Iranian Journal of Public Health最新文献

{"title":"Effective Factors on Elderlies' Disability.","authors":"Farzane Ahmadi, Farzaneh Karamitanha, Mobin Hafezipour, Kaveh Hadiloo","doi":"10.18502/ijph.v54i4.18432","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18432","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"896-898"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967212","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}

{"title":"Barriers to Telemedicine Establishment in Iran: A Systematic Review.","authors":"Mohammad Hossein Mehrolhassani, Vahid Yazdi-Feyzabadi, Reza Dehnavieh, Kambiz Bahaadinbeigy, Mohammad Kargar","doi":"10.18502/ijph.v54i4.18412","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18412","url":null,"abstract":"<p><strong>Background: </strong>Despite the implementation of some experimental and temporary telemedicine projects in Iran in recent years, it has not been deployed in formal healthcare services. The first step in establishment of this technology in health system is identification of barriers of this area. Therefore, this study aimed to identify the barriers to telemedicine establishment in Iran health system.</p><p><strong>Methods: </strong>A systematic review was conducted according to PRISMA guidelines. Searches were conducted in PubMed, Web of Sciences, Scopus, Cochrane Library, Iranmedex, Magiran, SID and Google Scholar. The inclusion criteria were studies that reported barriers to telemedicine in Iran, non-review studies, published studies in English and Persian between Nov 22, 2010 and Mar 20, 2022. Data were analyzed using narrative synthesis and deductive-inductive thematic analysis and the World Health Organization building blocks framework was used in this regard.</p><p><strong>Results: </strong>Out of 1148 studies identified, 21 studies met the inclusion criteria for review. The findings fell into four themes, including governance/leadership, financing, health workers, and health information system besides 11 sub-themes. No specific findings were derived from the building blocks of service delivery and medical product, vaccines and technologies.</p><p><strong>Conclusion: </strong>Governance is an integral part of other building blocks of the health systems. Hence, overcoming the barriers in this field can be prioritized. Therefore, ensuring the existence of strategic policy frameworks along with some other factors such as effective supervision, coalition building, laws and regulations, and community participation can be the first solutions for establishment of telemedicine in Iran.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"739-750"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988789","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}

{"title":"Suicide Reattempt Risk Factors: A Cross-Sectional Study Using Mashhad's Population-Based Registry, 2019-2022.","authors":"Amin Moradi, Fateme Nikbakht, Ali Taghipour, Hamid Reza Fathi, Behnaz Beygi, Khadijeh Ghasemi, Zahra Amiri, Ehsan Mosafarkhani","doi":"10.18502/ijph.v54i4.18425","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18425","url":null,"abstract":"<p><strong>Background: </strong>Suicide is a serious global public health issue, which is the fourth-leading cause of death for young people between the ages of 15 and 29. This study aimed to be conducted to investigate the factors affecting suicide reattempts.</p><p><strong>Methods: </strong>This cross-sectional study used data from the Sina Electronic Health Registration System and the HIS of Mashhad University of Medical Sciences, Mashhad, Iran covering around 90% of suicide attempts in Mashhad's government hospitals (2019-2022). The study population included all Mashhad residents with documented suicide attempts in this period. Descriptive analysis was followed by a Poisson multivariable regression to identify factors affecting suicide attempt frequency, with analyses conducted in Stata version 14 and significance set at <i>P</i><0.05.</p><p><strong>Results: </strong>Among 5,737 participants, 3,157 (55.0%) were men. The overall rate of suicide reattempt was 10.1% (n=580). Suicide reattempts were more prevalent among men (55.5% of reattempts, n=322), individuals with mental disorders (16.0%, n=93), substance users (7.8%, n=45), single persons (66.6%, n=386), those with high school education (47.6%, n=276), and self-employed individuals (45.7%, n=265). Poisson regression analysis revealed that substance users had a 43% higher likelihood of reattempting suicide compared to non-users (IRR=1.43, 95% CI: 1.27-1.61, p<0.001), after adjusting for other variables.</p><p><strong>Conclusion: </strong>Identifying risk factors for suicide reattempt, such as drug abuse, may be effective in identifying high-risk groups and preventing suicide reattempts.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"860-869"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964103","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}

{"title":"Regional Differentiation of Mortality from Cardiovascular and Respiratory Diseases in Correlation with Concentrations of PM₁₀ Particles in Montenegro.","authors":"Djoko Raicevic, Mirko Mikic, Ivan Mijanovic, Nikola Milentijevic","doi":"10.18502/ijph.v54i4.18416","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18416","url":null,"abstract":"<p><strong>Background: </strong>We aimed to indicate whether the regional disparity in the general mortality rate from cardiovascular (CVDs) and chronic respiratory (CRDs) diseases correlates with the trends of the average annual values of PM₁₀ particles in selected cities in Montenegro.</p><p><strong>Methods: </strong>We used descriptive statistics together with correlation tests. The paper deals with the regional distribution of mortality caused by CVDs and chronic respiratory (CRDs) diseases in Montenegro from 2011 to 2019, while the correlation of mortality in selected cities with PM₁₀ particles covers the period from 2011 to 2019.</p><p><strong>Results: </strong>The selected cities from different regions of Montenegro, such as Pljevlja and Niksic, exhibited significant correlations between increased pollution concentrations and mortality from cardiovascular diseases. In Pljevlja, a strong correlation was found between PM₁₀ concentrations and CVD mortality (r = 0.8), while in Niksic, the association between PM₁₀ particles and CVD mortality in women was relatively strong (β=2.7). Similar, but weaker correlations were observed in Podgorica (r=0.5) and Bar (r=0.4). Regarding respiratory diseases, the correlations with PM₁₀ particles were negative and weaker in all cities, with the lowest coefficients observed in Podgorica (r = -0.2) and Nikšić (r = -0.3), suggesting a lesser impact of pollution on mortality from respiratory diseases compared to cardiovascular diseases.</p><p><strong>Conclusion: </strong>Mortality trends particularly for cardiovascular diseases, show a strong correlation with poor air quality in certain cities, especially Pljevlja and Niksic. Reducing pollutant emissions would significantly contribute to improving public health in Montenegro. Future research must include established measuring stations network for air quality analysis in Montenegro.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"785-794"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981827","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}

{"title":"COVID-19 and Psychopathologies in Children-A Single Session Intervention Plan to Promote Mental Health during Crises Management: A Systematic Review.","authors":"Sana Rehman, Siti Raudzah Ghazali, Ask Elklit","doi":"10.18502/ijph.v54i4.18408","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18408","url":null,"abstract":"<p><strong>Background: </strong>The world has experienced numerous natural and man-made disasters throughout history. Due to these unforeseen circumstances, children and adolescents have reported significant psychopathologies in response to traumatic experiences. We aimed to investigate the surge of internalizing and externalizing psychopathologies during COVID-19 and to assess the efficacy of single-session therapies used to treat mental health issues during this period.</p><p><strong>Methods: </strong>Overall, 270 articles were retrieved across both phases of the study, with 250 articles identified in Phase I and 20 in Phase II. Following the PRISMA flowchart guidelines, approximately 30 studies were selected to meet the objective of Phase I, while 10 studies were chosen to address the objective of Phase II. The articles were retrieved from various databases, including PubMed, Google Scholar, Scopus, Ovid, CENTRAL, JSTOR, NCBI, and Science Direct. Only articles published between 2019 and 2022 were included in the study.</p><p><strong>Results: </strong>The findings of first phase of study indicated a surge in internalizing psychopathologies (such as anxiety, depression, loneliness, and somatic problems) and externalizing psychopathologies (including conduct/oppositional disorders, sleep disturbances, suicidal ideation, ADHD, and substance abuse) over the past four years. Additionally, according to the findings of the second phase of the study, single-session therapies were found to be effective in mitigating symptoms of depression and anxiety.</p><p><strong>Conclusion: </strong>The study's findings are discussed in the context of counseling adolescents, highlighting the importance of addressing mental health issues in this demographic.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"688-700"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016025","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}

{"title":"The Emerging Role of Adropin in Neurological Health: A Systematic Review.","authors":"Rooban Sivakumar, Arul Senghor Kadalangudi Aravaanan, Vinodhini Vellore Mohanakrishnan, Janardhanan Kumar","doi":"10.18502/ijph.v54i4.18407","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18407","url":null,"abstract":"<p><strong>Background: </strong>Adropin, a peptide hormone has role in various various physiological processes, including metabolic regulation and cardiovascular health. This systematic review aimed to synthesize findings from observational studies on the involvement of adropin in neurological disorders and cognitive performance.</p><p><strong>Methods: </strong>An extensive literature search was conducted across PubMed, Scopus, Web of Science, Embase, CORE, and Google Scholar using terms such as \"adropin,\" \"Neurological Disorders,\" \"cognitive function,\" \"Alzheimer's disease,\" \"Parkinson's disease,\" \"cognition,\" and \"brain function.\" Studies published from 2020 to 2024 were selected and reviewed. The search and selection process adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Out of 127 screened articles, 5 met the inclusion criteria for this review.</p><p><strong>Results: </strong>The combined research findings suggest a consistent link between decreased adropin levels and a range of neurological disorders and cognitive impairments. In particular, reduced adropin levels were seen in individuals with dementia, cognitive impairment, bipolar disorder, Parkinson's disease, and multiple sclerosis. These findings highlight adropin's potential role in modulating neurological health and cognitive function.</p><p><strong>Conclusion: </strong>This systematic review underscores the importance of adropin in neurological health and its potential as a therapeutic agent. Based on the observed connections, adropin might serve as a new focus for treating neurological disorders, prompting the need for more research and trials.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"675-687"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016141","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}

{"title":"Effects of a Self-Efficacy-Based Breastfeeding Support Program (SBP) on Primipara's Breastfeeding and Postnatal Depression.","authors":"Hye-Eun Oh, Hye-Jin Kim","doi":"10.18502/ijph.v54i4.18423","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18423","url":null,"abstract":"<p><strong>Background: </strong>We aimed to verify effects of a self-efficacy-based breastfeeding support program (SBP) through a 1:1 face-to-face education and non-face-to-face education via phone counselling on breastfeeding and postnatal depression in primiparous women.</p><p><strong>Methods: </strong>This is a nonequivalent control group pre-posttest design study and primiparous women who gave birth at a tertiary general hospital in South Korea from May to Oct 2022 participated. Participants in the experimental group were provided with SBP (6 educational sessions) by the researcher for 4 wk after birth. Pre and post-test measures included breastfeeding knowledge, breastfeeding self-efficacy, adaption, breastfeeding rate, and postnatal depression.</p><p><strong>Results: </strong>The participants were 48, with 26 in the SBP experimental group and 22 in the control group. Breast-feeding knowledge, breastfeeding self-efficacy, and adaption scores level of increase were significantly higher in the experimental group than in the control group (<i>P</i><.001, <i>P</i>=.010, and <i>P</i>=.012). Breastfeeding rate was significantly higher in the experimental group than in the control group (<i>P</i>=.011). The score of postnatal depression was significantly lower in the experimental group than in the control group (<i>P</i>=.032).</p><p><strong>Conclusion: </strong>The SBP was validated as a program that could promote the continuation of self-directed breast-feeding even after discharge by primiparous women experiencing breastfeeding for the first time and ultimately improve the health of both mother and infant, thereby providing evidence for effective breastfeeding intervention strategies for nursing in practice.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"839-849"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990654","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}

{"title":"Association of Adiponectin and Resistin Gene Polymorphisms with Undernutrition Risk among Type 2 Diabetes Patients in Bosnia and Herzegovina.","authors":"Maja Vuković, Miloš Maksimović, Siniša Ristić, Milan Kulić, Biljana Mijović, Marija Milić, Nenad Lalović, Nikolina Elez-Burnjaković, Danijela Radulović, Dajana Nogo-Živanović, Ljiljana Krsmanović, Nada Avram, Biljana Milinković, Siniša Šolaja, Sandra Matović, Jovan Kulić, Bojan Joksimović","doi":"10.18502/ijph.v54i4.18420","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18420","url":null,"abstract":"<p><strong>Background: </strong>Undernutrition disorder is a prevalent comorbidity (up to 25%) in type 2 diabetes (T2D) patients which significantly compromises their health. We aimed to assess the association between single nucleotide polymorphysms (SNPs) adiponectin (<i>ADIPOQ)</i> +276 (G/T) and resistin (<i>RETN)</i> -420 (C/G) with the risk of developing T2D and undernutrition in patients with T2D.</p><p><strong>Methods: </strong>The research was conducted as prospective case-control study among 106 patients with T2D and 106 healthy control individuals in the territory of the Bosnia and Herzegovina from Sep 1st 2022 to May 1st 2023. For assessing the nutritional status, the mini nutritional assessment (MNA) was used. DNA analysis was carried out by restriction fragment length polymorphism-polymerase chain reaction (RFLP-PCR) method. The data were analyzed using chi-square test, t-test for independent samples and binary multivariate logistic regression.</p><p><strong>Results: </strong>The research included 212 subjects of which 124 (58.5%) were male. The mean age of the subjects was 68.48±4,67 yr. Almost 20% of subjects were undernourished, significantly more T2D patients when compared to controls (33% vs. 6.6%; <i>P</i><0.001). <i>ADIPOQ</i> +276 GT genotype was identified as significant predictor of T2D (OR: 3.454; 95% CI: 1.400-8.521; <i>P</i>=0.007) and undernutrition disorder (OR: 3.453; 95% CI: 1.331-8.961; <i>P</i>=0.011) in T2D population, while the presence of <i>RETN</i> -420 CG genotype had protective effect against occurrence of T2D (OR: 0.353; 95% CI: 0.144-0.867; <i>P</i>=0.023). However, <i>RETN</i> genotypes were not associated with undernutrition disorder.</p><p><strong>Conclusion: </strong><i>ADIPOQ</i> +276 gene polymorphism represent a significant predictor for development of T2D and undernutrition disorder in T2D population, while <i>RETN</i> -420 gene polymorphism was identified as a significant factor associated with a reduced risk for T2D, but was not associated with undernutrition.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"810-819"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991008","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}

{"title":"Consanguineous Marriage among Iranian Jews: A Report from Shiraz, Southern Iran.","authors":"Mostafa Saadat, Erfan Parizadeh","doi":"10.18502/ijph.v54i4.18430","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18430","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"891-893"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001281","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}

{"title":"Is Emotional Granularity Important in Vulnerability to Post-Traumatic Stress Disorder?","authors":"Bahman Matinpour, Elaheh Naseri, Arina Attaran, Javad Kazemi, Alireza Karimpourvazifehkhorani","doi":"10.18502/ijph.v54i4.18431","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18431","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"894-895"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967361","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}