Pub Date : 2023-09-09DOI: 10.5812/healthscope-137603
Fatemeh Kokabisaghi, Mark Tonino, Seyed saeed Tabatabaee, Mohammad Khammarnia
Context: In recent decades, the tobacco epidemic has spread worldwide. The impact of tobacco control policies has been different among countries. This paper aims to explain how two countries, the United Kingdom (UK) and India, with different political, social, and cultural contexts, implemented the World Health Organization (WHO) Framework Convention on Tobacco Control. Evidence Acquisition: A comparative study was done for tobacco control in UK and India in 2022. In a review of literature in five databases, observational data and legal documents on tobacco use were undertaken. To identify and explain the factors that pose challenges to the implementation of tobacco control policies, country reports and health policy monitoring and research databases (in total, 27 papers and 16 reports) were reviewed. Results: Having different economic, social, and cultural backgrounds, a similar pathway to control the tobacco industry can be seen in UK and India. At different stages of tobacco control, various interest groups with different routes of political influence used veto opportunities to overturn political decisions in the policy process. The factors that can explain the similar outcomes in UK and India are the global pressure of WHO, increased awareness of people and policymakers, and a sense of urgency about the tobacco problem in both societies. Conclusions: At different stages of tobacco control in both countries, various interest groups with different routes of political influence used veto opportunities to overturn political decisions in the policy process. Continuous analysis of interest groups and their status quo is necessary to restrict the tobacco industry in favor of public health. Governments should carefully recognize the stakeholders and stake challengers in the policy domain and balance their interests.
{"title":"Comparative Study on Tobacco Control in India and the United Kingdom: Analysis of Executive Policies","authors":"Fatemeh Kokabisaghi, Mark Tonino, Seyed saeed Tabatabaee, Mohammad Khammarnia","doi":"10.5812/healthscope-137603","DOIUrl":"https://doi.org/10.5812/healthscope-137603","url":null,"abstract":"Context: In recent decades, the tobacco epidemic has spread worldwide. The impact of tobacco control policies has been different among countries. This paper aims to explain how two countries, the United Kingdom (UK) and India, with different political, social, and cultural contexts, implemented the World Health Organization (WHO) Framework Convention on Tobacco Control. Evidence Acquisition: A comparative study was done for tobacco control in UK and India in 2022. In a review of literature in five databases, observational data and legal documents on tobacco use were undertaken. To identify and explain the factors that pose challenges to the implementation of tobacco control policies, country reports and health policy monitoring and research databases (in total, 27 papers and 16 reports) were reviewed. Results: Having different economic, social, and cultural backgrounds, a similar pathway to control the tobacco industry can be seen in UK and India. At different stages of tobacco control, various interest groups with different routes of political influence used veto opportunities to overturn political decisions in the policy process. The factors that can explain the similar outcomes in UK and India are the global pressure of WHO, increased awareness of people and policymakers, and a sense of urgency about the tobacco problem in both societies. Conclusions: At different stages of tobacco control in both countries, various interest groups with different routes of political influence used veto opportunities to overturn political decisions in the policy process. Continuous analysis of interest groups and their status quo is necessary to restrict the tobacco industry in favor of public health. Governments should carefully recognize the stakeholders and stake challengers in the policy domain and balance their interests.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136193145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-29DOI: 10.5812/healthscope-135540
Fatemeh Sadeghivand, R. Khodayari-zarnaq, Shirin Nosratnejad
Background: Understanding the value and willingness to pay (WTP) for services is crucial for decision- making. Objectives: This study aimed to measure the level and factors affecting households’ WTP for dental services using the double- bounded dichotomous choice approach. Methods: This cross- sectional study collected data through a questionnaire- based interview with 300 households in the city of Tabriz, Iran, in 2019. The double- bounded dichotomous choice approach was used to estimate WTP, and factors related to WTP were calculated using an internal regression model, and data were analyzed using Stata 14. Results: The households’ mean WTP for fissure sealant, fluoride therapy, scaling, and removable orthodontics were $8.96, $4.36, $16.00, and $47.38, respectively. Household income, education level, age, regular dental visits, and having elderly people in the family were found to be factors affecting WTP for dental services. Conclusions: The study found that household income was a significant factor affecting WTP for dental services. Not using dental services is often due to low household income and high service prices. Therefore, policymakers should consider setting dental service prices based on income levels to ensure access to services for all income groups.
{"title":"Households' Willingness to Pay for Receiving Preventive and Therapeutic Dental Services: The Double- Bounded Dichotomous Choice Approach","authors":"Fatemeh Sadeghivand, R. Khodayari-zarnaq, Shirin Nosratnejad","doi":"10.5812/healthscope-135540","DOIUrl":"https://doi.org/10.5812/healthscope-135540","url":null,"abstract":"Background: Understanding the value and willingness to pay (WTP) for services is crucial for decision- making. Objectives: This study aimed to measure the level and factors affecting households’ WTP for dental services using the double- bounded dichotomous choice approach. Methods: This cross- sectional study collected data through a questionnaire- based interview with 300 households in the city of Tabriz, Iran, in 2019. The double- bounded dichotomous choice approach was used to estimate WTP, and factors related to WTP were calculated using an internal regression model, and data were analyzed using Stata 14. Results: The households’ mean WTP for fissure sealant, fluoride therapy, scaling, and removable orthodontics were $8.96, $4.36, $16.00, and $47.38, respectively. Household income, education level, age, regular dental visits, and having elderly people in the family were found to be factors affecting WTP for dental services. Conclusions: The study found that household income was a significant factor affecting WTP for dental services. Not using dental services is often due to low household income and high service prices. Therefore, policymakers should consider setting dental service prices based on income levels to ensure access to services for all income groups.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45581516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-16DOI: 10.5812/healthscope-136546
Khorshid Mobasseri, H. Matlabi, H. Allahverdipour, Fariba Pashazadeh, A. Kousha
Background: Population aging, the burden of chronic diseases, and the cost-effectiveness of home care (HC), compared to hospitalization and institutionalization, have increased the importance of HC. Therefore, there is a need to share the experiences of leading countries in home-based long-term care (LTC) for older individuals. Objectives: This review aimed to explain the structure of HC for older adults in different countries. Methods: A scoping review was performed on HC published in English using PubMed, Embase, Scopus, Web of Science, CINAHL, Google Scholar, and grey literature. The search began in January 2022, and the latest search was conducted in June 2023. The main keywords ‘home care’, ‘old*’, ‘Funding', 'organization’ and ‘training’ and ‘policy’ and ‘formal care’ and ‘home-based services’ were used for searching. The data were classified into 7 domains, including 1) governing, 2) long-term care insurance (LTCI), eligibility for HC services and financing, 3) benefits, 4) marketization and free choice system, 5) workforce training, 6) quality assurance of care, and 7) supporting caregivers. Results: Overall, 44 documents out of 4072 studies were included in the final analysis, containing data from 23 countries. Each study covers some domains of HC, and some other studies compare domains in some Asian and European countries. The regulation makes authorities organize high-quality care. Ministries set legal frameworks, and municipalities are autonomous in determining principles and financing of services. Older adults are eligible to receive cash and in-kind benefits based on their needs or assets. Financing is done using insurance, taxes, or privately. Some countries have made the quality assessment of services mandatory. Conclusions: This review can generate novel insights into designing HC systems according to different contexts. Comprehensive information on HC organizations for older adults was only available in some countries. Therefore, further in-depth studies are needed to assess each component of the HC system separately. Defining legal rights and responsibilities for caregivers and older individuals, universal coverage of LTCI for all older adults, financial and care options to help pay for HC, and training family caregivers are recommended for developing countries.
背景:人口老龄化、慢性病负担和家庭护理(HC)的成本效益，与住院和机构相比，增加了HC的重要性。因此，有必要分享主要国家在老年人居家长期护理(LTC)方面的经验。目的:本综述旨在解释不同国家老年人HC的结构。方法:采用PubMed、Embase、Scopus、Web of Science、CINAHL、谷歌Scholar和灰色文献对英文版HC文献进行文献综述。搜寻工作于2022年1月开始，最近一次是在2023年6月进行的。搜寻时使用的主要关键词为“家居护理”、“长者*”、“经费”、“机构”、“培训”、“政策”、“正规护理”及“家居服务”。数据被划分为7个领域，包括1)管理，2)长期护理保险(LTCI)， HC服务和融资资格，3)福利，4)市场化和自由选择制度，5)劳动力培训，6)护理质量保证，7)支持护理人员。结果:总体而言，4072项研究中的44份文件被纳入最终分析，包含来自23个国家的数据。每项研究都涵盖了HC的一些领域，其他一些研究比较了一些亚洲和欧洲国家的领域。该条例使当局能够组织高质量的护理。各部制定法律框架，市政当局自主决定各项服务的原则和资金筹措。老年人有资格根据其需要或资产领取现金和实物福利。融资是通过保险、税收或私人方式完成的。一些国家强制要求对服务进行质量评估。结论:这篇综述可以为根据不同情况设计HC系统提供新的见解。只有在一些国家才有关于老年人HC组织的全面信息。因此，需要进一步深入研究，分别评估HC系统的各个组成部分。建议为发展中国家确定护理人员和老年人的法律权利和责任，为所有老年人全面覆盖长期护理，提供财政和护理选择以帮助支付HC费用，并培训家庭护理人员。
{"title":"Structure and Organization of Home-Based Care for Older Adults in Different Countries: A Scoping Review","authors":"Khorshid Mobasseri, H. Matlabi, H. Allahverdipour, Fariba Pashazadeh, A. Kousha","doi":"10.5812/healthscope-136546","DOIUrl":"https://doi.org/10.5812/healthscope-136546","url":null,"abstract":"Background: Population aging, the burden of chronic diseases, and the cost-effectiveness of home care (HC), compared to hospitalization and institutionalization, have increased the importance of HC. Therefore, there is a need to share the experiences of leading countries in home-based long-term care (LTC) for older individuals. Objectives: This review aimed to explain the structure of HC for older adults in different countries. Methods: A scoping review was performed on HC published in English using PubMed, Embase, Scopus, Web of Science, CINAHL, Google Scholar, and grey literature. The search began in January 2022, and the latest search was conducted in June 2023. The main keywords ‘home care’, ‘old*’, ‘Funding', 'organization’ and ‘training’ and ‘policy’ and ‘formal care’ and ‘home-based services’ were used for searching. The data were classified into 7 domains, including 1) governing, 2) long-term care insurance (LTCI), eligibility for HC services and financing, 3) benefits, 4) marketization and free choice system, 5) workforce training, 6) quality assurance of care, and 7) supporting caregivers. Results: Overall, 44 documents out of 4072 studies were included in the final analysis, containing data from 23 countries. Each study covers some domains of HC, and some other studies compare domains in some Asian and European countries. The regulation makes authorities organize high-quality care. Ministries set legal frameworks, and municipalities are autonomous in determining principles and financing of services. Older adults are eligible to receive cash and in-kind benefits based on their needs or assets. Financing is done using insurance, taxes, or privately. Some countries have made the quality assessment of services mandatory. Conclusions: This review can generate novel insights into designing HC systems according to different contexts. Comprehensive information on HC organizations for older adults was only available in some countries. Therefore, further in-depth studies are needed to assess each component of the HC system separately. Defining legal rights and responsibilities for caregivers and older individuals, universal coverage of LTCI for all older adults, financial and care options to help pay for HC, and training family caregivers are recommended for developing countries.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47226277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-22DOI: 10.5812/jhealthscope-136839
E. Erami, M. Taghadosi
Background: As an unavoidable experience in oncology departments, grief following a patient’s death, coupled with work difficulties, can affect health professionals’ individual and work performance. Objectives: The present research was conducted to explain the positive consequences following the experience of grief for oncology nurses. Methods: In 2021, the present qualitative study utilized content analysis and interviewed 20 nurses working in the oncology wards of hospitals affiliated with universities of medical sciences in Iran. Purposive sampling was performed, and data were collected through unstructured interviews until reaching data saturation. The data collected were analyzed in MAXQDA10 based on conventional content analysis. Results: The main concepts were categorized into three themes and seven subthemes. The themes included “promoting and practicing religious beliefs,” “feeling rewarded after experiencing grief,” and “promoting ethical virtues.” Conclusions: According to the present findings, the nurses identified having profound religious and spiritual beliefs, promoting ethical virtues, and using positive experiences associated with grief over patient deaths as the positive implications of experiencing grief. These results can be employed to design interventions for preventing burnout in nurses and assisting them in providing high-quality care. Strengthening the positive implications of experiencing grief is one way to prevent the negative effects of grief on health professionals. Recommendations include implementing educational programs to improve these outcomes.
{"title":"Positive Implications of Experiencing Grief for Health Professionals in Iran: A Qualitative Study","authors":"E. Erami, M. Taghadosi","doi":"10.5812/jhealthscope-136839","DOIUrl":"https://doi.org/10.5812/jhealthscope-136839","url":null,"abstract":"Background: As an unavoidable experience in oncology departments, grief following a patient’s death, coupled with work difficulties, can affect health professionals’ individual and work performance. Objectives: The present research was conducted to explain the positive consequences following the experience of grief for oncology nurses. Methods: In 2021, the present qualitative study utilized content analysis and interviewed 20 nurses working in the oncology wards of hospitals affiliated with universities of medical sciences in Iran. Purposive sampling was performed, and data were collected through unstructured interviews until reaching data saturation. The data collected were analyzed in MAXQDA10 based on conventional content analysis. Results: The main concepts were categorized into three themes and seven subthemes. The themes included “promoting and practicing religious beliefs,” “feeling rewarded after experiencing grief,” and “promoting ethical virtues.” Conclusions: According to the present findings, the nurses identified having profound religious and spiritual beliefs, promoting ethical virtues, and using positive experiences associated with grief over patient deaths as the positive implications of experiencing grief. These results can be employed to design interventions for preventing burnout in nurses and assisting them in providing high-quality care. Strengthening the positive implications of experiencing grief is one way to prevent the negative effects of grief on health professionals. Recommendations include implementing educational programs to improve these outcomes.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43755614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-18DOI: 10.5812/jhealthscope-135562
R. Ghorbani, Maryam Gharibi, Fayeze Ansari-Nia, Narges Ghorbani, Habibollah Safari, M. Kahouei, M. Soltani-Kermanshahi
Background: A short pregnancy interval (long fertility acceleration (Tempo)) is associated with adverse health and perinatal outcomes, including maternal, child, and neonatal mortality. Objectives: We aimed to investigate the duration and determining factors of first birth intervals among women of reproductive age in Semnan, Iran. Methods: In this cross-sectional study, the fertility history of 600 married women aged 15 to 49 in Semnan (Iran) was investigated from the list of health centers. Individuals were selected using a multistage sampling method in 2018. Finally, a married woman (15 - 49 years) was selected randomly from each household. Data were obtained by interview questionnaire, calculated tempos, and analyzed with a Cox proportional hazard model. Results: The median (first – third quartile) time of first birth intervals and age of women and men at the first marriage were estimated to be 24.0 (12 - 44) months, 20 (18 - 23), and 25 (22 - 28) years, respectively. The lowest estimated tempo was for third births (68.63 months), and the highest was for the 1st (26 months). Among explanatory variables of interest, the number of children expected, the father's age at the first marriage, the mother's occupation, and the desire to have children were significant predictors of the first birth intervals. Conclusions: Due to the decrease in the number of births in the past several years and also the prediction of a decrease in the coming years, one of the ways to reduce the birth interval and, as a result, increase the fertility rate is to reduce the age of marriage among young people and in general to marry on time among young people, as well as to control inflation and reduce the cost of having children.
{"title":"Fertilities Acceleration (Tempo) and Factors Affecting the First Birth Interval in Iranian Women: A Survival Analysis","authors":"R. Ghorbani, Maryam Gharibi, Fayeze Ansari-Nia, Narges Ghorbani, Habibollah Safari, M. Kahouei, M. Soltani-Kermanshahi","doi":"10.5812/jhealthscope-135562","DOIUrl":"https://doi.org/10.5812/jhealthscope-135562","url":null,"abstract":"Background: A short pregnancy interval (long fertility acceleration (Tempo)) is associated with adverse health and perinatal outcomes, including maternal, child, and neonatal mortality. Objectives: We aimed to investigate the duration and determining factors of first birth intervals among women of reproductive age in Semnan, Iran. Methods: In this cross-sectional study, the fertility history of 600 married women aged 15 to 49 in Semnan (Iran) was investigated from the list of health centers. Individuals were selected using a multistage sampling method in 2018. Finally, a married woman (15 - 49 years) was selected randomly from each household. Data were obtained by interview questionnaire, calculated tempos, and analyzed with a Cox proportional hazard model. Results: The median (first – third quartile) time of first birth intervals and age of women and men at the first marriage were estimated to be 24.0 (12 - 44) months, 20 (18 - 23), and 25 (22 - 28) years, respectively. The lowest estimated tempo was for third births (68.63 months), and the highest was for the 1st (26 months). Among explanatory variables of interest, the number of children expected, the father's age at the first marriage, the mother's occupation, and the desire to have children were significant predictors of the first birth intervals. Conclusions: Due to the decrease in the number of births in the past several years and also the prediction of a decrease in the coming years, one of the ways to reduce the birth interval and, as a result, increase the fertility rate is to reduce the age of marriage among young people and in general to marry on time among young people, as well as to control inflation and reduce the cost of having children.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47866109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-18DOI: 10.5812/jhealthscope-135609
Reza Aghebati, L. Doshmangir, J. Tabrizi, A. Jannati, V. S. Gordeev
Background: The joint operational plan was introduced by Iran’s Ministry of Health and Medical Education in 2015 as a way to improve the quality and efficiency of healthcare services by promoting collaboration and coordination among medical sciences universities. The plan aimed to address issues related to overlapping responsibilities, duplication of efforts, and resource constraints among universities. Objectives: This study was conducted to analyze this policy intervention and explore its challenges and opportunities. Methods: Using a qualitative policy analysis approach, this study collected data through documentary analysis and semi-structured interviews with stakeholders at various health system levels. Research participants were selected using purposive and snowball sampling methods. The collected data were analyzed using the framework analysis approach, supported by the policy triangle framework and heuristic model. Results: The policy analysis results yielded 14 categories and 29 sub-categories grouped into four overarching themes: Content, context, process, and actors/stakeholders. The content theme included categories such as the plan’s goals, the linkage between the plan’s goals and upstream policy documents, and the consistency between the plan’s goals and the visions and missions of medical universities. The context theme included structural characteristics, economic and financial factors, and social and cultural situations. The process theme included the issue’s priority, service delivery, policy design and formulation, implementation approach, and assessment and evaluation. The actors/stakeholders theme included categories such as the owner and leader of the policy, political support, and ambiguity in assigning responsibilities. Conclusions: While enforcing a joint operational plan in medical universities can boost performance and foster competition, it may also hinder universities’ ability to pursue innovative interventions and activities outside the plan. To address this issue, stakeholders from various health system levels should work together to modify the plan’s development and implementation process. Effective use of planning tools is crucial for ensuring that medical universities and the health system achieve their goals.
{"title":"Implementing a Joint Operational Plan in Medical Sciences Universities: A Qualitative Policy Analysis in Iran","authors":"Reza Aghebati, L. Doshmangir, J. Tabrizi, A. Jannati, V. S. Gordeev","doi":"10.5812/jhealthscope-135609","DOIUrl":"https://doi.org/10.5812/jhealthscope-135609","url":null,"abstract":"Background: The joint operational plan was introduced by Iran’s Ministry of Health and Medical Education in 2015 as a way to improve the quality and efficiency of healthcare services by promoting collaboration and coordination among medical sciences universities. The plan aimed to address issues related to overlapping responsibilities, duplication of efforts, and resource constraints among universities. Objectives: This study was conducted to analyze this policy intervention and explore its challenges and opportunities. Methods: Using a qualitative policy analysis approach, this study collected data through documentary analysis and semi-structured interviews with stakeholders at various health system levels. Research participants were selected using purposive and snowball sampling methods. The collected data were analyzed using the framework analysis approach, supported by the policy triangle framework and heuristic model. Results: The policy analysis results yielded 14 categories and 29 sub-categories grouped into four overarching themes: Content, context, process, and actors/stakeholders. The content theme included categories such as the plan’s goals, the linkage between the plan’s goals and upstream policy documents, and the consistency between the plan’s goals and the visions and missions of medical universities. The context theme included structural characteristics, economic and financial factors, and social and cultural situations. The process theme included the issue’s priority, service delivery, policy design and formulation, implementation approach, and assessment and evaluation. The actors/stakeholders theme included categories such as the owner and leader of the policy, political support, and ambiguity in assigning responsibilities. Conclusions: While enforcing a joint operational plan in medical universities can boost performance and foster competition, it may also hinder universities’ ability to pursue innovative interventions and activities outside the plan. To address this issue, stakeholders from various health system levels should work together to modify the plan’s development and implementation process. Effective use of planning tools is crucial for ensuring that medical universities and the health system achieve their goals.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48655980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-15DOI: 10.5812/jhealthscope-134323
Alireza Darrudi, A. Akbari Sari, M. Yunesian, Rajabali Daroudi
Background: Vaccination is a strategy for controlling the COVID-19 pandemic. After the vaccine is produced, the utilization of the vaccine becomes crucial. Objectives: The study aims to investigate the public attitudes toward COVID-19 vaccination in Iran. Methods: A cross-sectional study was conducted in Iran from March 21 to July 6, 2021. The questionnaire collected attitudes towards the COVID-19 vaccination and priorities for COVID-19 vaccination. Based on the formula for calculating the sample size to estimate the ratio, the sample size was approximately 715 people. A convenience sampling technique was used to select participants. Data were collected both online and face-to-face from individuals over 18 years old. Logistic regression analysis was used to analyze the factors predicting willingness to pay for vaccines. Results: About 46% of the participants stated that they would use the COVID-19 vaccine, and 36% of them stated that their use of the vaccine depends on the type and specifications of the vaccine. About 71% were willing to pay for a COVID-19 vaccine. The most important reason for not using the vaccine was "concerns about side effects of the vaccine" (44.9%). About 88% of respondents agreed that the COVID-19 vaccine should be free for everyone, and 56.6% favored that COVID-19 vaccination should be mandatory and everyone should be vaccinated. There was a significant relationship between the willingness to pay for the vaccine with educational status and the perceived risk of being infected with COVID-19 (%). Healthcare workers (31.4%) had the highest priority for receiving the COVID-19 vaccine. Conclusions: Most respondents were willing to receive and pay for the vaccine. The results provide useful information for decision-makers to identify individual and social values for a suitable vaccination strategy.
{"title":"Public Attitudes Towards COVID-19 Vaccination: A Cross-Sectional Study in Iran","authors":"Alireza Darrudi, A. Akbari Sari, M. Yunesian, Rajabali Daroudi","doi":"10.5812/jhealthscope-134323","DOIUrl":"https://doi.org/10.5812/jhealthscope-134323","url":null,"abstract":"Background: Vaccination is a strategy for controlling the COVID-19 pandemic. After the vaccine is produced, the utilization of the vaccine becomes crucial. Objectives: The study aims to investigate the public attitudes toward COVID-19 vaccination in Iran. Methods: A cross-sectional study was conducted in Iran from March 21 to July 6, 2021. The questionnaire collected attitudes towards the COVID-19 vaccination and priorities for COVID-19 vaccination. Based on the formula for calculating the sample size to estimate the ratio, the sample size was approximately 715 people. A convenience sampling technique was used to select participants. Data were collected both online and face-to-face from individuals over 18 years old. Logistic regression analysis was used to analyze the factors predicting willingness to pay for vaccines. Results: About 46% of the participants stated that they would use the COVID-19 vaccine, and 36% of them stated that their use of the vaccine depends on the type and specifications of the vaccine. About 71% were willing to pay for a COVID-19 vaccine. The most important reason for not using the vaccine was \"concerns about side effects of the vaccine\" (44.9%). About 88% of respondents agreed that the COVID-19 vaccine should be free for everyone, and 56.6% favored that COVID-19 vaccination should be mandatory and everyone should be vaccinated. There was a significant relationship between the willingness to pay for the vaccine with educational status and the perceived risk of being infected with COVID-19 (%). Healthcare workers (31.4%) had the highest priority for receiving the COVID-19 vaccine. Conclusions: Most respondents were willing to receive and pay for the vaccine. The results provide useful information for decision-makers to identify individual and social values for a suitable vaccination strategy.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43642570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-15DOI: 10.5812/jhealthscope-134680
Asad Ullah, Anam Ashiq, Amad Ud Din, Hammad Ali, T. Mushtaq, H. Awais, T. Mannan, M. Aslam
Background: Myocardial infarction (MI) is the main cause of illness, mortality, and stress worldwide. Oxidative stress is the major cause of myocardium tissue damage associated with cell necrosis. Objectives: The current study was designed to compare biochemical parameters with in vitro antioxidant activity in MI patients. Methods: This observational cohort study was conducted on 53 MI patients, and the samples were collected on the basis of a non-random sampling technique from April 2022 to November 2022. Lipid profile (i.e., total cholesterol (TC), high-density lipoprotein (HDL), low-density lipoprotein (LDL), very-low-density lipoprotein (VLDL), and triglycerides (TG)) and cardiac profile (i.e., troponin T, troponin I, creatine kinase MB (CK-MB), and creatine phosphokinase (CPK)) were measured for the confirmation of variation in biochemical parameters. Afterward, the inhibition of oxidative stress was analyzed through the 2,2-diphenyl-1-picrylhydrazyl (DPPH) assay on the serum samples of the patients. Results: Of 53 MI patients, 33 and 20 cases were male and female, respectively. Moreover, the correlation of the DPPH assay with TC, troponin T, and troponin I was determined by Pearson correlation. The correlation coefficients range from -1 to 1, indicating the strength and direction of the linear relationship between the markers. The concentrations of lipid profile (i.e., TC, TG, LDL, and VLDL) or cardiac profile (i.e., CK-MB, CPK, troponin T, and troponin I) were significantly elevated in all MI patients. However, the HDL level (P = 0.001) was decreased. Conclusions: According to obtained results, reactive oxygen species (ROS) might be the causative agent of MI. Therefore, if an antioxidant medication is used as administrative content, it would be helpful for the treatment of MI and a lead mark for pharmaceutical companies in drug designing for MI patients.
{"title":"Comparison of Biochemical Parameters with Inhibition of Oxidative Stress in Myocardial Infarction Patients: In Vitro Study","authors":"Asad Ullah, Anam Ashiq, Amad Ud Din, Hammad Ali, T. Mushtaq, H. Awais, T. Mannan, M. Aslam","doi":"10.5812/jhealthscope-134680","DOIUrl":"https://doi.org/10.5812/jhealthscope-134680","url":null,"abstract":"Background: Myocardial infarction (MI) is the main cause of illness, mortality, and stress worldwide. Oxidative stress is the major cause of myocardium tissue damage associated with cell necrosis. Objectives: The current study was designed to compare biochemical parameters with in vitro antioxidant activity in MI patients. Methods: This observational cohort study was conducted on 53 MI patients, and the samples were collected on the basis of a non-random sampling technique from April 2022 to November 2022. Lipid profile (i.e., total cholesterol (TC), high-density lipoprotein (HDL), low-density lipoprotein (LDL), very-low-density lipoprotein (VLDL), and triglycerides (TG)) and cardiac profile (i.e., troponin T, troponin I, creatine kinase MB (CK-MB), and creatine phosphokinase (CPK)) were measured for the confirmation of variation in biochemical parameters. Afterward, the inhibition of oxidative stress was analyzed through the 2,2-diphenyl-1-picrylhydrazyl (DPPH) assay on the serum samples of the patients. Results: Of 53 MI patients, 33 and 20 cases were male and female, respectively. Moreover, the correlation of the DPPH assay with TC, troponin T, and troponin I was determined by Pearson correlation. The correlation coefficients range from -1 to 1, indicating the strength and direction of the linear relationship between the markers. The concentrations of lipid profile (i.e., TC, TG, LDL, and VLDL) or cardiac profile (i.e., CK-MB, CPK, troponin T, and troponin I) were significantly elevated in all MI patients. However, the HDL level (P = 0.001) was decreased. Conclusions: According to obtained results, reactive oxygen species (ROS) might be the causative agent of MI. Therefore, if an antioxidant medication is used as administrative content, it would be helpful for the treatment of MI and a lead mark for pharmaceutical companies in drug designing for MI patients.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47049353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-04DOI: 10.5812/jhealthscope-128078
H. Okati-Aliabad, Gholamreza Masoudy, H. Kouhpayeh, A. Ansari-Moghaddam, Mehdi Mohammadi, S. Tabatabaei, H. Ansari, S. Sanei-Sistani, J. Nejati, R. Alavi-Naini, M. Khammarnia, F. Setoodehzadeh, F. Ansari-Moghadam, Neda Sadat Torab Jahromi, Seideh Zeinab Almasi, Seyed Mohammad Hossein Tabatabaei
Background: The coronavirus disease 2019 (COVID-19) pandemic is an emerging global threat to public health. Objectives: This study examined the epidemiological and clinical characteristics and death-related factors of COVID-19 in inpatients in Zahedan, Iran. Methods: This multicenter study included all COVID-19 patients admitted to Zahedan hospitals within February to April 2020. Demographic, epidemiological, and clinical characteristics were extracted from medical records. Bivariate and multivariate logistic regression models were used to examine the risk factors associated with inpatient mortality. Results: Of 425 patients in this study, 237 and 188 were male and female, respectively. Moreover, 31 (7.29%) patients died. The patients with a severe stage of pneumonia and those with a severe/critical condition of COVID-19 were 35.8% and 35.1%, respectively. The most prevalent symptoms were cough (70.8%), shortness of breath (62.1%), fever (34.1%), bruising (28.7%), and shivering (28.5%). The most prevalent underlying diseases were hypertension (23.3%), diabetes (16.7%), cardiovascular disease (13.2%), chronic pulmonary disease (9.6%), and asthma (5.4%). Adjusted odds ratio (OR) of in-hospital mortality increased for patients with older age (OR = 3.74, 95% CI: 1.39 - 10.32), at least one underlying disease (OR = 1.16, 95% CI: 1.01 - 1.32), severe disease (OR = 30.9, 95% CI: 4.01 - 239.09), and critically severe disease (OR = 736.5, 95% CI: 74.75 - 7256.1) compared to mild/moderate disease. Conclusions: This study showed that older age, disease severity, and underlying diseases were mortality risk factors due to COVID‐19 infection. This finding indicates that priorities for hospital admission must be given to patients with a higher risk of mortality due to limited facilities, especially in less privileged areas.
{"title":"Epidemiological and Clinical Characteristics of COVID-19 Inpatients and Potential Risk Factors for Mortality in Zahedan, Iran: A Multicenter Study","authors":"H. Okati-Aliabad, Gholamreza Masoudy, H. Kouhpayeh, A. Ansari-Moghaddam, Mehdi Mohammadi, S. Tabatabaei, H. Ansari, S. Sanei-Sistani, J. Nejati, R. Alavi-Naini, M. Khammarnia, F. Setoodehzadeh, F. Ansari-Moghadam, Neda Sadat Torab Jahromi, Seideh Zeinab Almasi, Seyed Mohammad Hossein Tabatabaei","doi":"10.5812/jhealthscope-128078","DOIUrl":"https://doi.org/10.5812/jhealthscope-128078","url":null,"abstract":"Background: The coronavirus disease 2019 (COVID-19) pandemic is an emerging global threat to public health. Objectives: This study examined the epidemiological and clinical characteristics and death-related factors of COVID-19 in inpatients in Zahedan, Iran. Methods: This multicenter study included all COVID-19 patients admitted to Zahedan hospitals within February to April 2020. Demographic, epidemiological, and clinical characteristics were extracted from medical records. Bivariate and multivariate logistic regression models were used to examine the risk factors associated with inpatient mortality. Results: Of 425 patients in this study, 237 and 188 were male and female, respectively. Moreover, 31 (7.29%) patients died. The patients with a severe stage of pneumonia and those with a severe/critical condition of COVID-19 were 35.8% and 35.1%, respectively. The most prevalent symptoms were cough (70.8%), shortness of breath (62.1%), fever (34.1%), bruising (28.7%), and shivering (28.5%). The most prevalent underlying diseases were hypertension (23.3%), diabetes (16.7%), cardiovascular disease (13.2%), chronic pulmonary disease (9.6%), and asthma (5.4%). Adjusted odds ratio (OR) of in-hospital mortality increased for patients with older age (OR = 3.74, 95% CI: 1.39 - 10.32), at least one underlying disease (OR = 1.16, 95% CI: 1.01 - 1.32), severe disease (OR = 30.9, 95% CI: 4.01 - 239.09), and critically severe disease (OR = 736.5, 95% CI: 74.75 - 7256.1) compared to mild/moderate disease. Conclusions: This study showed that older age, disease severity, and underlying diseases were mortality risk factors due to COVID‐19 infection. This finding indicates that priorities for hospital admission must be given to patients with a higher risk of mortality due to limited facilities, especially in less privileged areas.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42025449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-26DOI: 10.5812/jhealthscope-133434
Seyed-Amirabbas Ahadiat, Z. Hosseinian
: A 30-year-old Iranian woman referred to Yasrabi Hospital in Kashan, Iran, developed fever and swollen neck lymph nodes after receiving the Sinopharm vaccine. An ultrasound-guided needle biopsy of the patient's lymph nodes confirmed the Kikuchi-Fujimoto disease (KFD) diagnosis, and her fever and swelling resolved 22 days after treatment. Although the exact cause of this disease which is arising from COVID-19, is unknown, it can be said that vaccination against COVID-19 can be the cause of KFD.
{"title":"Incidence of Kikuchi-Fujimoto Disease After Vaccination with SARS-CoV-2: A Case Report","authors":"Seyed-Amirabbas Ahadiat, Z. Hosseinian","doi":"10.5812/jhealthscope-133434","DOIUrl":"https://doi.org/10.5812/jhealthscope-133434","url":null,"abstract":": A 30-year-old Iranian woman referred to Yasrabi Hospital in Kashan, Iran, developed fever and swollen neck lymph nodes after receiving the Sinopharm vaccine. An ultrasound-guided needle biopsy of the patient's lymph nodes confirmed the Kikuchi-Fujimoto disease (KFD) diagnosis, and her fever and swelling resolved 22 days after treatment. Although the exact cause of this disease which is arising from COVID-19, is unknown, it can be said that vaccination against COVID-19 can be the cause of KFD.","PeriodicalId":12857,"journal":{"name":"Health Scope","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46853678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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