Iranian Journal of Public Health最新文献

{"title":"The Efficacy and Safety of Hypoglycemic Agents in the Middle-Aged and Elderly Patients with Diabetes Mellitus: A Systematic Review and Meta-Analysis.","authors":"Jiayan Huang, Huawei Qiu, Kaishun Meng","doi":"10.18502/ijph.v54i7.19114","DOIUrl":"10.18502/ijph.v54i7.19114","url":null,"abstract":"<p><strong>Background: </strong>We aimed to evaluate the efficacy and safety of combined hypoglycemic agents and insulin therapy in the middle-aged and elderly patients with diabetes through a meta-analysis.</p><p><strong>Methods: </strong>Literature was searched in PubMed, Cochrane Library, EMbase, Web of Science, WanFang, VIP, and CNKI databases for studies on the combined use of hypoglycemic agents and insulin therapy in the middle-aged and elderly patients with diabetes, with a search time limit up to February 2023.</p><p><strong>Results: </strong>This article includes 8 RCTs. The risk of bias assessment shows that one article had a low risk of bias, one article have an unclear risk of bias, and 6 articles have a high risk of bias. The meta-analysis results show that the combination of hypoglycemic agents and insulin has better blood glucose control (<i>P</i>=0.0001); fasting blood glucose reduction is more significant (<i>P</i><0.00001); the 2-hour postprandial blood glucose reduction is more noticeable (<i>P</i>=0.002); HbA1c reduction is more pronounced (<i>P</i>=0.005); however, there is no difference in the incidence of adverse reactions between the two groups (<i>P</i>=0.09).</p><p><strong>Conclusion: </strong>The combination of hypoglycemic agents and insulin in the treatment of middle-aged and elderly diabetic patients can reduce the fasting blood glucose, the 2-hour postprandial blood glucose, and HbA1c, and reduce adverse reactions. However, due to the limitations in the number and quality of the included studies, the conclusion still requires further verification from more high-quality RCTs.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1350-1363"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799108","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":"Analyzing the Importance and Performance of Safety Education for Sports Participants with Disabilities in Korea.","authors":"Seungok An, Donghee Lee, Kwang Bong Suh, Byeol Shin","doi":"10.18502/ijph.v54i7.19148","DOIUrl":"10.18502/ijph.v54i7.19148","url":null,"abstract":"<p><strong>Background: </strong>We conducted an importance-performance analysis (IPA) to examine how sports instructors with disabilities perceive the effectiveness and relevance to improve safety education for sports participants with disabilities.</p><p><strong>Methods: </strong>This study was conducted from April to July 2024 in Seoul and Gyeonggi Province, South Korea. We surveyed 395 sport instructors with disabilities and analyzed the perceived importance and performance of safety education across seven domains: life safety, traffic safety, violence and personal safety, drug and cyber addiction, disaster safety, occupational safety, and first aid. The survey included 52 sub-items, and data were analyzed using descriptive statistics, paired samples <i>t</i>-tests, and IPA.</p><p><strong>Results: </strong>A significant difference in importance and performance was observed across all 7 safety education areas and 52 sub-items, with their importance exceeding their performance (<i>P</i><0.05). The IPA matrix showed that the traffic and disaster safety domains required urgent improvement, while the life and occupational safety domains required long-term improvement.</p><p><strong>Conclusion: </strong>Considering that accidents are difficult to predict and can occur in various forms, is it necessary to cultivate long-term improvement among sports participants with disabilities by incorporating safety education into their daily lives.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1424-1433"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798983","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":"Global and Cross-Country Inequalities in the Fatal and Non-Fatal Burden Attributable to Drug Use Disorders and Subtypes: Findings from the Global Burden of Disease Study 2021.","authors":"Zhou Lei, Li Hui, Sun Anxiu","doi":"10.18502/ijph.v54i7.19156","DOIUrl":"10.18502/ijph.v54i7.19156","url":null,"abstract":"<p><strong>Background: </strong>Drug use disorders (DUDs) pose a serious public health threat, exacerbating the worldwide disease burden and resulting in a dramatic rise in fatalities. We aimed to explore the global and cross-country disparities in the fatal and non-fatal burden attributable to DUDs and subtypes by sex and age groups from 1990 to 2021.</p><p><strong>Methods: </strong>The Global Burden of Disease (GBD) 2021 data were analyzed to estimate the fatal [i.e. mortality and years of life lost (YLL)], non-fatal [i.e. disability-adjusted life years (DALYs), years lived with disability (YLD)] burden, trend attributable to DUDs, subtypes by sex and age groups using the joinpoint regression model across India, China, as well as world between 1990 and 2021.</p><p><strong>Results: </strong>Between 1990 and 2021, the age-standardized fatal and non-fatal rates attributable to DUDs significantly increased in India and the world, whereas substantially declined in China. China experienced a 2-fold higher age-standardized DALYs and YLDs rate in 2021, and India observed the fastest (2-fold) upward trend in the age-standardized mortality and YLLs rate attributable to amphetamine use disorders than the world. The trend in YLD rate attributable to DUDs significantly increased in the young age group <20 years in India. The world experienced a significant increasing trend in the fatal rate attributable to DUDs in the middle age group 20-54 years. Overall, females observed remarkable improvement in the fatal and non-fatal burden attributable to DUDs across India, China and the world.</p><p><strong>Conclusion: </strong>India and the global population experienced rising age-standardized fatal and non-fatal rates due to DUDs-while China demonstrated progress. The trend varied by DUD subtypes, age group, and gender, with amphetamine use disorders disproportionately affecting India and China and females showing improved outcomes across all regions.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1493-1503"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799022","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":"Health Belief Model in Predicting Screening Behavior among Population at Risk of Colorectal Cancer: A Systematic Review.","authors":"Fatemeh Estebsari, Marzieh Latifi, Sima Ghorbanzadeh, Zahra Rahimi Khalifeh Kandi","doi":"10.18502/ijph.v54i7.19147","DOIUrl":"10.18502/ijph.v54i7.19147","url":null,"abstract":"<p><strong>Background: </strong>We aimed to review systematically the role of Health Belief Model (HBM) in predicting the health behaviors of patients at risk of colorectal cancer (CRC) and to evaluate the effectiveness of HBM-based educational program on the knowledge and intention of individuals for preventive actions.</p><p><strong>Methods: </strong>A systematic literature search was performed in PubMed, Scopus, Ovid, Science Direct, Embase, and Google Scholar from 1980 up to June 2023 using CRC and HBM as the search words with all their similar terms. All available data were then extracted and described qualitatively.</p><p><strong>Results: </strong>Overall, 37 articles with 24286 study populations were collected for data extraction. Findings showed that perceived benefit was the most important component of HBM and community-based education can play an important role in improving the awareness and intention of individuals for preventive actions such as screening behaviors. In addition, culture is an important factor in health belief of individuals, so culture-based modified HBM may help to enhance the efficiency of HBM in predicting the knowledge and intention rate among the population.</p><p><strong>Conclusion: </strong>Preventive actions can minimize the risk of developing cancer, and consequent quality of life. HBM provides a valuable framework for understanding health behaviors by considering the perceptions of individuals about the disease.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1411-1423"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799023","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":"Rapid Risk Assessment of Mpox Importation and Spread in Armenia.","authors":"Ani Manukyan","doi":"10.18502/ijph.v54i7.19163","DOIUrl":"10.18502/ijph.v54i7.19163","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1555-1557"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799102","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":"Synbiotic-Containing <i>Bacillus coagulans</i> (GBI-30) and the Effects on Glycemic Control, Androgen Hormones and Anthropometric Indices in Women with Polycystic Ovarian Syndrome.","authors":"Zahra Hariri, Zahra Yari, Maryam Nilghaz, Monirsadat Mirhoseini, Sedighe Hosseini, Khadijeh Abhari, Golbon Sohrab","doi":"10.18502/ijph.v54i7.19160","DOIUrl":"10.18502/ijph.v54i7.19160","url":null,"abstract":"<p><strong>Background: </strong>We aimed to investigate the effect of synbiotic supplement-containing spore-forming Bacillus coagulans (GBI-30) on the glycemic, hormonal and anthropometric parameters in patients with PCOS.</p><p><strong>Methods: </strong>In this randomized, triple-blind, placebo-controlled trial, 72 patients with PCOS were randomly and equally assigned to receive a daily sachet of synbiotic (containing Bacillus coagulans (GBI-30), Lactobacillus rhamnosus, Lactobacillus helveticus, and fructooligosaccharide (FOS)) or placebo for 12 wk. Glycemic, hormonal and anthropometric parameters were measured at baseline and after the 12-week of intervention.</p><p><strong>Results: </strong>At the end, 60 patients completed the study. After adjustment for potential confounders, significant decrease in insulin (-3.38±20.20 vs. +2.33, <i>P</i>=0.042), homeostatic model assessment for insulin resistance (HOMA-IR) (-0.43±3.61 vs. +0.73 ± 2.91, <i>P</i>=0.044) and dehydroepiandrosterone sulfate (DHEAS) (-1.47±6.62 vs. + 0.03 ± 2.06, <i>P</i>=0.047) was observed in the intervention group compared to the control group. Supplementation with synbiotic failed to show a significant effect on anthropometric parameters and fasting blood sugar.</p><p><strong>Conclusion: </strong>Overall, 12 wk supplementation with synbiotic-containing Bacillus coagulans (GBI-30) can offer additional benefit to lifestyle intervention on metabolic status of women with polycystic ovarian syndrome.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1540-1550"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799106","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 Application of Painting in the Intervention of Children's Psychological Issues in China: A Narrative Review.","authors":"Wenhui Huang, Hanyan Li, Wanjun Jiang, Yao Tian, Ga Qin","doi":"10.18502/ijph.v54i7.19112","DOIUrl":"10.18502/ijph.v54i7.19112","url":null,"abstract":"<p><p>This article examines the practices, status, evolution and current challenges of painting therapy, in child psychological interventions in China. Empirical evidence shows that painting therapy significantly reduces symptoms of anxiety, anger, and schizophrenia, lowers depression scores, and enhances life satisfaction. Randomized controlled trials indicate improvements in emotional disorders, ADHD, and social adaptability. Qualitative research highlights enhanced emotional recognition and self-expression abilities in children with social disorders and ASD. Although painting therapy has made some progress in China, it faces challenges such as shortage of professional talents and lack of standardization. It is recommended to strengthen professional training, improve certification systems, interdisciplinary cooperation and the application of emerging technologies such as artificial intelligence and virtual reality. This study underscores the potential for art therapy to become a more accessible and impactful tool in child psychology, benefiting not only China but also contributing to global mental health practices.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1331-1338"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799107","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":"Tobacco Control Interventions in Nigeria from 2012 to 2022: A Blueprint to Reduce Smoking Prevalence: A Systematic Review.","authors":"Jacob Oche Attah, Martha Orendu Oche Attah","doi":"10.18502/ijph.v54i7.19144","DOIUrl":"10.18502/ijph.v54i7.19144","url":null,"abstract":"<p><strong>Background: </strong>The results of the risk factors associated with tobacco use is a public health concern that slows global progress in the achievement of the Sustainable Development Goal 3 to ensure healthy lives. This is more pronounced in low-income countries like Nigeria where tobacco use remains prevalent leading to various types of non-communicable diseases. This study aimed to review systematically relevant literature to unravel the effects of interventions and policies geared towards tobacco control within Nigeria.</p><p><strong>Methods: </strong>A systematic search of PubMed and ProQuest central databases, including an exploration of Google Scholar was carried out from 2012-22 for relevant studies within the last decade. The final selected studies were screened based on strict inclusion and exclusion criteria and their quality critically appraised. Six articles were included in the final review, 2 were cross-sectional studies, and 4 were experimental.</p><p><strong>Results: </strong>Thematic and narrative synthesis of reports showed that tobacco price increase led to lower tobacco demand and use as the price elasticity of tobacco demand estimated in different target groups provided. Moreover, health education interventions positively affected tobacco control as there was a change in knowledge, attitude and practice in groups that had received interventions in Nigeria.</p><p><strong>Conclusion: </strong>The chosen interventions and policies were effective in promoting tobacco control. There should therefore be an intentional drive to ensure enactment of policies based on the WHO Framework Convention on Tobacco Control. A global effort also must also be put to tackle prevalent health inequalities especially in developing countries like Nigeria.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1377-1388"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799111","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 Role and Differences of Primary Care and Preventive Health Services in a Potential Mpox Pandemic.","authors":"Tuğba Güler Sönmez, İzzet Fidanci","doi":"10.18502/ijph.v54i7.19162","DOIUrl":"10.18502/ijph.v54i7.19162","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1553-1554"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799110","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":"Community Empowerment through Cadres in the Tuberculosis Program: A Scoping Review.","authors":"Agung Setiyadi, Uki Noviana, Eti Nurwening Sholikhah, Akhmadi, Hanim Mufarokhah","doi":"10.18502/ijph.v54i7.19113","DOIUrl":"10.18502/ijph.v54i7.19113","url":null,"abstract":"<p><strong>Background: </strong>Tuberculosis (TB) remains a global public health problem with high morbidity and mortality rates, especially in low- and middle-income countries. Community-based approaches, including empowerment of health cadres, have been recognized as a key strategy to improve the success of TB control programs. This review systematically identifies research that has been carried out to determine the contribution of cadres in tuberculosis control programs in various countries.</p><p><strong>Methods: </strong>This scoping review used five electronic databases, namely PubMed, Scopus, Medline-Ebscohost, ProQuest, and Cochrane, to identify the contribution of cadres in TB programs. Article selection was based on PCC (Population, Concept, Context) criteria with a limitation of 2014-2024 and only English-language articles.</p><p><strong>Results: </strong>Out of 793 initial articles, 20 articles met the eligibility criteria. Studies show that empowering cadres is effective in detecting TB cases, improving patient adherence to treatment, and overcoming stigma through culture-based education. However, challenges such as lack of training, incentives, and access to diagnostic tools often hinder cadre performance.</p><p><strong>Conclusion: </strong>Health cadres play an important role in bridging the gap between formal health services and the community. With the support of structured training, resource allocation, and community empowerment, cadres can maximize their impact in TB control programs.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1339-1349"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798985","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}