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Do walkable neighborhoods promote physical activity? 可步行的社区促进体育活动吗?
Pub Date : 2022-04-03 DOI: 10.18502/jchr.v11i1.9088
A. Marzban, Masoud Soleymani-rad
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: 0
Mortality among confirmed Lassa Fever cases in Ondo State, Nigeria, January 2017- March 2019: A cross sectional study 2017年1月至2019年3月,尼日利亚翁多州武装拉沙热病例的死亡率:一项横断面研究
Pub Date : 2022-04-03 DOI: 10.18502/jchr.v11i1.9090
O S Ilesanmi, O. Ayodeji, N. Adedosu, O. Ojo, C. Abejegah, T. Jegede, T. T. Adebayo, Isiaka A. Ayeni, L. Olatunde, L. Ahmed
Background: Lassa fever (LF) is an acute viral haemorrhagic disease endemic in Ondo State, Nigeria. This study aimed to determine the factors associated with mortality among confirmed LF cases. Methods: A cross sectional study design was used by conducting a retrospective review of the records of all patients who had been treated for LF at the Federal Medical Centre, Owo since 2017 till March 2019. Descriptive statistics were done, case fatality rate was calculated. Chi square tests were used to explore associations. Logistic regression was used to identify the predictors of death. Data were analysed with SPSS version 23.0. P values ≤0.05 were statistically significant. Results: The median age was 34 years, and the inter-quartile range was 24-48 years. A total of 30 deaths (case fatality rate [CFR] = 10.9%) were recorded, of which 24 (15.5%) were males. Also, the fatality rate increased from 1.6% in 2017 to 10.5% in 2018 and 16.7% in 2019. During peak period, mortality recorded was 15(8.5%) and non-peak periods (April to December), 14(14.9%) was recorded (p=0.104). Fatality was 12.5% (1 out of 8) among pregnant women with 100% foetal death. Patients aged 18-45 years had 0.25 odds of dying (AOR = 0.25; 95%CI= 0.08, 0.76) compared to those aged ≥ 46 years. Those who commenced ribavirin ≥7 days (AOR 4.1; CI = 1.06, 15.42) and those with elevated urea level (AOR 7.5; CI = 2.5, 23.1) have more odds of dying. Conclusions: A well-coordinated LF outbreak response is needed both at LF peak non-peak periods.
背景:拉沙热是尼日利亚翁多州流行的一种急性病毒性出血性疾病。本研究旨在确定与LF确诊病例死亡率相关的因素。方法:采用横断面研究设计,对自2017年至2019年3月在奥沃联邦医疗中心接受过LF治疗的所有患者的记录进行回顾性研究。进行描述性统计,计算病死率。卡方检验用于探究关联。采用Logistic回归确定死亡预测因素。数据采用SPSS 23.0进行分析。P值≤0.05有统计学意义。结果:年龄中位数为34岁,四分位数间距为24 ~ 48岁。共报告死亡30例(病死率[CFR] = 10.9%),其中男性24例(15.5%)。此外,死亡率从2017年的1.6%上升到2018年的10.5%和2019年的16.7%。高峰期死亡15例(8.5%),非高峰期(4 ~ 12月)死亡14例(14.9%)(p=0.104)。死亡率为12.5%(1 / 8),胎儿死亡率为100%。18-45岁患者的死亡几率为0.25 (AOR = 0.25;95%CI= 0.08, 0.76),与≥46岁的患者相比。开始使用利巴韦林≥7天的患者(AOR 4.1;CI = 1.06, 15.42)和尿素水平升高组(AOR为7.5;CI = 2.5, 23.1)的患者死亡几率更高。结论:在疫情高峰和非高峰期间,都需要协调良好的疫情应对措施。
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引用次数: 0
Role of Students’ Media Literacy on Their Health: A Narrative Review 学生媒介素养对健康的影响:一个叙事回顾
Pub Date : 2022-04-03 DOI: 10.18502/jchr.v11i1.9095
Leili Montazeri, H. Eslami, S. Afshani
Introduction: Media literacy can be considered as strengthening media experiences. The media has a great impact on the health of people, including children. However, so far this issue has been understudied and scientific evidence is needed to make a decision.This study aimed to investigate roles of students’ media literacy on their health. Methods: This study is a literature review with systematic search. Different electronic databases were used for a comprehensive literature search, including MEDLINE, Web of Science, CINAHL, PsycINFO, Scopus, Google Scholar, Cochrane Register of Controlled Trials and EMBASE to identify the records that match the mentioned inclusion criteria published from Januray 1st of 1990 to December 2020. The search resulted in 32 articles, of which 22 articles were removed (3 were not available, 12 were irrelevant, 7 were duplicates). Ten articles met the selection criteria and were included in the review. Exclusion criteria were those not published in peer reviewed journals, articles that address only one of the topics of media literacy or student health, and the age group of the subjects was over 18 years old or the students were not studied in primary and high school. Results: This study showed that media literacy is effective on students' behaviors. These behaviors promote health or high-risk behaviors.  the main studies have been conducted on nutrition, obesity, health tips, smoking, drug addiction and alcohol consumption. Conclusion: It is concluded   that the media has a great role in the health of students and this issue has been proven in previous studies. These effects both improve students' health and increase risky behaviors. Therefore, there is enough evidence for managers to decide to launch.
媒介素养可以理解为加强媒介体验。媒体对包括儿童在内的人们的健康有很大的影响。然而,到目前为止,这个问题还没有得到充分的研究,需要科学证据才能做出决定。本研究旨在探讨媒体素养对学生健康的影响。方法:采用文献复习法,系统检索。使用MEDLINE、Web of Science、CINAHL、PsycINFO、Scopus、谷歌Scholar、Cochrane Register of Controlled Trials和EMBASE等不同的电子数据库进行综合文献检索,以确定1990年1月1日至2020年12月发表的符合上述纳入标准的记录。检索结果为32篇文章,其中22篇被删除(3篇不可用,12篇不相关,7篇重复)。符合选择标准的10篇文章被纳入综述。排除标准是未在同行评议期刊上发表的文章,仅涉及媒体素养或学生健康主题之一的文章,受试者的年龄组超过18岁或学生未在小学和高中学习。结果:本研究显示媒介素养对学生行为有影响。这些行为促进健康或高风险行为。主要的研究是关于营养、肥胖、健康提示、吸烟、吸毒和饮酒。结论:媒体对学生的健康有很大的影响,这一问题在以往的研究中得到了证实。这些影响既改善了学生的健康,也增加了危险行为。因此,有足够的证据可供管理者决定启动。
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引用次数: 0
The Death awareness and Spiritual Experience of Health Care Workers during COVID-19 Outbreak COVID-19疫情期间医护人员的死亡意识与精神体验
Pub Date : 2022-04-03 DOI: 10.18502/jchr.v11i1.9093
Ali Nobahari, E. Fathi, Fateme Malekshahi Beiranvand, Abolfazl Hatami Varzaneh
Introduction: The present study aims to identify the death awareness and spiritual experience of the health care workers in Iran. Methods: Eleven health care workers involved with Coronavirus patients were selected through purposeful sampling and had in-depth semi-structured interviews. Conventional content analysis was utilized to analyze the data. Results: The conventional content analysis revealed four themes: 1- Increasing death awareness 2- Effective spiritual strategies; 3- Effective spiritual beliefs; 4- Pleasant and unpleasant existential experiences. Conclusion: We can conclude that health care workers in dealing with epidemics such as coronavirus as a front-line force need spiritual heath to help themselves and the patients.
引言:本研究旨在确定伊朗医护人员的死亡意识和精神体验。方法:通过有目的的抽样选择11名涉及冠状病毒患者的医护人员,并进行深入的半结构化访谈。利用传统的内容分析来分析数据。结果:传统的内容分析揭示了四个主题:1-提高死亡意识2-有效的精神策略;3-有效的精神信仰;4-愉快和不愉快的生存体验。结论:我们可以得出结论,医护人员作为应对冠状病毒等流行病的一线力量,需要精神健康来帮助自己和患者。
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引用次数: 0
The Effectiveness of Group Acceptance and Commitment Therapy and Cognitive Therapy on Alexithymia and Marital Boredom, Case study: Women Affected by Marital Infidelity in Mashhad, Iran 团体接纳与承诺治疗与认知治疗对述情障碍与婚姻厌倦的效果研究——以伊朗马什哈德地区受婚姻不忠影响的妇女为例
Pub Date : 2022-01-12 DOI: 10.18502/jchr.v10i4.8337
Maryam Sadeghi, N. Moheb, Marziyeh Alivandi Vafa
Introduction: The aim of current paper was to compare the effectiveness of acceptance and commitment group therapy (ACT) and group cognitive therapy (GCT) on Alexithymia and marital boredom (MB) among women affected by marital infidelity in Mashhad. Method: This clinical trial was a double- blind study with a pretest-posttest design in which two intervention groups and one control group were investigated. The study performed on women who realized their spouse infidelity and referred to Azad University Counseling Center in Mashhad in 2018. The sample consisted of 30 women who were selected by purposive sampling and were randomly assigned to two intervention groups and a control group (n=10 per group). The intervention groups were put under ACT training (twelve 90-minute sessions) and GCT training (twelve 90-minute sessions), but the control group did not receive any intervention. Data was obtained by the Toronto Alexithymia Scale-20 and Pines Marital Boredom Scale and was analyzed by multivariate analysis of covariance with SPSS (version 22) software. Results: The results showed a significant reduction in the mean score of MB in the ACT group, also there was a significant reduction in the mean score of Alexithymia in the GCT group (P <0.05). So comparing both therapies, ACT was more influential on reducing marital boredom whereas GCT was more effective on reducing alexithymia. Conclusion: Although both intervention methods were effective on Alexithymia and Marital Boredom in women affected by marital infidelity, it was demonstrated that ACT and GCT have more effect on Marital Boredom and Alexithymia, respectively.
前言:本研究旨在比较接受与承诺团体治疗(ACT)与团体认知治疗(GCT)对马什哈德地区婚姻不忠女性述情障碍和婚姻无聊(MB)的治疗效果。方法:本临床试验采用前测后测双盲设计,分为两个干预组和一个对照组。该研究的对象是2018年意识到配偶不忠并向马什哈德阿扎德大学咨询中心求助的女性。样本由30名妇女组成,通过有目的抽样选择,随机分为两个干预组和一个对照组(每组n=10)。干预组分别接受ACT训练(12次90分钟)和GCT训练(12次90分钟),对照组不接受任何干预。数据采用多伦多述情障碍量表-20和Pines婚姻无聊量表获取,采用SPSS (version 22)软件进行多变量协方差分析。结果:ACT组MB平均评分显著降低,GCT组述情障碍平均评分显著降低(P <0.05)。因此,比较两种疗法,ACT在减少婚姻无聊方面更有影响力,而GCT在减少述情障碍方面更有效。结论:虽然两种干预方式对婚姻不忠女性的述情障碍和婚姻厌倦感均有效,但ACT和GCT分别对婚姻厌倦感和述情障碍的影响更大。
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引用次数: 0
Recommendation for How to Improve Taking Care of the Elderly with Covid-19 关于如何改善新冠肺炎老年人护理的建议
Pub Date : 2022-01-12 DOI: 10.18502/jchr.v10i4.8332
Sajjad Bahariniya, Mohammad Ezatiasar, 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: 1
The Effect of Acceptance and Commitment and Problem-Solving Skills Training on Reducing Emotional Divorce 接受承诺和问题解决技能训练对减少情感离婚的影响
Pub Date : 2022-01-12 DOI: 10.18502/jchr.v10i4.8336
Ailin Shahabi, Abbas Rahmati, Noshirvan Khezri Moghadam
Introduction: This study aimed to investigate the effectiveness of the acceptance, commitment and problem-solving skills training on reducing the emotional divorce and the marital frustration. Method: The research method, with regard to the quasi-experimental nature of the subject, was selected with a pre-test post-test design with a control group. The statistical population was the couples attending the Family counseling centers in Kerman city in 2019. The study sample involved 30 participating couples who were selected using convenience sampling and were divided into two experimental and control groups. Training the acceptance, commitment and problem-solving was presented to the couples in the experimental group during eight two-hour sessions. The educational content was about couples' problems in marital relationships, choosing a common marital value and offering a solution based on it, and identifying internal and external barriers to action based on values. To assess the subjects in both groups, the Emotional divorce questionnaire, and the Marital Frustration questionnaire Completed before and after the intervention. In order to analyze the data, mean value, standard deviation (SD), and multivariate analysis of covariance (MANCOVA) were used. SPSS version 22 was further used. The significance level of the study was considered to be p=0.05. Results: The results of the covariance analysis for the participants who were 30-60 years old couples with at least five years of marital experience showed that training the acceptance, commitment and problem-solving was effective on reducing the emotional divorce and frustration. While the mean value of emotional divorce for the pre-test was (M=14.33), the results for the post-test changed to (M=11.80). Marital frustration was also changed from (M=48.93) in the pre-test to (M=44.60). Conclusions: According to the results, maybe we need to consider a more serious role for training the acceptance, commitment and problem-solving in the educational and therapeutic interventions related to reducing the emotional divorce and the marital frustration of the couples.
前言:本研究旨在探讨接纳、承诺及解决问题技巧训练对减少情绪性离婚及婚姻挫折的效果。方法:考虑到研究对象的准实验性质,采用前测后测设计,设对照组。统计人口是2019年在克尔曼市家庭咨询中心参加的夫妇。研究样本包括30对参与研究的夫妇,他们采用方便抽样的方式被挑选出来,分为两个实验组和对照组。实验组的夫妇在8个小时的疗程中接受、承诺和解决问题的训练。教育内容是关于夫妻在婚姻关系中遇到的问题,选择共同的婚姻价值观并在此基础上提出解决方案,以及根据价值观确定行动的内部和外部障碍。在干预前后分别填写离婚情绪问卷和婚姻挫折问卷,对两组受试者进行评估。为了分析数据,采用均值、标准差(SD)和多变量协方差分析(MANCOVA)。进一步使用SPSS version 22。认为研究的显著性水平为p=0.05。结果:对30 ~ 60岁、有5年以上婚姻经历的夫妻进行协方差分析,结果表明:接受、承诺和解决问题的训练对减少情感离婚和挫折是有效的。前测的情感离婚均值为(M=14.33),后测的结果为(M=11.80)。婚姻挫败感也由前测的(M=48.93)变化为(M=44.60)。结论:根据研究结果,在减少夫妻情感离婚和婚姻挫折的教育和治疗干预中,也许我们需要考虑更重要的作用是培养接受、承诺和解决问题的能力。
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引用次数: 0
Epidemiological Characteristics and the Trend of Animal Bites during the years 2014-2018 2014-2018年动物咬伤流行病学特征及趋势分析
Pub Date : 2022-01-12 DOI: 10.18502/jchr.v10i4.8339
Yasaman Azari, Mehdi Sadeghi Moghadam, Jafar Khodabandeh, Andishe Hamedi
Background: Animal bite is a serious and dangerous threat to human health. The highest prevalence rate of animal bite in Iran is in Golestan, Ardabil and, then Khorasan. The present study examined the epidemiological characteristics and the trend of animal bites during 2014-2018. Results: In this study, out of 3784 cases bitten by animals, 2821 happened by a sudden attack. Most reports of the animal bite were from dogs. Also, the trend of animal bite during 2014-2018 was increasing and the charts showed that the trend will continue to increase the next year. Conclusion: Due to the increasing trend of animal bites, it is necessary to take basic measures such as training endangered groups, forming a committee to eliminate stray dogs, and strengthening the care system and immunization program.
背景:动物咬伤是对人类健康的严重而危险的威胁。伊朗动物咬伤患病率最高的是戈勒斯坦、阿尔达比尔,然后是呼罗珊。本研究调查了2014-2018年期间动物咬伤的流行病学特征和趋势。结果:3784例动物咬伤病例中,2821例为突发性咬伤。大多数关于动物被咬伤的报告都来自狗。此外,2014-2018年期间,动物咬伤的趋势正在增加,图表显示,明年这一趋势将继续增加。结论:由于动物咬伤事件呈增加趋势,有必要采取基本措施,如培训濒危群体、成立委员会消除流浪狗、加强护理系统和免疫计划。
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引用次数: 0
Do environmental factors lead to obesity? 环境因素会导致肥胖吗?
Pub Date : 2021-09-29 DOI: 10.18502/jchr.v10i3.7273
A. Marzban
The article's abstract is not available.  
这篇文章的摘要没有。
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引用次数: 0
The Relationship between Body Image Dissatisfaction and New Anthropometric Indices in Women Referred to the Nutrition Clinic in Northwest of Iran, Ardabil City, 2019 伊朗西北部营养诊所女性身体形象不满意与新人体测量指标的关系,阿达比尔市,2019
Pub Date : 2021-09-29 DOI: 10.18502/jchr.v10i3.7280
F. Ghannadiasl, N. Hoseini
Introduction: Recent studies have shown a high prevalence of body image dissatisfaction in women. This study purposed to examine the relationship between body image dissatisfaction and new anthropometric indices in women. Methods: A cross-sectional study was done among 384 women referred to the nutrition clinic in Ardabil city in 2019, using convenience sampling method. Data were collected through multidimensional body self-relations questionnaires and anthropometric measurements. This questionnaire is an attitudinal assessment of body image, using a 5-point disagrees–agree Likert scale to collect responses. Data was analyzed using SPSS software (version 21). The Pearson correlation coefficient was used to investigate the relation between body image dissatisfaction and anthropometric indices. The significance level was less than 0.05. Results: The mean age and body mass index (BMI) of the women under study were 30.01±7.20 years and 30.21±5.17kg/m2, respectively. Correlation analysis presented that a significant positive relationship was between all anthropometric indices and the subjective weight and overweight preoccupation subscales. The highest relationship of subjective weight subscale was found with BMI, waist circumference, and waist-to-height ratio (WHtR) (r=0.85, p<0.001) followed by abdominal volume index (AVI) (r=0.82, p<0.001). The highest relationship of the overweight preoccupation subscale was obtained with waist circumference (r=0.44, p<0.001) followed by AVI and weight (r=0.42, p<0.001) and WHtR (r=0.41, p<0.001). Conclusion: Body image dissatisfaction was associated with anthropometric indices. The findings indicated the need for interventions designed to improve anthropometric indices and, consequently, body image dissatisfaction.  
引言:最近的研究表明,女性对身体形象不满的患病率很高。本研究旨在探讨女性身体形象不满与新人体测量指标之间的关系。方法:采用方便抽样方法,对2019年在阿达比尔市营养门诊就诊的384名妇女进行横断面研究。通过多维身体自我关系问卷和人体测量测量收集数据。这个问卷是对身体形象的态度评估,使用5分不同意-同意李克特量表收集回答。数据分析采用SPSS软件(第21版)。采用Pearson相关系数分析身体形象不满意程度与人体测量指标之间的关系。显著性水平小于0.05。结果:受访女性的平均年龄为30.01±7.20岁,体重指数(BMI)为30.21±5.17kg/m2。相关分析显示,所有人体测量指标与主观体重和超重关注分量表呈显著正相关。主观体重量表与BMI、腰围和腰高比(WHtR)的相关性最高(r=0.85, p<0.001),其次是腹容积指数(AVI) (r=0.82, p<0.001)。超重关注分量表与腰围的相关性最高(r=0.44, p<0.001),其次是AVI与体重(r=0.42, p<0.001)和WHtR (r=0.41, p<0.001)。结论:身体形象不满意与人体测量指标相关。研究结果表明,需要采取干预措施来改善人体测量指数,从而减少对身体形象的不满。
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引用次数: 0
期刊
Journal of Community Health Research
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