Iranian Journal of Public Health最新文献_第2页

Personalization of Health Insurance Premiums Using the Internet of Behavior: Opportunities, Challenges, and Future Directions. 使用行为互联网的健康保险费个性化：机遇、挑战和未来方向。

IF 1.3 4区医学

Iranian Journal of Public Health Pub Date : 2025-06-01 DOI: 10.18502/ijph.v54i6.18913

Zahra Sadeqi-Arani, Reza Vahidnia

引用次数: 0

The Role of Private Doctor and Private-Public Mix Systems in Tuberculosis Detection in Developing Countries: A Systematic Review. 发展中国家私营医生和公私混合系统在结核病检测中的作用：系统综述。

IF 1.3 4区医学

Iranian Journal of Public Health Pub Date : 2025-06-01 DOI: 10.18502/ijph.v54i6.18891

Rosita Dwi Yuliandari, Chatarina Umbul Wahyuni, Fariani Syahrul, Hari Basuki Notobroto, Mochammad Bagus Qomaruddin, Soedarsono

{"title":"The Role of Private Doctor and Private-Public Mix Systems in Tuberculosis Detection in Developing Countries: A Systematic Review.","authors":"Rosita Dwi Yuliandari, Chatarina Umbul Wahyuni, Fariani Syahrul, Hari Basuki Notobroto, Mochammad Bagus Qomaruddin, Soedarsono","doi":"10.18502/ijph.v54i6.18891","DOIUrl":"10.18502/ijph.v54i6.18891","url":null,"abstract":"Background: Despite the significant efforts in tuberculosis (TB) management, TB case detection remains a challenge in developing countries. Traditional methods such as Directly Observed Treatment Short-course (DOTS) have often underperformed, necessitating the implementation of the public-private mix (PPM) strategy in recent decades. However, varied PPM models yielded varied results across different countries. Hence, this systematic review assesses the effectiveness of various PPM models and seeks innovative strategies to enhance TB detection.Methods: A systematic search was conducted using PubMed, Scopus, Embase, and Web of Science up to August 2024. Studies evaluating the efficacy of PPM models on TB case detection in developing countries were pooled. From the initial 731 potential studies, a total of 10 studies were finally included in this systematic review.Results: The review identified a variety of PPM interventions, including mass campaigns, mobile screening units, home-based tracking, and digital CXR examination. These approaches significantly raised tuberculosis detection rates compared to control groups or previous years. Notably, private sector involvement and novel approaches, such as application-based tracking in Vietnam and mobile vans equipped with digital X-rays in India, yielded favorable results. However, the variation in effectiveness rate underscored the importance of personalized approaches based on local contexts.Conclusion: PPM models, especially those with innovative techniques, significantly enhance TB case detection. Scaling up and modifying these strategies to various country circumstances is critical to meeting global TB reduction targets.","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 6","pages":"1132-1141"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627512","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}

引用次数: 0

Artificial Intelligence-Generated Diet Plans for Hypertension and Dyslipidemia: Adherence and Nutritional Insights. 人工智能生成的高血压和血脂异常饮食计划：坚持和营养见解。

IF 1.3 4区医学

Iranian Journal of Public Health Pub Date : 2025-06-01 DOI: 10.18502/ijph.v54i6.18902

Emre Batuhan Kenger, Tuğçe Özlü Karahan

{"title":"Artificial Intelligence-Generated Diet Plans for Hypertension and Dyslipidemia: Adherence and Nutritional Insights.","authors":"Emre Batuhan Kenger, Tuğçe Özlü Karahan","doi":"10.18502/ijph.v54i6.18902","DOIUrl":"10.18502/ijph.v54i6.18902","url":null,"abstract":"Background: We evaluated diet plans generated by ChatGPT for hypertension and dyslipidaemia.Methods: In October 2024, ChatGPT was used to generate meal plans for 24 simulated patients with different cardiovascular health problems. Data were used from men (n=12) and women (n=12), aged 56 yr, with mean heights of 176 cm and 161 cm respectively. Weight categories were based on BMI: normal, overweight, and obese, using weights of 56, 71, and 84 kg for women and 67, 85, and 101 kg for men. Four health conditions were assessed: hypertension stages 1 and 2 (systolic BP 130-139 mm Hg and ≥140 mm Hg; diastolic BP 80-89 mm Hg and ≥90 mm Hg), and elevated LDL levels (≥130 mg/dL and ≥160 mg/dL). Menus were evaluated for adherence to Mediterranean and DASH diets, including recommendations.Results: Adherence to the Mediterranean and DASH diets was low across all groups, with median scores below 9 and 4.5, respectively. Common recommendations included weight loss, physical activity, reduced salt intake, stress management, and omega-3s for both hypertension and LDL reduction. Plant sterols/stanols were suggested only for LDL. No advice was given on smoking or alcohol use. Nutrient content did not differ significantly between hypertension and LDL menus (P>0.05).Conclusion: This pioneering study found that AI-generated dietary models had low adherence to DASH and Mediterranean diets, though most recommendations were generally appropriate. Since the prompts only requested basic nutrition plans, future research should use more specific, personalized prompts to better assess AI's role in managing chronic diseases.","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 6","pages":"1243-1251"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627495","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}

引用次数: 0

Effects of a Group Counseling Intervention Model Grounded on Character Strengths Theory on Inferiority Complex in Adolescents. 基于性格优势理论的团体咨询干预模式对青少年自卑感的影响

IF 1.3 4区医学

Iranian Journal of Public Health Pub Date : 2025-06-01 DOI: 10.18502/ijph.v54i6.18901

Qinjuan Wang, Li Zhang, Jing Zhu, Xu Chen

{"title":"Effects of a Group Counseling Intervention Model Grounded on Character Strengths Theory on Inferiority Complex in Adolescents.","authors":"Qinjuan Wang, Li Zhang, Jing Zhu, Xu Chen","doi":"10.18502/ijph.v54i6.18901","DOIUrl":"10.18502/ijph.v54i6.18901","url":null,"abstract":"Background: Inferiority complex is a common psychological disorder occurring in adolescents during their psychological development and the root cause of most psychological problems. However, inferiority complex in adolescents has rarely been examined in previous intervention studies. This practice-oriented study combined character strengths theory with group psychological counseling to examine adolescents with high inferiority complex scores.Methods: A survey was conducted on 512 adolescents selected using convenience sampling from three middle schools in Wuhan, Hubei Province, China, to collect information regarding the degree and characteristics of their inferiority complex. Those with a high inferiority complex score were recruited for a grouped experiment, where the experiment group received group counseling grounded on character strengths theory.Results: The participants had a moderately high degree of inferiority complex (mean = 2.92). Significant differences were observed in the total inferiority complex score across gender, left-behind experience, and academic performance (P < 0.05). After the intervention, the inferiority complex score of the experiment group was significantly lower than that of the control group, and the difference was statistically significant (P< 0.05).Conclusion: The intervention model constructed in this study effectively reduces inferiority complex in adolescents, providing a reference for exploring an effective approach to adolescent-targeted mental health education.","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 6","pages":"1233-1242"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627528","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}

引用次数: 0

Mediating Role of Physical Activity in the Relationship between Personality Traits and Body Mass Index (BMI) among the Participants of the Employees' Health Cohort Study of Iran (EHCSIR): A Generalized Structural Equation Modeling. 伊朗雇员健康队列研究（EHCSIR）中体力活动在人格特质与体重指数（BMI）关系中的中介作用：一个广义结构方程模型

IF 1.3 4区医学

Iranian Journal of Public Health Pub Date : 2025-06-01 DOI: 10.18502/ijph.v54i6.18905

Seyed Abbas Motevalian, Seyyed Amir Yasin Ahmadi, Arash Tehrani-Banihashemi

{"title":"Mediating Role of Physical Activity in the Relationship between Personality Traits and Body Mass Index (BMI) among the Participants of the Employees' Health Cohort Study of Iran (EHCSIR): A Generalized Structural Equation Modeling.","authors":"Seyed Abbas Motevalian, Seyyed Amir Yasin Ahmadi, Arash Tehrani-Banihashemi","doi":"10.18502/ijph.v54i6.18905","DOIUrl":"10.18502/ijph.v54i6.18905","url":null,"abstract":"Background: Considering the high importance of the problem of obesity and its related factors, we aimed to investigate the mediating role of physical activity in the relationship between personality traits and body mass index (BMI) in the participants of the employees' health cohort study of Iran (EHCSIR) using generalized structural equation modeling (GSEM).Methods: A secondary analysis with cross-sectional approach was conducted on the existing data using multilevel GSEM. The primary data of the cohort was collected from July 2017, Iran University of Medical Sciences, Tehran, Iran. Personality traits were exposure, physical activity was the mediator, and BMI was the outcome. Sex was the stratifying variable. Then, pathways with the largest P values were removed one by one using backward stepwise approach.Results: The data of a total of 3554 participants of EHCSIR were used. Sex was subjected for grouping the analysis. In males, extroversion (EX) was the only personality trait associated with both physical activity and BMI. In the direct pathway, EX was positively associated with BMI. In the indirect pathway, EX was negatively associated with BMI (P <0.1). The total effect was positive. In females, physical activity was not associated with BMI, and therefore, no indirect pathway was formed from personality traits to BMI (P >0.1).Conclusion: The role of personality traits in obesity was more dominant in females, while in males, physical activity had a role in obesity. The hypothesized mediation pathway of the study title was not approved in females, and in males, was approved only for EX personality trait.","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 6","pages":"1272-1281"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627505","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}

引用次数: 0

Validation of a Comprehensive Ergonomic Risk Assessment Technique for Tea Harvesting Farmers and Comparison with some Techniques. 茶农综合工效风险评估技术的验证及与其他技术的比较。

IF 1.3 4区医学

Iranian Journal of Public Health Pub Date : 2025-06-01 DOI: 10.18502/ijph.v54i6.18908

Adel Mazloumi, Mojtaba Khosravi Danesh, Mansour Shamsipour, Bahram Kouhnavard

{"title":"Validation of a Comprehensive Ergonomic Risk Assessment Technique for Tea Harvesting Farmers and Comparison with some Techniques.","authors":"Adel Mazloumi, Mojtaba Khosravi Danesh, Mansour Shamsipour, Bahram Kouhnavard","doi":"10.18502/ijph.v54i6.18908","DOIUrl":"10.18502/ijph.v54i6.18908","url":null,"abstract":"Background: We aimed to validate a thorough ergonomic risk assessment method for tea harvesting farmers. A comparative analysis with established methods such as OWAS (Ovako Working Posture Assessment System), RULA (Rapid Upper Limb Assessment), and REBA (Rapid Entire Body Assessment) was also conducted.Methods: The research was carried out in 2023 in Guilan Province. The research consisted of three phases: identifying risk factors influencing Musculoskeletal Disorders, validating these factors using the fuzzy Delphi technique (FDT) and fuzzy analytic hierarchy process (FAHP) methods, and developing a method that included a customized posture evaluation technique and questionnaire design. The criteria were categorized into personal, task-related, tools and equipment, environmental, and organizational factors. A team of experts evaluated the validity and reliability of the developed method.Results: Out of 60 identified risk factors, 43 were approved. Task-related factors were deemed the most important, while organizational factors were considered the least important by experts. A comparison of evaluator agreement across different tasks using various evaluation methods revealed good agreement in the developed method and REBA, but low agreement in the other two methods. Kappa coefficients for reliability assessment ranged from 0.61 to 0.80 among expert groups.Conclusion: The proposed developed technique had acceptable validity and reliability. In addition to posture evaluation, this technique evaluates personal, environmental, and organizational items using a questionnaire. Comparisons with established methods, including OWAS, RULA, and REBA, revealed that the developed method demonstrates a stronger correlation with disorders due to shared characteristics.","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 6","pages":"1300-1309"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627514","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}

引用次数: 0

Assessing Catastrophic Health Expenditure among Iraqi Households: A Cross-Sectional Study. 评估伊拉克家庭的灾难性医疗支出：一项横断面研究。

IF 1.3 4区医学

Iranian Journal of Public Health Pub Date : 2025-06-01 DOI: 10.18502/ijph.v54i6.18907

Zainab Abodi, Ghobad Moradi, Yousef Moradi, Amjad Mohamadi Bolbanabad, Hayedeh Hoorsan

{"title":"Assessing Catastrophic Health Expenditure among Iraqi Households: A Cross-Sectional Study.","authors":"Zainab Abodi, Ghobad Moradi, Yousef Moradi, Amjad Mohamadi Bolbanabad, Hayedeh Hoorsan","doi":"10.18502/ijph.v54i6.18907","DOIUrl":"10.18502/ijph.v54i6.18907","url":null,"abstract":"Background: Catastrophic health expenditures can lead to severe household financial burdens, exacerbating poverty and limiting access to necessary health services. This study examined the prevalence and determinants of catastrophic health expenditures among households in six provinces of Iraq.Methods: A cross-sectional design was employed, gathering data from 2,400 households in Baghdad, Wasit, Karbala, An-Najaf, Babil, and Maysan in 2023. A two-stage cluster sampling method was utilized, selecting 400 households from each province. Data were collected using WHO \"World Health Survey\" questionnaire, focusing on health expenditures and household income. Catastrophic health expenditures as defined as out-of-pocket costs exceeding 40% of a household's capacity to pay. Statistical analyses, including logistic regression with calculating adjusted odds ratio, were performed using STATA14 software.Results: Overall, 246 households (12.6%) faced Catastrophic health expenditures, with a higher prevalence among female heads of households (13.1%) compared to males (12.6%). The multivariate logistic regression analysis indicated that households with 4 to 6 members had 1.52 times higher odds of facing catastrophic health expenditures (AOR=1.52, CI: 1.06 to 2.20). Furthermore, the poorest households had an AOR of 95.28 for experiencing catastrophic health expenditures (OR=95.28, CI: 13.12 to 691.49).Conclusion: This study underscores the urgent need for tailored policies to reduce the impact of CHE on Iraqi households. By improving access to healthcare and promoting equitable health insurance enrollment, policymakers can alleviate financial strain and support the health and well-being of vulnerable communities.","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 6","pages":"1291-1299"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627523","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}

引用次数: 0

Enhancing Preventive Healthcare Utilization among Middle-Aged Populations: Reflections on a Scoping Review. 加强中年人预防保健利用：对范围审查的思考。

IF 1.3 4区医学

Iranian Journal of Public Health Pub Date : 2025-06-01 DOI: 10.18502/ijph.v54i6.18911

Duygu Ayhan Başer

引用次数: 0

Euthanasia - A Legal or Medical Issue: A Narrative Review. 安乐死——法律或医学问题：叙述性回顾。

IF 1.3 4区医学

Iranian Journal of Public Health Pub Date : 2025-06-01 DOI: 10.18502/ijph.v54i6.18893

Darko Radulović

{"title":"Euthanasia - A Legal or Medical Issue: A Narrative Review.","authors":"Darko Radulović","doi":"10.18502/ijph.v54i6.18893","DOIUrl":"10.18502/ijph.v54i6.18893","url":null,"abstract":"Euthanasia is a highly controversial issue which keeps the scientific community and the general public divided into those in favour and those opposed to this manner of terminating a person's life. Ethical, medical, legal, religious and other reasons are used both to justify its legalisation and to argue against it. The main question which attracts differing opinions is whether-beside the right to life as the universal and most important right recognised by the European Convention for the Protection of Human Rights and Fundamental Freedoms-there is the right to die, implying that a person could choose how and when to end their life. The author of the paper analyses several issues. In addition to the introduction which considers the right to life in general, and in the light of international documents, the paper deals with the concept of euthanasia and its historical development, as well as the types of euthanasia. This is followed by an overview of the positions of the proponents and the opponents of the legalisation of euthanasia. Finally, the paper discusses the various ways in which euthanasia is regulated in contemporary criminal legislation.","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 6","pages":"1153-1159"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627531","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}

引用次数: 0

20(S)-Ginsenoside Rg3 Partially Induces Maturation of HepG2 Cells via the AMPK/HNF4A Pathway. 20(S)-人参皂苷Rg3通过AMPK/HNF4A途径部分诱导HepG2细胞成熟

IF 1.3 4区医学

Iranian Journal of Public Health Pub Date : 2025-06-01 DOI: 10.18502/ijph.v54i6.18904

Li Zheng, Yiheng Ding, Xinhao Li, Jingxuan Jia, Yanning Li, Jinsheng Qi

{"title":"20(S)-Ginsenoside Rg3 Partially Induces Maturation of HepG2 Cells via the AMPK/HNF4A Pathway.","authors":"Li Zheng, Yiheng Ding, Xinhao Li, Jingxuan Jia, Yanning Li, Jinsheng Qi","doi":"10.18502/ijph.v54i6.18904","DOIUrl":"10.18502/ijph.v54i6.18904","url":null,"abstract":"Background: We aimed to investigate whether 20(S)-ginsenoside Rg3 (Rg3) reduced heterogeneity by inducing the maturation of HepG2 cells via the AMP-activated protein kinase (AMPK)/hepatocyte nuclear factor 4A (HNF4A) pathway.Methods: This in vitro cell research study was conducted under the guidance of Hebei Medical University, Hebei, China, from Sep 2022 to Dec 2023. HepG2 cells were treated with varying concentrations of Rg3 in a low glucose microenvironment. The mRNA expression of ALBUMIN (ALB, a marker for hepatocyte function) and HNF4A (a marker for differentiation of HCC cell), and AMPK protein levels were measured after significant changes in cell morphology were observed. Additionally, 5-Aminoimidazole-4-carboxamide1-β-D-ribofuranoside (AICAR) (an AMPK agonist) and Compound C (an AMPK inhibitor) were used to explore further the underlying mechanism.Results: Under treatment of 5 μM, 10 μM, and 20 μM Rg3, some cells became flattened and larger, and there was an increase in the mRNA expression of ALB and HNF4A (P<0.05). However, there was a decreasing trend in AMPK protein content with 8 μM Rg3 (P<0.05). Compared to the control group, some cells exposed to 8 μM Rg3 exhibited pronounced morphological changes, along with upregulated expression of ALB and HNF4A mRNA. However, no such changes were observed when 8 μM Rg3 was combined with 1.6 mM AICAR. Compared to the control group, 10 μM Compound C or 8 μM Rg3 treatments led to similar changes in cell morphology and showed an increasing trend in HNF4A mRNA expression. Additionally, after treatment with Compound C, pHNF4A was mainly in the nucleus, while after Rg3 treatment, it was mostly in the cytoplasm.Conclusion: Rg3 partially induced the maturation of HepG2 cells through the AMPK/HNF4A pathway.","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 6","pages":"1263-1271"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627492","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}

引用次数: 0