Iranian Journal of Public Health最新文献

{"title":"Socioeconomic and Health Characteristics as Predictors of Social Support in Elderly People with Visual Impairment: Evidence from Serbia.","authors":"Natalija Djurovic, Snezana Radovanovic, Olgica Mihaljevic, Jovana Radovanovic, Milos Stepovic, Marija Kovacevic, Katarina Janicijevic, Gordana Djordjevic, Ognjen Djordjevic, Gordana Gajovic, Nela Djonovic, Tamara Dimovic, Nikoleta Janicijevic, Milena Maricic, Dragan Vasiljevic, Viktor Selakovic","doi":"10.18502/ijph.v53i10.16702","DOIUrl":"10.18502/ijph.v53i10.16702","url":null,"abstract":"<p><strong>Background: </strong>Social networks and support have an independent and strong influence on health and quality of life at all stages of the life cycle, especially in the elderly. We aimed to determine the level of social support among the elderly population of the Republic of Serbia.</p><p><strong>Methods: </strong>The survey is part of the fourth Health survey of the population of Serbia, which was conducted in 2019 by the Republic Institute of Statistics with the Institute for Public Health of Serbia \"Dr. Milan Jovanović Batut\" and the Ministry of Health of the Republic of Serbia. The research instrument was standardized questionnaires constructed in accordance with the European Health Interview Survey (EHIS, wave3) and the social support score (Oslo-3 Social Support Scale). For the purposes of this research, data on the population aged 65 and over were used.</p><p><strong>Results: </strong>In terms of social support, 85.8% of respondents had bad , 13.9% moderate and 0.3% strong. Univariate regression analysis determined that respondents from the territory of Vojvodina had a 1.6 times higher chance of poor social support compared to respondents from southern and eastern Serbia. The probability of bad social support was 1.5 times higher in persons who were never married/cohabiting, persons with secondary education were at 1.6 times higher risk of poor social support compared to persons with higher education. Inactive persons had poor social support 1.4 times more often than employed persons, as well as persons with comorbidities (OR=1.218).</p><p><strong>Conclusion: </strong>These researches are of great importance for public health because it provides valuable data for the creation of interventions that will intensify activities related to providing adequate social support to the elderly.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"53 10","pages":"2251-2259"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630897","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":"4-Methyl-N-(Piperidin-1-Ylmethylene) Benzenesulfonamide (PMSA) Promotes Ferroptosis of Tumor Cells by Targeting the <i>KEAP1-NRF2-GPX4</i> Axis.","authors":"Bingchun Sun, Guangyu Zhao, Ligang Zhang, Jianji Hou, Binhua Wu","doi":"10.18502/ijph.v53i10.16705","DOIUrl":"10.18502/ijph.v53i10.16705","url":null,"abstract":"<p><strong>Background: </strong>We aimed to investigate the effect of 4-methyl-N-(piperidin-1-ylmethylene) benzenesulfonamide (PMSA) on tumor cell proliferation, migration, ferroptosis, and the potential molecular mechanism of ferroptosis in tumor cells.</p><p><strong>Methods: </strong>PMSA was produced in the marine biomedical research institute of Guangdong Medical University (Zhanjiang, China) and used for tumor cells treatment. MTT and cell colony formation assays were used to measure the inhibition of tumor cell proliferation, the scratch assay was used to identified the suppression of tumor cell migration, the death of tumor cells was measured by Annexin-V-FITC/PI staining, the level of ferroptosis-relative lipid ROS in tumor cells was measured by flow cytometry and MDA detection kit, and the expression of ferroptosis-relative protein was measured by Western blot. The Discovery Studio system was used for molecular docking and the binding ability was measured by cellular thermal shift assay.</p><p><strong>Results: </strong>The PMSA we produced inhibited tumor cell proliferation, colony formation, migration and triggered cell death, and Fer-1 could reverse these effects. The amount of ROS and MDA levels in tumor cells was also markedly raised by PMSA. PMSA treatment significantly reduced the expression of SLC7A11/XCT, <i>NRF2</i>, and <i>GPX4</i> in tumor cells. The phosphorylation level of <i>NRF2</i> was also decreased. Through molecular docking, it was discovered that PMSA could bind to <i>NRF2</i> and thereby block its activity.</p><p><strong>Conclusion: </strong>The <i>KEAP1</i>-<i>NRF2</i>-<i>GPX4</i> axis was the target of PMSA's anti-tumor action, which results in ferroptosis of tumor cells. This demonstrated that the compound has the potential to be used as a candidate for anti-tumor drugs.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"53 10","pages":"2279-2289"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631268","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 Benefits and Applications of <i>Lactobacillus plantarum</i> in Food and Health: A Narrative Review.","authors":"Davood Zare, Hadis Aryaee, Saeed Mirdamadi, Faezeh Shirkhan","doi":"10.18502/ijph.v53i10.16698","DOIUrl":"10.18502/ijph.v53i10.16698","url":null,"abstract":"<p><p><i>Lactobacillus plantarum</i> is a type of gram-positive lactic acid bacteria. This bacterium is considered a safe probiotic and, many applications and benefits including prolonging food shelf-life, enhancing antioxidant activity, improving food flavor characteristics and antimicrobial activities in the food industry, and application as a potential starter for dairy products have been attributed to it. Various studies have also emphasized its health-giving properties. As a result, the features and wide application of this bacterium, as well as the safety of <i>L. plantarum</i> and its strains, have made it a popular probiotic in the food and medical industries. Thus, in the present study keywords including <i>L. plantarum</i> and <i>Lactiplantibacillus plantarum</i> along with application, benefits, food, health, anti-oxidant, anti-diabetic, anti-obesity, anti-inflammatory, antiviral, and anti-depression were searched in databases of PubMed, Scopus, Web of Science, Sience direct and Google Scholar with no time restriction. Then, important features, benefits, and uses of <i>L. plantarum</i> were categorized and discussed. The ability of <i>L. plantarum</i> on the food such as prolonging food shelf-life, enhancing antioxidant activity, improving food flavor characteristics and antimicrobial activities in the food industry, and as a potential starter for dairy products is effective. In addition, several studies have emphasized of <i>L. plantarum</i> health-giving properties.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"53 10","pages":"2201-2213"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630985","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 <i>ADIPOQ</i> Single Nucleotide Polymorphisms (SNPs) with Obesity Risk in Different Populations: A Systematic Review and Analysis.","authors":"Nurgul Sikhayeva, Akmaral Nursafina, Aidana Satayeva, Talgat Utupov","doi":"10.18502/ijph.v53i10.16696","DOIUrl":"10.18502/ijph.v53i10.16696","url":null,"abstract":"<p><strong>Background: </strong>Thirty-two single nucleotide polymorphisms (SNPs) are commonly found in <i>ADIPOQ</i>. APN levels are decreased in obesity, and SNPs of the <i>ADIPOQ</i> gene affecting APN have varying associations with the development of obesity in different populations. This systematic review and meta-analysis aimed to investigate the association of SNPs in <i>ADIPOQ</i> with the risk of obesity development in various populations.</p><p><strong>Methods: </strong>A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist date up to Feb 2023. We used the Newcastle-Ottawa scale to find out if a study fit the main criteria for submission and to assess the data quality of the articles included in the systematic review and meta-analysis. Odds ratios (OR) and 95% confidence intervals (CI) were calculated via Review Manager (RM) V.5.4 to estimate the connection between <i>ADIPOQ</i> polymorphic qualities of a gene and the risk of developing obesity.</p><p><strong>Results: </strong>The present study analysed the association between <i>ADIPOQ</i> polymorphisms (rs1501299, rs2241766, rs266729, rs822393, and rs822396) and obesity risk and suggested that APN is partially responsible for the emergence of obesity and increases its risk.</p><p><strong>Conclusion: </strong>It is important to take into account several limitations of this meta-analysis when evaluating the findings. First off, even though we looked through numerous databases for all relevant papers, there is a chance we overlooked some. Our capacity to arrive at more firm conclusions was further hampered by the small number of papers that made up our meta-analysis. The most current data, however, are presented in this study since it used newly published data to perform a meta-analysis and evaluate the relationship between ADIPOQ polymorphisms and obesity.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"53 10","pages":"2180-2190"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631286","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":"Implementation of the Package of Essential Non-Communicable (PEN) Disease Interventions in Low-Resource Settings: A Systematic Review.","authors":"Mina Aminpour, Aidin Aryankhesal, Asgar Aghaei Hashjin, Hamid Pourasghari","doi":"10.18502/ijph.v53i10.16700","DOIUrl":"10.18502/ijph.v53i10.16700","url":null,"abstract":"<p><strong>Background: </strong>To deal with the rising prevalence and death rate of non-communicable diseases, the WHO designed a package of essential interventions for non-communicable diseases for low- and middle-income countries. This review aimed to identify the barriers and facilitators of the implementation of this program.</p><p><strong>Methods: </strong>The electronic databases of PubMed, Scopus, Web of Science, Cochrane Library, and Scientific Information Database (SID) were searched for papers without a time limit at the end of Dec 2020. Only English and Persian languages were considered. The PRISMA guideline was consulted.</p><p><strong>Results: </strong>Overall, 15 articles were selected for the final analysis out of 404 initially retrieved ones, based on inclusion/exclusion criteria and quality assessment. Thirteen articles had good quality, while 2 articles were of fair quality. Studies were published during 2014-2020. Thematic analysis was used to make sense of papers so that barriers and facilitators were categorized within 2 main themes and 7 sub-themes. Certain organizational factors including human resources, service delivery, structure, leadership/governance, data and information, resources, and financing were identified as barriers and facilitators. Knowledge and culture, and economic and social factors were identified as contextual factors.</p><p><strong>Conclusion: </strong>By considering the factors identified in this study, policymakers and health system managers can be more successful in implementing this WHO PEN and similar packages.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"53 10","pages":"2226-2238"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631333","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 Impact of Regular Physical Activity Participation on Physical Fitness and Problem Behaviors in Children with Autism Spectrum Disorder.","authors":"Dong-Il Kim","doi":"10.18502/ijph.v53i9.16471","DOIUrl":"10.18502/ijph.v53i9.16471","url":null,"abstract":"","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"53 9","pages":"2165-2166"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11490324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478794","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 Promoting Behaviors among Reproductive Age Women in Serbia: The Results from a National Health Survey.","authors":"Jovana Todorovic, Zeljka Stamenkovic, Dejan Nesic, Katarina Vojvodic, Aleksandar Stevanovic, Pavle Piperac, Stefan Dugalic, Miroslava Gojnic, Zorica Terzic-Supic","doi":"10.18502/ijph.v53i9.16457","DOIUrl":"10.18502/ijph.v53i9.16457","url":null,"abstract":"<p><strong>Background: </strong>Certain lifestyle characteristics, such as dietary patterns, physical activity, and maintenance of recommended body weight, low-risk alcohol consumption and non-smoking are associated with the lower likelihood for the development of chronic-non communicable disease in the general population. These lifestyles are called health promoting behaviors (HPBs). We aimed to examine the prevalence of the HPBs among the women of reproductive age in Serbia and the factors associated with the compliance with four or more of these behaviors.</p><p><strong>Methods: </strong>The study was the secondary analysis of the data from the National Health survey in Serbia from 2019 that examined social, health status, mental health (using PHQ-8) and lifestyle characteristics of the general population in Serbia.</p><p><strong>Results: </strong>The prevalence of compliance with four or more HPBs was 22%. Among the HPBs the most frequent was a non-risky alcohol consumption reported by 2585 participants (99.2%), followed by normal weight (2018-69.2%) and non-smoking (1469-69%), daily fruit and vegetables intake (969-33.2%) and sufficient aerobic PA (216-7.9%). Multivariate logistic regression analysis with four or more HPBs as an outcome variable showed that the association of compliance with four or more HPBs with tertiary education (OR 1.91, 95% CI: 1.32-2.76) use of prescription medications (OR: 0.62, 95% CI: 0.44-0.87) and score on PHQ-8 (OR: 0.88, 95% CI: 0.79-0.98).</p><p><strong>Conclusion: </strong>There is a need for deeper promotion of health-related behaviors among all educational and vocational groups, including health promotion activities at the primary health care level, which is available to the entire population.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"53 9","pages":"2040-2048"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11490319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478774","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 Non-Coding RNA <i>CRNDE, LINC00957,</i> and <i>AC072061.1</i> as a Promising Diagnostic and Prognostic Biomarker in Glioblastoma Multiforme.","authors":"Arash Poursheikhani, Meysam Mosallaei, Mohammad Foad Heidari, Mohsen Rajaeinejad, Mohsen Chamanara, Mojtaba Yousefi Zoshk, Peyman Aslani, Ebrahim Hazrati, Mojgan Mohammadimehr, Javad Behroozi","doi":"10.18502/ijph.v53i9.16462","DOIUrl":"10.18502/ijph.v53i9.16462","url":null,"abstract":"<p><strong>Background: </strong>Glioblastoma multiforme (GBM) is one of the most invasive types of brain cancer. LncRNAs can be considered a new prognostic and diagnostic biomarker in GBM. This study comprehensively explored the interaction of lncRNAs with mRNAs in the TCGA database and proposed a novel promising biomarker with favorable diagnostic and prognostic values.</p><p><strong>Methods: </strong>The public data of RNA-seq and related clinical data were downloaded from the TCGA database. Differential expression analysis was conducted in R. GO and KEGG signaling pathways were used for enrichment. The STRING database was used for PPI analysis. CE-network was constructed by STAR database. Kaplan-Meier survival analysis and ROC curve analysis to indicate the biomarkers' diagnostic and prognostic values.</p><p><strong>Results: </strong>Differentially expressed data illustrated that 4428 mRNAs were differentially expressed in GBM. The GO and KEGG pathway analysis showed that the differentially expressed mRNAs were enriched in critical biological processes. The PPI showed that <i>WEE1, BARD1,</i> and <i>CDK6</i> were the important PPI hubs. The ceRNA network data demonstrated critical lncRNAs. The data revealed that the lncRNA <i>CRNDE</i>, <i>LINC00957</i>, <i>AC072061.1</i>, <i>AC068888.1,</i> and <i>DBH-AS1</i> are potential diagnostic prognostic biomarkers in the GBM patients.</p><p><strong>Conclusion: </strong>Altogether, we demonstrated lncRNA, and mRNA interaction and mentioned regulatory networks, considered a therapeutic option in GBM. In addition, we proposed potential diagnostic and prognostic biomarkers for the patients.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"53 9","pages":"2090-2102"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11490338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478775","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":"<i>LUCAT1</i> Activates the Malignant Phenotypes of Lung Cancer Cells via Regulating <i>P53</i> Ubiquitination.","authors":"Junfeng Zhang, Weiyi Gong, Xinle Wang, Longbo Yang","doi":"10.18502/ijph.v53i9.16458","DOIUrl":"10.18502/ijph.v53i9.16458","url":null,"abstract":"<p><strong>Background: </strong>Long non-coding RN (lncRNAs) have been implicated in lung cancer, but the mechanisms stay unclear. We investigated the theatrical role and mechanism of lncRNA Lung cancer associated transcript 1 <i>LUCAT1</i> in the malignant progress of lung cancer.</p><p><strong>Methods: </strong>From May 2022 to March 2023, a total of thirty normal and cancerous tissues were collected from patients diagnosed with non-small cell lung cancer at Zhongke Gengjiu Hospital in Anhui Province, China. The human SPC-A1 and A549 cell lines were chosen as the subjects for the relevant cellular experiments in this study. LncRNAs were expressed in a different manner identified by bioinformatics methods, and the expression levels in lung cancer tissues as well as cells were verified by the qRT-PCR assay. The biological role of <i>LUCAT1</i> in NSCLC was determined by CCK-8, EdU, and transwell assay.</p><p><strong>Results: </strong>The regulation of ubiquitin of <i>P53</i> by <i>LUCAT1</i> was studied, which showed that <i>LUCAT1</i> was significantly elevated in NSCLC cell lines and patients' tissues (<i>P</i><0.05). High levels of <i>LUCAT1</i> promoted the proliferation, invasion, and migration of NSCLC cells. Mechanism studies showed that <i>LUCAT1</i> was mainly located in the nucleus, which bound to <i>P53</i> and mediated the ubiquitinated degradation of <i>P53</i>. Meanwhile, <i>LUCAT1</i> knockdown attenuated the ubiquitination process of <i>P53</i>. In addition, rescue experiments illustrated that <i>LUCAT1</i> induced the proliferation and invasion of NSCLC cells, and played a key role in the survival and tumorigenicity of NSCLC cells by mediating the ubiquitination of <i>P53</i>.</p><p><strong>Conclusion: </strong>Collectively, <i>LUCAT1</i> activated the malignant phenotypes of NSCLC cells via regulating <i>P53</i> ubiquitination, which provided a new idea for the diagnosis and treatment of NSCLC.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"53 9","pages":"2049-2058"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11490327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478755","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":"An Empirical Investigation of Organizational Readiness towards Hospital Autonomy.","authors":"Riaz Alaei Kalajahi, Mohammad Ghorbani, Mohammad Arab, Ebrahim Jaafaripooyan, Mehdi Yaseri","doi":"10.18502/ijph.v53i9.16466","DOIUrl":"10.18502/ijph.v53i9.16466","url":null,"abstract":"<p><strong>Background: </strong>We aimed to investigate Tehran's University of Medical Sciences (TUMS) affiliated hospitals organizational readiness toward implementing the 'Autonomous Hospitals' program as a change initiative from a managerial perspective in 2020.</p><p><strong>Methods: </strong>A census covering all eligible managers working in TUMS affiliated hospitals, Tehran, Iran (350 individuals) was carried out. Overall, 281 questionnaires were returned (a 30% non-responsiveness rate). A standard construct was adopted for data collection which was validated through a process of translation- back translation, face validity, and content validity (CVI=0.86, CVR=0.76). The reliability was acquired using Cronbach's alpha coefficient (0.87 and over 0.7). Both descriptive and inferential statistics were employed to draw conclusions .SPSS 26 was used for data analysis.</p><p><strong>Result: </strong>Total organizational readiness for change (TORC) in hospitals was 60.75%±10.11 showing a state of medium to upper-medium readiness status. Also, the 'Clear mandate and centralized leadership' theme scored the lowest mean (53.02%±15.78) for ORC. 'Hospital accreditation level' (r=-0.14, <i>P</i>≤0.05), 'bed occupancy rate' (r=-0.19, <i>P</i> ≤0.05), and 'leadership status' (r=0.26, <i>P</i>≤0.001), also showed significant association with TORC. In addition, 'standardized bed occu<i>P</i>ancy rate' (<i>P</i>≤0.05, B=-2.41), a 'male' leader (<i>P</i> ≤0.05, B=3.42), and 'academic affiliation' (<i>P</i>≤0. 1, B=-9.52), were good <i>P</i>redictors of TORC based on 'Backward Multiple Linear Regression' analysis.</p><p><strong>Conclusion: </strong>Full support from hospital and headquarters executives, delegation of sufficient decision-making authority to hospital managers, and implementation of comprehensive performance evaluation criteria were prerequisites for robust hospital autonomy in TUMS-affiliated hospitals.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"53 9","pages":"2130-2139"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11490337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478757","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}