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Neda Karimi, Shahrzad Saadat Gharin, Azar Tol, Roya Sadeghi, Mehdi Yaseri, Bahram Mohebbi,
Volume 17, Issue 3 (12-2019)
Abstract

Background and Aim: Since many of the healthy behaviors are adopted and develop during adolescence, proper choice of such behaviors is very important in this period of life. In addition, paying attention to the health of girls is crucial because they will transfer such behaviors to the next generation. Therefore, this study aimed to identify the role of health literacy and demographic variables in determining health-promoting behaviors among second-grade high school girl students in the City of Tehran, Iran.
Materials and Methods: This descriptive-analytic cross-sectional study was conducted on 370 female students using cluster sampling method in 2018. Data were collected using demographic, Health Literacy Measure for Adolescents (HELMA) and Health-Promoting Lifestyle Profile II (HPLPII) questionnaires and analyzed using SPSS25.
Results: The results of multivariate regression analysis revealed that there were statistically significant direct associations between health-promoting behaviors and the following variables: one’s health literacy (β= 0.39, p<0.001), interest in health topics (β= 1.35, p<0.001), reading of journals and newspapers (β=0.76, p= 0.007), father's education (p= 0.002), body mass index (p= 0.022), field of study (p<0.001), the first source of health information (p<0.001) and place of residence (p = 0.023). Further analysis of the data showed an indirect association between health-promoting behaviors and age (β= -1.69, p<0.001) and health assessment (β=-1.67, p<0.01).
Conclusion: Based on the findings it is concluded that the subjects’ health literacy and health-promoting behavior scores were “not sufficient” and “intermediate”, respectively. It is recommended to design and implement appropriate training/intervention programs aiming at increasing the heath literacy and promoting health behaviors of female students.
Leila Dehghankar, Marzieh Hajikarimbaba, Rahman Panahi,
Volume 17, Issue 3 (12-2019)
Abstract

Background and Aim: Considering the central role of low health literacy (HL) in causing health inequalities and the fast growth of university student populations, this study aimed to determine the HL and its related factors among university students.
Materials and Methods: This was a descriptive-analytic cross-sectional study including 375 female students of Imam Khomeini International University in Qazvin, Iran in 2019 selected using the stratified random sampling method. The data-collecting tools included a demographic and background questionnaire and an Iranian adult HL assessment questionnaire. The SPSS 23 software was used for data analysis, the statistical tests being descriptive and logistic regression tests.
Results: Data analysis showed that 17 (4.5%) of the students had inadequate, 112 (29.9%) insufficient, 188 (50.1%) adequate, and 58 (15.5%) excellent HL, the mean HL percentage (± SD) being 70.80 (± 12.49). Based on logistic regression analysis, there was a statistically significant association between HL and physical activity (p =0.039), such that the chance of having good HL among the students with physical activity on most days was 2.097 times that of  those with regular daily physical activity. A significant relationship was also found between HL and employment (p =0.042), such that the chance of having good HL among the employed students was 0.534 times that of unemployed students.
Conclusion: Considering the low health literacy rate among the students with low physical activity and those who are unemployed, it is recommended to pay more attention to these students when designing educational programs to increase their health literacy.
Ensiyeh Babaie, Fereshteh Bakhshian, Aram Karimian, Reza Saadatmehr,
Volume 17, Issue 3 (12-2019)
Abstract

Background and Aim: Considering that a person’s identity in formed during adolescence and that such identity formation is of particular importance in this period and the many factors that play important roles in it, the present study was conducted to determine the factors related with identity formation among high school students in Mazandaran Province, Iran.
Materials and Methods: This was a descriptive-analytic cross-sectional study. The participants were 394 high school students in Mazandaran Province, Iran selected by random cluster sampling. Data were collected using 3 questionnaires, namely, the Benion and Adams Identity Scale Questionnaire (EOM-EIS-2), the Identification Factors Questionnaire and a Demographic Questionnaire. For data analysis, Wilcoxon, Spearman correlation and linear regression tests were used.
Results: Over half (51.8%) of the participants were girls and 48.2% boys. The results of regression analysis showed that the factors studied (family, personality, school, community and culture and media) could explain 22.7%, 11.2%, 10.5% and 21.2% of the variance in turbulent, early, delayed and advanced self-identification in adolescents, respectively.
Conclusion: Based on the results of this study, it is recommended to organize parenting and student training courses and make the school environment more favorable for the students, as well as include extracurricular activities in the school to help students identify themselves more easily.
Rahman Panahi, Leila Dehghankar, Mahya Shafaei, Ali Razaghpoor,
Volume 17, Issue 4 (3-2020)
Abstract

Background and aim: Health literacy can be one of the most important effective factors in the adoption of preventive behaviors of osteoporosis by raising awareness and understanding the benefits of diagnostic and preventive behaviors. The objective of this study was to determine the health literacy skills effective in predicting adoption of osteoporosis preventive behaviors in high school female students.
Materials and methods: This was a descriptive cross-sectional study including 375 high school girls in Qazvin, Iran, selected by multi-stage sampling. Data were collected using the standard Health Literacy Measure for Adolescents (HELMA) and the Preventive Behavior of Osteoporosis Measurement questionnaires. The data were analyzed using the statistical software SPSS-23, the tests being descriptive statistics, Spearman correlation coefficient and multiple regression analysis.
Results: Two of the eight components of health literacy, namely, understanding and communication, and two, namely usage of health information and calculation, were found to receive the highest and the lowest mean scores, respectively. The total scores of health literacy and the adoption of preventive behaviors of osteoporosis were 70.84±12.58 (out 100) and 22.43±5.60 (out of 36), respectively. Multiple regression analysis showed that the components of health literacy could predict 38.4% of the changes in the adoption of preventive behaviors of osteoporosis (R2 = 0.384). The only other predictor of adoption of behavior was the usage of health information (P=0.001، β=0.044). 
Conclusion: Based on the findings of this study, it is recommended to pay special attention, when developing educational programs for the prevention of osteoporosis in adolescents, to health literacy as a whole, especially the usage of health information component. 
Yousef Khonya, Mohammad Narimani, Seifollah Aghajani, Nader Hajloo,
Volume 19, Issue 4 (3-2022)
Abstract

Background and Aim: One of the emotions that plays an important role in the health of all people is the emotion of anger which is one of the main emotions. The aim of the present study was to compare the effectiveness of emotion regulation and resilience training mediated by locus of control on anger control in medical students.
Materials and Methods: This was an experimental study. The statistical population included all medical students randomly divided into three groups of 30 students each by simple and multi-stage cluster sampling. One of the experimental groups received 8 sessions of emotion regulation training and the other 8 sessions of resilience training. Data were collected on all the subjects using the Rotter locus of control and Spielberger's anger and trait questionnaires
and analyzed using repeated-measures and two-factors analysis of variance.
Results: Analysis of the data showed that there was a statistically significant difference between the emotion regulation and resilience training groups as regards anger control. In addition, the differences between the two groups as regards the locus of internal and external control in controlling anger and its subscales were also significant.
Conclusion: Teaching emotion regulation and resilience skills can, like other skills, help greatly students against the challenges of the present era.
 
Zahra Tavakoli, Bahram Mohebbi, Roya Sadeghi, Azar Tol, Mirsaeed Yekaninejad, Masoud Alimardi,
Volume 20, Issue 1 (6-2022)
Abstract

Background and Aim: Physical activity and nutrition are important topics in adolescent health. This study aimed to determine the predictors of nutritional knowledge, behaviors, and physical activity in fifth-grade elementary school female students
Materials and Methods: This cross-sectional descriptive-analytical study was performed on 480 female students in the fifth grade of the elementary school in Gods city in 2020-2021 by cluster random sampling. Data were collected using a researcher-made questionnaire two-part questionnaire of contextual questions and questions about knowledge, nutritional and physical activity, virtual in the Shad messenger. The content validity ratio and content validity index was used to determine validity, and the intra-cluster correlation index to determine the reliability, of the questionnaire. In data analysis, descriptive statistical tests, Pearson         
correlation coefficient, and multiple regression analysis were performed using SPSS 27.
Results: The results of multiple regression analysis showed the effect of nutritional knowledge variables on nutritional behavior (p <0.001, β = 0.159) and physical activity knowledge on nutritional behavior (p = 0.008, β = 0.120) if the Physical activity knowledge variable was not effective on physical activity behavior and also nutritional knowledge variable had no effect on physical activity behavior.
Conclusion: Increasing knowledge of nutrition and physical activity improves students' nutritional behavior, but this increase in knowledge does not affect physical activity behavior. The sedentary lifestyle and the presence of the Covid-19 pandemic appear to have significantly reduced physical activity. By increasing knowledge, nutritional behavior and physical activity can be improved to some extent
 
Hossein Torkmani, Mehdi Ghasemi Motlagh, Behrang Ismaili Shad, Mohammad Mohammadipour,
Volume 20, Issue 1 (6-2022)
Abstract

Background and Aim: Considering the harms and dangers of addiction and the fact that many people are trapped in it every day, it is important to identify the variables that affect it. The aim of this study was to predict the tendency to addiction among university students based on initial maladaptive schemas and cognitive emotion regulation.
Materials and Methods: This was a cross-sectional descriptive-analytical study. The statistical population consisted of all the 3548 students of Gonbad Kavous Payame-Noor University in the academic year 2019-20, from among whom a sample of 384 students was selected using the one-stage cluster random sampling method. The data collection tools were the following 3 questionnaires: early maladaptive schema (Young, 2005), cognitive emotion regulation (Garnefski & Kraaij, 2001) and addiction tendency (Wade and Butcher, 1992). Pearson correlation coefficient and multiple linear regression were used to analyze the data using the SPSS software version 22 at a statistical significance level of 0.05.
Results: Data analysis showed correlations between addiction and the following variables: excessive ringing in the ears (r = 0.491, p = 0.001), being guided by others (r = 0.523, p = 0.001), disturbed constraints (0.001 >, r = 0.426 p), impaired function (r = 0.389, p = 0.001), discontinuation (r = 0.406, p <0.001) and cognitive emotion regulation (p> 475, <0.001). 0r =). In addition, the results of multiple linear regression analysis showed the following: excessive ringing (β= 0.203, p = 0.001), being guided by others (β= 0.274, p = 0.001), disturbed constraints (β= 0.261, p = 0.001), impaired function (β= 0.229, p = 0.001), discontinuation (β= 0.193, p <0.001) and cognitive emotion regulation (β= 0.315, p = 0.001). 
Conclusion: Based on the findings of this study, the average tendency to addiction among university students can be predicted by changing the initial maladaptive schemas and improving the cognitive emotional regulation.
 
Azar Houri, Roya Sadeghi, Azar Tol, Mahdi Yaseri, Yaser Tedadi,
Volume 23, Issue 2 (9-2025)
Abstract

Background and Aim: Adolescence is a critical period for educational investment, which can enhance individual quality of life and reduce the future burden of disease and healthcare costs. This study aimed to compare the effectiveness of direct education and peer education on health-promoting behaviors among first-grade middle school students in Shush, Khuzestan, in 2024.
Materials and Methods: This quasi-experimental study with pre-test, post-test, and three-month follow-up was conducted on 448 female first-grade middle school students in Shush using multistage cluster sampling. In the peer education group, selected students served as peer educators after receiving training and passing written and practical evaluations. Data were collected using the Walker Health-Promoting Lifestyle Profile (HPLP-II). The intervention was delivered in eight 60–90-minute sessions. Data was analyzed using descriptive and inferential statistics in SPSS software version 27, with a significance level of 0.05.
Results: Both direct and peer education significantly improved health-promoting behaviors (p< 0.05). Direct education had greater effects on overall scores and the dimensions of health responsibility, physical activity, and stress management, which persisted up to three months. Peer education had the strongest impact on interpersonal relationships and spiritual growth.
Conclusion: Both direct and peer education are effective in promoting health behaviors; however, direct education provides more durable effects on core health dimensions, while peer education primarily enhances interpersonal and motivational aspects. A combination of these methods may yield better outcomes in promoting student health.
 

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