Iranian Journal of Public Health最新文献

Empowering Choices: The State of Reproductive Rights for Women in India 赋权选择：印度妇女生殖权利状况

4区医学

Iranian Journal of Public Health Pub Date : 2026-01-01 DOI: 10.1007/978-981-95-2321-4_9

Rahul Jain, Kapil Bhati

引用次数: 0

An analysis of training outcomes using the ECHO model for strengthening breast and oral cancer care among health workers in India 利用ECHO模型对印度卫生工作者加强乳腺癌和口腔癌护理的培训结果进行分析

4区医学

Iranian Journal of Public Health Pub Date : 2025-12-24 DOI: 10.1186/s12982-025-01284-0

Anisha Mathew, Ankit Anand, Shama Bhati, Tavleen Kaur Malik, Anila Goswami, Sandeep Bhalla, Apoorva Karan

{"title":"An analysis of training outcomes using the ECHO model for strengthening breast and oral cancer care among health workers in India","authors":"Anisha Mathew, Ankit Anand, Shama Bhati, Tavleen Kaur Malik, Anila Goswami, Sandeep Bhalla, Apoorva Karan","doi":"10.1186/s12982-025-01284-0","DOIUrl":"https://doi.org/10.1186/s12982-025-01284-0","url":null,"abstract":"The study assessed participant feedback on a capacity-building program for breast and oral cancer care among health workers in India using the Extension for Community Healthcare Outcomes (ECHO) model. The training aimed to enhance knowledge and competence in early detection, diagnosis, treatment, and patient-centred care. The objective of the study was to assess participants’ perceptions of changes in their knowledge level before and after the session, as well as self-competency and satisfaction ratings for the sessions. A mixed-methods approach was used across 12 hubs in 11 states, conducting 72 online sessions from April to October 2024. Training included didactic presentations, case discussions, and interactive activities. Data from post-session surveys (iECHO platform) assessed participation, satisfaction, knowledge change, and intent to apply learning. Quantitative analysis involved descriptive statistics and the Wilcoxon Signed Rank test, while qualitative data underwent thematic analysis. For breast cancer, 960 responses were collected across 36 sessions; for oral cancer, 536 responses were gathered. Self-reported knowledge significantly increased (p < 0.001) from 30.3% to 63.0% (breast) and 23.3% to 57.8% (oral). Satisfaction rates were high: 96.0% (breast) and 93.3% (oral). Participants valued case discussions, diagnostics, and interactivity, with a strong intent to apply knowledge in clinical practice and community outreach. The training effectively enhanced knowledge, competence, and satisfaction. Future sessions should incorporate greater interactivity, practical examples, and hybrid learning models. ECHO-based virtual training can upskill healthcare professionals and improve cancer care efforts in India.","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1186/s12982-025-01284-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147892874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing interstate COVID-19 response efficiency in India using a hyperbolic distance function approach 使用双曲距离函数方法评估印度州际COVID-19应对效率

4区医学

Iranian Journal of Public Health Pub Date : 2025-12-16 DOI: 10.1186/s12982-025-01217-x

Ashiq Mohd Ilyas, Aamir Majeed Parray

{"title":"Assessing interstate COVID-19 response efficiency in India using a hyperbolic distance function approach","authors":"Ashiq Mohd Ilyas, Aamir Majeed Parray","doi":"10.1186/s12982-025-01217-x","DOIUrl":"https://doi.org/10.1186/s12982-025-01217-x","url":null,"abstract":"This study evaluates the relative performance of Indian states and Union Territories (UTs) in managing the COVID-19 pandemic using a Data Envelopment Analysis (DEA) framework based on a Hyperbolic Distance Function (HDF) approach. The findings reveal substantial inter-state disparities. Maharashtra and Arunachal Pradesh emerged as the most efficient performers, followed by Andhra Pradesh and Karnataka, while Chandigarh, Dadra and Nagar Haveli, Puducherry, and Tripura exhibited the highest levels of inefficiency. Furthermore, a modest positive correlation between efficiency scores and vulnerability indices indicates that certain highly vulnerable states and UTs demonstrated relatively strong management efficiency, reflecting adaptive governance and community resilience. The results underscore significant variations in state-level health system preparedness and resource utilization, offering critical insights for policymakers seeking to strengthen public health infrastructure, enhance institutional responsiveness, and improve pandemic preparedness across India.","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1186/s12982-025-01217-x.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147906834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the Relationship between Occupational Burnout and Food Disgust in Professional Chefs. 职业厨师职业倦怠与食物厌恶的关系评价。

IF 1.6 4区医学

Iranian Journal of Public Health Pub Date : 2025-12-01 DOI: 10.18502/ijph.v54i12.20824

Izzet Fidanci, Hilal Aksoy, Duygu Ayhan Başer

{"title":"Evaluation of the Relationship between Occupational Burnout and Food Disgust in Professional Chefs.","authors":"Izzet Fidanci, Hilal Aksoy, Duygu Ayhan Başer","doi":"10.18502/ijph.v54i12.20824","DOIUrl":"10.18502/ijph.v54i12.20824","url":null,"abstract":"Background: We aimed to examine the association between occupational burnout and food disgust among professional chefs working in restaurants, hotels, and catering services in Turkey.Methods: This cross-sectional study was conducted between December 1, 2024, and April 1, 2025, using a convenience sampling method. Participants included 279 professional chefs working in restaurants, hotels, and catering services across Turkey, as well as those presenting to outpatient clinics affiliated with our institution. Eligible participants were aged 18 years or older, had at least one year of professional culinary experience, and were currently employed in a food service setting.Results: The average burnout score was 3.88 ± 1.69, measured on a 7-point scale (1 = no burnout, 7 = severe burnout). The mean food disgust score was 119.9 ± 45.54 on a 32-192 scale, with higher scores indicating greater food disgust sensitivity. Participants with critical burnout reported significantly elevated food disgust compared to those in lower burnout categories (P=0.001). Robust regression confirmed burnout as an independent predictor of food disgust (β=4.263, P=0.008), whereas demographic and occupational variables were not significantly associated with either outcome.Conclusion: This study provides evidence of an association between occupational burnout and food disgust among professional chefs. However, due to the cross-sectional design, no causal inferences can be made. Findings should therefore be interpreted with caution, and future longitudinal studies are needed to clarify temporal relationships.","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 12","pages":"2724-2734"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13429969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development of a Deep Learning Model for Predicting Obesity Using Health Behavior Data of Elementary School Students. 基于小学生健康行为数据的肥胖症预测深度学习模型的建立。

IF 1.6 4区医学

Iranian Journal of Public Health Pub Date : 2025-12-01 DOI: 10.18502/ijph.v54i12.20821

Changgyun Kim, Ji-Yong Lee

{"title":"Development of a Deep Learning Model for Predicting Obesity Using Health Behavior Data of Elementary School Students.","authors":"Changgyun Kim, Ji-Yong Lee","doi":"10.18502/ijph.v54i12.20821","DOIUrl":"10.18502/ijph.v54i12.20821","url":null,"abstract":"Background: Childhood obesity poses serious long-term health risks and is a growing global concern. In South Korea, national health surveys collect behavioral and physical data from elementary students, but the large number of questionnaire items can burden young respondents and reduce accuracy. Thus, simplified models with high predictive power are needed.Methods: We analyzed data from over 250,000 elementary students collected by the Korean Ministry of Education (2015-2022). Using the Rohrer Index as the outcome variable, key predictors were selected via Lasso and Elastic Net regression. Categorical variables were reduced using Multiple Correspondence Analysis (MCA), and a deep learning model (NECTOR) combining MLP and self-attention was developed.Results: NECTOR achieved high predictive performance with R2 scores of 0.994 (boys) and 0.996 (girls), and low mean squared errors of 3.072 and 1.841, respectively. It outperformed baseline models using the same inputs.Conclusion: A small set of core health indicators can effectively predict the Rohrer Index. The proposed model enables efficient and reliable obesity screening in school settings, supporting early intervention efforts.","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 12","pages":"2690-2700"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Dietary Risks on Noncommunicable Disease Mortality between 2000 and 2021: Which Noncommunicable Disease Is Most Affected by Dietary Risks? 2000年至2021年间饮食风险对非传染性疾病死亡率的影响：哪些非传染性疾病受饮食风险影响最大？

IF 1.6 4区医学

Iranian Journal of Public Health Pub Date : 2025-12-01 DOI: 10.18502/ijph.v54i12.20820

Elif Nur Yildirim-Ozturk, Mustafa Ozturk

{"title":"Impact of Dietary Risks on Noncommunicable Disease Mortality between 2000 and 2021: Which Noncommunicable Disease Is Most Affected by Dietary Risks?","authors":"Elif Nur Yildirim-Ozturk, Mustafa Ozturk","doi":"10.18502/ijph.v54i12.20820","DOIUrl":"10.18502/ijph.v54i12.20820","url":null,"abstract":"Background: This study aimed to analyze trends in the population attributable fraction (PAF) for mortality attributable to dietary risks over a 22-year period between 2000 and 2021 and to determine which type of dietary risk has a significant effect on mortality from which NCDs.Methods: In this descriptive and ecological study, data were obtained from the Global Burden of Disease Study, 2021. Age-standardized and sex-specific PAFs for mortality attributable to dietary risks and PAFs for mortality attributable to selected and specific dietary risks were calculated for six noncommunicable diseases worldwide for the 22-year period. The trend of PAFs over time was assessed by joinpoint regression analysis.Results: The two diseases with the highest mean PAF for mortality attributable to dietary risks were hypertensive heart disease followed by ischemic heart disease (0.63±0.01 and 0.45±0.01, respectively). The mean PAF for mortality attributable to dietary risks differed between sexes for four diseases. All six diseases had dietary risk-attributable mortality starting at a young age. Over a 22-year period, PAF for mortality attributable to dietary risks followed a significant decreasing trend for all six diseases. When the PAFs for mortality attributable to selected and specific dietary risks were examined, the majority showed a decreasing trend.Conclusion: It is essential to clarify the relationship between NCDs and dietary risks. This is because the human body is exposed to nutritional and dietary risks every day, both as individuals and as a community.","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 12","pages":"2680-2689"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13429965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Job Satisfaction and Working Environment among Nurses. 护士工作满意度与工作环境。

IF 1.6 4区医学

Iranian Journal of Public Health Pub Date : 2025-12-01 DOI: 10.18502/ijph.v54i12.20850

Boryana Angelova Levterova

引用次数: 0

Revolutionizing Healthcare in Iran: The Journey of Universal Health Coverage-Successes, Challenges, and the Road Ahead! 伊朗医疗改革：全民健康覆盖之旅——成功、挑战和未来之路！

IF 1.6 4区医学

Iranian Journal of Public Health Pub Date : 2025-12-01 DOI: 10.18502/ijph.v54i12.20848

Nader Aghakhani, Sina Aghakhani, Maryam Mesgarzadeh

引用次数: 0

Adverse Childhood Experiences and Social Media Addiction. 不良童年经历与社交媒体成瘾。

IF 1.6 4区医学

Iranian Journal of Public Health Pub Date : 2025-12-01 DOI: 10.18502/ijph.v54i12.20825

Maryam Chegeni, Nouzar Nakhaee, Negar Sangsefidi, Shakila Zarrinnegar, Zahra Khorrami, Parvin Mangolian Shahrbabaki, Mahin Eslami Shahrbabaki, Ali Akbar Haghdoost

{"title":"Adverse Childhood Experiences and Social Media Addiction.","authors":"Maryam Chegeni, Nouzar Nakhaee, Negar Sangsefidi, Shakila Zarrinnegar, Zahra Khorrami, Parvin Mangolian Shahrbabaki, Mahin Eslami Shahrbabaki, Ali Akbar Haghdoost","doi":"10.18502/ijph.v54i12.20825","DOIUrl":"10.18502/ijph.v54i12.20825","url":null,"abstract":"Background: Adverse childhood experiences (ACEs) are linked to various behavioral and psychological issues. This study explored the relationship between ACEs and social media addiction (SMA), examining the mediating role of quality of life (QoL) and the moderating effect of occupational status.Methods: Overall, 1,247 adults (55.4% females), aged 19 to 65 yr, were recruited through convenience sampling in Kerman, southeast Iran. Validated Persian versions of the ACE-ASF, WHOQOL-BREF, and Bergen Social Media Addiction Scale were used. Structural equation modeling (PLS-SEM) assessed direct, indirect, and moderated pathways.Results: ACEs were significantly associated with higher SMA (β=0.088, P=0.002) and lower QoL (β = -0.234, P<0.001). QoL was inversely related to SMA (β = -0.225, P<0.001), and partially mediated the ACE-SMA relationship (β=0.053, P < 0.001). Occupational status moderated the effects of ACEs on both QoL (β=0.066, P=0.021) and SMA (β= -0.055, P=0.046), Higher job levels reduced adverse effects. However, no significant moderation was found in the QoL-SMA path.Conclusion: ACEs significantly increase the risk of SMA, partly through reduced QoL. Improving occupational status and QoL can reduce the long-term behavioral effects of childhood adversity.","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 12","pages":"2735-2744"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Specific Genes and microRNAs as Novel Diagnostic Biomarkers for the Potential Progression of Pulmonary Arterial Hypertension. 特异性基因和microrna作为肺动脉高压潜在进展的新诊断生物标志物。

IF 1.6 4区医学

Iranian Journal of Public Health Pub Date : 2025-12-01 DOI: 10.18502/ijph.v54i12.20846

Akram Gholipour, Molood Farsi, Faezeh Sari, Zahra Khajali, Majid Maleki, Mahshid Malakootian

{"title":"Specific Genes and microRNAs as Novel Diagnostic Biomarkers for the Potential Progression of Pulmonary Arterial Hypertension.","authors":"Akram Gholipour, Molood Farsi, Faezeh Sari, Zahra Khajali, Majid Maleki, Mahshid Malakootian","doi":"10.18502/ijph.v54i12.20846","DOIUrl":"10.18502/ijph.v54i12.20846","url":null,"abstract":"Background: Pulmonary arterial hypertension (PAH) is characterized by high blood pressure in the lungs due to obstruction of small pulmonary arteries. Its exact cause is unknown. We aimed to identify specific genes, signaling pathways, and microRNAs (miRNAs) as novel diagnostic biomarkers for PAH progression.Methods: We analyzed differentially expressed genes (DEGs) from PAH and control samples in the GSE144932 and GSE131793 datasets using GEO2R. We performed GO enrichment and KEGG pathway analyses. miRNAs targeting common DEGs were identified using miRDB and TargetScan.Results: MYLK and CLU were upregulated in both datasets, implicating calcium signaling and coagulation pathways, respectively. In silico analysis showed that miR-9-5p, miR-3179, and miR-580-3p potentially target MYLK; miR-369-3p potentially targets CLU; and miR-499a-5p potentially targets both.Conclusion: This study identifies MYLK and CLU, and their associated miRNAs (miR-9-5p, miR-3179, miR-580-3p, miR-499a-5p, and miR-369-3p), as potential noninvasive diagnostic biomarkers for PAH, requiring experimental validation.","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 12","pages":"2754-2763"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0