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A Shahidzadeh , E.s Mir Moeeni , M.h Azimian , Kh Mani-Kashani ,
Volume 2, Issue 1 (4-2004)
Abstract

This cross-sectional study was conducted from May to September 2003, with the aim of determining quality of service in 25 State-run family planning clinics in Hamadan city. A total of 400 consultations were observed and assessed using UNICEF quality checklists. Results showed that less than 50% of the clients are receiving service of a satisfactory quality areas of care where quality was worst included history taking, physical examination and counseling. It became apparent that care providers with higher education had lower performance levels compared to their less educated colleagues. Service for new clients was of poorer quality than for those who had requested a change of contraceptive method. Furthermore, earlier hours of a work shift (before 10 o’clock) were associated with better service quality than later hours. Altogether, the study reveals serious flaws in areas such as training of family health workers and human resource management within the current system. To address these shortcomings, we recommend a more client-oriented approach in health care, use of supplementary material to promote client knowledge, and training of health workers with due emphasis on effective communication and performance.
K Jahangiri , K Mohammad , S.r Majdzadeh , A Noorbala , G.h Zamani ,
Volume 2, Issue 3 (6-2004)
Abstract

This cross- sectional study was done to assess the prevalence of chronic cough by age and date of birth (age-period-cohort analysis). Using data from two National Health Surveys in 1991 and 1999 (involving cross-sectional general population samples), we studied all cases of chronic cough recorded during the period of 1991 to 1999 in people aged 2 to 70 years. A birth cohort analysis was performed on the data. Comparison with earlier surveys showed that the prevalence of chronic cough had fallen from 4.5% to 1.8%. Age-period-cohort analyses of the age effect revealed that prevalence rate of chronic cough increased with age but in every age group it actually decreased after the 8-year period. The fact that different trends are observed in cross-sectional and cohort data points to a strong cohort effect. the prevalence of chronic cough is strongly determined by a person’s year of birth. Also for any given age group, prevalence rates were lower in younger compared to older cohorts.


M Karimlou , K Mohammad , K Azam , M.a Noorbala ,
Volume 5, Issue 1 (4-2007)
Abstract

Background and Aim: The present article attempts to define the current trend for age at first marriage, based on the nationwide Health Survey of 1999 and using the Brass model.

Material and Methods: The national Health survey was conducted in 1999 and involved 1/1000 of the total population, selected via cluster sampling (clusters of 8 households each).

The sample used for the present study consisted of 16000 women aged 15-49, including 3026 women in Tehran province. Variables used for analysis were current age, marital status, age at first marriage and residential area (urban/rural). The mean age at first marriage for married women was 17.8 years (sd=3.7) for the whole country, and 18.2 years (sd=3.7) for Tehran province.

Results: The Brass model fitted to the data revealed a significant decreasing trend for the proportion of married women in all age groups, especially in the 15-19 year-old category.

Conclusion: This obviously indicates an upward trend for age at first marriage.


F Rezaei, R Majdzadeh, S Nedjat, B Golestan,
Volume 5, Issue 4 (3-2008)
Abstract

Background and Aim: Cigarette smoking is a global problem, but is decreasing in most developed countries. Reports from the East Mediterranean show that unlike the 5 other WHO regions, cigarette smoking has not decreased in this particular zone. There is a vital need to address the problem, especially in the adolescent population. This qualitative study looks at the motives behind the smoking tendency in boys aged 13-15.

Materials and Methods: The study consisted of 6 focus group discussions performed in Tehran orientation (intermediate) schools participants were male students aged 13 to 15 years. Purposeful sampling was used to draw in participants who were willing and able to take part in the group discussions. Each group was composed of 6-8 students, whose voices were recorded to determine themes and subthemes.

Results: Family and social factors have a more prominent role in creating the smoking tendency compared to individual factors. The most important elements are family history of smoking, having friends who smoke, poor parental control, conflicts at home, divorced parents, failure to consult with parents, easy availability and relative cheapness of cigarettes, and lack of information.

Conclusion: Serious attention must be paid to the social and family factors in the initiation of the smoking habit. Social and political institutions must come up with effective programs to control the social and family factors that have a role in creating the smoking tendency.


Mohsen Roshanpajouh, Roksana Mirkazemi, Mehrdad Ehterami, Houman Narenjiha, Hossein Malek Afzali, Hamidreza Sarrami, Majid Rezazadeh, Fatemeh Abbasi, Saeid Noroozi,
Volume 16, Issue 4 (3-2019)
Abstract

Background and Aim: Drug abuse is a long-standing social and public health problem in Iran. Access to accurate, reliable and up-to-date data related to drug use is essential for planning and policy-making for prevention of, treatment of, and harm reduction related to, drug abuse. The purpose of this study was to access accurate data regarding drug abuse prevalence and substance use in Tehran Province population.
Materials and Methods: This study was a cross-sectional household survey with a sample of 6024 individuals aged 15-64 years residing in Tehran Province. Data on demographic characteristics and drug use during the previous week, month and year and the whole lifetime were collected using a researcher-designed questionnaire.
Results: A total of 5646 individuals participated in the study. The lifelong prevalence of cigarette-smoking, hookah-smoking, alcohol consumption and drug use were 21.9%, 26.8%, 12.1% and 7.3%, respectively. The corresponding proportions during the previous week were 12.9%, 10.5%, 1.8% and 2.2%.
Conclusion: The prevalence of cigarette-smoking, hookah-smoking, alcohol consumption and drug use is high in Tehran Province. The prevalence of lifelong cigarette and hookah smoking and alcohol consumption is higher, while that of drug use is lower, than the respective national averages.
 

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