Predictors of malnutrition among Zahedan& rsquo s children age ranging from 2-5 years old in 2007-2008

چکیده: زمینه و هدف: ارزیابی دوره‌ای شاخص‌های تن سنجی یکی از مناسب ترین ابزارهای پایش وضعیت تغذیه کودکان در یک منطقه بوده و منبع اطلاعات خوبی به عنوان مرجع برای نظام مدیریت بخش سلامت کشور و شاخصی از عدالت در جامعه می‌باشد. هدف این مطالعه تعیین میزان شیوع هر کدام از شاخص های سوء تغذیه در کودکان 5-2 سال و پیشگویی کننده های آن می باشد. روش بررسی: در این مطالعه توصیفی- تحلیلی تعداد 1245 کودک 5-2 سال از 5 منطقه شهری شهر زاهدان به صورت چند مرحله ای انتخاب و بررسی شدند. اطلاعات با استفاده از پرونده ها و مصاحبه با مادر کودک جمع آوری شد. در این مطالعه سه شاخص وزن برای قد، قد برای سن و وزن برای سن به ترتیب به عنوان نمایه وضع تغذیه زمان حال یا لاغری، زمان گذشته یا کوتاه قدی و زمان حال و گذشته یا کم وزنی بر اساس 5/2-Z= مورد بررسی قرار گرفت. داده ها با استفاده از آزمون های t مستقل و مجذور کای و رگرسیون خطی مورد تجزیه و تحلیل قرار گرفت. یافته‌ها: میزان شیوع لاغری، کوتاه قدی وکم وزنی به ترتیب 2/4، 6/7 و 4/3 برآورد شد. در تحلیل تک متغیره، لاغری با وزن هنگام تولد و فاصله تولد، کوتاه قدی با وزن هنگام تولد، تحصیلات مادر، شغل پدر، نوع تغذیه زیر یکسال، سابقه عفونت، فاصله تولد و سن مادر و کم وزنی نیز با جنس، وزن هنگام تولد، نوع تغذیه زیر یکسال، سابقه عفونت، فاصله تولد و سن مادر رابطه معنی داری نشان دادند (05/0

The Status of Smokeless Tobacco Use and its Associated Factors Among the Business Guilds Population of Chabahar

Purpose: Use of smokeless tobacco is a major preventable cause of premature death and diseases. It leads to over 5 million deaths annually worldwide. This study aimed to investigate the status of smokeless tobacco use and its associated factors among the business guilds population of Chabahar City, Iran. Method: The present descriptive cross-sectional study was conducted on 320 users of various types of smokeless tobacco selected by simple random sampling method. Data were collected using a researcher-made demographic questionnaire, smokeless tobacco inventory, attitude questionnaire, and behavior questionnaire. The validity and reliability of these tools were confirmed in the previous studies. Data were analyzed in SPSS using descriptive (mean, standard deviation, frequency, and %age) and inferential statistics (Kruskal-Wallis and Exact Fisher test). Results: Most of the participants used the chewing tobaccos Gutkha and Pan-Parag (24%, 95% CI= 28.7-19.4 and 23%, 95% CI= 27.7-18.5, respectively). The mean scores (standard deviations) of the participants\u27 behavior and attitude were 7.71 (2.59) and 22.34 (7.60), respectively. The results of bivariate analysis indicated no significant difference among different smokeless tobacco groups regarding the attitude scores (P = 0.104). A significant association was observed among different groups of smokeless tobacco regarding the behavioral scores (P = 0.007). Conclusion: The scores of attitude and behavior were significantly low among the business guilds population of Chabahar City regarding consumption of smokeless tobacco. Therefore, effective steps should be taken urgently to launch social awareness programs to educate people about the consequences of tobacco use and effectiveness in curbing the problem

The prevalence of low back pain and its relationship with BMI, age, level of education and ergonomic principles education among rural women

Background and objective: Low back pain in addition to individual conditions reduced working capacity, a waste of time, absence from work, increased healthcare costs and economic losses. The present study was conducted to determine the prevalence of low back pain and its relationship with BMI, age, level of education and ergonomic principles education among rural women of Aq Qala city in 2016. Methods: This present cross sectional descriptive study was conducted on 215 women from the village of the Aq Qala city. Data were collected by the Nordic questionnaires. The data was analyzed with software spss20, chi-square test and descriptive statistics. Results: The prevalence of low back pain was 81/86% among rural women . χ2 analysis showed a significant relationship between low back pain with BMI(p=0/004), age(p=0/045) and education of ergonomic principles (p=0/003). There is no relationship between low back pain with level of education (p=0/08). Only 8/37% of participants were trained on ergonomic principles. Conclusion: Considering the high prevalence of low back pain, The need  felt for training these people in the field of weight loss, Implementation of ergonomic principles in Home working and Agriculture activities. Paper Type: Research Article

The Perceived Feelings of AIDS Patients toward their Illness and its Stigmatization

Introduction: The recognition of effective factors associated with HIV stigma and designing of effective interventions are the key to success of AIDS prevention and treatment. This study aimed to determine the views of AIDS patients on their illness and the stigma associated with it. Method: Due to the limited number of patients, 17 patients, who were referred to a behavioral health counselling center in 2012, were selected using purposive sampling. Data analysis was performed based on a content analysis analysis of themes. Results: The main themes emerged within the patient’s perceived feeling toward the disease include spiritual orientation, and relating the disease to other factors and the sense of inability. The main themes of social stigma associated with the disease include the perceived internal emotions (feelings of hopelessness, and rejection and separation) and the perceived external emotions of patients (feelings of disgust and blame). Conclusion: The perceived emotions of AIDS patients express the threatening nature of the disease. The disease has strengthened their spiritual dimension and has caused them to reconsider their worship rituals by reflection on and returning to their values. The patients' perceived awareness of the stigmatization of the disease reflects the fact that these patients not only struggle with adverse health outcomes, but also face the consequences of the stigmatization of this disease. This is to the extent that the mental and social health of these patients is targeted. Therefore, further investigation of these misperceptions about the disease, and the development of training programs for the public, especially the patient’s relatives and friends, and integration of these programs with educational programs seem necessary to promote preventive behaviors. Keywords: Feelings, AIDS patients, Stigm

Relationship between health literacy and prenatal care in young pregnant women

Background and objective: Health literacy is as one of the determinant of social of  pregnant women’s health. That affects the use of services and information of prenatal care. The aim of study was to determine the relationship between health literacy and prenatal care in young pregnant women. Methods:This descriptive- analytical study was carried out cross sectional in 2016. Research population, consisted of all Pregnant young women referring to urban health centers of Balochistan, 215 pregnant young women were selected according to a stratified sampling basis. Questionnaires Health Literacy for Iranian Adults (HELIA) and prenatal care was applied for data collection. Data were analyzed using descriptive statistics and Chi square test through SPSS19. Results: The mean age of pregnant women was 22.8 ± 7.79 years. The mean score of maternal health literacy was 67.69 ± 12.52 out of 100. 21.66% of studied women had insufficient health literacy, 26.04% not enough health literacy, 36.27% adequate health literacy and 15.81% high health literacy. There was a significant relationship between health literacy and taking iron tablet, multivitamin, and folic acid, diet, brushing and using dental floss (P˂0.05). Health literacy was not statistically significant with walking (P = 0.86). Conclusion: There is a significant relationship between maternal health literacy with prenatal care that shows the necessity of more attention to maternal health literacy in health promotion programs. Paper Type:Research Article

The Effect of Stress Management Education Based on PRECEDE Model on Occupational Stress of Nurses in Hospitals of Iranshahr, Iran

Background & Objective: The phenomenon of occupational stress is an inevitable part of professional life that has negative effects on different areas of life. The purpose of this research was to identify the effects of PRECEDE model-based training on reduction of nurses’ occupational stress. Methods: The present study was a quasi-experimental study on nurses. First, subjects with a medium to high stress level were chosen. Then, the nurses of Iran and Khatam-Ol-Anbia hospitals, Tehran, Iran, were randomly assigned as intervention (n = 40) and control (n = 41) groups. Data gathering tools included the Nursing Stress Scale (NSS) to determine nurses’ occupational stress and PRECEDE Model Structures Questionnaire to provide educational intervention. Training was carried out in two 4-hour sessions in two consecutive days. Subjects were monitored for 3 months. Statistical analysis was performed before, and 1 month and 3 months after training using SPSS software. Descriptive statistical tests, independent t-test, repeated measures one-way ANOVA, and Pearson correlation were used. Results: Mean NSS score of the intervention group reduced from 112.80 ± 17.46 to 93.15 ± 28.79 after the training. Moreover, after training, the variables of reinforcement, enabler, and manner showed a significant increase in the intervention group compared to the control group (P < 0.05). Conclusion: Results showed that the PRECEDE model for stress management education was effective in the reduction of nurses’ stress level. Key Words: Occupational stress, Nurses, PRECEDE model, Educatio

The Investigation of the Impact of Health Belief Model Based Training on Brest Self-Exam in Women Referred to Health Centers

Background and objective: Breast cancer is the most common cancer among women .More than 90 percent of patients are treated if diagnosed early. This study has been done to investigate the impact of Health Belief Model based training in the creation of the BSE behavior Methods: This study is a controlled intervention one performed on 180 women referred to health centers Torbat Heydaryieh which 90 people were in the intervention group and 90 people were in the control group. Before doing intervention training, a questionnaire designed based on HBM was completed by the investigating units. Then intervention training was carried out in intervention group using lecture, questions, and answers. Two month after the intervention, post tests were given using the same questionnaire. The data was analyzed by using spss 18 software, independent t-test, paired t-test and chi-square and was considered significant Results: Independent T-Test showed that before intervention, the difference between mean scores of knowledge and HBM structures of control and intervention groups was not statistically significant. But this difference was significant after the intervention Conclusion: It seems that, a training program designed based on HBM is effective to create the behavior of BSE. It is suggested educational programs Implemented  on based Health Belief Model In order to improve the performance of women. Paper Type: Research Articl

The Determinants of Salivary Cotinine Concentration in Smokeless Tobacco Users

BACKGROUND: Smokeless tobacco products due to their high nicotine content are highly addictive and ultimately lead to an increased risk of oral cavity, laryngeal and oesophagal cancer. AIM: This research was conducted with the aim of assessing the relationship between the salivary cotinine concentration and demographic characteristics and smokeless tobacco use for the first time in tradespeople in Chabahar, Iran. METHODS: This descriptive cross-sectional study was conducted on 150 different tradespeople using smokeless tobacco in Chabahar who were selected through simple random sampling in 2018. In addition to the salivary cotinine measurement, data were collected using a researcher-made questionnaire with demographic and behavioural items. The data obtained were analysed in SPSS-16 using descriptive and inferential statistics. RESULTS: The mean salivary cotinine score was 887.7 ± 180.7 in men and 611.2 ± 139.7 in women, making for a significant intergroup difference (P = 0.043). The mean salivary cotinine score was higher in those who used two or more smokeless tobacco products compared to those who used one type of tobacco, and a significant difference was observed between the type of smokeless tobacco used and the salivary cotinine score in the participants (P = 0.005). CONCLUSION: Based on the results of the regression analysis, the type of smokeless tobacco used was a strong predictor of the concentration of salivary cotinine in the participants. It is, therefore, necessary for the government to adopt appropriate policies and take educational measures to reduce the vending and use of these substances

The survival rate of patients with beta-thalassemia major and intermedia and its trends in recent years in Iran

OBJECTIVES Thalassemia is a common genetic disease in Iran, especially in the north and south of Iran. The present study sought to determine the survival rate of patients with thalassemia in highly endemic regions of Iran and its variation in patients born before and after 1971. METHODS The present historical cohort study extracted data from the health records of patients with beta-thalassemia major, beta-thalassemia intermedia, and sickle beta-thalassemia who had presented to thalassemia treatment centers in the past years. The collected data were analyzed using the Kaplan-Meier test, the log-rank test, and the chi-square test. RESULTS Of the total of 5,491 medical records (2,647 men and 2,634 women; mean age, 23.81±11.32 years), 3,936 belonged to patients with beta-thalassemia major, and 999 and 89 to patients with beta-thalassemia intermedia and sickle beta-thalassemia, respectively. In 467 cases, the type of thalassemia was not clear. The cumulative survival rate was calculated as 0.92, 0.83, 0.74, and 0.51 by ages 25, 35, 45, and 55, respectively. The hazard ratio of death was 4.22 (p<0.05) for beta-thalassemia major and 0.77 for beta-thalassemia intermedia (p=0.70). It was calculated as 1.45 for men patients and as 3.82 for single patients. CONCLUSIONS The present study showed relatively high survival rates in patients with thalassemia. The survival of patients was unfavorable in poorer regions (Zahedan and Iranshahr). Factors including women gender, a higher level of education, being married, and living in metropolises decreased the risk of death at younger ages and improved survival

The effect of halth belief model-based training on preventing major thalassemia in thalassemia carrier couples

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