The impact of migration on the health status of Iranians: An integrative literature review

© 2015 Shishehgar et al. Background: Immigration, both voluntary and forced, is driven by social, political and economic factors. Accordingly, some discussions and debates have emerged in recent years about the impact of migration on the health status of migrants. The aim of this review was to identify the impact of migration on the health status of Iranian immigrants and present a conceptual framework to facilitate the design and delivery of services and supports for this particular immigrant group. Methods: Data for this integrative review were collected from Medline, PsycINFO, Scopus, ProQuest, Academic Search Complete, CINAHL, and Google Scholar search engine. The database search was limited to peer-reviewed literature, published in English, between 1980 and 2013. Results: Twenty six articles were included in the review. Analysis revealed several factors influencing the mental health of immigrants, including language insufficiency; unemployment; sense of discrimination; cultural shock; lack of social support; lack of information about health care services; and intimate partner violence. Conclusion: Findings of this review have contributed to development of a conceptual framework that delineates the impact of migration on Iranian immigrants' health. This conceptualization may also help in addressing the needs of other vulnerable groups during the transition phase of migration

Opioid use among women on a stable methadone dose

Copyright © 2017, Iranian Journal of Psychiatry and Behavioral Sciences. Background: Opioid use on a stable methadone dose is a health concern in Iran, the most populous Persian Gulf country. However, the underlying reasons associated with opioid use have not been studied. Objectives: The study aimed to explore the reasons associated with opioid use among a group of Persian methadone-maintained women. The other aim was to explore effective interventions to stop this problem. Methods: The current qualitative study was conducted between June 2008 and December 2009. The study sites included ten large methadone treatment clinics in Tehran. The study employed semi-structured interviews with 50 women. Six roundtable meetings were conducted with nine key informants. NVivo 10 was used to thematically analyze the data. Results: Women were on a stable methadone dose of 45 - 115 mg for at least six months. Opioid availability, an opioid-dependent lifestyle, peer pressure and self-treatment were the reasons of opioid use. The provision of cognitive-behavioral therapy, life skills, observational learning, and mental health services were the suggested interventions to stop opioid use. Conclusions: Opioid use on a stable methadone dose had been facilitated by some factors which should be considered in methadone treatment. The suggested interventions should be considered in increasing methadone treatment outcomes

The relationship of social support and quality of life with the level of stress in pregnant women using the PATH model

Background: Lack of adequate social support, stress, and generally poor quality of life during pregnancy leads to adverse pregnancy outcomes for both the mother and the baby. Objectives: This study aimed to investigate the relationship of social support and quality of life with level of stress during pregnancy. Materials and Methods: This was a descriptive-correlative study conducted on 210 pregnant women (meeting study criteria), attending Shahriar Social Services Hospital during 2012. Purposive convenient sampling was used. Study subjects completed questionnaires of obstetrics and demographics, VAUX social support, World Health Organization quality of life, and stress during pregnancy. Data were analyzed with SPSS-19 and Lisrel 8.8, utilizing statistical path analysis. Results: The final path model fitted well (CF1 = 1, RMSEA = 0.00) and showed that direct quality of life paths with β = -0.2, and indirect social support with β = -0.088 had the most effects on reduction of stress during pregnancy. Conclusion: Social support indirectly and quality of life directly affect stress during pregnancy. Thus, health officials should attempt to establish measures to further enhance social support and quality of life of pregnant women to reduce stress and its consequences during this time. © 2013, Iranian Red Crescent Medical Journal

Validating the Farsi version of the Pregnancy Worries and Stress Questionnaire (PWSQ): An exploratory factor analysis.

INTRODUCTION: Biological, environmental, inter- and intrapersonal changes during the antenatal period can result in anxiety and stress in pregnant women. It is pivotal to identify potential stressors and prevent their foetal and maternal consequences. The present study was conducted to validate and examine the factor structure of the Farsi version of the Pregnancy Worries and Stress Questionnaire (PWSQ). METHODS: In 2015, 502 Iranian healthy pregnant women, referred to selected hospitals in Tehran for prenatal care at 8-39 weeks of pregnancy, were recruited through a randomized cluster sampling. The PWSQ was translated into Farsi, and its validity and reliability were examined using exploratory factor analysis by SPSS version 21. RESULTS: The content validity of items on the PWSQ was between 0.63-1. The content validity index for relevance, clarity and simplicity were 0.92, 0.98, and 0.98, respectively, with a mean of 0.94. The Kaiser-Meyer-Olkin measure of sampling adequacy was 0.863. Test-retest reliability showed high internal consistency (α=0.89; p<0.0001). CONCLUSION: The psychometric evaluation and exploratory factor analysis showed that the translated questionnaire is a valid and reliable tool to identify stress in Iranian pregnant women. Application of the questionnaire can facilitate the diagnosis of stress in pregnant women and assist health care providers in providing timely support and minimizing negative outcomes of stress and anxiety in pregnant women and their infants

Older People’s Needs and Opportunities for Assistive Technologies

Older adults experience a disconnect between their needs and adoption of technologies that have potential to assist and to support more independent living. This paper reviewed research that links people’s needs with opportunities for assistive technologies. It searched 13 databases identifying 923 papers with 34 papers finally included for detailed analysis. The research papers identified needs in the fields of health, leisure, living, safety, communication, family relationship and social involvement. Amongst these, support for activities of daily living category was of most interest. In specific sub-categories, the next most reported need was assistive technology to support walking and mobility followed by smart cooking/kitchen technology and assistive technology for social contacts with family member/other people. The research aimed to inform a program of research into improving the adoption of technologies where they can ameliorate identified needs of older people

A brief review of robotics technologies to support social interventions for older users

In the last few decades, various studies demonstrated numerous robotics applications that can tackle the problem of the ageing population by supporting older people to live longer and independently at home. This article reviews the scientific literature and highlights how social robots can help the daily life of older people and be useful also as assessment tools for mild physical and mental conditions. It will underline the aspects of usability and acceptability of robotic solutions for older persons. Indeed, the design should maximise these to improve the users' attitude towards the actual use of the robots. The article discusses the advantages and concerns about the use of robotics technology in the social context with a vulnerable population. In this field, success is to assist social workers, not to replace them. We conclude recommending that care benefits should be balanced against ethical costs

Methamphetamine dependence, psychologicalwell-being, criminality and high risk sexual behaviors in female-only methadone services in tehran and karaj, iran

©2018, Iranian Journal of Psychiatry and Behavioral Sciences. Background: Methamphetamine (MA) abuse is a health concern among drug abuse patients in Iran. Objectives: This study aimed at determining the prevalence of MA dependence among a group of female methadone users and investigating the current psychological well-being, high risk sexual and criminality behaviors, and the status of receiving MA treatment. Methods: This study was a cross-sectional survey conducted in Iran. The study was conducted at 5 central female-only methadone services in Tehran and Karaj, during years 2011 to 2013. A questionnaire was devised to collect baseline data. The general health questionnaire-28 and the Opiate Treatment Index were used to assess psychological well-being, and criminality and high-risk sexual behaviors. Results: Overall, 245 females were registered at these sites. Of them, 201 females (82%) were dependent on MA while on treatment. Duration of MAdependence was 6 years. However, only 14.3% of the participants reported lifetimeMAtreatment. Noparticipant was on MA treatment. Participants reported high rates of MA-related depression (76.4%), anxiety (68.4%), social dysfunction (41.2%), and somatic symptoms (38.2%), respectively. Untreated MA dependence in methadone treatment was associated with engagement in high-risk sexual behaviors (43.8%) and criminality (28.7%). Only 10% of the participants reported receiving a lifetime matrix model. All of them reported that the Matrix model was long and it was not easily available in methadone services. Conclusions: The study showed that the high prevalence for MA dependence and its adverse health impacts while receiving MA treatment remained the same. Effective psychosocial treatments should be delivered forMAdependenceamong female methadone users

Gender differences among patients with Hepatitis C virus undergoing rehabilitation through methadone maintenance treatment

Objectives: Hepatitis C Virus (HCV) is a health problem among patients undergoing rehabilitation through methadone maintenance treatment in Iran, the most populous Persian Gulf country. The study aimed to examine gender differences among a group of methadone maintenance treatment patients with HCV problem. Methods: Overall 150 patients (n=75 men, n=75 women) were enrolled from nine methadone clinics in Tehran. The study was conducted between July 2013 and June 2014. Participants of the two genders were compared in baseline characteristics, perceived stress, social support, coping strategies and mental health. Results: Men were more likely to report being currently on parole than women (χ(1)=9.23). Age of first illicit drug use was significantly higher among men than women (t(121)=2.43). Men were more likely to report drug injection in the last 12 months compared with women (χ(1)=4.62). Men were more likely to report criminal charges (t(121)=2.21) and being in correctional facilities (χ(1)=5.32) compared with women. Women reported higher levels of emotion-focused coping than men. Despite women reporting more social support [4.20(0.79)], they also reported higher levels of emotion-focused coping [2.66(0.55)] than men. Women were more likely to have a current mental health disorder (χ(1)=8.15) than men. Discussion: The study results demonstrated some gender differences in baseline characteristics and psychological problems. Such differences may have important impacts on methadone treatment outcomes. Further studies are suggested