مجله آموزش و سلامت جامعه
سال دوم شماره 4 (زمستان 1394)

This article has no abstract.

Low levels of medication adherence in patients with type 2 diabetes is one of the greatest challenges in the treatment and control of diabetes, this study was designed to determine medication adherence and its related factors in patients with type II diabetes in 2015.
In this cross-sectional study, a total of 300 patient's records with type 2 diabetes in the health centers of Tuyserkan city were randomly selected. Data collection instrument was self-made questionnaire which consisted of factors related to medication adherence questionnaire and medication adherence questionnaire. Questionnaires were completed after Confirmed validity and reliability, by questioning and interviews. To analyze the data, descriptive and inferential statistics (T-test, ANOVA, Simple and multiple linear regression) were applied, using spss software, version 19.
26.3% of patients were male and 73.7% were female. Also, 65% of patients were illiterate, 24% of patients had some degree of symptoms, 59.4% of patients had poor medication adherence. There were a significant relationship between age, education, patient care and treatment expenditure, health care team and health system, therapy-related factors and condition-related factors, beliefs about illness, efficacy, concerns about drugs with medication adherence (P This study showed that medication adherence in diabetes patients are not suitable and individual, economical and social factors affect on it.Therefore, the role of these factors must be considered when designing intervention programs.

The amount of physical activity as an essential determinant of healthy lifestyle in women less than is required. Theory-driven health education interventions, particularly Theory of Planned Behavior (TPB) is effective in promoting and sustaining of physical activity. This research evaluated the TPB-based educational intervention on exercise behavior and anthropometric indices in women residing in organizational houses in Tehran.
A randomized controlled trial was performed on 130 women residing in institutional houses in Tehran (2014). Participants were randomly chosen with multi-stage cluster sampling. The instructional sessions carried out applying modification methods of the TPB structures (instrumental and affective attitudes, subjective norms, perceived behavioral control, intention and behavior). The TPB constructs, physical activity level and intensity, body mass index (BMI) and waist hip ratio (WHR) were analyzed by using SPSS16 in baseline, 3 and 6 months post-education.
Conducting the educational program led to raise and maintain mean of the TPB constructs and mean rank of the physical activity level and intensity in 3 and 6 months post-intervention in the case group (P 0.05).
Implementing of TPB-directed instructional sessions resulted in ameliorating and sustaining exercise behavior and anthropometric indices in women.

Pap smear is a screening test for diagnosing cervical cancer in women. It is considered a health and health-promotion behavior, and it has been shown that this test can prevent up to 60% of all deaths resulting from cervical cancer. The present study aimed to determine the prevalence of this test and its related factors based on the health belief model in women referring to health centers in Qom.
In this cross-sectional study, 320 women who had health records and had referred to health centers in Qom in 2014 were selected using the multistage random sampling method and through following inclusion and exclusion criteria. A valid and reliable researcher- made questionnaire consisting of demographic characteristics, awareness questions, and questions based on the health belief model was used for data collection. The data were finally analyzed by SPSS with 0.05 significance level.
11.25% of the subjects regularly underwent Pap smear screening, 51.87% irregularly participated in cervical cancer screening programs, and 36.88% did not undergo the tests. ANOVA results showed that the mean scores of the health belief model constructs were significantly different in terms of undergoing Pap smear screening (P The participants did not consider cervical cancer a serious disease. Even women who felt vulnerable tried to hide it. Therefore, while perceived vulnerability and perceived severity of the disease risk was low in them, they perceived more barriers and, for this reason, the level of utilization of Pap smear was undesirable.

Student life stress can lead to various negative consequences such as physical illness, mental disorders or exhaustion in the college students. The present study was conducted to evaluate the level of student life stress and its related factors among college students in at Hamadan University of Medical Sciences.
This cross-sectional study applied multistage random sampling to select 500 college students at Hamadan University of Medical Sciences during 2015. The data collection tool used in the study was a self-report questionnaire containing two parts: a section on the subject's demographic details and another section for the Student-Life Stress Inventory (SLSI). Data were analyzed in SPSS-20 using descriptive and inferential statistics, such as the independent t-test, the Pearson correlation test and the one-way ANOVA.
This study revealed that 57% of the students had moderate level of stress. The most important stressors included self-imposed and pressures, and also the most important reactions to stressors included cognitive appraisal and emotional, respectively. There was a significant association between student life stress and branch, educational level, mother's education and father's education (P According to the high level of stress in students and the recognition of demographic factors can be conduct effective educational intervention to reduce stress.