مجله آموزش و سلامت جامعه
سال سوم شماره 2 (تابستان 1395)

Identifying the effective factors on oral health behaviors could have an important role in promotion of oral health in diabetic patients. Therefore, the aim of the present study was the assessment of cognitive-behavioral determinants of oral health in students using Pender's Health Promotion Model.
In this cross-sectional study, 251 subjects were selected from Azad University, Payame Noor University and Sarab Faculty of Medical Sciences by multistage random sampling in 2016. To collect data, a standard instrument was applied based on Health Promotion Model (HPM) structures. This questionnaire consisted of three parts: demographic variables, Pender’s HPM constructs items based on oral and dental health promotion, and health behavior.
The mean age (standard deviation) was (21.9 ± 1.67). Oral health behaviors had statistically significant correlations with all of the HPM structures except for situational influences (r = 0.048). The HPM structures were able to predict 43.6% of oral heath behaviors and 24.6% of commitment to action. Self-efficacy (β = 0.342) was the strongest predictor to behavior and perceived barriers of commitment to action (β = -0.217).
According to the results, self-efficacy was the strongest predictor of oral health behaviors and perceived barriers was the strongest predictors of commitment to action plan. Generally, based on the present study findings, HPM may be used as an appropriate framework for identifying factors and developing educational interventions, aiming at improving oral health behaviors among students.

Illness perception is an important predictor for adherence to therapeutic regimens. The aim of this study was to determine the relationship between illness perception and adherence to therapeutic regimens in patients with hypertension.
A cross-sectional survey was conducted at two teaching hospitals in Qom, Iran. A convenience sample of 140 patients was performed in this study in 2016. Data was collected using a questionnaire which included three parts: socio-demographic and clinical variables, brief illness perception questionnaire, and Hill-Bone Compliance to High Blood Pressure Therapy Scale. Descriptive and analytical analyses and linear regression analysis were performed for statistical assessment in SPSS-16.
The mean age of the patients was evaluated 60.4 (SD = 11.21) years and 57% of them were female; 35% of patients showed higher than mean scores in adherence to therapeutic regimens. The results of multiple linear regression analysis showed that personal control and disease understanding were associated with more adherence to therapeutic regimens with β = 0.25 and 0.22, respectively.
According to the findings, it is to strengthen patients’ illness perceptions, especially personal control and disease understanding, as an important strategy in educational interventions in order to increase adherence to treatment.

Cervical cancer is one of the most important female reproductive system diseases. The aim of this study was to estimate the prevalence of abnormal Pap smears of pregnant females in public health centers and hospitals of Hamadan.
In a retrospective study, 36046 Pap smears of females was extracted from the records referred to government health centers affiliated to Hamadan University of Medical Sciences and Fatemiyeh Hospital Hamadan, between 2012 and 2016. After checking the results of Pap smear, abnormal information (605 cases) were collected and investigated. Data were then analyzed using the SPSS21-software and descriptive statistics and one-way Analysis of Variance (ANOVA).
The majority of females with abnormal Pap smear results (%30.4) were aged 45 to 36 years, and %48.6 of females with abnormal Pap smear had parity (1-3). From a total of 36046 cases, 605 cases of abnormal Pap smear were observed. The highest and lowest frequencies of abnormal Pap smear were related to ASCUS and LSIL, at a prevalence of %78 and %1, respectively. There was a positive relationship between abnormal Pap smear results and age (P = 0.037).
The prevalence of abnormal Pap smear in Hamadan was %1.67. Malignant cervical cancer and invasive cancer risk increased with age, hence, screening and Pap smear, especially from age 35 and above, is recommended.

Attention to marital life and trying to increase the components associated with marital life has dramatically increased, since a healthy society cannot be achieved without a healthy family. Therefore, the purpose of the present study was to investigate the effectiveness of relationships enrichment teaching on the improvement of quality of life and marital satisfaction in students at the University of Khomeini Shahr.
This was a semi-experimental study with pretest post-test and control group research design. The statistical population of the study included all married females at the University of Khomeini Shahr. In order to perform the study, 32 married female students were selected through convenient sampling method and divided equally to experimental and control groups. The experimental group participated in relationship enrichment teaching courses during seven 90-minute sessions and there was no intervention for the control group. The study instrument was quality of life and marital satisfaction scale. Covariance analysis was applied via the SPSS 20 software to analyze the data.
The data analysis revealed that there was a significant difference between quality of life and marital satisfaction of the participants, according to group membership (experimental and control groups) after adjusting the effect of pretest variables (P Considering the positive effect of relationships enrichment training on quality of life and marital satisfaction, this method could be used to increase quality of life and marital satisfaction and finally couples’ life satisfaction.