Journal of School of Public Health and

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  Background and Aim: Although self-care is known to affect favorably the control and treatment of osteoporosis, the effective factors from the patients’ viewpoint have not been investigated. The aim of this study was to explore factors affecting self-care from the viewpoint of women suffering from osteoporosis.

  Materials and methods: This was a qualitative study conducted with a content analysis approach in 2014, including 15 women consulting the bone mass densitometry centers in Sanandaj, Iran, selected by purposeful sampling. The inclusion criteria were women aged &ge 50 years suffering from osteoporosis diagnosed definitively at least 6 months before, a T-score index > -2.5 (lower back or hip bone), taking drugs upon a physician^’s advice, ability to speak, and willingness to participate in the study. Data were collected through face-to-face and group semi-structured in-depth interviews and analyzed using the content analysis method. The accuracy and rigor of the data were confirmed based on such criteria as credibility, confirmability and transferability.

  Results: Five main categories were extracted including “ background factors of the disease ”, “hope and weakness in confrontation with the disease”, “role of the physician”, “role of the family”, and “administrative centers and organizations”. Based on further analysis of the data, 11 subcategories were emerged including “cultural issues”, “lack of knowledge”, “non-priority of health”, “weakness and fear”,

  “hope for the future” , “positive role of the physician”, “negative role of the physician”, “ active role of the family”, “ passive role of the family”, “ role of the media”, and “information centers”.

  Conclusion: The finding of the study show that the responsibility of women suffering from osteoporosis towards their health is not a single-factor, but rather a multifactorial, phenomenon. Pre-requisites for empowering women to adopt self-care behaviors include increasing their hope to live longer, physician’s attention to the patient’s needs, increasing health promotion programs in the media, and strengthening role of the family (particularly role of men).

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Background and Aim: To succeed in study and deliver service to community, training spiritual and related skill is urgent need in public health students. The aim of study was to explore spiritual needs and related skills in public health students of Kurdistan University of medical sciences.

Materials and Methods: This research was done through content analysis approach in Kurdistan university of medical science in 2015 year. Public health 15 students’ needs and perspective investigated via purposeful sampling. Inclusion criteria were including willingness to participate in the study, public health students, and ability to speak fluently. Data was gathered using individual and group in-deep sim-structural interviews and field note. Interviews recorded, typed, and analyzed using content analysis method. credibility, dependability, confirmability and transferability were employed to rigor and trustworthy of data.

Results: from Analysis of data were extracted 4 main categories: “individual interaction with superior existence”, “individual’s interaction with surrounding”, “strengthen individual characteristics”, and “improvement of study”. 

Conclusion: the results of the study showed that acquiring of spiritual and life skills is an urgent need for students. Earning these skills not only is not an individual factor but also is multi-factorial and this is regarding to educational organizations, ministries, universities and families.

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Background and Aim: The content of the hygiene education and health promotion course in schools is crucial for raising the awareness of, and development of hygiene culture in, pupils. In this study we aimed to develop a hygiene education course with a fully suitable content.

Materials and Methods: In this research the content analysis technic using the "Shannon Entropy" method was used, in which data processing in discussing the content analysis is done with a new approach both quantitatively and qualitatively. In the information theory entropy is an index to measure the uncertainty which is expressed by a likelihood distribution. The content was investigated considering the respondents’ perspectives (all textbooks of elementary school sixth grade) and 12 main elements and 58 sub-elements related to hygiene education and health promotion.

Results: The results of content analysis based on the Shannon Entropy showed that the element of mental health with 732 items and physical activity with 735 items had the maximum frequencies, while the control and prevention of diseases with 6 items had the minimum frequency.

Conclusion: In the official textbooks some elements of health education are treated insufficiently or not at all, despite the fact that health is the most important factor in the progress of the society and a guarantee for survival. Thus, designing, implementation and management of the health component of national development plans are extremely vital.

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Background Aim: Job burnout among health educators is increasing with serious physical, psychological and social consequences. The purpose of this study was to explore the causes of job burnout from the perspective of health educators and identify their needs for reducing it.
Materials and Methods: This qualitative study was carried out in comprehensive health service centers of Sanandaj, west of Iran, in 2017, including 15 health educators selected by purposive sampling. The data were collected through individual interviews and semi-structured group discussions, observation and field notes and analyzed using the conventional content analysis approach with due consideration of acceptability, verifiability and transferability to ensure the accuracy and strength of the data.
Results: The causes of job burnout were extracted in 5 categories including "issues related to comprehensive health service centers", "individual challenges of staff members", "management weakness", "executive system challenges" and "issues related to clients". The participants emphasized the following actions for reducing job burnout: strengthening individual skills, effective evaluation and management support, providing recreational and welfare facilities, reducing job stress, and strengthening intra- and inter-sectoral communications.
Conclusion: The results of this study show that various factors contribute to job burnout among health educators. Improvements in management, laws and welfare facilities not only would reduce job burnout but also may increase the efficiency of health education programs.

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Background and Aim: The soul and body of a person are one of the noblest subjects that require a person to study and reflect on. In this regard, the Holy Qur'an and Atrat, in addition to their basic purpose, which is to guide humanity to salvation, have also explained the issues essential for improving the quality of worldly life. Undoubtedly, the physical health of individuals and human societies is one of the most important concerns of contemporary wise people. In this research, different aspects of physical health are discussed. The objective of this study was to examine the components of physical health from the perspective of the Qur'an and hadiths.
Materials and Methods:  This study was an applied research carried out in two stages. The first stage was a descriptive and analytical qualitative study. The triangulation method was used to extract and compile the materials, that is, the study was done by referring to the foundations of the Qur'an and the narrations of the innocents (PBUH) as well as using the related research and theoretical foundations. In the second stage the content analysis method was used to check the frequency and importance of physical health components in the Quran. The content of the research project was examined from the point of view of the respondent (the text of the Holy Quran) and nineteen main components in the area of physical health.
Results: Data analysis showed the absolute frequencies (A.F.) of the components of physical health from the perspective of the Qur'an to be as follows: (A). Components with an A.F. of 1: 1. Commanding people to look at foods; 2. Consumption of  honey as a health promoting food; (B). Components with an A.F. of 2: 1. using animal skin to cover human body parts; 2. Abulition (ghosl), ablution before prayer (vozoo), abulition with earth or sand (tayammom); (C). Components with an A.F. of 3: 1. placing animals in a special place; 2. being halal the consumption of aquatic animals and plants (sea foods); (D). Components with an A.F. of 4: 1. prohibition (being haram) of  eating the meat of dead animals; 2. eating decayed bodies of dead animals; 3. the prohibition of eating pork;   4. the prohibition of drinking blood; 5. allowing the milk of domestic animals for feeding; 6. prohibition of wine; 7. breastmilk to feed infants; (E). Components with an A.F. of 5: wearing clothes to cover the human body; (F). Components with an A.F. of 9: eating clean and halal foods; (G). Components with an A.F. of 13: 1. sending water for drinking and quenching people; 2. fasting; (H). Components with an A.F. of 14: being halal (allowed to be eaten) and permissible the consumption of the meat of halal domestic animals; (I). Components with an A.F. of 47 (the highest A.F.): growing all kinds of fruits and plants for feeding.                                     
Conclusion: The findings of this study show that among the components of physical health from the perspective of the Qur'an, the highest and the lowest coefficients of importance were growing all kinds of fruits and plants for feeding (0/055) and consumption of honey as a health promoting food (0/034), respectively.
 

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Background and Aim: The return of working mothers to the workplace after maternity leave is a critical and complex stage in women's career paths, influencing the balance between their familial and professional roles. Understanding the challenges at this stage is essential for improving policies and support systems.
Materials and Methods: This qualitative study, employing content analysis, was conducted in 2025 at Zahedan University of Medical Sciences. The study population included employed mothers after childbirth and health sector managers. Data were collected through semi-structured interviews and analyzed using conventional content analysis. Ethical principles and data validation were emphasized.
Results: A total of 30 participants, including 20 employed mothers’ post-childbirth and 10 managers, were included. The findings were categorized into five main themes: psychological, familial, organizational, cultural and social, and legal and supportive challenges, encompassing 13 subthemes and 34 distinct codes.
Conclusion: According to the findings, revising organizational policies, enhancing legal awareness, and providing a flexible and supportive work environment for employed mothers are essential. Given the unique cultural and social characteristics of Sistan and Baluchestan province, this study can guide policymakers and health managers in improving working conditions for mothers.