Iranian Journal of Public Health最新文献

{"title":"Food Choice, Eating Behaviors, and Associations with Depression Levels and Body Mass Index: A Cross-Sectional Study.","authors":"Gökben Anil, Neslihan Çetin, Hande Seven Avuk","doi":"10.18502/ijph.v54i7.19151","DOIUrl":"10.18502/ijph.v54i7.19151","url":null,"abstract":"<p><strong>Background: </strong>Depression is not only a mental health condition, but also a complex disorder that affects eating behaviors and food choices, leading to changes in body weight. This study aimed to evaluate the relationship between body mass index, eating behaviors, food choices, and depression levels in adults.</p><p><strong>Methods: </strong>This cross-sectional study conducted in Istanbul from Apr to Jun 2022 included 208 adults aged 18 to 65 yr (mean 30.84±9.21 yr). A questionnaire consisting of sociodemographic information, Food Choice Questionnaire (FCQ), Dutch Eating Behavior Questionnaire (DEBQ) and Beck Depression Inventory (BDI) was applied. Height and body weight were measured.</p><p><strong>Results: </strong>Of the participants were 9.6% underweight, 48.1% normal, 30.8% overweight, and 11.5% obese. Underweight individuals had significantly lower weight control scores compared to normal and overweight, and their restrictive eating scores were significantly lower than those of normal, overweight, and obese (<i>P</i>=0.001). Compliance scores affecting food choice were significantly lower in individuals with minimal depression than in those with mild and moderate depression (<i>P</i>=0.018). Emotional and external eating were higher in moderately depressed individuals than in those with minimal depression (<i>P</i>=0.001; <i>P</i>=0.018, respectively). Restrictive eating was significantly lower in individuals with minimal depression than in those with moderate and severe (<i>P</i><0.001). Mood, appropriateness, natural content, weight control, and ethical concern affecting food choice were associated with eating behaviors (<i>P</i><0.05).</p><p><strong>Conclusion: </strong>Body weight and depression levels were important factors in food choice and eating behaviors in adults. Our findings emphasize the importance of considering eating behaviors and depression levels in individuals' food choice motivations.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1452-1461"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799021","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 Serum Vitamin A and D Status with Neuropsychological Development Outcomes in Children Aged 4 to 24 Months: A Retrospective Cross-Sectional Study.","authors":"Fazli Akbar, Yong Guo, Jieling Wu, Zhenlie Huang","doi":"10.18502/ijph.v54i5.18636","DOIUrl":"10.18502/ijph.v54i5.18636","url":null,"abstract":"<p><strong>Background: </strong>We aimed to assess the prevalence of serum Vitamin A and D status and their potential association with neuropsychological development outcomes in Southern China.</p><p><strong>Methods: </strong>A hospital-based retrospective study was conducted in Guangzhou, China, with 4,206 children aged 4 to 24 months between 2018 and 2020. Data from the hospital's electronic database included serum levels of Vitamin A and D, along with neuropsychological outcomes. Linear regression model was used to assess the association between serum Vitamin A and D status and neuropsychological outcomes, while multiple binary logistic regression model was applied to determine the association of these Vitamins' levels with different neuropsychological developmental delays, adjusting for age, gender, and other potential confounders.</p><p><strong>Results: </strong>Overall, 12.7% of children were found to be deficient in Vitamin A, while 2.5% were deficient in Vitamin D. Marginal Vitamin A deficiency (MVAD) was prevalent in 58.5% of the children, and 19.4% exhibited Vitamin D insufficiency (VDI). Neuropsychological developmental delays were observed in 7.7% to 16.8% of the children across various domains. However, there were no significant differences in neuropsychological outcomes among children with varying Vitamin A and D statuses (<i>P</i>-value>0.05). Even after adjusting for potential confounders, the association between Vitamin A and D levels and neuropsychological development outcomes remained statistically non-significant.</p><p><strong>Conclusion: </strong>Our study reveals a higher prevalence of VAD and MVAD in children than VDD and VDI. However, neither Vitamin A nor Vitamin D status showed a significant association with neuropsychological development outcomes in early childhood.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 5","pages":"1014-1023"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12319454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789156","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":"Increased Expression of <i>RCN1P2</i>, <i>TPM3P9</i>, and <i>HSP90AB3P</i> as Non-Coding RNA in Gastric Cancer Linked to Proliferative, Inflammatory and Metastatic Pathways through a Competing Endogenous RNAs Network.","authors":"Ensieh Sagheb Sadeghi, Zahra Amrollahy Bioky, Mahsa Hokmabadi, Samira Asadollahi, Fatemeh Sarhadi, Nasrin Fattahi Dolatabadi, Atefeh Zamani, Mohammad Mahdevar, Maryam Peymani","doi":"10.18502/ijph.v54i5.18642","DOIUrl":"10.18502/ijph.v54i5.18642","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to find pseudogenes with significant expression alterations in gastric cancer (GC) that could be implicated in the disease's development via the competing endogenous RNAs (ceRNAs) network.</p><p><strong>Methods: </strong>Pseudogenes, mRNAs, and microRNAs, whose expression changes considerably in GC specimens, were identified using the Cancer Genome Atlas (TCGA) data from 2006 to 2017 (USA). The ceRNAs network was constructed using the miRWalk, miRTarBase, and DIANA-LncBase. The cox regression test was performed to assess the correlation between candidate genes and patient prognosis. Finally, using the RT-qPCR method, the in-silico results were evaluated using GC samples and adjacent normal. Samples were collected from Imam Khomeini Hospital in Tehran (Iran) between 2020 and 2021.</p><p><strong>Results: </strong>In the cancer samples compared to the normal ones, there were 86 miRNAs, 1985 mRNAs, and 33 pseudogenes showing expression alterations, either more than or less than a twofold difference. Constructed ceRNA network demonstrated that pseudogenes such as <i>RCN1P2</i>, <i>TPM3P9</i>, and <i>HSP90AB3P</i> were most connected to changed mRNAs and microRNAs in GC. The analysis of the ceRNA network for each of the mentioned pseudogenes indicated that the associated mRNAs play roles in cell proliferation, inflammation, and metastatic pathways. Furthermore, elevated expression of several mRNAs linked to potential pseudogenes was linked to a poor prognosis. RT-qPCR revealed a significant increase in the expression levels of <i>RCN1P2</i>, <i>TPM3P9</i>, and <i>HSP90AB3P</i> in GC samples.</p><p><strong>Conclusion: </strong>The expression of <i>RCN1P2</i>, <i>TPM3P9</i>, and <i>HSP90AB3P</i> is dramatically enhanced in GC. They can also influence the survival rate of GC patients by regulating pathways involved in cell proliferation, inflammation, and metastasis via the ceRNAs network.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 5","pages":"1074-1086"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12319449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789160","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":"School-Based Program for Improving Disaster Preparedness among Indonesian Adolescents in Earthquake Risk Area: A Randomized Control Trial.","authors":"Baskoro Setioputro, Windi Rohmatun Nabilah, Nur Apriliani, Rismawan Adi Yunanto, Ruris Haristiani","doi":"10.18502/ijph.v54i5.18632","DOIUrl":"10.18502/ijph.v54i5.18632","url":null,"abstract":"<p><strong>Background: </strong>Indonesia is known as the home of disasters and this condition threatens the safety of the Indonesian people. Strengthening community capacity is still not optimal and school-based programs need to be carried out to prepare the younger generation to face earthquakes. This study aimed to analyze the effect of the school-based program on improving disaster preparedness (SBPIDP) among Indonesian adolescents in the earthquake risk area.</p><p><strong>Methods: </strong>A randomized control trial was performed among 140 (INT=70; CON=70) adolescents in Indonesia in 2022. The SBPIDP lasted for 10 wk providing eight sessions of education and training activities. Data collection tools included a three-part questionnaire that consisted of demographics, knowledge, and self-efficacy for earthquake preparedness. The inter-group and intra-group differences were evaluated using paired t-test analysis, and analysis of variance (ANOVA) used to assess intervention effectiveness.</p><p><strong>Results: </strong>There were significant differences in disaster preparedness among adolescents after the SBPIDP program was implemented after follow-up in the 10^th week (knowledge (<i>P</i>=0.001) and self-efficacy (<i>P</i>=0.001)). The intervention group showed better preparedness than the control group during the follow-up period.</p><p><strong>Conclusion: </strong>The SBPIDP program can significantly improve disaster preparedness among Indonesian adolescents in earthquake-risk areas.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 5","pages":"974-984"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12319447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789167","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":"Anthropometric Features of Head and Face in Iran's Multi-Ethnic Workforce: A Framework for Future Studies on Respirator Design and Sizing.","authors":"Negar Alighanbari, Mehdi Jahangiri, Mozhgan Seif, Alireza Choobineh","doi":"10.18502/ijph.v54i5.18644","DOIUrl":"10.18502/ijph.v54i5.18644","url":null,"abstract":"<p><strong>Background: </strong>Head and facial anthropometric data play a crucial role in designing and properly sizing respirators. Previous anthropometric studies on respirator design have primarily focused on the head and facial dimensions of American and Chinese individuals. However, there is a lack of research for multi-ethnic countries like Iran. We aimed to establish a comprehensive head and facial anthropometric database for Iranian workers. Specifically, we sought to identify differences among gender, age, and ethnicity, as well as determine the predictors that may influence head and facial dimensions.</p><p><strong>Methods: </strong>This cross-sectional study was conducted among workers who underwent health assessments at Occupational Health and Medical Examination Centers affiliated with the medical universities of Shiraz, Tehran, and Karaj. A total of 1,000 workers (837 males and 163 females) participated in the study in 2022. Nineteen head and facial anthropometric dimensions were measured across six major Iranian ethnic groups. The effects of gender, age, ethnicity, occupation, and BMI on facial dimensions were analyzed using linear regression.</p><p><strong>Results: </strong>The results revealed a difference between the head and face dimensions of males and females, which indicated that the facial dimensions of males were larger. Linear regression analysis showed gender, ethnicity, occupation, age, and BMI were significant predictors of the facial dimensions.</p><p><strong>Conclusion: </strong>When designing and sizing respirators, it is crucial to consider the variations in facial anthropometric dimensions. By doing so, we can ensure that the respirators fit well on the face, thus minimizing the chances of injuries and occupational diseases.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 5","pages":"1098-1106"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12319453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789153","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 Parenting Stress and Work Environment on Female Nurses' Job Embeddedness: Does Job Engagement Play a Mediating Role?","authors":"On Yoo Shin, Yeon-Ran Hong, Ho-Jin Lee","doi":"10.18502/ijph.v54i5.18638","DOIUrl":"10.18502/ijph.v54i5.18638","url":null,"abstract":"<p><strong>Background: </strong>We explored practical strategies to improve nursing staff retention in Korea, addressing the challenges posed by nursing shortages.</p><p><strong>Methods: </strong>We examined the influence of parental stress, the nursing work environment, and job engagement (a sense of connection and commitment to work) on job embeddedness. Data were collected from 216 female nurses with children aged 1-12 years working at hospitals in Korea from August 23 to October 13, 2024. Statistical analyses included independent <i>t</i>-tests, one-way analysis of variance, Pearson's correlation coefficients, multiple regression analysis, and mediating effect.</p><p><strong>Results: </strong>Job embeddedness showed a negative correlation with parenting stress (r=-0.360, <i>P</i><0.001) and positive correlation with nursing work environment (r=0.653, <i>P</i><0.001) and job engagement (r=0.540, <i>P</i><0.001). Job engagement was also negatively correlated with parenting stress (r=-0.265, <i>P</i><0.001) and positively correlated with the nursing work environment (r=0.472, <i>P</i><0.001). Nurses with higher job satisfaction also reported higher job embeddedness (β=0.36, <i>P</i><0.001). Improvements in the nursing work environment were associated with increase in both job embeddedness (β=0.36, <i>P</i><0.001) and job engagement (β=0.18, <i>P</i>=0.002). Mediation analysis confirmed that job engagement partially mediated the relationships between parenting stress, the nursing work environment, and job embeddedness (F=75.76, <i>P</i><0.001).</p><p><strong>Conclusion: </strong>Parenting stress and the nursing work environment significantly influence job engagement, which, in turn, contributes to higher job embeddedness among nurses. To improve job embeddedness for female nurses, organizations should implement support programs to reduce parenting stress, foster family-friendly work environments, and establish institutional measures to promote job engagement.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 5","pages":"1034-1043"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12319459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789158","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":"Serum YKL-40 Levels as a Non-Invasive Potential Biomarker for Liver Fibrosis Patients: A Systematic Review and Meta-Analysis.","authors":"Hong Li, Xiaoli Xu, Tong Yan","doi":"10.18502/ijph.v54i5.18629","DOIUrl":"10.18502/ijph.v54i5.18629","url":null,"abstract":"<p><strong>Background: </strong>This research's comprehensive review and meta-analysis seek to offer additional non-invasive techniques for diagnosing and monitoring liver fibrosis, thereby serving as a dependable resource for clinical practice and scientific investigation.</p><p><strong>Methods: </strong>To find pertinent research on the use of serum YKL-40 levels in liver fibrosis patients, databases including PubMed, Web of Science, WILEY ONLINE LIBRARY, Scopus, Embase, Cochrane Library, Science Direct, CNKI, Wanfang Data, VIP Information, and the China Biology Medicine Library System were searched. The search was conducted up to May 2024.</p><p><strong>Results: </strong>In studies comparing serum YKL-40 levels in patients with hepatic fibrosis and controls, the overall combined difference was 1.37 (0.66, 2.08), with the Chinese subgroup showing high heterogeneity, while the Egyptian study did not show heterogeneity. A total of 17 studies, including 2554 patients, were included. The combined sensitivity for diagnosing advanced fibrosis and severe fibrosis was 0.80 and 0.78 respectively, with specificities of 0.88 and 0.82. The AUC for advanced fibrosis and severe fibrosis were 0.91 and 0.87 respectively.</p><p><strong>Conclusion: </strong>Serum YKL-40 shows potential value in diagnosis of liver fibrosis, but further clinical research is needed to confirm and improve its utility.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 5","pages":"939-950"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12319455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789168","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":"Vitamin D Deficiency and Chronic Liver Disease: Investigating Predictive Factors and Their Implications for Patient Care in Pakistan.","authors":"Kumayl Abbas Meghji, Tariq Feroz Memon, Abdul Raqeeb, Muhammad Fahad Pathan, Usaid Raqeeb, Tariq Zafar Shaikh","doi":"10.18502/ijph.v54i5.18640","DOIUrl":"10.18502/ijph.v54i5.18640","url":null,"abstract":"<p><strong>Background: </strong>Chronic liver disease (CLD) and its end-stage manifestation, cirrhosis, present significant global health challenges, contributing to substantial morbidity and mortality. Despite its impact on various organ systems, the musculoskeletal effects of CLD, particularly vitamin D deficiency remain underexplored. This study aimed to identify significant predictors of vitamin D deficiency among CLD patients.</p><p><strong>Methods: </strong>Overall, 177 CLD patients of either gender, aged 18 yr and above were included using the non-probability consecutive sampling technique. This cross-sectional study was conducted at the medical units of Isra University Hospital, Hyderabad, from Jan to Jun 2023. Various markers of hepatic function including bilirubin, albumin, and International normalised ratio (INR), were analyzed, along with a complete blood count and each patient was assigned a Child-Turcotte-Pugh (CTP) score. The relationship of vitamin D with different variables was assessed through Chi-Square tests. Pearson correlation and regression analyses were carried out to identify predictors of vitamin D deficiency.</p><p><strong>Results: </strong>Mean age of patients was 51.76±5.77 yr and the majority were male (68.4%). Vitamin D deficiency was present in 28.24%, particularly among those with cirrhosis. Vitamin D levels correlated negatively with disease severity, as indicated by CTP (<i>P</i><0.05) and Model for End-Stage Liver Disease (MELD) (<i>P</i><0.05) scores, and positively with albumin levels (<i>P</i><0.05). Increasing age, male gender, and higher CTP and MELD scores were significant predictors (<i>P</i><0.05) of vitamin D deficiency.</p><p><strong>Conclusion: </strong>Vitamin D levels correlate with hepatic dysfunction and are negatively associated with disease progression. Significant predictors of vitamin D deficiency identified include increasing age, male gender, and higher MELD and CTP Score.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 5","pages":"1054-1063"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12319456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789174","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":"Overweight and Obesity in Adolescents in Kyrgyzstan: The Impact of Lifestyle, Nutrition, and Physical Activity: A Narrative Review.","authors":"Saltanat Abazbekova, Tursun Mamyrbaeva, Aida Anarbaeva, Gulshara Myrzabekova, Asylkan Moldobaeva","doi":"10.18502/ijph.v54i5.18625","DOIUrl":"10.18502/ijph.v54i5.18625","url":null,"abstract":"<p><p>This review examined the prevalence and possible causes of overweight and obesity among adolescents in Kyrgyzstan. According to a national survey in Kyrgyzstan, the prevalence of overweight among adolescent girls is classified as \"high\" according to the WHO thresholds (14.5 %). The prevalence of overweight shows a slight upward trend with age and is classified as \"very high\" among adolescents aged 16-18 years (20.8 %). The review explores dietary habits, physical activity, socioeconomic consequences, and the impact of advertising unhealthy products.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 5","pages":"899-905"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12319438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789163","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":"Influence of Direct Supervisors' Attitude on Depression among Nurses: Analysis of the Korean Working Conditions Survey.","authors":"Seurk Park, Soo-Hyun Nam","doi":"10.18502/ijph.v54i5.18631","DOIUrl":"10.18502/ijph.v54i5.18631","url":null,"abstract":"<p><strong>Background: </strong>We aimed to examine the influence of a direct supervisor's attitude on depression among nurses.</p><p><strong>Methods: </strong>This was a secondary analysis of data from the fifth Korean Working Conditions Survey, which collected information from 467 registered nurses in Seoul, South Korea. Descriptive statistics and the Rao-Scott test were performed to determine the difference between general and work-related characteristics according to whether the nurses were depressed or not. Multiple logistic regression analysis was performed by adjusting for covariates to analyze the association between the attitude of the direct supervisor's behavior and depression among nurses.</p><p><strong>Results: </strong>Logistic regression analysis revealed a significant association between the direct supervisor's attitude and depressive symptoms in nurses. After multivariable adjustment, compared with the group with the most positive supervisor attitudes, the odds ratios for depressive symptoms in groups with increasingly negative perceptions of supervisor attitudes were 2.615 (95% CI: 0.96-7.12), 2.921 (95% CI: 1.64-13.29), and 4.844 (95% CI: 1.46-12.18), respectively. The results showed that the direct supervisor's negative attitude was positively associated with the nurse's depressive symptoms.</p><p><strong>Conclusion: </strong>Negative supervisor attitudes are significantly associated with depression in nurses. Effective strategies and policies, such as a zero-tolerance policy against negative disrespectful attitudes and behavior in the hospital and proper management of the direct supervisor's attitude, are needed to reduce the risk of depression among nurses. Interventions aimed at reducing nurses' depressive symptoms are suggested as an effective way to prevent and manage their depressive symptoms.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 5","pages":"963-973"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12319442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789161","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}