Iranian Journal of Public Health最新文献

{"title":"The Association between Dairy Consumption and the Risk of Developing Multiple Sclerosis: A Systematic Review and Meta-Analysis.","authors":"Behnaz Sedighi, Simin Jafari, Shoboo Rahmati, Fatemeh Ajam, Seyedeh Tahereh Afrah, Simin Salehinejad, Mahdieh Mirzaie, Roya Amir Gooshki, Parya Jangipour Afshar","doi":"10.18502/ijph.v54i11.20386","DOIUrl":"10.18502/ijph.v54i11.20386","url":null,"abstract":"<p><strong>Background: </strong>Multiple sclerosis (MS) is a chronic and disabling disease that commonly affects young adults. We aimed to provide a comprehensive review of the current literature on the association between dairy consumption, particularly cow milk, and the risk of developing MS.</p><p><strong>Methods: </strong>This systematic review and meta-analysis was conducted in accordance with PRISMA guidelines. We searched PubMed, Web of Science, Cochrane Library, and Scopus for peer-reviewed papers published until 2024. Eligible studies included randomized controlled trials, quasi-experimental studies, and observational designs (case-control, cohort, cross-sectional). Studies were excluded if they did not report sufficient data to calculate effect sizes. Study quality was assessed using the Newcastle-Ottawa Scale (NOS). A random-effects meta-analysis was conducted, and heterogeneity was assessed using the I² statistic.</p><p><strong>Results: </strong>Twenty studies met the inclusion criteria. The overall pooled odds ratio (OR) for the association between total dairy consumption and MS risk was 0.96 (95% CI: 0.93-0.99), indicating a weak but statistically significant inverse association. Subgroup analysis of cohort studies, however, showed no significant association (relative risk [RR] = 1.18, 95% CI: 0.95-1.47, <i>P</i> = 0.41). Furthermore, cow's milk consumption alone was not significantly associated with MS development (OR = 0.88, 95% CI: 0.46-1.69, <i>P</i> = 0.21).</p><p><strong>Conclusion: </strong>Although pooled results suggest a slight protective effect of overall dairy consumption on MS risk, findings remain inconsistent and inconclusive, especially when considering specific dairy products and study design. Additional longitudinal studies with rigorous methodology are needed to clarify the potential role of dairy in MS pathogenesis.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2408-2420"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420915","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":"Unveiling the Complex Interplay of Individual Factors Influencing Unsafe Behaviors in Industrial Workplace: A Systematic Review.","authors":"Azim Karimi, Esmaeil Zarei, Ehsanollah Habibi, Fatemeh Aminiaei","doi":"10.18502/ijph.v54i11.20385","DOIUrl":"10.18502/ijph.v54i11.20385","url":null,"abstract":"<p><strong>Background: </strong>This systematic review aimed to clarify the individual factors that contribute to unsafe behaviors in industrial workplaces.</p><p><strong>Methods: </strong>An initial search across PubMed, Web of Science, Google Scholar, and Scopus yielded 2,348 articles published between 2000 and 2023. After a rigorous screening process using the PRISMA guideline, 51 studies meeting the inclusion criteria-focusing on individual determinants of unsafe behaviors in industrial environments were selected for in-depth analysis.</p><p><strong>Results: </strong>The systematic analysis revealed a multifaceted relationship between individual factors and the occurrence of unsafe behaviors. Key themes include the influence of demographic attributes, psychological needs and desires, cognitive factors, and health conditions. The dual-focused approach of addressing both organizational and individual dimensions emerged as crucial for effective safety management. The synthesis of evidence underscores the significance of individual factors in shaping workplace safety. While organizational strategies remain integral, our findings emphasize the complementary role of individual-focused initiatives. A notable gap in the absence of a comprehensive tool for examining all individual factors points toward a crucial avenue for future research.</p><p><strong>Conclusion: </strong>This review contributes essential insights for organizational leaders, safety managers, and policy-makers seeking to enhance safety protocols and create safe and resilient work environments.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2395-2407"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13349018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420954","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":"Dimensions of Health System Performance Assessment: A Scoping Review.","authors":"Khadije Safizade, Hossein Dargahi, Alimohammad Mosadeghrad, Ebrahim Jafari Pooyan","doi":"10.18502/ijph.v54i11.20387","DOIUrl":"10.18502/ijph.v54i11.20387","url":null,"abstract":"<p><strong>Background: </strong>Performance assessment is a key approach to understanding how functions and processes are operating. The first essential step in this process is to determine what aspects should be covered in the assessment. We aimed to identify the dimensions of health system performance assessment in Iran.</p><p><strong>Methods: </strong>A scoping review was conducted in this study from 2000 to 2024. It was carried out in both Persian and English databases. A total of 17 frameworks or models were identified. Their dimensions, components, and interrelationships were extracted and synthesized. Subsequently, a new framework was developed using the framework analysis approach.</p><p><strong>Results: </strong>We identified 6 main dimensions and 28 sub-dimensions for health system performance assessment, adopted as a logic model comprising inputs, output, and outcomes. The major dimensions include: Governance and Leadership-vision, policy and planning, communication, monitoring and evaluation; infrastructure, knowledge; standards of care and service of delivery.</p><p><strong>Conclusion: </strong>Despite the overlap of some of the main dimensions of the frameworks, the consolidated framework has differences from the previous ones, which emphasizes the assessment of qualitative feedback based on their experiences. Therefore, this integrated framework offers a comprehensive structure that is particularly suitable for evaluating the performance of Iran's health system, taking into account its specific environmental context.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2421-2434"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421408","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 Assessment of Muscle Strength for Standing Long Jump and Vertical Jump: Focusing on Muscle-Strengthening Programs: A Systematic Review and Meta-Analysis.","authors":"Jeheon Moon, Jiho So, Youngju Jeon, Sungmin Kim","doi":"10.18502/ijph.v54i11.20378","DOIUrl":"10.18502/ijph.v54i11.20378","url":null,"abstract":"<p><strong>Background: </strong>Grip strength is often used as a proxy for systemic muscle strength due to its ease of measurement, but varying errors may occur due to measurement factors. Standing long jump and vertical jump are components of physical fitness, considered to reflect lower extremity muscle power. This systematic review aimed to evaluate the suitability of grip strength as a measure of muscle strength and its relationship to standing long jump and vertical jump performance following muscle-strengthening exercises.</p><p><strong>Methods: </strong>Articles were selected using the PICOSD framework through a search of PubMed, Web of Science, and ScienceDirect up to Dec 6, 2024, including studies involving young, healthy adults, muscle strength improvement, and key terms such as grip strength, standing long jump, vertical jump, and resistance or plyometric training. Thirteen studies were included, comprising 496 participants. Effect sizes for grip strength, standing long jump, and vertical jump were calculated, with internal validity confirmed via publication bias and qualitative assessment.</p><p><strong>Results: </strong>Meta-analysis of 13 articles with 32 data points revealed a significant improvement in grip strength after muscle-strengthening programs (<i>I²</i> =60%, <i>P</i><.01), with an effect size (ES) of -1.36 (95% CI: -2.11, -0.62). However, standing long jump and vertical jump showed no significant differences post-training (long jump: <i>I²</i> =0%, <i>P</i><.65; vertical jump: <i>I²</i> =4%, <i>P</i><.41), with small effect sizes (long jump, ES: -0.28 [95% CI: -0.51, -0.05]; vertical jump, ES: -0.35 [95% CI: -0.52, -0.19]).</p><p><strong>Conclusion: </strong>Grip strength is a more reliable indicator of muscle strength than standing long jump and vertical jump, which mainly assess muscle strength rather than muscle strength.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2298-2312"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420923","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 Relation of Air Pollution on Morbidity and Mortality of SARS-CoV-2 Infection in Tekirdag, Türkiye.","authors":"Gamze Varol, Burcu Tokuç, Ülfiye Çelikkalp, Nilay Etiler","doi":"10.18502/ijph.v54i11.20390","DOIUrl":"10.18502/ijph.v54i11.20390","url":null,"abstract":"<p><strong>Background: </strong>We aimed to investigate the relation between environmental air pollutants such as Particulate Matter 10 (PM₁₀), Particulate Matter 2.5 (PM_2.5), Sulfur Dioxide (SO₂) on daily cases and deaths associated with SARS-CoV-2 infection.</p><p><strong>Methods: </strong>The ecological research examined the correlations of the air quality metrics and the data of COVID-19 cases and deaths from March 1, 2020 to March 1, 2021 in the central District of Tekirdağ Province in Türkiye.</p><p><strong>Results: </strong>During the study period, the average PM₁₀ concentration was 32.57±17.86 μg/m³, PM_2.5 was 20.68±11.31 μg/m³, SO₂ was 11.28±13.42 μg/m³, and NO₂ was 19.07±7.26 μg/m³. The SARS-CoV-2 case fatality rate in the study area during this period was 3.2%. Correlation analyses between air pollutants and SARS-CoV-2 cases and deaths revealed significant positive associations between SARS-CoV-2 cases (r=0.220 for PM₁₀, <i>P</i><0.001; r=0.290 for PM_2.5, <i>P</i><0.001; r=0.218 for SO₂, <i>P</i><0.001) and deaths (r=0.203 for PM₁₀, <i>P</i><0.001; r=0.289 for PM_2.5, <i>P</i><0.001; r=0.278 for SO2, <i>P</i><0.001). Moreover, regression analysis revealed that ambient sulfur dioxide (SO₂) levels significantly predicted both COVID-19 incidence and mortality.</p><p><strong>Conclusion: </strong>PM₁₀, PM_2.5, and SO₂, key parameters for assessing air quality, exhibit a positive relationship with the increasing number of daily SARS-CoV-2 cases and daily deaths in the study area.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2463-2472"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420971","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":"Effectiveness of Interventions Utilizing Community Health Worker Model on Reducing Stunting in Low- and Middle-Income Countries: A Systematic Review.","authors":"Muhammad Alwi Eka Pranata, Fawziyyah Sadiq, Jiun-Yi Wang, Yu-Lyu Yeh","doi":"10.18502/ijph.v54i11.20381","DOIUrl":"10.18502/ijph.v54i11.20381","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to assess the effectiveness of interventions delivered by CHWs and their strategies for reducing stunting in LMICs.</p><p><strong>Methods: </strong>We undertook a systematic review following PRISMA guidelines. The articles were selected from major electronic databases, reference lists and grey literature from 2016 and 2023.</p><p><strong>Results: </strong>Seventeen articles were included in the final analysis from the initial 2,899 search results. CHW-led interventions significantly reduce stunting. Training and refresher courses enhanced outcomes, while challenges included inconsistent implementation and resource constraints. The variability in results underscores the need for multisectoral collaboration to maximize impact.</p><p><strong>Conclusion: </strong>Our findings highlighted the significant role of CHW-led interventions in reducing stunting, emphasizing their potential as accessible and reliable resources for local communities.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2342-2355"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421443","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":"Long-Term Dynamics of Overweight and Obesity in Chinese Adults and Association with Blood Pressure: Evidence from the China Health and Nutrition Survey.","authors":"Yang Chen, Xinmei Yang","doi":"10.18502/ijph.v54i11.20419","DOIUrl":"10.18502/ijph.v54i11.20419","url":null,"abstract":"<p><strong>Background: </strong>Overweight and obesity have turned into a substantial public health crisis worldwide. We aimed to estimate the prevalence and risk factors of overweight and obesity.</p><p><strong>Method: </strong>Data collected from the China Health and Nutrition Survey (CHNS) from 1993 to 2015, including 75,559 adults. We used linear-by-linear trend tests, logistic models, and Cox regression models to test the relationship between the prevalence of overweight and obesity and blood pressure.</p><p><strong>Results: </strong>From 1993 to 2015, the prevalence of overweight and obesity increased from 34.94% to 69.63%, and the prevalence of females was higher than that of males. Cox regression analysis showed that systolic pressure (SBP) <140 and diastolic pressure (DBP) <90 was associated with a lower prevalence in participants. Compared by both age and gender, SBP and DBP were risk factors for the prevalence of overweight and obesity.</p><p><strong>Conclusion: </strong>Higher DBP and SBP were associated with a higher risk of overweight and obesity. When developing blood pressure control strategies, comprehensive consideration should be given to population demographics, with an emphasis on promoting individualized intervention approaches.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2454-2462"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420970","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 Etiological Characteristics of Hand, Foot, and Mouth Disease in Yuyao, China, 2010-2023.","authors":"Shaojun Huang, Xuehui Luo, Debao Yu","doi":"10.18502/ijph.v54i11.20388","DOIUrl":"10.18502/ijph.v54i11.20388","url":null,"abstract":"<p><strong>Background: </strong>We aimed to analyze the etiological composition of Hand, Foot, and Mouth Disease (HFMD) in Yuyao from 2010 to 2023, and to provide scientific decision and basis for the development of preventive and control measures for HFMD.</p><p><strong>Methods: </strong>Employing descriptive epidemiological methods, we analyzed the etiological results of mild cases of HFMD monitored from 2010 to 2023.</p><p><strong>Results: </strong>From 2010 to 2023, 4,294 samples from HFMD patients in Yuyao, China were analyzed, with 2,362 (55.01%) testing positive for enteroviruses. The most common serotypes were EV71 (30.57%), CA16 (25.91%), and CA6 (8.26%). There was a significant variation in positivity rates over the years, with the lowest in 2023 (22.61%) and the highest in 2012 (95.45%). EV71 was the dominant serotype before 2018, but other serotypes became more prevalent afterward, with CA6 emerging as the primary strain post-2018. HFMD cases occurred year-round, with a clear seasonal pattern peaking from April to October, especially in May. This period accounted for 81.63% of all cases. The disease affected individuals of all ages, but the majority (83.74%) were children under six. Males had a higher detection rate than females, with a significant difference between the genders.</p><p><strong>Conclusion: </strong>Between 2010 and 2023, the composition of pathogens causing HFMD in Yuyao underwent significant changes. These observations not only deepened the understanding of the epidemic trends and etiological evolution of the disease in the area but also provided scientific support for the development of more targeted prevention and control measures.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2435-2443"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420900","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":"Gut Microbiota and Recurrence Risk in Acute Ischemic Stroke: Insights from a Competitive Risk Model.","authors":"Yanmin Gao, Yongtao Zheng, Bing Xia, Biao Li","doi":"10.18502/ijph.v54i11.20399","DOIUrl":"10.18502/ijph.v54i11.20399","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2541-2542"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13349021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420860","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":"Effectiveness of a Smartphone-Based Self-Management App (BeHealth app) for Women with Breast Cancer: A Randomized Controlled Trial.","authors":"Hee-Seung Kim, Hye-Jin Kim","doi":"10.18502/ijph.v54i11.20393","DOIUrl":"10.18502/ijph.v54i11.20393","url":null,"abstract":"<p><strong>Background: </strong>Self-management and health behaviors are essential for improving the quality of life and preventing subsequent complications in patients with breast cancer. To investigate effects of a smartphone-application-based diet and exercise self-management program (BeHealth app) on self-efficacy, health behaviors, and selected cardiometabolic risk factors (body mass index, waist circumference, blood pressure, and fasting glucose) in women with breast cancer.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted with 49 participants (24 experimental, 25 control) in Seoul between Jan and Feb 2017, assigned using block randomization via Microsoft Excel. They received counseling and underwent a physical examination and blood testing at both trial's commencement and at a follow-up 12 wk later. The experimental group was given the BeHealth app for setting health goals, keeping a self-diagnosis and health record, and using chat space and health information for 12 wk. Statistical analysis was conducted using SPSS with ANOVA to assess the BeHealth app's effects on self-efficacy, health behaviors, and selected cardiometabolic risk factors over time between and within groups.</p><p><strong>Results: </strong>The experimental group showed significantly increased levels of vegetable intake(<i>P</i>=.017) and significantly reduced levels of fasting blood glucose(<i>P</i>=.037) compared to the control group, suggesting that the Be-Health app may be effective in reducing cardiovascular disease risk factors.</p><p><strong>Conclusion: </strong>The BeHealth app could be further developed to have compatibility with medical data and use in hospitals so that it is more appealing to target breast cancer survivors and increase its effectiveness for decreasing cardiometabolic risk factors in breast cancer survivors.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2490-2499"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421406","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}