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Assessing the inequality of health distribution among the provinces of Iran during the Fifth Development Plan (2011-2015) 评估第五个发展计划(2011-2015年)期间伊朗各省之间卫生分配的不平等
Pub Date : 2023-01-08 DOI: 10.18502/jchr.v11i4.11643
Mansour Mahinizadeh, M. Pourghorban
Introduction: Health, both physically and mentally, raises the level of human capital. This study aims to challenge the performance of the Fifth Development Plan (2011-2015) regarding inequality in the distribution of health facilities among the provinces of the country.  Methods: This study is analytical cross sectional. In this research, using the TOPSIS method and using the Gini coefficient index and inequality ratios, was evaluated the distribution of health facilities among the provinces of the country. Also, to determine the degree of health development among the provinces of the country, from 13 indices including hospital per capita, hospital bed per capita, health house per capita, health center per capita, laboratory per capita, pharmacy per capita, general practitioner per capita, specialist physician per capita and other health care staff per capita were used. The software used in this research is SPSS 25. Results: The results show that in 2011, the provinces of Tehran, KhorasanRazavi and Isfahan were at the highest level and the provinces of South Khorasan, Ilam and Kohgiluyeh and Boyer-Ahmad were at the lowest level in this regard. While, in 2015, the provinces of Tehran, KhorasanRazavi maintained their previous position and Fars province was in the third place. The province of Ilam, was still at the lowest level. The Gini coefficient of distribution of health facilities among the provinces of the country in 2011 was 0.49, and increased to 0.52 in 2015. The share ratio of the top 20% to the bottom 20% among the provinces in terms of enjoying health facilities in 2011 and 2015 was equal to 32 and 37, respectively. Conclusion: The severity of inequality of health facilities among the provinces of the country has intensified during the Fifth Plan. The results show that the provinces have a significant difference in their position in access to health facilities and this indicates equal distribution of health facilities among the provinces of the country.
导言:身心健康提高了人力资本的水平。本研究旨在挑战第五个发展计划(2011-2015年)在全国各省之间卫生设施分布不平等方面的表现。方法:采用横断面分析方法。本研究采用TOPSIS方法,利用基尼系数指数和不平等比率,对我国各省卫生设施的分布进行了评价。此外,为了确定全国各省之间的卫生发展程度,使用了13个指标,包括人均医院、人均医院床位、人均卫生院、人均卫生中心、人均实验室、人均药房、人均全科医生、人均专科医生和人均其他卫生保健人员。本研究使用的软件是SPSS 25。结果:2011年,德黑兰省、呼罗珊拉扎维省和伊斯法罕省在这方面的水平最高,南呼罗珊省、伊拉姆省和Kohgiluyeh省和Boyer-Ahmad省在这方面的水平最低。而在2015年,德黑兰省、呼罗珊拉扎维省保持了之前的位置,法尔斯省排名第三。伊拉姆省仍然处于最低水平。2011年全国各省卫生设施分布的基尼系数为0.49,2015年提高到0.52。2011年和2015年,在享受卫生设施方面,前20%与后20%省份的份额比分别为32和37。结论:在第五个计划期间,全国各省之间卫生设施不平等的严重程度有所加剧。结果表明,各省在获得卫生设施方面的地位存在显著差异,这表明卫生设施在全国各省之间分布均匀。
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引用次数: 0
Estimating the Life Expectancy at Birth for Iranian Provinces during 2011-16 2011-16年伊朗各省出生预期寿命的估算
Pub Date : 2023-01-08 DOI: 10.18502/jchr.v11i4.11639
Mohammad Sasanipour
Background: Life expectancy at birth is a useful indicator of mortality across a population at a particular point in time. Due to the incomplete and different coverage of mortality data in the provinces of Iran, constructing a life table without data correction can have misleading results. In this study, after evaluating and correcting the mortality data, life expectancy at the national and provincial levels for the period 2011-16 has been estimated. Methods: This was a cross-sectional analysis. Regarding the period 2011 to 2016, mortality data were obtained by age and sex (2051602 deaths) from the National Organization for Civil Registration, and the population data were obtained by age and sex from the Statistics Center of Iran. After evaluating and correcting the mortality data regarding children and adults, through the life table technique, life expectancy at birth for the provinces Iran was calculated by sex. Results: The death registration regarding men and women, during 2011-2016, in the national level was 93% and 85% respectively. Moreover, the range of this coverage for the provinces has been between 70% and 98%. The life expectancy at birth for men was 73.1, and for women it was 76 years. Isfahan (77.9 for females and 74.8 for males) had the highest level of life expectancy at birth, and the lowest level was in Sistan and Baluchestan province (70.4 for females and 69.2 for males). Conclusion: Considering that there are important differences between the life expectancy of men and women in the provinces of Iran, identifying the causes of provincial differences in regarding life expectancy in the provinces of Iran can ultimately lead to improved life expectancy at the national level.
背景:出生时的预期寿命是衡量特定时间点人群死亡率的有用指标。由于伊朗各省的死亡率数据不完整且覆盖范围不同,构建一个没有数据校正的生命表可能会产生误导性的结果。在这项研究中,在评估和校正死亡率数据后,估计了2011-16年期间国家和省级的预期寿命。方法:采用横断面分析法。2011年至2016年期间,从国家民事登记组织获得了按年龄和性别划分的死亡率数据(2051602例死亡),从伊朗统计中心获得了按性别和年龄划分的人口数据。在评估和更正了儿童和成人的死亡率数据后,通过寿命表技术,伊朗各省的出生预期寿命按性别计算。结果:2011-2016年期间,全国男性和女性的死亡登记率分别为93%和85%。此外,各省的这一覆盖范围在70%至98%之间。男性出生时的预期寿命为73.1岁,女性为76岁。伊斯法罕(女性77.9,男性74.8)的出生预期寿命最高,锡斯坦省和俾路支斯坦省的预期寿命最低(女性70.4,男性69.2)。结论:考虑到伊朗各省男性和女性的预期寿命存在重要差异,找出伊朗各省预期寿命差异的原因,最终可以提高国家一级的预期寿命。
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引用次数: 0
Comparing the Effectiveness of Emotionally Focused Couple Therapy and Cognitive-Behavioral Couple Therapy on Forgiveness and Marital Intimacy of Women Affected by Infidelity in Mashhad 情感伴侣治疗和认知行为伴侣治疗对马什哈德不忠女性宽恕和婚姻亲密关系的有效性比较
Pub Date : 2023-01-08 DOI: 10.18502/jchr.v11i4.11644
Maryam Asvadi, Abolfazl Bakhshipoor, Bibi Zohreh Razavizadeh Tabadkan
Background: The experience of infidelity is very painful and leads to serious negative consequence among couples. The aim of this study is to compare the effectiveness of emotionally focused couple therapy (EFT) and cognitive-behavioral couple therapy (CBT) on forgiveness and marital intimacy of women affected by infidelity. Methods: This was a quasi-experimental study with a pre-posttest design. The statistical population included all the infidelity-affected women referred to Andishe and Tafakor counseling center in the first quarter of 2020 in Mashhad city. The sample size was determined by Cochran formula as 15 participants for each group. From this statistical population, 45 people were selected by purposive method based on inclusion criteria and were randomly replaced in three groups of CBT (N=15), EFT (N=15), and the control group (N=15. They did not receive any intervention. All participants were assessed before, after, and two months after the intervention with the marital forgiveness and Walker and Thompson's (1983) and marital intimacy scale (MIS). The obtained data were analyzed in SPSS-20 by statistical methods of the repeated measure analysis of variance. Results: The mean age of participants was 33.11 ±5.03, and their marriage duration was 6.23±2.89.  The results demonstrated forgiveness and marital intimacy were significantly increased in CBT and EFT groups compared to the control group (P <0.001). EFT showed higher effectiveness than CBT in enhancement of forgiveness and intimacy (P <0.05). Conclusion: According to the findings, CBT and EFT indicated efficacy in improvement of intimacy and forgiveness between couples. By comparing interventions, EFT showed higher effectiveness. Therefore, it is suggested to use emotion-focused techniques to improve the relationship of couple. In addition, considering the effectiveness of both treatments, an integrated approach can be used in future studies.
背景:不忠的经历是非常痛苦的,并导致夫妇之间严重的负面后果。本研究的目的是比较情感伴侣疗法(EFT)和认知行为伴侣疗法(CBT)对受不忠影响的女性的宽恕和婚姻亲密关系的有效性。方法:这是一项准实验研究,采用前后测试设计。统计人群包括2020年第一季度在马什哈德市Andishe和Tafakor咨询中心接受咨询的所有受不忠影响的女性。样本量由Cochran公式确定,每组15名参与者。从该统计人群中,根据纳入标准,通过有目的的方法选择45人,并随机分为三组,即CBT(N=15)、EFT(N=15)和对照组(N=15。他们没有接受任何干预。所有参与者在干预前、干预后和干预后两个月使用婚姻宽恕、Walker和Thompson(1983)和婚姻亲密度量表(MIS)进行评估。采用SPSS-20软件,采用重复测量方差分析的统计方法对所获得的数据进行分析。结果:参与者的平均年龄为33.11±5.03,婚姻持续时间为6.23±2.89。结果表明,与对照组相比,CBT和EFT组的宽恕和婚姻亲密度显著增加(P<0.001)。EFT在增强宽恕和亲密度方面比CBT表现出更高的有效性(P<0.05)。结论:根据研究结果,CBT和EFT表明在改善夫妻之间的亲密关系和宽恕方面有疗效。通过比较干预措施,EFT显示出更高的有效性。因此,建议使用以情感为中心的技巧来改善夫妻关系。此外,考虑到这两种治疗方法的有效性,可以在未来的研究中使用综合方法。
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引用次数: 0
Structural Model of the Association between Spiritual Health and Self-Esteem of Students in Yazd Farhangian University with the Mediating Role of General Health Yazd Farhangian大学学生精神健康与自尊关联的结构模型及一般健康的中介作用
Pub Date : 2023-01-08 DOI: 10.18502/jchr.v11i4.11647
Mahmoud Zare Jamalabadi, S. Afshani
Background: Spiritual and mental health is among the components affecting self-esteem as one of the key and necessary characteristics of every teacher. This study was aimed at examining the association between spiritual health and self-esteem of students of Yazd Farhangian University with the mediating role of general health in the academic year 2020-2021. Methods: This was a analytical cross sectional study with the statistical population of all students and teachers of Yazd Farhangian University, including 323 people selected as a sample based on Cochran’s formula. Research data were gathered through using the Paloutzian, R. F., & Ellison, C. W.   Loneliness, Spiritual, and Well-being Scale, Goldberg General Health Questionnaire (GHQ-28), and The Coopersmith Self-Esteem Inventory (CSEI). To analyze the research data, Pearson correlation coefficient, covariance-based structural equation modeling (CB-SEM), bootstrapping technique, and fit indices for structural equation modeling were employed  using softwares of SPSS and AMOS at a significance level of less than 0.05. Results: The findings revealed a positive and significant correlation between spiritual health and general health (0/316, p<0/001), as well as between general health and self-esteem (0/423, p<0/001). Furthermore, there was a positive and significant association between spiritual health and self-esteem (0/339, p<0/01). Moreover, the findings emphasized the significance of the general health’s mediating role between the spiritual health and self-esteem variables. Conclusions: Considering the significance , positive and strong  relationship between spiritual health and  general health as well as self-esteem, it is recommended that to enhance the adolescents’ spiritual and general health and increase their self-esteem, educational programs should be revised and more attention should be paid to attracting Farhangian University students.
背景:精神和心理健康是影响自尊的组成部分之一,自尊是每个教师的关键和必要特征之一。本研究旨在检验2020-2021学年亚兹德-法尔汉吉安大学学生的精神健康和自尊与一般健康的中介作用之间的关系。方法:这是一项分析性的横断面研究,对亚兹德-法尔汉吉安大学的所有学生和教师进行了统计,包括根据Cochran公式选择的323人作为样本。研究数据通过使用Paloutzian,R.F.和Ellison,C.W.孤独感、精神和幸福感量表、Goldberg一般健康问卷(GHQ-28)和Coopersmith自尊量表(CSEI)收集。为了分析研究数据,使用SPSS和AMOS软件,采用Pearson相关系数、基于协方差的结构方程建模(CB-SEM)、自举技术和结构方程建模的拟合指数,显著性水平小于0.05。结果:研究结果显示,精神健康与总体健康(0/316,p<0.001)以及总体健康与自尊(0/423,p<001)呈正相关。此外,精神健康与自尊之间存在正相关(0/339,p<0.01)。此外,研究结果强调了一般健康在精神健康和自尊变量之间的中介作用的重要性。结论:考虑到精神健康与一般健康以及自尊之间的重要性、积极而强烈的关系,建议对青少年的精神健康和一般健康进行教育,提高他们的自尊。
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引用次数: 0
Psychological Consequences of COVID-19 Vaccination 新冠肺炎疫苗接种的心理后果
Pub Date : 2023-01-08 DOI: 10.18502/jchr.v11i4.11636
F. Bagheri Sheykhangafshe, Zeinab Sayarfard
The Article Abstract is not available.  
文章摘要不可用。
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引用次数: 0
The Role of Ethnic Differences on Adolescents' Smoking Experience in Iran: A Cross-Sectional Study in Varamin 民族差异对伊朗青少年吸烟体验的影响:一项在瓦拉明的横断面研究
Pub Date : 2023-01-08 DOI: 10.18502/jchr.v11i4.11648
. .
Introduction: Participation in leisure activities with peers and family gatherings is beneficial, but some activities may increase harmful health behaviors, such as smoking. This study investigates for the first time how students in Varamin County, Tehran, Iran, perceive smoking during their leisure time. Methods: This cross-sectional study was conducted in 2021 and involved 319 school-going adolescents in Varamin County, Tehran, Iran (aged 16-18 years) who completed a self-administered anonymous questionnaire on the use of tobacco products which was designed based on the Likert scale. After completing the questionnaires, the data were analyzed using, frequency (percentage), t-test (Independent Two-sample), analysis of variance (One-way ANOVA), Kendall’s and Pearson’s correlation coefficients, and the chi-square test (less than 0.01). Results: Overall, five ethnicities in the target population were examined in this study. Smoking among Arab, Fars, and Lur ethnicities, with mean scores of 4, 3.6, and 3.41, respectively, is higher than smoking among Turk, other ethnicities, and Kurd groups, with mean scores of 2.86, 2.36, and 2. In addition, smoking in family gatherings, the very low and low levels have the highest frequencies of 72 and 61, respectively, while smoking in friend gatherings, average and high levels have the highest frequencies, i.e., 99 and 57, respectively with (Sig: 0.000) is less than 0.01. Conclusions: This reinforces the need to be alert for, and respond to, gender and ethnic disparities in the pattern of risk and protective factors. Thus, leisure activities and ethnicity may be the key factors to tailor prevention programs to their unique characteristics and needs.
简介:与同龄人一起参加休闲活动和家庭聚会是有益的,但有些活动可能会增加有害健康的行为,如吸烟。这项研究首次调查了伊朗德黑兰瓦拉明县的学生在业余时间对吸烟的看法。方法:这项横断面研究于2021年进行,涉及伊朗德黑兰瓦拉明县的319名在校青少年(16-18岁),他们完成了一份基于Likert量表设计的关于烟草产品使用的匿名问卷。在完成问卷调查后,使用频率(百分比)、t检验(独立两样本)、方差分析(单向方差分析)、肯德尔和皮尔逊相关系数以及卡方检验(小于0.01)对数据进行分析。阿拉伯人、法尔斯人和卢尔人的平均得分分别为4、3.6和3.41,高于土耳其人、其他种族和库尔德人的平均得分2.86、2.36和2。此外,在家庭聚会中吸烟,极低水平和低水平的频率最高,分别为72和61,而在朋友聚会中吸烟的平均水平和高水平的频率最大,分别为99和57,且(Sig:0.000)小于0.01。结论:这加强了对风险和保护因素模式中的性别和种族差异的警惕和应对的必要性。因此,休闲活动和种族可能是根据其独特特征和需求制定预防计划的关键因素。
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引用次数: 0
Investigating the Causes of Non-compliance with Health Protocols during the COVID-19 Pandemic 调查COVID-19大流行期间不遵守卫生规程的原因
Pub Date : 2023-01-08 DOI: 10.18502/jchr.v11i4.11637
Khalil Kalavani, Zahra Zare, Mahdiyeh Heydari
The Article Abstract is not available.
文章摘要不可用。 ;
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引用次数: 0
Challenges of a Program for Public Mental Health Education with an Emphasis on Self-Care in Primary Health Care: A Qualitative Study 初级卫生保健中注重自我护理的公共心理健康教育项目面临的挑战:定性研究
Pub Date : 2023-01-08 DOI: 10.18502/jchr.v11i4.11645
Zahra Validabady, N. Memaryan, M. Naserbakht, Atefeh Zandifar, Mozhgan Lotfi
Introduction: Mental health education aims to increase mental health literacy plays a crucial role in community members mental health, but its implementation in primary health care faces obstacles and problems. Therefore, this study was conducted to explain the challenges of the public mental health education program with an emphasis on self-care in Iran primary health care. Methods: The present study was a qualitative study with a content analysis approach. Research sample consisted of 20 stakeholders through purposive sampling with maximum diversity. This study was conducted in Tehran and Alborz, Iran. Data were collected through in-depth and semi-structured interviews and analyzed by Graneheim and Lundman approach. Results: By analyzing the data, the challenges were categorized into six main themes and 15 categories. The six main themes included educational challenges, Inefficiency of the Educational Method, Unsuitable intersect oral collaboration, infrastructural challenges, inadequate resources and barriers to participation in education. Conclusions: Considering the key role of mental health education in promoting mental health literacy and prioritizing prevention in the field of mental health in primary health care, especially achieving universal health coverage; Given multidimensionality challenges and obstacles, reform and adoption of appropriate implementation methods using mental health experts seem necessary. Future research and policies could explore ways to optimize program implementation in primary health care.
引言:旨在提高心理健康素养的心理健康教育对社区成员的心理健康起着至关重要的作用,但其在基层卫生保健中的实施面临着障碍和问题。因此,本研究旨在解释伊朗初级卫生保健中以自我保健为重点的公共心理健康教育计划的挑战。方法:本研究采用内容分析法进行定性研究。研究样本由20名利益相关者组成,通过具有最大多样性的目的性抽样。这项研究是在德黑兰和伊朗阿尔布尔兹进行的。通过深入和半结构化访谈收集数据,并采用Graneheim和Lundman方法进行分析。结果:通过对数据的分析,将挑战分为6个主题和15个类别。六个主要主题包括教育挑战、教育方法效率低下、不合适的交叉口头合作、基础设施挑战、资源不足和参与教育的障碍。结论:考虑到心理健康教育在提高心理健康素养和在初级卫生保健中优先考虑心理健康领域的预防方面的关键作用,特别是在实现全民健康覆盖方面;考虑到多方面的挑战和障碍,利用心理健康专家改革和采用适当的实施方法似乎是必要的。未来的研究和政策可以探索优化初级卫生保健计划实施的方法。
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引用次数: 0
The Effect of Face Mask on Communication with Psychiatric Patients 口罩对精神病患者沟通的影响
Pub Date : 2023-01-08 DOI: 10.18502/jchr.v11i4.11638
R. Bidaki, Stare Kashkouli, Mojtaba Mahmodi, A. Dadgari
The Article Abstract is not available.  
文章摘要不可用。
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引用次数: 0
Investigating the Causes of Non-compliance with Health Protocols during the COVID-19 Pandemic 新冠肺炎大流行期间不遵守健康协议的原因调查
Pub Date : 2023-01-08 DOI: 10.18502/jchr.v11i4.11733
Khalil Kalavani, Z. Zare, M. Heydari
The Article Abstract is not available.
文章摘要不可用。
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引用次数: 0
期刊
Journal of Community Health Research
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