Iranian Journal of Public Health最新文献

{"title":"The Nexus between Innovation in Healthcare Technology and Cultural Competence: Insights from Muslim Medical Tourists in South Korea.","authors":"Mehdi Rezaei, Ladan Rokni","doi":"10.18502/ijph.v54i12.20851","DOIUrl":"10.18502/ijph.v54i12.20851","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 12","pages":"2781-2783"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13429953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669452","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 between the Blood-Inflammatory Index with Depression and Anxiety in a Large Population.","authors":"Mina Nosrati, Hossein Hatamzadeh, Amin Mansoori, Mahsa Tousi, Shakiba Najjar Khalilabad, Fateme Rojoee, Fatemeh Mohammadyari, Gordon A Ferns, Habibollah Esmaily, Majid Ghayour-Mobarhan","doi":"10.18502/ijph.v54i12.20845","DOIUrl":"10.18502/ijph.v54i12.20845","url":null,"abstract":"<p><strong>Background: </strong>Inflammatory indices have been linked to mood disorders. We aimed to examine whether these inflammatory indices are associated with the severity of depression and anxiety as measured by Beck scores.</p><p><strong>Methods: </strong>This cross-sectional analysis included 9,704 participants aged 35-65 years from the Mashhad Stroke and Heart Atherosclerotic Disorder (MASHAD) cohort study. Depression and anxiety were assessed using the Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI). Inflammatory indices were calculated based on hematological and biochemical parameters. Multinomial logistic regression was applied to evaluate the associations between inflammatory markers and mood disorder severity.</p><p><strong>Results: </strong>In cases of severe depression, the neutrophil-to-lymphocyte ratio (NLR), white blood cell (WBC) count, and serum high-sensitivity C-reactive protein (hs-CRP) levels were significantly higher (OR = 1.29, 1.08, and 1.01, respectively; <i>P</i> < 0.05) than in individuals with minimal depression. Serum hs-CRP levels were also significantly higher (OR = 0.98; 95% CI: 0.95-0.99) in participants with moderate anxiety compared with those with minimal anxiety.</p><p><strong>Conclusion: </strong>Higher levels of depression were associated with increased inflammatory hematological indices, and that the severity of depression was related to elevated levels of NLR, WBC, and hs-CRP.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 12","pages":"2745-2753"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669687","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":"Evaluating the Protective Effects of Influenza Vaccination in Pregnant Women and Their Infants: An Umbrella Review.","authors":"Zakieh Ostad-Ahmadi, Sara Boccalini, Mohammad-Reza Modabberi, Anahita Behzadi","doi":"10.18502/ijph.v54i12.20816","DOIUrl":"10.18502/ijph.v54i12.20816","url":null,"abstract":"<p><strong>Background: </strong>Maternal influenza immunization is a primary strategy for protecting mothers and infants under six months, though its comprehensive efficacy and safety profiles undergo continuous evaluation. However, the reliability of current evidence is moderated by varying degrees of primary study overlap across existing reviews.</p><p><strong>Methods: </strong>Five electronic databases-PubMed, Embase, Web of Science, ProQuest, and Scopus-were systematically searched up to August 2024. Study eligibility and quality were assessed using the ROBIS tool. To ensure the integrity of the findings and address potential primary study overlap, the Corrected Covered Area (CCA) formula was applied.</p><p><strong>Results: </strong>Eleven systematic reviews and meta-analyses were evaluated. Maternal influenza vaccination may reduce the risk of laboratory-confirmed influenza (LCI) in both mothers and infants; however, no clear effect was observed on influenza-like illness (ILI). Vaccination is generally associated with a reduced risk of fetal mortality and no consistent evidence suggests a significant increase in congenital anomalies or spontaneous abortion. Maternal influenza vaccination may modestly reduce preterm birth risk, shows no clear effect on small for gestational age, and is associated with reduced low birth weight (LBW). The studies on influenza vaccination in pregnant women showed high overlap for LCI (0.66), infant LCI (0.50), and varying overlap for stillbirth (0.38), congenital anomalies (0.28), spontaneous abortion (0.23), premature birth (0.13), SGA (0.27), and LBW (0.14).</p><p><strong>Conclusion: </strong>Influenza vaccination during pregnancy effectively reduces LCI in mothers and infants without increasing adverse neonatal outcomes, though its impact on ILI remains inconsistent. Due to high study overlap and variable quality, further large-scale research is required to confirm effects on preterm birth and congenital anomalies.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 12","pages":"2634-2646"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13429959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669402","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":"Effect of I Quit Ordinary Smoking (IQOS) Use on Hepcidin and Iron Parameters in Comparison with Conventional Smoking.","authors":"Ola Monther Amaireh, Manal A Abbas, Manal M Abbas","doi":"10.18502/ijph.v54i12.20822","DOIUrl":"10.18502/ijph.v54i12.20822","url":null,"abstract":"<p><strong>Background: </strong>IQOS (I Quit Ordinary Smoking) has been introduced as a \"safer\" alternative to traditional tobacco smoking. We aimed to determine how heated tobacco products influence iron metabolism by examining the impact of IQOS use and conventional cigarette smoking on hepcidin and iron-related parameters.</p><p><strong>Methods: </strong>In this cross-sectional study, an iron panel and hepcidin levels were measured in participants who were using IQOS for at least six months and compared with those of conventional smokers or non-smokers.</p><p><strong>Results: </strong>A total of 185 adults (18-40 years) of both sexes participated in the study, including 80 IQOS users, 49 cigarette smokers and 56 non-smokers. No significant differences were found in hemoglobin level, red blood cell count, mean corpuscular volume, white blood cell count, platelet count or total iron level between IQOS users and non-smokers in both sexes. However, ferritin levels were significantly higher in male IQOS users compared to non-smokers (<i>P</i>=0.022). Hepcidin levels were markedly higher in IQOS users (375.77 ± 98.59 pg/mL) compared with cigarette smokers (26.35 ± 8.81 pg/mL; <i>P</i> = 0.0001) and non-smokers (31.27 ± 7.78 pg/mL; <i>P</i> = 0.0001). No significant difference in unsaturated iron-binding capacity, total iron-binding capacity or transferrin saturation was found between IQOS users compared to non-smokers.</p><p><strong>Conclusion: </strong>IQOS use was associated with significantly elevated hepcidin levels and higher ferritin in males, suggesting a potential disruption of iron regulation compared to conventional smokers and non-smokers.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 12","pages":"2701-2711"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13429966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669136","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":"Exploring the Role of and Factors Affecting Public-Private Partnership in Health Care Systems: A Scoping Review.","authors":"Motahhareh Yekehbash, Reyhaneh Zarei, Hassan Joulaei","doi":"10.18502/ijph.v54i12.20815","DOIUrl":"10.18502/ijph.v54i12.20815","url":null,"abstract":"<p><strong>Background: </strong>Public-private partnerships (PPPs) address issues of access, quality, and innovation in health care. This paper assesses the impact of various PPP models on health care delivery and explores factors influencing their success. We aimed to deepen policymakers' and practitioners' understanding of PPP dynamics, challenges, and opportunities.</p><p><strong>Methods: </strong>A scoping review was conducted using a systematic approach to identify relevant literature on PPPs in health care from 2000 to 2024. Searches were performed in PubMed, Scopus, and Web of Science using specific search terms and inclusion criteria. Data from selected articles were analyzed to identify key themes, drivers, and outcomes related to PPP implementation and impact.</p><p><strong>Results: </strong>The review covered 37 PPP studies from multiple countries, revealing mixed results and challenges. Successful PPPs in China, Iran, and Kenya improved health care delivery, efficiency, and patient satisfaction. However, challenges such as regulatory barriers, financial constraints, and integration issues persist. In Spain and Portugal, PPPs often face public rejection due to perceived financial unsustainability. Legal and regulatory frameworks in Iran and Tanzania hinder effective PPP implementation.</p><p><strong>Conclusion: </strong>PPPs have significant potential to transform health systems, especially in resource-limited settings. Their success relies on careful planning, strong governance, and adapting to local contexts. For PPPs to be effective, they must prioritize equity and sustainability in their design and execution.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 12","pages":"2623-2633"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13429961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669350","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":"Recent Advances in China's Wearable Healthcare Sensors for Chronic, Neurodegenerative, and Cardiovascular Care: A Narrative Review.","authors":"Doyoun Kim, Youngsub Lee","doi":"10.18502/ijph.v54i12.20810","DOIUrl":"10.18502/ijph.v54i12.20810","url":null,"abstract":"<p><p>China's rapid transition into a super-aged society is accelerating demand for advanced wearable healthcare sensors tailored for long-term, low-burden monitoring. While numerous reviews discuss demographic and policy contexts, fewer highlight the latest wearable sensor research emerging from Chinese laboratories and companies. This Mini Review summarizes representative advances published in the last five years across three major application areas-chronic metabolic disease management, neurodegenerative disease monitoring, and cardiovascular risk mitigation-focusing on sensor design, sampling media, data integration, and clinical relevance. Rather than examining demographic trends or general market growth, we emphasize technological breakthroughs such as non-invasive glucose-sensing microneedle patches, CKD-oriented urine/breath analyzers, multimodal gait-EEG neurodegenerative platforms, and bioresorbable cardiovascular implants that reflect China's emphasis on long-term, low-burden, and telemedicine-ready care. By concentrating on these China-originated devices and research prototypes, this review aims to provide a concise update on emerging concepts and highlight how these technologies reflect localized priorities-such as non-invasive sampling and family-assisted tele-care-while shaping future global trends.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 12","pages":"2557-2565"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13429817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669476","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":"Phylogenetic and Mutational Analysis of the <i>Tax</i> Gene in the Human T-Lymphotropic Virus 1 (<i>HTLV-1</i>) in Three Provinces of Iran.","authors":"Bezhan Noori, Vahid Shahnavaz, Atefeh Bahavar, Zohreh Sharifi, Parnaz Kafialqora, Zahra Navi, Abbas Rahimi Foroushani, Mohammadreza Shafiei, Seyed Mohammad Jazayeri, Sayed-Hamidreza Mozhgani, Mehdi Norouzi","doi":"10.18502/ijph.v54i12.20847","DOIUrl":"10.18502/ijph.v54i12.20847","url":null,"abstract":"<p><strong>Background: </strong>Human T-lymphotropic virus type 1 (<i>HTLV-1</i>) is considered a health issue in Iran. However, its genetic diversity and molecular epidemiologic phylogeny remain poorly characterized.</p><p><strong>Methods: </strong>The <i>Tax</i> gene of 9 asymptomatic individuals across Alborz, Gilan, and Ardabil provinces of Iran was sequenced and analyzed phylogenetically using MEGA-X.</p><p><strong>Results: </strong>All strains clustered within the Cosmopolitan subtype a, showing high genetic similarity to Japanese and Chinese references. Positive selection (dN/dS > 1) was observed in all samples. Strikingly, the Alborz ISO32 strain exhibited 10 unique nonsynonymous mutations, suggesting regional evolutionary divergence.</p><p><strong>Conclusion: </strong>This study, as the first multi-provincial study in Iran, reveals the essential requirement for systematic tracking of <i>HTLV-1</i> genetic diversity and designing prevention programs tailored to each region.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 12","pages":"2764-2772"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669442","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":"Examination of the Publication Quality of Abstracts of Systematic Reviews and Meta-Analyses on Measles, Published between 2009-2023 and Indexed in the PubMed Article Database.","authors":"Seyma Aliye Kara, Banu Cakir","doi":"10.18502/ijph.v54i12.20818","DOIUrl":"10.18502/ijph.v54i12.20818","url":null,"abstract":"<p><strong>Background: </strong>Measles, a highly contagious, yet vaccine-preventable disease, is currently experiencing a notable resurge in numbers, in developing countries. With limited reading time, physicians often rely on structured summaries, and well-prepared abstracts can encourage them to read the full article, facilitating patient care. We aimed to examine the reporting quality of article abstracts about measles.</p><p><strong>Methods: </strong>Indirectly/directly address measles and its vaccine, scrutinizing on systematic reviews and meta-analyses published from 2009 to the present, and indexed in the open-access PubMed article database. With the widespread use of abstract checklists like PRISMA-A in reading systematic reviews and meta-analyses, the message intended to be conveyed can be adequately delivered to the reader by abstracts only, respecting standard rules and requirements for reporting. We used a scoring system for compliance with PRISMA-A checklist in reading measles-related reviews published over the last 15 years.</p><p><strong>Results: </strong>On average, the abstracts were \"very highly\" compliant with the expected reporting criteria: The year of publication (with 2020 as the timepoint) did not make any difference in reporting quality, but structured abstract were significantly more likely to convey their message in an \"expected\" manner, based on PRISMA-A criteria.</p><p><strong>Conclusion: </strong>Using standard guidelines in evaluating reporting quality of different publications and emphasizing its importance for the writers and readers, alike, will be encouraging for improved presentation of original/filtered research results, with the goal of conveying valid and reliable health-related information, in a time-efficient way.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 12","pages":"2660-2669"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13429954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669345","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":"Evaluation of Cutaneous Leishmaniasis Cases in the Southeastern Border of Turkey in Recent Years.","authors":"Ahmet Şahin, Özlem Akay, Mikail Özdemir","doi":"10.18502/ijph.v54i11.20391","DOIUrl":"10.18502/ijph.v54i11.20391","url":null,"abstract":"<p><strong>Background: </strong>Cutaneous leishmaniasis (CL), caused by protozoa of the genus <i>Leishmania</i>, is an infectious disease endemic to many countries, including the Southeastern Anatolia region of Turkey. The number of cases in this region has surged due to factors such as the Syrian civil war, migration, overcrowded living conditions, malnutrition, decreased sanitation, and delayed diagnoses. This retrospective study aimed to evaluate adult CL patients.</p><p><strong>Methods: </strong>The patients admitted to the <i>Leishmania</i> Diagnosis and Treatment Centre from Jan 2019 to Jul 2023 were included to the study. Diagnosis was made by microscopic examination of Giemsa-stained samples from the serous fluid of cutaneous lesions, identifying the <i>Leishmania</i> amastigote form.</p><p><strong>Results: </strong>The cohort included 59 females and 41 males with a mean age of 42.8±16.2 yr. The majority resided in urban areas (60%), with single lesions in 57% of cases and multiple lesions in 43%. No statistical difference was found in lesion count between urban and rural residents (<i>P</i>=0.408) or between genders (<i>P</i>=0.932). However, a significant difference in lesion characteristics was observed between Turkish patients and immigrants (<i>P</i><0.001). Lesions primarily appeared as papules (44%) and nodules (36%), with extremities (65%) and head and neck (50%) being the most common sites. The most affected male age group was 18-29 yr (34.1%), while for females, it was 50-59 yr (27.1%).</p><p><strong>Conclusion: </strong>CL remains a significant public health issue in the region, exacerbated by socio-economic conditions following the Syrian conflict. Therefore, updating epidemiological data, implementing vector control programs, and promoting disease prevention education are essential.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2473-2479"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421445","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":"Survival and Causes of Death in Infants Admitted in NICU in Iran: A Retrospective Cohort Study 2016-2022.","authors":"Hosein Dalili, Mamak Shariat, Leyla Sahebi","doi":"10.18502/ijph.v54i11.20396","DOIUrl":"10.18502/ijph.v54i11.20396","url":null,"abstract":"<p><strong>Background: </strong>We aimed to assess neonatal survival and identify predictors of mortality among infants admitted to a tertiary hospital in Iran between 2016 and 2022.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted on 7,255 neonates admitted to a tertiary hospital in Iran.</p><p><strong>Results: </strong>Overall neonatal and preterm mortality rates were 6.6% and 9.1%, respectively, with a declining trend across various medical conditions. Multiple Cox regression analysis revealed several predictors of death as gestational age, birth weight, APGAR scores, congenital defects, sepsis, respiratory disorders, intervention treatments, and antibiotic administration history. Implications for Practice: Although survival rates have improved, neonatal mortality in Iran remains a concern. The leading causes of death-congenital anomalies, sepsis, and respiratory disorders-highlight the need for strengthened antimicrobial stewardship and infection control. Managing invasive procedures is essential to prevent hospital-acquired infections.</p><p><strong>Conclusion: </strong>Further studies are needed to clarify the causal relationship between multiple antibiotic regimens and neonatal survival.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2524-2535"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420933","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}