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Gender Differences in Incidence of Type 2 Diabetes and Related Psychosocial Factors 2型糖尿病发病率的性别差异及相关社会心理因素
Pub Date : 2022-07-06 DOI: 10.18502/jchr.v11i2.10000
A. Alizadeh, P. Danesh, A. Maleki, F. Javaheri
Introduction: Diabetes is one of the chronic diseases which causes other chronic diseases. The incidence of it is increasing in different societies, including Iran. This study aimed to investigate Gender differences in incidence of type 2 diabetes and related psychosocial factors. Methods: This was a cross-sectional study conducted in 2019 among people with the age group of 20 to 60. All the 600 participants were married and lived in Kerman. Using multi-stage sampling, 300 men and 300 women were selected. Data were collected through a questionnaire which included 3 sections as follows: Social demographic variables, healthy lifestyle variabl and perceived stress variable. Statistical analysis was done through descriptive statistics, Lambda test, Independent sample T -test and Binary Logistic regression. The SPSS 23 was used to perform the data analysis. The significance level of the study was considered to be p=0.05. Results: The mean (SD) score of physical activity for women was significantly lower than men: (7.6 (2.3) vs. 8.2 (2.7) (P=0.006) ). In the same vein, the mean (SD) score of healthy diet among women was significantly higher than men:  (18.6 (3) vs. 18 (2.4),( P<0.001) ). The rate of avoidance of tobacco and alcohol consumption among women was significantly higher than men: (19.4 (1.3) vs. 17.9 (2.6),( P<0.001) ). Results of multiple logistic regression showed that in the group of women, the chance of developing diabetes was significantly related to perceived stress level (OR=1.21), level of sports activities OR=0.48) (and education. Education level and health diet also had a significant effect on men's odds of developing diabetes (OR=0.63, 1.35, respectively). Conclusion: Among the indicators of healthy lifestyle, doing exercise in women and having a healthy diet in men were effective in predicting the risk of diabetes. In addition, the amount of perceived social stress was one of the most important psychological factors in the development of diabetes just in women. Therefore, it is crucial to recognize the factors affecting diabetes in both men and women separately and This can be an appropriate analytical instrument for sociologists and health researchers to recognize and focus on this problem as well as for health policy makers to reduce and control harmful factors.
引言:糖尿病是引起其他慢性疾病的慢性疾病之一。它在包括伊朗在内的不同社会中的发病率正在增加。本研究旨在调查2型糖尿病发病率的性别差异及相关的心理社会因素。方法:这是一项2019年在20至60岁人群中进行的横断面研究。所有600名参与者都已结婚并居住在克尔曼。采用多阶段抽样,选择了300名男性和300名女性。数据是通过问卷收集的,问卷包括以下三个部分:社会人口统计学变量、健康生活方式变量和感知压力变量。采用描述性统计、Lambda检验、独立样本T检验和二元Logistic回归进行统计分析。采用SPSS 23软件进行数据分析。研究的显著性水平被认为是p=0.05。结果:女性的体育活动平均得分(SD)显著低于男性:(7.6(2.3)vs.8.2(2.7)(P=0.006))。同样,女性健康饮食的平均(SD)得分显著高于男性:(18.6(3)对18(2.4),(P<0.001))。女性避免吸烟和饮酒的比率显著高于男性:(19.4(1.3)对17.9(2.6),(P<0.001))。多元逻辑回归结果显示,在女性组中,患糖尿病的几率与感知压力水平(OR=1.21)、体育活动水平(OR=0.48)和教育程度显著相关。教育水平和健康饮食对男性患糖尿病的可能性也有显著影响(OR=0.63、1.35)。结论:在健康生活方式指标中,女性锻炼和男性健康饮食可有效预测糖尿病风险。此外,感知到的社会压力是女性患糖尿病最重要的心理因素之一。因此,分别认识影响男性和女性糖尿病的因素至关重要,这可以成为社会学家和卫生研究人员认识和关注这一问题以及卫生政策制定者减少和控制有害因素的适当分析工具。
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引用次数: 1
A Study on Neck Pain and Iow Back Pain among the Undergraduate Students of a Medical College in Bhopal, India 印度博帕尔一所医学院本科生颈痛和腰背痛的研究
Pub Date : 2022-07-06 DOI: 10.18502/jchr.v11i2.9994
Aditi Sachdeva, A. Athavale, Sachin Gupta, P. Tiwari
Introduction: Development of at a younger age is a potential risk of developing chronic low back pain in adulthood. The study was planned with the purpose to know the extent of the less studied musculoskeletal disorders as a health problem among Indian medical students. The study was conducted to assess the prevalence of low back and neck pain among medical students, find the associations of low back and neck pain with quality-of-life issues, self-perceived stress and lifestyle. Methods: A cross-sectional study was conducted at the Bhopal, India from May to July 2019, total 220 medical students were randomly selected. A questionnaire including the pre-validated instruments viz. Oswestry Disability Index, Visual Analog Scale and Perceived Stress Scale-10 were used to collect the data. Data entry was done in Microsoft Excel and was analyzed on statistical package SPSS version 23. Results: The overall prevalence of Low Back and Neck Pain were 49.1% and 56.4% respectively. A significant association of female gender was found with Neck and Low Back Pain. A significant negative correlation was found between body mass index and Visual Analogue Scale neck & back (p=0.003). Conclusion: There was a high prevalence of low back pain and neck pain in medical students at Bhopal. Females were affected more than males. Complaint of lower back pain was more than neck pain. Playing outdoor sports and weightlifting was found to be having protective effect on low back pain and neck pain.
年轻时的发展是成年后发展为慢性腰痛的潜在风险。计划进行这项研究的目的是了解印度医科学生中研究较少的肌肉骨骼疾病作为健康问题的程度。本研究旨在评估医学生中腰背部和颈部疼痛的患病率,发现腰背部和颈部疼痛与生活质量问题、自我感知压力和生活方式的关系。方法:于2019年5月至7月在印度博帕尔进行横断面研究,随机抽取220名医科学生。采用问卷调查的方法收集数据,问卷包括预先验证的工具Oswestry残疾指数、视觉模拟量表和感知压力量表-10。数据录入使用Microsoft Excel,统计软件包SPSS version 23进行分析。结果:腰痛和颈痛的总体患病率分别为49.1%和56.4%。研究发现,女性与颈部和腰痛有显著关联。体重指数与颈部和背部视觉模拟量表呈显著负相关(p=0.003)。结论:博帕尔医学院学生腰痛和颈痛发生率较高。女性比男性受影响更大。下背部疼痛的主诉多于颈部疼痛。进行户外运动和举重被发现对腰痛和颈部疼痛有保护作用。
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引用次数: 1
Investigating the Effects of Social Determinants of Traffic Crash Mortality in Isfahan City 伊斯法罕市交通事故死亡率的社会决定因素影响调查
Pub Date : 2022-07-06 DOI: 10.18502/jchr.v11i2.9997
H. Jafari, M. Amini-Rarani, M. Ranjbar, Milad Shafii, Ashraf Haj-Hashemi
Introduction Many people die as a result of road traffic crashes globally every year. Low- and middle-income countries had higher road crashes mortality compared to high-income countries and Iran is one of the countries with the high road crashes mortality in the world. Regarding the important and basic role the social components plays in health. The current study aims to investigate social determinants of traffic crash mortality in Isfahan during the 2014-2017. Methods: This study was a cross-sectional data secondary analysis. 29909 traffic crashes were analyzed. Data were extracted from the Hospital Information System (HIS) and analyzed using logistic regression. Social determinants were selected using the Commission on Social Determinants of Health conceptual framework. Data were analyzed with Stata 14 software at a significance level of less than 0.05 Results: we found that 719(2.8%) mortalities were related to traffic accident injury. The death rate due to traffic crash in the hospital was 2.4%. Multivariate logistic regression showed that men (P-value =0.00), unemployed people, less than 65 years of age, injured transported from suburb and passengers of small vans/trucks (P-value <0.00) had higher odds of mortality caused by traffic crashes. Conclusions: Considering the importance of social factors on traffic crashes mortality, health policy-makers should develop preventive programs and adopting policies based on occupation, sex, age, mode of transport of the injured, and the type of vehicles to inform interventions aimed at reducing injury-related mortality.
全球每年有许多人死于道路交通碰撞。低收入和中等收入国家的道路交通事故死亡率高于高收入国家,伊朗是世界上道路交通事故死亡率最高的国家之一。关于社会因素在健康中所起的重要和基本作用。目前的研究旨在调查2014-2017年伊斯法罕交通事故死亡率的社会决定因素。方法:本研究采用横断面资料二次分析。分析了29909起交通事故。数据从医院信息系统(HIS)中提取,并使用逻辑回归进行分析。社会决定因素是根据健康问题社会决定因素委员会概念框架选定的。结果:719例(2.8%)死亡与交通事故伤害有关。医院里交通事故的死亡率是2.4%。多因素logistic回归分析显示,男性(p值=0.00)、无业人员、65岁以下人群、郊区运送的伤者和小型货车/卡车乘客(p值<0.00)的交通事故死亡率较高。结论:考虑到社会因素对交通事故死亡率的重要性,卫生政策制定者应制定预防方案,并根据受伤者的职业、性别、年龄、交通方式和车辆类型制定政策,为降低交通事故死亡率提供信息干预措施。
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引用次数: 0
Comorbidity and Its Impact on Mortality of COVID-19 in Yazd Province, a Central part of Iran: a Hospital-based study 伊朗中部亚兹德省新冠肺炎合并症及其对死亡率的影响:一项基于医院的研究
Pub Date : 2022-07-06 DOI: 10.18502/jchr.v11i2.10002
Moslem Taheri Soodejani, S. Hosseini, Reyhaneh Sefidkar, F. Madadizadeh, H. Fallahzadeh, A. Dehghan, Neda Dehghani Tafti, M. Lotfi
Introduction: The World Health Organization on March 11, 2020 declared the outbreak of severe acute respiratory syndrome Corona virus 2 disease (COVID-19) a pandemic situation. The main aim of this study was investigating mortality of COVID-19 by considering chronic diseases. methods: This study was conducted as a cross-sectional in which all confirmed cases were examined. The variables considered in this study were age, sex, diabetes mellitus, cancers, hypertension, heart diseases, kidney diseases, and liver diseases. Independent sample t test, Chi-square and binary logistic regression were used for data analysis. All statistical analysis was done in SPSS 16 and significant level was set at 0.05. Results: Out of  22849 PCR and CT scan tests, 16061 were positive. According to the confirmed cases, prevalence of COVID-19 was calculated about 0.019. Also hospital case fatality rate and mortality rate were calculated 156 and about 8.2 per 100000 respectively. Hypertension, and age had significant relationship with morbidity of COVID-19, in other hand, age (OR: 4.51, p<0.001), kidney diseases (OR: 1.84, p<0.001), diabetes mellitus (OR: 1.31, p<0.001), cancer (OR: 2.73, p<0.001), liver diseases (OR: 2.27, p<0.001) had impact on mortality of covid-19. Population Attributable Fraction (PAF) showed the most fraction of death was due to diabetes mellitus, cancers, kidney diseases, and liver diseases. Conclusion: Age and some underlying diseases increase odds of death due to COVID-19. It seems that preventing high-risk people from being infected is an effective solution to reduce COVID-19 death rate. To do this, health protocols need to be implemented more seriously for these sensitive groups.
简介:世界卫生组织于2020年3月11日宣布爆发严重急性呼吸综合征冠状病毒2型疾病(新冠肺炎)为疫情。本研究的主要目的是通过考虑慢性病来调查新冠肺炎的死亡率。方法:本研究采用横断面方法,对所有确诊病例进行检查。本研究中考虑的变量包括年龄、性别、糖尿病、癌症、高血压、心脏病、肾脏疾病和肝脏疾病。数据分析采用独立样本t检验、卡方检验和二元逻辑回归。所有统计分析均在SPSS 16中进行,显著性水平设定为0.05。结果:在22849份PCR和CT扫描中,16061份呈阳性。根据确诊病例计算,新冠肺炎患病率约为0.019。此外,医院病死率和死亡率分别为每100000人中156人和约8.2人。高血压和年龄与新冠肺炎发病率有显著关系,另一方面,年龄(OR:4.51,p<0.001)、肾脏疾病(OR:1.84,p<0.01)、糖尿病(OR:1.31,p>0.001)、癌症(OR:2.73,p<001)、肝脏疾病(OR:2.27,p<0.005)对新冠肺炎死亡率有影响。人群归因分数(PAF)显示,大多数死亡是由糖尿病、癌症、肾脏疾病和肝脏疾病引起的。结论:年龄和一些潜在疾病增加了新冠肺炎死亡的几率。防止高危人群感染似乎是降低新冠肺炎死亡率的有效解决方案。为了做到这一点,需要更认真地为这些敏感群体实施健康协议。
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引用次数: 2
“Knowledge, Attitude and Practice Regarding Food Labeling in Patients with Chronic Diseases in Gilan Province 吉林省慢性病患者对食品标签的认识、态度和实践
Pub Date : 2022-07-06 DOI: 10.18502/jchr.v11i2.9999
Samira Rabiei, A. Ashouri, M. Mahdavi-Roshan
Introduction: Food labels can be beneficial instruments for patients with chronic diseases to take care of the health. The study aimed to assess knowledge, attitude and practice of patients with chronic diseases about food labeling and effects of sociodemographic factors on it. Methods: A cross-sectional study was conducted during 2018-2019 on 800 patients with chronic diseases who referred to clinics of Heshmat and Razi hospitals in Gilan, Iran, through convenience sampling. Anthropometric measurements and sociodemographic information were assessed. Status of knowledge, attitude and practice toward food labeling were assessed through a self-reported questionnaire. Mann-whitney U-test and Kruscal-wallis test was used for statistical analysis. P-value<0.05 was considered as significant. Results: The mean age of participants was 55.6±14. The mean± SD of knowledge score was 8.47± 1.22. Almost 70% of the patients believed that written date on food package insures that the product is fresh. 68% of them believed that reading nutritional information on food labels is helpful to choose a product with high nutritional value. In the field of practice, 99% of participants paid attention to food labels when purchasing, however, the majority of them read these labels to find out the produce and expiry date and price. Only 11% of the participants read food labels when purchasing to get nutritional information. Conclusion: Patients with chronic diseases have good knowledge but poor practice about food labeling. Regarding the importance of food choices in prevention of chronic diseases, educating people about the importance of food labels seems necessary.
简介:食品标签可以成为慢性病患者照顾健康的有益工具。该研究旨在评估慢性病患者对食品标签的知识、态度和实践,以及社会人口统计因素对其的影响。方法:在2018-2019年期间,通过方便抽样的方式,对800名转诊至伊朗吉兰Heshmat和Razi医院诊所的慢性病患者进行了横断面研究。对人体测量和社会人口统计信息进行了评估。通过自我报告问卷对食品标签的知识、态度和实践状况进行评估。采用Mann-whitney U检验和Kruscal-wallis检验进行统计分析。P值<0.05被认为是显著的。结果:参与者的平均年龄为55.6±14岁。知识评分的平均±SD为8.47±1.22。近70%的患者认为食品包装上的文字日期可以确保产品新鲜。68%的受访者认为,阅读食品标签上的营养信息有助于选择营养价值高的产品。在实践领域,99%的参与者在购买时注意食品标签,然而,他们中的大多数人阅读这些标签是为了了解产品、有效期和价格。只有11%的参与者在购买时阅读食品标签以获取营养信息。结论:慢性病患者对食品标签知识掌握较好,但实际操作较差。关于食物选择在预防慢性病方面的重要性,教育人们食物标签的重要性似乎是必要的。
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引用次数: 0
Knowledge in Spill Management among Trained and Untrained Healthcare Workers in the Government General Hospital, Kakinada, India 印度卡基纳达政府综合医院受过培训和未受过培训的医护人员的泄漏管理知识
Pub Date : 2022-07-06 DOI: 10.18502/jchr.v11i2.9993
Krishna Kishore.Aligina, Krishna Babu.Goru, Vineela Priyanka.Muppidi, Babji Korukonda
Introduction: Blood and body fluid spillage continues to be a public health problem, despite, advances in our understanding and control of infections. So, this study was done to compare the knowledge in Spill Management among trained and untrained health care workers based on which measures can be taken to reduce the hazards in hospital. Methods: A Cross-Sectional Study in Teaching Hospital, Kakinada was conducted from September to October 2019 using Semi-structured questionnaire & data was collected from a convenient sampling of  202 Health Care Workers consisting  of Interns & PGs, Staff Nurses, Student Nurses & Lab Technicians, MNOs, Sanitation Staff, & Others divided in to three  groups. Data was obtained from those present in duty at that time and who gave consent. Those who were not willing to participate in the study were excluded. Ethical approval was taken from the Institutional Ethics Committee. Data obtained was entered in Excel 2016, analysed using SPSS20 software and presented as Percentage Distribution, Mean & Standard Deviations and Significance applied wherever necessary. Results:   86.14% (174) had knowledge about Hand hygiene. Knowledge on discarding used materials in the yellow bin was observed in 77.23% (156)  overall. Only 27.23% (55) were aware of proper use of PPEs.  The right sequence of steps of Spill Management was mentioned by 16.34% subjects overall. 38.61% (78) received training on Spill Management. Hypochlorite was the most used disinfectant for cleaning the spill, as mentioned by 55.94% (113 out of 202). Only 30.2% (61) told they were aware of “Spill Management kit”, of whom, 62.29% (38 of 61) received training (p value obtained is 0.0002). Conclusion: Spill management is seen highest among Group I compared to Group II. So, trainings must be conducted on Quarterly basis to update and sustain knowledge level among all groups of health care workers as this is a dynamic group.
引言:尽管我们对感染的理解和控制有所进步,但血液和体液泄漏仍然是一个公共卫生问题。因此,本研究旨在比较受过培训和未受过培训的医护人员在泄漏管理方面的知识,在此基础上可以采取措施减少医院的危害。方法:2019年9月至10月,在卡基纳达教学医院进行了一项横断面研究,使用半结构化问卷,从202名医护人员中收集数据,这些医护人员包括实习生和PG、护士、实习护士和实验室技术员、MNO、环卫工和其他人员,分为三组。数据是从当时的值班人员和同意人员那里获得的。那些不愿意参与这项研究的人被排除在外。获得了机构伦理委员会的伦理批准。将获得的数据输入Excel 2016中,使用SPSS20软件进行分析,并以百分比分布、平均值和标准偏差以及必要时应用的显著性表示。结果:86.14%(174)的人有手卫生知识。总的来说,77.23%(156)的人了解将旧材料丢弃在黄色垃圾箱中。只有27.23%(55)的人知道正确使用个人防护用品。总体而言,16.34%的受试者提到了正确的泄漏管理步骤顺序。38.61%(78)接受了泄漏管理培训。次氯酸盐是清洁泄漏物使用最多的消毒剂,有55.94%的人(202人中有113人)提到了这一点。只有30.2%(61)的人表示他们知道“泄漏管理工具包”,其中62.29%(38/61)接受了培训(获得的p值为0.0002)。结论:与第二组相比,第一组的泄漏管理最高。因此,必须每季度进行一次培训,以更新和维持所有医护人员群体的知识水平,因为这是一个充满活力的群体。
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引用次数: 0
A tutorial on Quasi-experimental designs 准实验设计教程
Pub Date : 2022-04-03 DOI: 10.18502/jchr.v11i1.9089
Reyhaneh Sefidkar, F. Madadizadeh
The article's abstract is not available.
这篇文章的摘要不可用。
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引用次数: 5
Comparing Mental and Physical Health of Full-Service Sex Workers in the United States to the Health of the General Population in 2019-2020 2019-2020年美国全职性工作者的身心健康与普通人群的健康比较
Pub Date : 2022-04-03 DOI: 10.18502/jchr.v11i1.9092
Stephen D. Ramos, Winifred Guerra, Steff Du Bois
Introduction: Full-service sex workers (FSSWs) are relatively prevalent in the U.S. and are known to face criminalization, stigma, and other factors relating to poor health. The main aim of this study was compare the mental and physical health of full-service sex workers in the United States in 2019-2020 Methods: In this prospective cohort study, participants were recruited through national community samples from U.S.-based FSSW advocacy and community organizations. Data were collected from November 2019 to February 2020. The study sample (n=83) included mostly of the white (81.9%), cisgender females (66.3%), who were relatively young (28.01 [4.25]), and identified as a sexual minority (57.8%). Participants completed an online survey on mental (e.g., depression, anxiety) and physical (e.g., sleep, fatigue) health, using the patient-reported outcomes measurement information system (PROMIS-29). Mean (SD) and Frequency (%) were used for description and for data analysis z-tests in SPSS version 27 with 5% significant level were used. Results: The sample of FSSWs reported significantly poorer health in all health domains compared to the U.S. general population reference indices. FSSWs showed higher levels of depression (p <.001), anxiety (p <.001), fatigue (p <.001), sleep difficulties (p <.001), lower levels of physical functioning (p <.001) and the ability to participate in social activities (p =.03) compared with the U.S. reference indices. Conclusions: FSSWs experience significant mental and physical health disparities compared to general population.  the need for further investigation of the social-ecological determinants of health for members of this marginalized community, many of whom are known to face health inequities.
简介:全方位服务的性工作者(FSSWs)在美国相对普遍,众所周知,他们面临着刑事定罪、污名化和其他与健康状况不佳有关的因素。本研究的主要目的是比较2019-2020年美国全服务性工作者的心理和身体健康状况。方法:在这项前瞻性队列研究中,参与者通过来自美国FSSW倡导组织和社区组织的全国社区样本招募。数据收集时间为2019年11月至2020年2月。研究样本(n=83)以白人(81.9%)、顺性别女性(66.3%)为主,年龄相对较小(28.01[4.25]),性少数(57.8%)。参与者使用患者报告的结果测量信息系统(promise -29)完成了一项关于心理(如抑郁、焦虑)和身体(如睡眠、疲劳)健康的在线调查。使用Mean (SD)和Frequency(%)进行描述和数据分析,使用SPSS 27版本的z检验,显著水平为5%。结果:与美国一般人口参考指数相比,fssw的样本在所有健康领域的健康状况都明显较差。与美国参考指标相比,fssw表现出更高水平的抑郁(p < 0.001)、焦虑(p < 0.001)、疲劳(p < 0.001)、睡眠困难(p < 0.001)、更低水平的身体功能(p < 0.001)和参与社会活动的能力(p = 0.03)。结论:与一般人群相比,fssw存在显著的心理和身体健康差异。需要进一步调查这一边缘化社区成员健康的社会生态决定因素,其中许多人已知面临卫生不公平现象。
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引用次数: 2
Spatial analysis of the COVID-19 prevalence pattern in Yazd province, Central part of Iran (February 2020 to January 2021) 伊朗中部亚兹德省新冠肺炎流行模式的空间分析(2020年2月至2021年1月)
Pub Date : 2022-04-03 DOI: 10.18502/jchr.v11i1.9094
F. Madadizadeh, Seyed Yaser Ghelmani, Tahare Fallah Tafti
Introduction: Yazd province is the center of Iran and the highway for travelers to other cities. This province is susceptible to disease transmission in Iran. This study aimed to spatial analysis of corona virus prevalence, predicting the spread and determination of hot spot areas in Yazd province, central part of Iran. Methods: This analytical Cross-sectional study was conducted in Yazd province from February 2020 to January 2021. Patients with COVID-19 admitted to hospitals in Yazd province were selected by census. Required information includes the number of patients as well as their place of residence were collected through the hospital information system (HIS) of Shahid Sadoughi Hospital in Yazd, Iran. The inclusion criteria were positive polymerase chain reaction (PCR) test for COVID-19 and registration of patient information in the hospital emergency department. After collecting the data, it was entered into the ArcGIS software is 9.3.1. software. Moran's I measure and chi square test were used to data analysis. Significant level were considered 5 %. Results: Overall disease prevalence in Yazd province was equal to 0.0053. The prevalence of disease was higher in men women (55.7%, 3412 cases). The highest prevalence of the disease occurred in Yazd city (0.0096) and the highest death occurred in Meybod city (20.8%). Bahabad city also had the highest number of transfer (2.7%). Areas one (15.2% and 932 patients) and two (15.9% and 975 patients) of Yazd city were the most infected areas. There was no significant spatial pattern between the prevalence of the disease in the cities (Moran's Index: 0.18, P-value = 0.58). Conclusion: There was no spatial pattern in the prevalence of the disease and only in the city of Yazd, regions one and two need the special attention of policymakers.
简介:亚兹德省是伊朗的中心,也是游客前往其他城市的高速公路。该省易受伊朗疾病传播的影响。本研究旨在对冠状病毒流行率进行空间分析,预测伊朗中部亚兹德省热点地区的传播和确定。方法:这项分析性横断面研究于2020年2月至2021年1月在亚兹德省进行。亚兹德省医院收治的新冠肺炎患者是通过人口普查选出的。所需信息包括患者人数及其居住地,这些信息是通过伊朗亚兹德Shahid Sadoughi医院的医院信息系统收集的。纳入标准为新冠肺炎聚合酶链式反应(PCR)检测呈阳性,并在医院急诊科登记患者信息。采集数据后,将其输入ArcGIS软件9.3.1。软件数据分析采用Moran I测度和卡方检验。显著水平被认为是5%。结果:亚兹德省的总患病率为0.0053。男性和女性的患病率较高(55.7%,3412例)。该疾病的流行率最高的是亚兹德市(0.0096),死亡人数最高的是迈博德市(20.8%)。巴哈巴德市的转移人数也最高(2.7%)。亚兹德的第一区(15.2%和932名患者)和第二区(15.9%和975名病患)是感染人数最多的地区。城市中该疾病的患病率之间没有显著的空间模式(Moran指数:0.18,P值=0.58)。结论:该疾病的发病率没有空间模式,只有在亚兹德市,第一和第二地区需要政策制定者的特别关注。
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引用次数: 1
Investigating changes in internalized stigma and avoidant coping among African American adults living with HIV and serious mental illness following a peer-led intervention 调查在同伴主导的干预后,感染艾滋病毒和严重精神疾病的非裔美国成年人内在污名和回避应对的变化
Pub Date : 2022-04-03 DOI: 10.18502/jchr.v11i1.9091
Arryn A. Guy, H. Woodward, Lynn Kannout, Steff Du Bois
Background: Individuals living with HIV navigate the health implications of HIV and HIV discrimination. This study aimed to examine changes in internalized stigma and avoidant coping among African American adults living with HIV and serious mental illness (SMI) following a peer-led intervention. Methods: In this quasi-experimental study, 16 patients were recruited using convenience sampling from an HIV clinic in an urban hospital setting in the United States for a community-based participatory research (CBPR) developed peer-led intervention pilot. Participants answered questions about their experiences of HIV-related discrimination, internalized stigma, and cognitive escape coping before and after participating in four 90-minute peer-led weekly group sessions. For data analysis, paired-samples t-test and linear regression with Hayes’ PROCESS Macro in SPSS 27 were used at a 5% significance level. Results: There was a significant indirect effect of HIV-related discrimination on cognitive escape coping through internalized stigma (b = 0.28, 95% CI [0.03, 0.61]). Post-intervention non-significant associations suggest that a CBPR-developed peer-led intervention may buffer against the effects of HIV-related discrimination. Conclusion: Our study provides initial support that community and peer support approaches may buffer against the effects of discrimination on internalized stigma and avoidant coping among African American individuals living with HIV and SMI.  
背景:艾滋病毒感染者了解艾滋病毒和艾滋病毒歧视对健康的影响。本研究旨在探讨非裔美国成人HIV和严重精神疾病(SMI)患者在同伴引导干预后内化耻辱和回避应对的变化。方法:在这项准实验研究中,采用方便抽样从美国一家城市医院的HIV诊所招募了16名患者,进行基于社区的参与式研究(CBPR)开发的同伴主导干预试点。参与者在参加四个90分钟的每周由同伴主导的小组会议之前和之后回答了有关他们与艾滋病毒相关的歧视,内在耻辱和认知逃避应对经历的问题。数据分析采用SPSS 27中配对样本t检验和Hayes’PROCESS Macro线性回归,显著性水平为5%。结果:hiv相关歧视通过内化污名对认知逃避应对存在显著的间接影响(b = 0.28, 95% CI[0.03, 0.61])。干预后无显著关联表明,cbpr开发的同伴主导的干预可以缓冲与艾滋病毒相关的歧视的影响。结论:我们的研究初步支持社区和同伴支持方法可以缓冲歧视对非洲裔美国HIV和重度精神分裂症患者内化耻辱和回避性应对的影响。
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Journal of Community Health Research
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