as an obstacle was 0.38 times in 5-10 years and 1.32 times in more than 10 years diabetic patients compared to patients with less than 5 years disease duration. This ratio was significant in the group of diabetic patients with 5-10 years disease duration (p=0.004) and was effectively significant in intensity of health worker communication as an obstacle.
Conclusion: Study results indicated that several factors affect communication between health workers and patients and the factor of years diabetic duration is related to ratio of the intensity of communication as an obstacle which can be helpful due to the planning health improvement interventions.

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Background: health-oriented lifestyle in today’s world is the best way for preventing illness and healthy life. This study conducted to determine the predictor ofhealth-orientedlifestyle in health workers of Amol city.

Materials and Methods: This study was a cross-sectional research conducted on 222 persons of health workers of Amol city. Instrument was a questionnaire including two parts; demographic information was extracted through 15 questionsand the data collected fromthe reliable and valid questionnaire of lifestyle .Data collection. Health workers filled questionnaires in a self-declaration way. To data analyze,t-tests, Mann-Whitney, ANOVA or Kruskal-Wallis and logistic regression used. Data were analyzed statically using SPSS.

Results: This study showed that there is a significant relationship between living place of Prairie village with dimensions of sport , malnutrition , self-care ; and malnutrition dimension in persons below 35, below diploma degree, suffering a chronic disease , suffering high blood pressure ;and tobacco and alcohol consumption dimension in individuals less than35 years;men with medical advice,sport,Malnutrition,tobacco and alcohol consumption ,Health of buying,daily mobility,proper nutrition and owning a personal car with the consumption of tobacco and alcohol dimension ,safety in driving,Health of buying .

Conclusion: Considering that most of the health workers especially men do not behave based on the health-orientedlifestyle, some actions should be taken to change thebehaviorof these individuals, professional educationalworkshops or workshops that do not need to basic information shouldbe activated, because these individuals have health knowledge but do not behave according to this knowledge.