3 research outputs found
Spatial inequalities and predictors of HIV/AIDS mortality risk in Hamadan, Iran: a retrospective cohort study
OBJECTIVES Understanding the geographic variation of HIV/AIDS mortality risk and human immunodeficiency virus (HIV) infection could help identify high-burden areas. The aim of our study was to evaluate the effects of predictors of the time interval between HIV diagnosis to death, while accounting for spatial correlations across counties, and to assess patterns of spatial inequalities in the risk of HIV/AIDS mortality in Hamadan Province, Iran. METHODS This retrospective study was conducted on 585 patients. The outcome in this study was the time period between the date of HIV/AIDS diagnosis and the date of death. A Weibull regression model with spatial random effects was used. RESULTS According to multivariate analysis, there were significant associations between age, tuberculosis co-infection, and marital status and the risk of death. In terms of spatial inequalities, a cluster of counties was identified with a somewhat higher death hazard in the north, northwest, northeast, and central regions. Additionally, a cluster with a somewhat lower hazard was identified in the south, southwest, southeast, and west regions. CONCLUSIONS The spatial pattern of HIV/AIDS death risk could reflect inequalities in access to antiretroviral therapy and public health services. Our results underscore the importance of attention to vulnerable groups in urban areas
Association between the religious coping of infertile people with their own quality of life and their spouses': A correlation study in iranian infertile couples
Background: Infertile couples have a lower quality of life (QoL) than that of the general population. Religious coping strategies (RCOPE) could affect QoL in distressing situations. The present study aimed to assess the association between the RCOPE of infertile people with their own QoL and that of their spouses'. Materials and Methods: This cross-sectional study was conducted among 200 infertile couples referring to Infertility Center of Qom, Iran in 2015. The data was collected using three questionnaires including Brief RCOPE scale, Short Form Health Survey, and a demographic questionnaire. p value of ≤0.05 was considered as significant level. Results: Multivariate analysis showed relationship between wives' RCOPE-N with their own QoL (β = −1.31, p < 0.001). Further, in husbands, RCOPE-P showed significant positive relationship with their own QoL (β = 0.80, p = 0.002), and their RCOPE-N had significant negative relationship with it (β = −0.61, p = 0.02). Surprisingly, wives' RCOPE-P showed negative relationship with husbands' QoL (β = −0.62, p = 0.04); whereas their RCOPE-N had no significant relationship with their husbands' QoL. In addition, neither RCOPE-P nor RCOPE-N of husbands had a significant relationship with their wives' QoL. Conclusions: In summary, we could not find an obvious and significant relationship between RCOPE of each spouse with QoL of the other spouse in infertile couples. Hence, further investigations with more participants of various religions are recommended