Self-Rated Health among General Population in the West of Iran: A Cross-Sectional Analysis of Socioeconomic Determinants

Background: Self-rated health (SRH), as a powerful independent predictor of mortality, has been used worldwide.However, there is currently lack of information about the SRH in Iran as a developing country. This study was conductedto investigate the relationship between SRH and socioeconomic factors in the general population in western Iran.Methods: A cross-sectional study was conducted in 2017 enrolling 1,444 subjects aged 18 years and over in fiveareas of Kermanshah City, Iran. A single question of SRH with five scales of excellent (coded as 1), very good, good,fair, or poor (coded as 5) was used. Univariate and multiple logistic regression models were performed to determinefactors associated with poor self-rated health.Results: The proportion of poor SRH was 14.7%. Multiple logistic regression showed that the most importantdeterminants of poor SRH were older age (adjusted odds ratio (AOR)31-50year=1.96, AOR≥51year=4.93, married status(AOR=2.53), divorced or widowed status (AOR=2.62), self-reported income level as middle (AOR=2.51) andlow (AOR=4.59), rural residency (AOR=1.5), low physical activity (AOR=11.97), and having chronic diseases(AOR=6.85). In addition, the educational level had a negative relationship with poor SRH (AOR academic=0.47).Conclusion: Our results revealed that both individual and social factors are directly associated with poor SRH.Therefore, these determinant factors should be considered in health policies and planning for promoting health andSRH in the west of Iran

Factors Affecting Students’ Value Co-creation to Institutionalize Sustainability in Academic Structure: The Case of Iranian Agricultural and Natural Resources’ Universities

Value co-creation process as a mutual interaction between individuals is a key issue across the management network. Recently, studies have placed a special emphasis on people’s interaction in ord e r to ac co mplish val ue cocreation. Given that the process of experience exchange enables us to identify our resources in transactional processes and make collaboration to achieve common values, the purpose of this study was to identify factors affecting student value co-creation to institutionalize sustainability in agricultural and natural recourses universities. Statistical population of the research consisted of 2248 students of which 204 students were selected using stratified random sampling. The main research tool was a researcher-made questionnaire whose face and content validity was confirmed by a panel of experts and whose construct validity was confirmed by using explanatory factor analysis (KMO=0.752; P<0.01). The reliability was checked by calculating ordinal theta (θ≥ 0.89). Data was analyzed by SPSS20. Descriptive findings showed that student value co-creation level was moderate (43.060 %). The findings of exploratory factor analysis revealed that seven factors including teaching quality, support from top management, students’ social capital, confidence to faculty member, self-efficacy, proenvironmental values, and infrastructures of information and co mmunicatio n tec h n ol ogy (ICT) captured 77.74 percent of student value co-creation variance

Factors Affecting Traffic Accidents in Kermanshah City Taxi Drivers - Focusing on the Role of Fatigue and Sleep Quality

Background and Objective: Traffic accidents are one of the most important challenges metropolises face, which impose significant costs on them every year. This study was conducted to determine the prevalence of accidents and the factors affecting them among city taxi drivers in Kermanshah, Iran. Materials and Methods: In this descriptive-analytical cross-sectional study, 320 male urban taxi drivers in Kermanshah were investigated in 2018. The required data were collected using a multi-part questionnaire including demographic and occupational characteristics, a visual analog scale for fatigue, and the Pittsburgh Sleep Quality Index. To analyze the data, non-parametric statistical tests and logistic regression models were employed by using SPSS software (version 25). Results: The frequency of accidents among urban taxi drivers of Kermanshah was 38.3% (n=123). Significant differences were observed in the variables of work experience, fatigue level, and smoking among drivers with and without accidents (P<0.05). Based on logistic regression, smoking (odds ratio: 2.68 and 95% confidence interval: 1.66-4.33) and one unit increase in the fatigue level (odds ratio: 1.01 and 95% confidence interval: 1.00-0.1-02) were significantly associated with an increased chance of the accident in the drivers. Conclusion: Due to the relatively high prevalence of accidents among urban taxi drivers, it is necessary to design and prioritize comprehensive programs to identify and control the factors affecting accidents in this group of drivers

Identify the Role of Rural Women in Agriculture with Emphasis on Passive Defense Environment of Bavi Township

Improving agriculture, the environment and other sectors in need of passive defense that can effectively help to complete the chain of defense is in the improvement of the agricultural sector. This study is applied for the purpose of gathering data descriptive population study of rural women in two villages in the central city of Bavi Khuzestan Tlbovmeh Salieh and the sample size of 736 persons was estimated by using Morgan 250. The data in this study was obtained using a questionnaire designed for the faculty members of the University of Agriculture and Natural Resources of Ramin Khuzestan and the quotas were distributed randomly. Data were analyzed using the software described. Descriptive statistics and coefficient of variation in the average rate in the inferential statistical correlation test, Kruskal-Wallis test was used to compare the average F. The results of descriptive statistics showed that more rural women with primary education and familiar with the environment are very young and have a lot of faith, but their participation in solving environmental problems is very low. Based on the results of the correlation, age and education level of rural women in their understanding of the importance of agricultural activities passive defense is effective. The results of the test showed that in the comparison between age and level of education, rural women who are young and highly educated with a broad vision have a variety of agricultural activities in the context of agriculture that are passiv

Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional study

OBJECTIVES This study aimed to measure the level and determinants of health-related quality of life (HRQoL) in adults in Kermanshah, a city in the western region of Iran. METHODS Convenience sampling was employed to obtain a sample of 998 adults aged 18 years and older (646 males and 352 females) in the city of Kermanshah. A 2-part self-administered questionnaire was used to collect data over the period between March 1 and May 30, 2017. The first part was designed to collect information on socio-demographic characteristics, socioeconomic status, and lifestyle factors (10 items). The second part consisted of the EuroQoL 5-dimensions (EQ-5D) EuroQoL-3-level and the EuroQoL visual analog scale (EQ-VAS) questions. A multiple linear regression model was used to determine the factors associated with the EQ-5D index and EQ-VAS score among study participants. RESULTS The mean values for the EQ-5D index and the EQ-VAS score were 0.74 (standard deviation [SD], 0.19) and 80.9 (SD, 16.5), respectively. The highest percentage of self-reported problems (‘some’ and ‘severe’ problems) across the 5 dimensions of the EQ-5D index were associated with the dimensions of anxiety/depression (35.3%) and pain/discomfort (32.9%). The percentage of self-reported problems for the dimensions of usual activities, mobility, and self-care were 19.0, 12.8, and 8.9%, respectively. Our regression analyses indicated that there were statistically significant positive associations between being physically active, monthly household income per capita, and post-secondary education and the EQ-5D index and EQ-VAS score. In contrast, negative associations were found between older age, being married, having a chronic disease, and smoking and the EQ-5D index and EQ-VAS score. A negative association was also found between being uninsured and the EQ-5D index. CONCLUSIONS Our findings suggest that interventions aiming to improve physical activity, to prevent chronic diseases, and to reduce the smoking rate among adults living in the city of Kermanshah may improve their HRQoL