Showing 81 results for Eri
Elahe Zarean, Mehdi Yaseri, Mahmood Mahmoodi, Rasoul Entezar Mahdi,
Volume 15, Issue 4 (3-2018)
Abstract
Background and Aim: Gastric cancer is one the most common gastrointestinal tract cancers in Iran, with East-Azerbaijan Province ranking second in the country. The objectives of this research were to determine the feasibility of using cure models in survival analysis and factors affecting short-term and long-term patient survival rates using the mixture cure cox model.
Materials and Methods: We used the available information on 184 patients diagnosed with gastric cancer in East-Azerbaijan Province cities referring to medical centers during the period 2009-2010 and followed up for 5 years.
Results: The median of survival time was 8.33 months (95% CI = 5.9-10.6). Fitting the univariate and final cox cure models showed that in the short-term survival the effect of the chemotherapy factor was statistically significant (Hazard ratio =0.49, 95% CI = 0.34, 0.69, p-value <0.001).
Conclusion: If the population under study consists of two groups of susceptible and non-susceptible individuals for the intended incident, the mixture cure models can be used for the discrete analysis of long-term and short-term survival of patients diagnosed with gastric cancer and identification of variables affecting the two survival rates.
Marzieh Mohammadpour, Mehdi Yaseri, Mahmoud Mahmoudi, Rasoul Entezar Mahdi,
Volume 16, Issue 1 (6-2018)
Abstract
Background and Aim: Breast cancer is one of the most prevalent cancers in women and is the second cause of mortality due to cancer in women, with lung cancer being the first.
Materials and Methods: In this study we followed all the cases for 5 years, patients from West-Azerbaijan and East-Azerbaijan Provinces that diagnosed with breast cancer in 2009 and 2010 that attended to health cares. Using multivariate cure cox model for the influence of variables in this study.
Results: In this study 171 cases which suffering from breast cancer had the mean age of 55.9 ± 12.9 and the range of 23 to 89 years, in time of cancer diagnosis. Mean of patients follow-up was 51.7± 23.4 months with range of 11 days to 78 months. Overalls 52 death occurred and patient survival rate of 5 years was estimated 60. 6 percent. Eventually the two variables which are economic status and emergency hospitalization were found the two factors of pre-warning in long term survival of patient suffering from breast cancer.
Conclusion: Due to the findings, it seems using cure model in patients suffering from breast cancer was better than classical survival models.
Somayeh Barmar, Masoumeh Alimohammadian, Seyed Alireza Sadjadi, Hasan Poustchi, Seyed Mostafa Hosseini, Mehdi Yasseri,
Volume 16, Issue 1 (6-2018)
Abstract
Background and Aims: Generalized Structural Equation Modeling (GSEM) is a family of statistical techniques utilized in the analysis of multivariate, categorical and ordinal data in order to measure latent variables and their connection with each other. The aim of this study is to consider the structure of data, and introducing GSEM to medical science researchers and presenting a practical example of in medical science researches.
Materials and Methods: An introduction to Structural Equation Modeling (SEM), along with its advantages and disadvantages was presented, and also GSEM and its all kind of forms was specified. An example to study hypertension risk factors in patients suffering from diabetes was carried out, which was a demonstration of using GSEM method for binary response variables. The data includes a random sample of 2716 people from Golestan province cohort studies.
Results: Age, body mass index, abdominal obesity, residence place, socioeconomic status, salt intake had direct effect on hypertension. Race, education, vitamin D and physical activity had direct and reverse effect on hypertension (p.value<0.05).
Discussion: Unlike SEM, the limitative hypothesis that our data should have a normal distribution do not needed in this model, also GSEM is powerful tool in the analysis of categorized data. Nevertheless this method cannot perform goodness of fit test, and adjustment and modification method of the model directly, and that they are some limitation in using this method.
Azar Tol, Bahram Mohebbi, Elham Shakibazadeh, Mehdi Yaseri, Maryam Sabouri,
Volume 16, Issue 2 (9-2018)
Abstract
Background and Aim: In health promotion, empowerment is a process through which people gain greater control over decisions and actions affecting their health. This study aimed to assess the predictive factors of health care empowerment among women in reproductive age in 2016.
Materials and Methods: This cross-sectional study was conducted on 549women in reproductive age referring to health centers in South Tehran. The participants were recruited through cluster and multi-stratified sampling. Data were collected using the Health Care Empowerment Questionnaire (HCEQ), which has three subscales, namely, degree of control, involvement in interactions and involvement in decision-making. The data were analyzed using the descriptive and analytical tests and multi-regression analysis.
Results: Husbands' education level, women's employment, family size, ethnicity, history of chronic diseases and economic status were predictors of degree of control. Husbands' education level (under high school diploma and high school diploma), family size (2-3, 3-4) and moderate economic status (sufficient income) predicted involvement in interactions. In addition, husbands' education (incomplete high school diploma and high school diploma), family size (2-3, 3-4), women's employment and history of chronic diseases predicted involvement in decision-making.
Conclusion: The findings indicate that various individual, family and socio-economic conditions of reproductive-age women influence their potential empowerment for receiving health care services. A family-based approach to facilitate receiving reproductive health care seems to be essential.
Elham Faez, Seyed Abolfazl Zakerian, Kamal Azam,
Volume 16, Issue 3 (12-2018)
Abstract
Background and Aim: Ergonomics climate indicates employee perceptions of the extent to which the organization emphasizes and supports the design and modification of work, so that both performance and well-being of the personnel are improved. The purpose of this study was to determine the validity and reliability of the Persian version of the ergonomics climate assessment questionnaire in order to create a suitable tool for determining the overall values of an organization in connection with ergonomics and climate assessment.
Materials and Methods: First, the ergonomics climate assessment questionnaire was obtained from the Colorado State University of America, where it had been developed. The back-translation method was used to confirm its language suitability and precision. The content validity of the questionnaire was assessed by 10 relevant experts, followed by a cross-sectional study using a sample of 50 employees of a power generation plant using Cronbach's alpha to determine its reliability.
Results: The content validity ratio (CVR), content validity index (CVI) and reliability of thequestionnaire were found to be 0.90, 0.94 and 0.96 (a for the 59 items), respectively. These resultsindicating that the questionnaire is a valid and reliable tool.
Conclusion: Considering the acceptable validity and reliability of the ergonomic climate assessment questionnaire, it can be used as a valid and reliable tool to assess and analyze the status of ergonomic climate in different industries and organizations in Iran.
Amineh Naderi, Shahram Fattahi, Somayeh Azami,
Volume 17, Issue 1 (6-2019)
Abstract
Background and Aim: The trade-off between monetary wealth and fatal safety risks is explained by the value of statistical life, an efficient tool widely used to evaluate projects and allocate appropriate resources for road safety. The objective of this study was to estimate the statistical significance of life in order to improve road safety in the city of Ardabil, Iran.
Materials and Methods: Data were collected, in 2017, using a questionnaire for interviewing 300 drivers traveling daily in the city and analyzed using the stated choice method and the mixed logit model. First the purpose of the interview was explained to the drivers and, after they agreed to collaborate, the interviews were conducted. The authors pledged to keep the information confidential.
Results: The statistical value of life and of the injury for road safety improvement were estimated to be 1,077,551,000 and 1,178,570 Iranian Rials, respectively. The richer people, older people and those with university education were more willing to pay for road safety improvements.
Conclusion: One of the strategies for economic investment in improving road safety can be conducting collaborative research projects with other institutions, as well as using the experiences of countries successful in this field. In addition, road safety improvement projects can, in order to absorb capital, target richer people.
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.
Maryam Tajvar, Alimohammad Mosadeghrad, Mehdi Yaseri, Maria Mohammadi,
Volume 17, Issue 4 (3-2020)
Abstract
Background and Aim: Iran is experiencing a very fast population ageing, ranking 3rd globally in terms of pace of population ageing. The increase in the elderly population has been accompanied by an increase in demand for health services. A knowledge and understanding of the utilization of health services by the elderly are essential for resource allocation and health planning. This study aimed to investigate the utilization of in-patient services by the Iranian elderly and explore its determinants.
Materials and Methods: This study was a secondary analysis of the data of a cross-sectional National Study on the Utilization of Health Services in Iran, including 22470 households across the country. The study population was people aged 60 years and over, the sample size being 8205 individuals selected by stratified random sampling from provinces, towns and villages. A questionnaire was used to collect information on the need of the individuals to hospitalized services during the last one year and receiving the required services and analyzed using multilevel logistic regression to identify the factors related to the utilization of inpatient health services.
Results: Of the 8205 participants, 1411 (17%) reported that they needed in-patient services at least once during the previous year, about 93% of whom referred to a hospital, of whom about 1288 (97%) finally had finally received the required services. The factors related to inpatient service utilization were age (p=0.03) and having insurance status (p<0.001), such that the older individuals and those with no insurance, although they had higher inpatient service needs, received less services. The most important cause of dissatisfaction in the towns was related to the behavior of nurses and non-physician personnel and in villages long waiting time for receiving a service. Finally, the most important causes being not willing to be hospitalized were the high service cost and no health insurance coverage.
Conclusion: The older people and those with no insurance should be priority groups in health service utilization policy-making and planning, so that they can access and receive better services. The causes of low inpatient service utilization and dissatisfaction should be taken into consideration seriously by health service providers and managers.
Amin Bagherikerachi, Hossein Aflakifard, Malihe Karami,
Volume 17, Issue 4 (3-2020)
Abstract
Background and Aim: This study investigated the role of teachers' assessment of school environment health in predicting their mental health and happiness.
Materials and Methods: This was a descriptive-correlational study. The statistical population was a group of 254 primary school teachers in the city of Darab, Iran, from whom a sample of 160 was selected by stratified sampling. Happiness and mental health were measured using the Oxford and Gildberg questionnaires, respectively, and teacher’s assessment of environmental health was determined using a researcher-made questionnaire, all the questionnaires being valid and reliable.
Results: On the whole, 57.23 %, 37.73% and 5.00% of the teachers judged the school environment health to be desirable, moderate and undesirable, respectively. As regards the teachers’ assessment of the school environmental heath, there were statistically significant differences between male and female teachers, local and nonlocal teachers, their field of study (primary education and other fields), schools for boys and for girls, their previous knowledge of health, type of employment (life tenure versus others), and whether they were teaching in health promoting or ordinary schools (p<0.05). The teachers assessment of school environmental health was significantly correlated with happiness and mental health (p<0.0001); their assessment of environmental health could predict 19.8% of happiness changes and 10.2% of mental health changes.
Conclusion: Judgment of the school environment health by teachers as unfavorable would affect their happiness and mental health.
Azar Tol, Maryam Sabouri, Bahram Mphebbi, Elham Shakibazadeh, Mehdi Yaseri,
Volume 18, Issue 2 (9-2020)
Abstract
Background and aim: Despite rapid diagnostic and therapeutic advances, patients with chronic coronary artery disease (CCAD) should adopt self-care behaviors. This study aimed to determine predictors of perceived health competence among CCAD patients in Tehran, Iran in 2019-2020.
Materials and Methods: This cross-sectional study was conducted among 700 patients with CCAD referred to Shahid-Rajaie Cardiovascular Center in Tehran selected using the available sampling method. Data were collected using
the perceived health competence scale (PHCS), 12-item quality of life scale and Modanloo's adherence to treatment scale questionnaires. The content validity ratio and content validity index were used to determine validity, and the Cronbach's alpha to determine reliability, of the PHCS questionnaire. Data analysis was performed using descriptive statistics, Pearson correlation coefficient, Structural Equation Modeling (SEM), the software being SPSS
25.
Results: The multivariate regression analysis showed that perceived health competence had statistically significant direct associations with physical (β = 1.08, p< 0.001) and psychological (β = 0.85, p< 0.001) domains of quality of life, commitment to treatment (β = 0.12, p =0.01), willingness to participate in treatment (β = 0.12, p = 0.05) and uncertainty about implementation (p = 0.1, p‹ 0.001) of adherence to treatment. There was a significant indirect association between age and perceived health competence (β = -0.13, p = 0.03).
Conclusion: Based on the findings, considering a “very good” and a “poor” mean score for adherence and the quality of life among the patients, respectively, adopting strategies for promoting quality of life in both the physical and mental dimensions can lead to improvements in perceived health competence in cardiovascular patients. In addition, it seems that focusing on subscales of “willingness to participate in treatment” might help in improving the patients' perceived health competence.
Maryam Tajvar, Mehdi Yaseri, Roya Mahmoudi, Badriyeh Karami,
Volume 18, Issue 2 (9-2020)
Abstract
Background and Aim: “Active ageing” is the process of optimizing opportunities for health, participation and security of the elderly in order to enhance their quality of life. This study aimed to measure the Active Ageing Index (AAI) in Tehran at the individual level and determine its determinants.
Materials and Methods: This quantitative cross-sectional study included 590 old people 55 years old and above, selected by randomized cluster sampling and interviewed at their homes in various areas of Tehran. The AAI tool, which includes 4 domains ─ employment, participation, secure/safe life and an empowering environment ─ and 22 indicators was used to measure active ageing. The association between individual characteristics of older people and their AAI scores was determined using the mixed-effect linear regression analysis method, with the STATA software.
Results: The overall AAI score in Tehran was found to be 26.8 out of 100, it being 33.9 and 20.6 for men and women, respectively. Being a women, older, poorer, and living alone or in a large family resulted in significantly lower AAI scores as compared to being a man, younger, richer, living with others, and living in a smaller family.
Conclusion: Iranian older people, particularly women, are experiencing relatively inactive lives. Their AAI scores are particularly low in the third and fourth domains. Considering the high rate of population aging in Iran, providing a safe environment for an active life for the elderly, particularly for the groups found to have a less active life, is a top priority.
Somayeh Nouri, Azar Tol, Roya Sadeghi, Afshin Bahmani, Mehdi Yaseri,
Volume 18, Issue 4 (3-2021)
Abstract
Background and Aim: Despite the increasing prevalence of infection with some blood-borne viruses, no standard precautions have been developed so far based on the Health Belief Model (HBM). This study aimed to assess, based on the HBM, the predictors of adherence to standard precautions in preventing needle stick injuries among the Personnel of Sanandaj Teaching Hospitals, Sanandaj City, Iran in 2020.
Materials and Methods: This cross-sectional study included 444 medical and non-medical staff members of the Sanandaj teaching hospitals in Sanandaj City, Iran, using a researcher-developed questionnaire. Descriptive and analytical data analysis was performed using Mann-Whitney U and Kruskal-Wallis tests, Pearson correlation coefficient, one-way analysis of variance, multivariate regression and the chi-square test, the software being SPSS version 22.
Results: The results of multivariate regression analysis showed that from among the HBM constructs, three constructs, namely perceived sensitivity (p=0.033), perceived benefits (p=0.032) and self-efficacy (p=0.001), were the predictors of staff duty performance (implementation of standard precautions) in preventing needle stick injuries. As regards the implementation of standard precautions, 22%, 75.3% and 2.7% of the staff members had a low, medium and high performance level, respectively.
Conclusion: The constructs of perceived sensitivity, perceived benefits and self-efficacy are the strongest predictors in adherence to standard precautions.
Zahra Jamshidi, Bahram Mohebbi, Elham Shakibazadeh, Azar Tol, Mehdi Yaseri,
Volume 19, Issue 1 (6-2021)
Abstract
Background and Aim: Patients with diabetes need continous support for sustainable self-care behaviors. The use of supportive forces to improve the level of self-management of diabetes is felt. The aim of this study was to compare the effectiveness of direct and indirect virtual educational interventions on the promotion of self-management behaviors and diabetes control in women with type 2 diabetes. The study was conducted in 2019.
Materials and Methods: This clinical trial study included 100 females with type 2 diabetes under the coverage of three health centers affiliated to Tehran University of Medical Sciences, randomly divided into two groups of direct and indirect education (50 subjects in either group). A questionnaire was used as the standard tool of diabetes self-management. The education imparted to the subjects was based on the latest version of Diabetes Self-Management Education (DSME), and the educational sessions were based on the Stanford University's self-management model, including six 90-minute sessions during three weeks. Data were analyzed using SPSS-16 statistical software, the statistical tests being covariance analysis, etc.
Results: There were no statistically significant differences between the direct and indirect educational groups as regards the self-management scores and HbA1c levels in the first and second pre-tests (p<0.05). However, both the self-management scores and HbA1c levels of the two groups, determined at 3- and 6-month follow-ups, were found to be statistically significantly different (p<0.05).
Conclusion: The findings of this study indicate the feasibility of using volunteers, after empowering them properly, to implement diabetes self-management educational interventions.
Mahdi Shahraki, Simin Ghaderi,
Volume 19, Issue 1 (6-2021)
Abstract
Background and Aim: Public health expenditures and the quality of governance are among factors affecting the health status of a population. Therefore, the purpose of this study was to investigate the interaction effects of good governance and public health expenditures on the health status of children in upper-middle income countries.
Materials and Methods: This descriptive-analytical applied study was performed using the panel data regression with the fixed effects method and quantile regression for panel data for the years 2000-2017 in 2020. The statistical population was upper-middle income countries, and annual time series data were extracted from the World Bank databases. The models and required tests were determined using the Stata-16 software.
Results: The coefficient of good governance variable and the index of interaction effects of good governance and the public health expenditures for the under-five child mortality as the dependent variable were -0.002 and -0.003, and for the infant mortality as dependent variable -0.002 and -0.002, respectively. Also, the coefficient of the index of the interaction effects of good governance and public health expenditures in the quantiles of 0.25, 0.50 and 0.75 for the under-five child mortality as the dependent variable were -0.0333, -0.0447 and 0.048, and for the infant mortality as the dependent variable were was -0.044, -0.048 and -0.049, respectively.
Conclusion: Improvement of governance indicators will increase the efficiency of public health expenditures and improve the children’s health status. Therefore, in order to improve health status, especially in countries with higher child mortalities, it is recommended to improve good governance, increase public health expenditures and government investment in health infrastructure, as well as increase gross domestic product and women's employment.
Mohammad Javad Kabir, Alireza Haydari, Mohammad Reza Honarvar, Zahra Khatirnameni, Abbas Badakhshan, Narges Rafiei, Sakine Beygom Kazemi, Seyed Mehdi Sedaghat, Mehrdad Kamangari, Masoumeh Gholami, Maryam Eri, Mansoureh Lotfi,
Volume 19, Issue 2 (9-2021)
Abstract
Background and Aim: The World Health Organization considers the implementation of the referral system to be a key step in improving the quality of services in health care systems. The purpose of this study was to explain the executive challenges of the electronic referral system in Golestan Province, Iran.
Materials and Methods: A qualitative study was conducted in Golestan Province, Iran in 2019 with a content analysis approach. The participants were family physicians, specialists, university staff managers, responsible health officers in the Offices of Deputy Ministers of Health, the General Directorate of Health Insurance, Department of Information Technology, Rural Health Network managers, health network managers and patients selected purposefully. Data were collected through semi-structured interviews and analyzed using the content analysis method.
Results: The main challenges of giving appointments to patients included the lack of time of family physicians, the irregular presence of specialists, difficulty in getting an appointment, and reverse referrals. As regards referrals and waiting times, the main challenges were found to be the lack of sufficient admissions following cancellation of the health insurance contract with the private sector, the delay of physicians in attending the health centers, long waiting times to be visited, and writing the feedback by the physicians. In addition, the main challenges of the visits and diagnosis included the short visiting times, the higher quality of the specialists' visits in the private sector, and the lack of clear guidelines. Finally, the main challenges as regards giving feedback were the reluctance and noncommitment of some specialists to provide feedback, as well as the low quality and lack of usability of the feedbacks given.
Conclusion: Based on the findings of this study, the following actions and measures may help improve the current situation as regards the current referral systems: allocating sustainable resources; allocating financial credits; designing and implementing a reward and punishment system; reforming the queuing system; empowering medical students; and equipping specialists with electronic pens for giving written feedback.
Safoora Mavaeeyan, Fazlolah Mirderikvand, Masoud Sadeghi,
Volume 19, Issue 2 (9-2021)
Abstract
Background and Aim: Breast cancer is one of the most common cancers in Iran. The aim of this study was to assess the effectiveness of existential-humanistic therapy in self-acceptance and marital satisfaction in women with breast cancer.
Materials and Methods: This was a quasi-experimental study with a pre-test, post-test and follow-up design with a control group. The statistical population was the women with breast cancer referring to Shahid-Rahimi Hospital in Khorramabad, Iran in 2020, from among whom two groups (experimental and control) of 15 women each were randomly selected and asked to complete the self-acceptance (USAQ) and marital satisfaction (ENRICH) questionnaires. Then the experimental group attended eight 90-minute intervention sessions. After the intervention, both groups took a post-test and followed up further after two more months. The data were analyzed using
the repeated measures ANOVA test.
Results: The repeated measures ANOVA test showed that the interaction between group and time was statistically significant. Therefore, the self-acceptance and marital satisfaction variables increased significantly (F=5/77, P<0/01 and F=13/97, P<0/01, respectively).
Conclusion: According to the results of this study, existential-humanistic therapy has a significant effect on self-acceptance and marital satisfaction in breast cancer patients. It is, therefore, recommended to pay attention, in addition to the physical problems of such patients, also to their psychological problems and, along with pharmacotherapy consider psychotherapy, including existential-humanistic therapy as well.
Shayesteh Vahdani, Mehdi Rezaei, Mansoor Alimahdi, Mohammad Mahdi Shariat Bagheri,
Volume 20, Issue 4 (3-2023)
Abstract
Background and Aim: Public vaccination programs are a way to control the Covid-19 disease. The success of a vaccination program requires the acceptance of the Corona vaccine by the society. The aim of the present study was to predict the acceptance of the Corona vaccine by medical students based on their anxiety, optimism and rumination.
Methods and Materials: This was a descriptive and correlational research. The study population consisted of all the medical students of Azad University, Tehran, Iran during the academic year 2021-2022, from among whom a sample of 509 was selected by the available sampling method. Data were collected using the Acceptance of the Corona Vaccine (KAPC), Anxiety of the Corona Virus (CDAS), Life Orientation (LOT) and Ruminative Responses Scale (RRS) questionnaires. The data were analyzed using the Pearson correlation, partial correlation and standard regression tests.
Results: Data analysis showed that several variables including corona anxiety (with components of mental and physical anxiety), optimism (with components of expectation of a positive outcome and hope for the future) and confidence in the safety of vaccine could positively predict the acceptance of the Corona vaccine. Rumination (with two components of depression symptoms and brooding) negatively predicted the acceptance of corona vaccine. Finally, the reflecting component, age and gender could not significantly predict the acceptance of the Corona vaccine.
Conclusion: To increase the acceptance rate of corona vaccine, paying attention to the roles of psychological factors such as corona anxiety, optimism, trust, and rumination can be helpful.
Mohammad Bagher Moghadasi, Tayebe Rahimi Pordanjani, Zahra Ameri,
Volume 21, Issue 4 (3-2024)
Abstract
Background and Aim: Vaccination, as one of the most cost-effective medical interventions, has significantly reduced the incidence of many infectious diseases. This study aimed to examine the moderating effect of mandatory vaccination policies on the relationship between corona anxiety and vaccine hesitancy among the employees of medical universities.
Materials and Methods: A descriptive-correlational study was conducted using convenience sampling on a sample of 152 employees selected from a medical university in North Khorasan Province, Iran. Data were collected using a researcher-made questionnaire on mandatory vaccination policies and vaccine hesitancy and Corona anxiety questionnaires. Pearson correlation coefficient and hierarchical regression were employed to test the research hypotheses, and data analysis was performed using the SPSS and AMOS software.
Results: The findings showed that 77% of the employees supported mandatory vaccination policies in the workplace. In addition, the correlation coefficients between Corona anxiety and mandatory vaccination policies with vaccine hesitancy were significant (p<0.001). Furthermore, the interaction of Corona anxiety and mandatory vaccination policies accounted for an additional 2% unique variance in the model (R2Δ=0.02, FΔ=4.02, p=0.05).
Conclusion: Based on the findings of this study it can be said that mandatory vaccination policies can moderate the relationship between Corona anxiety and vaccine hesitancy among employees of medical universities. It is, thus, recommended to use appropriate and cost-effective policies and executive guarantees to improve vaccination attitudes in employees with anxiety.
Zahra Taheri-Kharameh, Tahereh Ramezani,
Volume 22, Issue 1 (10-2024)
Abstract
Background and Aim: The Integrated and Comprehensive Geriatric Care Program (ICGCP) of the Ministry of Health and Medical Education (MOHME), Iran was designed about a decade ago and is being implemented to maintain and improve the health of the elderly. The program has not been evaluated so far. A comprehensive evaluation of this program is deemed necessary to determine whether this program requires revision or process improvement. Therefore, this study aimed to evaluate the ICGCP of MOHME using the Context, Input, Process, Product (CIPP) model in Qom province.
Materials and Methods: This descriptive-analytical cross-sectional study included the entire personnel of the health centers in Qom province as the statistical population. The data collection tool was a two-section questionnaire containing items on demographic information and a researcher-made evaluation questionnaire of the current elderly care program based on the four areas of the CIPP evaluation model. Participants meeting the study's inclusion criteria were enrolled through census sampling. The data were analyzed using the SPSS software version 24.
Results: The mean age of the participants was 34.92 ± 6.98 years, 140 (84.3%) being females. Data analysis showed the following results as Mean ± SD: (1). A regards the context, for the items "Target group's need for the program" and "Identification of the potential of other influential organizations in program implementation": 3.71 ± 1.01 and 2.21 ± 0.99, respectively. (2). As regards input, for the items "Identification of program audiences" and "Necessary budget and funding for the program": 3.70 ± 0.95 and 2.23 ± 0.95, respectively. (3). As regards process, for the items "Program evaluation by officials and executing personnel," and "Recording and tracking issues during the program”: 3.16 ± 0.90 and 2.69 ± 0.85, respectively. (4). As regards product, for the items "Satisfaction with work, commitment and work ethic" and "Conducting case studies in this area": 3.65 ± 0.81 and 2.64 ± 1.01, respectively. In the overall program evaluation, the mean scores for "Program necessity" and "Program delivery quality" were 2.88 ± 0.89 and 2.12 ± 0.80, respectively.
Conclusion: The evaluation of the ICGCP of the Ministry of Health and Medical Education using the CIPP model identified the strengths and weaknesses of this program based on the opinions of health center personnel in Qom province. Policymakers and other relevant authorities can use these findings to enhance the program further.
Aram Halimi, Goljamal Jorjani, Leyla Sharifi Aliabadi, Mohammad Reza Taherian, Haniyeh Yeganeh, Matin Shokrgozar, Gholamreza Ebrahimi, Mohammad Hossein Panahi,
Volume 22, Issue 1 (10-2024)
Abstract
Background and Aim: This study aimed to assess and prioritize the health needs of a community served by the Imamzadeh Ghasem Health Center in Tehran city, Iran.
Materials and Methods: This study was conducted based on the North Carolina model for comprehensive community health assessment. General information and available facilities were extracted from secondary sources, while insights into specific community needs were gathered through interviews with 76 individuals representing diverse demographics. The assessment was made by secondary data analysis and direct interviews.
Finally, the prioritization of health needs of the community was based on a scoring system based on severity, extent, and ease of being solved.
Results: The findings revealed that sewage problems, construction issues and waste management were considered to be the primary health concerns in the region. Comparative analysis with the situation in other regions in Iran emphasizes the unique challenges faced by the community in the present study.
Conclusion: The prioritized health issues highlight the community's urgent needs, requiring targeted interventions. Proposed solutions include legal measures, public education and municipal interventions to address the sewage, construction and waste management problems.
