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linear regression

در نشریات گروه پزشکی
  • Narges Roustaei *
    Background

    Linear-regression analysis is a well-known statistical technique that serves as a basis for understanding the relationships between variables. Its simplicity and interpretability render it the preferred choice in healthcare research, including vision science, as it enables researchers and practitioners to model and predict outcomes effectively. This article presents the fundamentals of linear-regression modeling and reviews the applications and interpretations of the main linear-regression analysis.

    Methods

    The primary objective of linear regression is to fit a linear equation to observed data, thus allowing one to predict and interpret the effects of predictor variables. A simple linear regression involves a single independent variable, whereas multiple linear regression includes multiple predictors. A linear-regression model is used to identify the general underlying pattern connecting independent and dependent variables, prove the relationship between these variables, and predict the dependent variables for a specified value of the independent variables. This review demonstrates the appropriate interpretation of linear-regression results using examples from publications in the field of vision science.

    Results

    Simple and multiple linear regressions are performed, with emphasis on the correct interpretation of standardized and unstandardized regression coefficients, the coefficient of determination, the method for variable selection, assumptions in linear regression, dummy variables, and sample size, along with common mistakes in reporting linear-regression analysis. Finally, a checklist is presented to the editors and peer reviewers for a systematic assessment of submissions that used linear-regression models.

    Conclusions

    Medical practitioners and researchers should acquire basic knowledge of linear-regression such that they can contribute meaningfully to the development of technology by accurately interpreting research outcomes. Incorrect use or interpretation of appropriate linear-regression models may result in inaccurate results. Appointing an expert statistician in an interdisciplinary research team may offer added value to the study design by preventing overstated results.

    Keywords: Regression Analyses, Linear Regression, Statistics, Ophthalmology, Sample Size, Optometry
  • ستاره طلایه، فرزاد فیروزی جهانتیغ*، فاطمه بهمن
    زمینه و هدف

    صنعت جهانگردی نقش بسیار مهمی در چرخه ی اقتصاد جامعه دارد. جهانگردی پزشکی به عنوان یکی از انواع صنایع جهانگردی، نتیجه ی مستقیمی در جهانی سازی مراقبت های بهداشتی دارد. بنابراین با تقویت زنجیره تامین در حوزه مذکور می توان به ارزش افزوده ی بسیار بالایی دست یافت. از این رو پژوهش حاضر به تعیین رابطه ی بین تقاضای گردشگری پزشکی و مولفه های اقتصادی، پزشکی و رفاهی- خدماتی شهر زاهدان یک چارچوب مفهومی جهت پیش بینی تقاضای زنجیره تامین توریسم پزشکی می پردازد.

    روش بررسی

    پژوهش حاضر یک پژوهش توصیفی-تحلیلی و از نوع کاربردی است. داده ها با استفاده از پرسش نامه و به روش میدانی و کتابخانه ای جمع آوری شده است. جامعه آماری مورد نظر، پزشکان متخصص شهر زاهدان بوده و برای انتخاب نمونه 97 نفر با استفاده از جدول مورگان با روش نمونه گیری تصادفی ساده انتخاب شدند. روایی پرسش نامه توسط خبرگان تایید شد و پایایی آن با ضریب آلفای کرونباخ به کمک نرم افزار SPSS بیشتر از 0/7 به دست آمد. تحلیل داده ها با استفاده از الگوریتم تانژانت سیگموئیدی شبکه عصبی، و معیارهای رگرسیون خطی و میانگین مربعات خطا انجام شده است. برای این منظور نرم افزار مورد استفاده برای بررسی همبستگی بین داده ها SPSS بوده و جهت طراحی شبکه عصبی از نرم افزار متلب استفاده شده است.

    یافته ها

    مبنای بهینه بودن جواب ها، معیارهای رگرسیون خطی و میانگین مربعات خطا بوده است. نتایج نشان داده است که مقادیر مربوط به رگرسیون فازهای آموزش، اعتبارسنجی و آزمایش بیشتر از 0/8بوده و به ترتیب 0/9033، 0/8818 و 0/9985 به دست آمده است. همچنین مقادیر میانگین مربعات خطا به ترتیب 0/5657، 0/5558 و 0/20726 بوده است.

    نتیجه گیری

    طبق نتایج به دست آمده از مدل ارایه شده، شبکه عصبی در هر سه نمونه تعلیم، آزمایش و تصدیق دارای دقت بالایی بوده و در پیش بینی تقاضای زنجیره تامین توریسم پزشکی صحت و سرعت بالایی دارند. همچنین در مدت یک ساله ی انجام پژوهش وضعیت تقاضای توریسم پزشکی ثابت بوده و پیش بینی می شود در آینده توریسم پزشکی در شهر زاهدان کاهش یابد. بنابراین به مسئولان پیشنهاد می شود به برنامه ریزی و آینده پژوهی جهت بهبود توریسم پزشکی بپردازند.

    کلید واژگان: مدیریت زنجیره تامین گردشگری، توریسم پزشکی، رگرسیون خطی، میانگین مربعات خطا، شبکه عصبی
    Setareh Talayeh, Farzad Firouzi Jahantigh*, Fatemeh Bahman
    Background and Aim

    The tourism industry plays a very important role in the economic cycle of society. Medical tourism, as one of the types of tourism industries, has a direct result in globalizing health care. Therefore, by strengthening the supply chain in this area, a very high added value can be achieved. For this reason, the present study provides a conceptual framework for predicting the demand for medical tourism supply chain by determining the relationship between medical tourism demand and economic, medical, and welfare-service components of Zahedan city.

    Materials and Methods

    The present study is a descriptive-analytical and applied research. Data were collected using a questionnaire and field and library methods. The statistical population of interest was specialist doctors in Zahedan city, and 97 people were selected using simple random sampling with Morgan’s table. The validity of the questionnaire was confirmed by experts and its reliability was obtained using Cronbach’s alpha coefficient with SPSS software more than 0.7. Data analysis was performed using the tangent sigmoid neural network algorithm, linear regression criteria, and mean square error. For this purpose, SPSS software was used to examine the correlation between the data, and MATLAB software was used to design the neural network.

    Results

    There was anerrore in The basis for the optimality of the answers, linear regression criteria and mean square error. The results showed that the values related to regression, education, and health were more than 0.8 and were 0.9033, 0.8818, and 0.9985, respectively. The highest priorities of the respondents related to medical equipment, education, and health were 0.5657, 0.5558, and 0.20726, respectively.

    Conclusion

    According to the results obtained from the proposed model, the neural network has a high accuracy in predicting the demand for medical tourism supply chain in terms of education, health, and welfare. It is also predicted that the demand for medical tourism has been constant during the one-year period of research and it is expected that medical tourism in Zahedan city will decrease in future. Therefore, it is recommended that officials pay attention to the development and improvement of medical tourism to promote it.

    Keywords: Tourism Supply Chain Management, Medical Tourism, Linear Regression, Mean Square Error, Neural Network
  • Mohammad Khayatzadeh-Mahani *, Mohadese Salehi, Meimanat Akbari, AliReza Jamali, Maryam Moradi
    Background

    Satisfaction with orthotic devices and services results in more significant orthotic usage. Evaluation of users’ satisfaction could enhance the quality of service delivery. This study aimed to identify the predictive value of demographic factors on users’ satisfaction with lower-limb orthoses and related services.

    Methods

    This study was a cross-sectional one. Ninety-seven users of lower-limb orthoses LLO participated in this cross-sectional study. Users’ satisfaction was evaluated with the Orthotic & Prosthetic Users’ Survey (OPUS). SPSS version 22 using linear regression test was used to identify which demographic variables explain variation in satisfaction with LLO and services.

    Results

    According to linear regression, the variance of satisfaction with the device was significantly explained by the income level and the type of orthosis (P <0.05). However, the predictive value of these variables was relatively low (Adjusted R2 = 0.118). The results also showed that the variance of satisfaction with services was significantly explained by none of the dependent demographic variables (P> 0.05), and the prediction of the independent variable by the demographic variables was very low (Adjusted R2 = 0.063).

    Conclusion

    Orthotists should focus more on clients with low-income to acquire their satisfaction with devices and services. To satisfy their users, they also need to be more careful when making long orthoses such as Knee Ankle Foot Orthosis or Hip Knee Ankle Foot Orthosis.

    Keywords: Lower Extremity, Orthotic Devices, patient satisfaction, Linear Regression
  • لیلا تیموری یگانه*، حسن کرمی

     زمینه و هدف :

    بیماری کووید-19 که به شکل عمومی به آن کرونا نیز می گویند، یک بیماری عفونی حاد تنفسی است که بر اثر یک نوع جدید از خانواده کرونا ویروس ها به نام  Covid-19 ایجاد می شود. این ویروس، دستگاه تنفس را تحت تاثیر قرار می دهد و می تواند با سردرد و تب نیز همراه باشد و تا چند روز به طول می انجامد. مطالعه حاضر با هدف بررسی الگوی اعتقاد بهداشتی رفتارهای پیشگیری کننده از بیماری کووید-19 در مردم شهر کرمانشاه صورت گرفت.

    مواد و روش ها

    این مطالعه توصیفی - تحلیلی (مقطعی) در سال 1399 بر روی 500 نفر از مردم شهر کرمانشاه انجام شد. نمونه ها به روش نمونه گیری خوشه ای انتخاب شدند. اطلاعات با استفاده از پرسشنامه محقق ساخته روش پایلوت مبتنی بر الگوی اعتقاد بهداشتی، جمع آوری شدند. داده ها با استفاده از آزمون های ضریب همبستگی پیرسون و رگرسیون خطی مورد تجزیه و تحلیل قرار گرفتند.

    یافته ها

    بر اساس نتایج ضریب همبستگی، قوی ترین همبستگی بین سازه موانع درک شده گزارش شد که در خصوص رفتار، قوی ترین همبستگی بین منافع حساسیت شده با رفتار مشاهده گردید. نتایج آنالیز رگرسیون خطی مقدار 17% از واریانس رفتارهای پیشگیری کننده از بیماری کووید-19 را پیش بینی نمود که در این میان حساسیت درک شده (593/0) قوی ترین پیش بینی بود.

    نتیجه گیری

    نتایج این مطالعه کاربرد الگوی اعتقاد بهداشتی را در پیشگویی رفتار پیشگیری از ابتلاء به کووید-19 به شکل قوی نشان داد و به نظر می رسد می توان از این الگو در تدوین برنامه های آموزشی و تکنیک های مداخله ای جهت تغییر نگرش و رفتار مردم استفاده نمود.

    کلید واژگان: کووید19، اعتقاد بهداشتی، همبستگی پیرسون، رگرسیون خطی
    Liela Teymoury Yeganeh *, Hasan Karami
    Background and Aim

    COVID-19, also commonly referred to as coronavirus disease, is an acute respiratory infection caused by a novel coronavirus. The virus affects the respiratory system and can cause headaches and fever for up to several days. This study aimed to investigate the preventive behaviors regarding COVID-19 based on the health belief model in Kermanshah.

    Materials and Methods

    This descriptive-analytical cross-sectional study was performed on 500 individuals in Kermanshah in 2020. The sample was selected by cluster sampling. Data were collected using a researcher-made questionnaire based on a pilot study according to the health belief model. Data were analyzed using Pearson correlation coefficient and linear regression.

    Results

    The correlation coefficient showed that the strongest correlation was reported between the constructs of perceived barriers and in terms of behavior, the strongest correlation was observed between perceived benefits and behavior. The results of linear regression analysis predicted 17% of the variance of COVID-19 prevention behaviors. Among them, perceived sensitivity (0.593) was the strongest predictor.

    Results

    The results of this study strongly showed the application of the health belief model in predicting the prevention behavior of COVID-19, and it seems that this model can be used in developing educational programs and interventions to change people's attitudes and behavior.

    Keywords: Covid 19, Health Belief, Pearson Correlation, linear regression
  • MohammadJavad Sayadi*, Fateme Moghbeli, Hafez Mehrjoo, Mohammadreza Mahaki
    Introduction

    Studying trends in observed rates provides valuable information in terms of need assessment, planning of programs and development indicators of each country. The purpose of the present study was to apply the regression model and the Fourier series in terms of predicting the trends in growth and mortality rate of coronavirus disease.

    Material and Methods

    In this study, two linear analysis methods were used to predict the incidence and mortality rate of coronavirus disease in Iran and China. The methods used are linear regression and Fourier transform. The data used were collected by referring to the official media of the mentioned countries, the general form of which is a time series of the incidence and mortality rate in recent days and the model implemented to estimate the incidence and mortality rate for the coming days. Python programming language version 3.7 is used to implement models.

    Results

    The results of this study show that the rates of coronavirus disease incidence and mortality are still increasing. Meanwhile, the Fourier transform-based analytical method is more accurate than the linear regression method and on the other hand, the accuracy of both algorithms for predicting mortality wasmuch higher than the prediction rate. This indicates that the mortality rate is higher than that of its linearity over time. The other point is that based on the results of this study, however, linear methods are very suitable for future prediction, due to the nature of epidemic diseases whose growth chart is nonlinear, linear methods cannot be used to predict the rate and mortality used in distant times.

    Conclusion

    The accuracy of the mathematics-based methods for predicting the trajectory of COVID-19 was really high. We predicted that the epidemics of COVID-19will be high during 10 days. If the data are reliable and there are no second transmissions, we can accurately predict the transmission dynamics of the COVID-19across the cities in China and Iran. The mathematics-inspired methods are a powerful tool for helping public health planning and policymaking.

    Keywords: CoronaVirus Disease, Fast Fourier Transformation, Linear Regression, Prediction
  • Sayed Mohsen Hosseini, Shakiba Latifi, Roya Kelishadi
    Background

    This study aims to evaluate the effect of some factors, including birth weight, sex, age, waist circumference, family history of obesity, as well as some lifestyle factors as frequency of breakfast days and physical activity, on the body mass index among a nationally representative sample of Iranian children and adolescents by using bootstrapping regression.

    Materials and Methods

    This study was conducted as the third survey of a school-based surveillance system (CASPIAN-III study). Total participants were 5570 school students, aged 10-18 years, selected by multistage random cluster sampling from urban and rural areas of 27 provinces of Iran. Multiple linear regressions was used to evaluate the effect of various factors on obesity, but in our data the assumptions of this model violated, and possible solutions were not appropriate, therefore the bootstrapping regression based on the observations and errors resampling approaches was used as an alternative.

    Results

    The tests of signifi cance showed that the effects of sex, age, waist circumference, family history obesity and frequency of breakfast days were clearly signifi cant (P < 0.001). The effect of vigorous level of physical activity was signifi cant in comparison to mild physical activity (P = 0.01). In comparison to low birth weight, medium and high birth weight had signifi cant effect on obesity.

    Conclusions

    Bootstrap method is preferable in linear regression because of some theoretical properties like having any distributional assumptions on the residuals and hence allows for inference even if the errors do not follow normal distribution or constant error variance.

    Keywords: Adolescents, body mass index, bootstrap, children, linear regression
  • Alireza Jabbari, Maryam Gholami, Zahra Kavosi, Parisa Chamanpara, Mehrnaz Gholami
    Background And Objectives
    Recently medical tourism as a new form of tourism has gained great popularity among the countries and a relatively large part of the world income is devoted to it. Since the high quality of service in the medical tourist's viewpoint has been a key factor in attracting and retaining them, the present study aimed to demonstrate which variables could affect the medical tourist's perspective about service quality.
    Methods
    We applied univariate analysis and multiple regression to explore the variables affecting medical tourists’ viewpoint about service quality they received. In order to measure thequality of service, we used SERVQUAL scale based on a gap model.
    Findings: The findings showed nationality and type of therapy are the influential factors that affect patient's perspective.
    Conclusions
    Understanding the demographic characteristics of medical tourists helps the authorities to make better decisions and change their strategies in offering services in order to raise medical tourist's attraction and trust and also develop this type of industry.
    Keywords: Medical Tourism, Servqual, Linear regression, Hospitals
  • Chih-Yi Chi, Hsin-Hung Wu, Chih-Hsuan Huang, Yii-Ching Lee
    Background
    The issues of patient safety and healthcare quality have become increasingly important around the world since the 1990s. Many hospitals manage to reduce the number of adverse events (AEs) that can threaten patient safety in healthcare organizations. Assessing the existing patient safety culture gives hospital management a clear vision of an organization’s strengths and weaknesses. The Safety Attitudes Questionnaire, with its good psychometric properties and great internal consistency, has been used extensively to assess the patient safety culture in healthcare organizations.
    Objective
    Physicians and nurses form the core staff of each organization. With different demographic variables, they might perceive patient safety culture differently. This study purposed to identify critical demographic variables from the viewpoints of physicians and nurses that significantly influence the patient safety culture in a regional teaching hospital in Taiwan.
    Methods
    Linear regression with forward selection was employed in this study to focus on all physicians and nurses using results of a 2015 internal survey in the case hospital. Ten demographic variables were the independent variables, and seven dimensions of the Chinese version of the Safety Attitudes Questionnaire were dependent variables.
    Results
    Four out of 10 demographic variables had significant impacts on 6 out of 7 dimensions (with the exception of emotional exhaustion) from the Safety Attitudes Questionnaire. “Supervisor/manager” and “experience in position” followed by “age” were viewed by physicians and nurses as the most critical variables affecting the patient safety culture in this regional teaching hospital in Taiwan.
    Conclusion
    Assessing an organization’s current patient safety culture provides a significant value to improving patient safety. This study revealed that “supervisor/manager” and “experience in position” are the 2 most important demographic variables influencing the patient safety culture. Hospital management should take heed of the suggestions of staff members regarding these characteristics to continuously enhance their patient safety culture.
    Keywords: Patient Safety, Linear Regression, Physicians, Nurses
  • Valiollah Kashani*, Ahmad Nik Ravan, Mansoreh Azari

    The present study attempted to investigate the emergence of especial skill in shooting with air gun at two skill levels (skilled, novice). The population studied here included all male and female shooters from the city of Semnan. The study was conducted on a sample of 40 shooters, consisting of two groups of women with the mean age of 21.33±2.26 and two groups of men with the mean age of 23.44±23.44, who displayed their shooting abilities with air guns from five points (8, 9, 10, 11, 12 meters) from the target. The test was conducted in 4 sets (with 15-minute rest intervals) each consisting of 5 blocks of 25 with 20 shots at each point (100 shots in all). The gap between each set was the resting time of 15 minutes. A significant difference was found between the actual and predictive scores in all groups (p<0.05): the differences found between actual and predictive scores were significant at P=0.012 for skilled male shooters, P=0.023 for novice male shooters, P=0.001 for skilled female shooters, and P=0.021 for novice female shooters. These findings of this study support the emergence of especial skill in all groups of air gun shooters.

    Keywords: Especial Skill, Schema Theory, Practice Specificity, Linear Regression
  • Arash Mirabzadeh, Enayatollah Bakhshi, Mohammad Reza Khodae, Mohammad Reza Kooshesh, Bibi Riahi Mahabadi, Hossein Mirabzadeh, Akbar Biglarian
    Background
    Antipsychotic monotherapy or polypharmacy (concurrent use of two or more antipsychotics) are used for treating patients with psychiatric disorders (PDs). Usually, antipsychotic monotherapy has a lower cost than polypharmacy. This study aimed to predict the cost of antipsychotic medications (AM) of psychiatric patients in Iran.
    Materials And Methods
    For this purpose, 790 patients with PDs who were discharged between June and September 2010 were selected from Razi Psychiatric Hospital, Tehran, Iran. For cost prediction of AM of PD, neural network (NN) and multiple linear regression (MLR) models were used. Analysis of data was performed with R 2.15.1 software.
    Results
    Mean ± standard deviation (SD) of the duration of hospitalization (days) in patients who were on monotherapy and polypharmacy was 31.19 ± 15.55 and 36.69 ± 15.93, respectively (P < 0.001). Mean and median costs of medication for monotherapy (n = 507) were $8.25 and $6.23 and for polypharmacy (n =192) were $13.30 and $9.48, respectively (P = 0.001). The important variables for cost prediction of AM were duration of hospitalization, type of treatment, and type of psychiatric ward in the MLR model, and duration of hospitalization, type of diagnosed disorder, type of treatment, age, Chlorpromazine dosage, and duration of disorder in the NN model.
    Conclusion
    Our findings showed that the artificial NN (ANN) model can be used as a flexible model for cost prediction of AM.
    Keywords: Linear regression, neural networks, psychiatric disorders, treatment cost
  • هدایت عباس تبار، مسعود سلیمانی دودران، پروین حمیدی فرد، فرزاد جلیلیان، مهدی میرزایی علویجه، مصطفی نصیرزاده
    مقدمه
    سرطان پستان شایع ترین عامل مرگ مرتبط با سرطان در زنان دنیا است؛ به طوری که سالیانه بیش از 1/1 میلیون مورد جدید سرطان پستان در جمعیت زنان جهان رخ می دهد. با توجه به اهمیت موضوع، این مطالعه با هدف، تعیین نقش فاکتورهای غذایی از قبیل مصرف سبزیجات و میوه جات، لبنیات، غذاهای سرخ کردنی، ماهی، نمک به همراه غذا و عواملی هم چون وزن بدن، فعالیت فیزیکی، پرفشاری خون، دیابت، دخانیات، سطح تحصیلات و وضعیت تاهل در ایجاد سرطان پستان انجام گرفت.
    روش ها
    ابتدا ضریب همبستگی Pearson دو طرفه بین میانگین بروز سرطان پستان در سال های 85-1380 و تناسب عوامل خطر شایع بیماری های غیر واگیر محاسبه شد. عوامل خطری که ضریب همبستگی آن ها از لحاظ آماری معنی دار بود، جدا گردیده و وارد مدل رگرسیون خطی چندگانه شدند تا ارتباط آن عامل، در طی این سال ها هم به صورت انفرادی و هم در صورت وجود عوامل موثر دیگر بررسی شوند.
    یافته ها
    بر اساس آمارهای موجود، سرطان پستان شایع ترین سرطان در زنان ایران و در مجموع سومین سرطان شایع کشور می باشد. بر اساس ضریب همبستگی Pearson، بین بروز سرطان پستان در زنان با ابتلا به دیابت، مصرف ماهی در هفته، تحصیلات دانشگاهی و عدم مصرف میوه جات در هفته ارتباط مثبت معنی دار وجود داشت، ولی بین بروز سرطان پستان با عدم مصرف ماهی در هفته، بی سوادی و مصرف میوه جات در هفته ارتباط منفی معنی دار وجود داشت. Regression analysis نشان داد که تحصیلات دانشگاهی، درصد مصرف میوه جات در هفته و ابتلا به دیابت در زنان، دارای ارتباط معنی دار بودند.
    نتیجه گیری
    از آن جایی که این مطالعه از نوع اکولوژیک می باشد، در تفسیر نتایج آن باید مواظب مغالطه اکولوژیک بود. این مطالعه فقط می تواند فرضیه هایی را درباره عوامل احتمالی سرطان پستان در ایران به وجود آورد که اثبات آن مستلزم انجام مطالعات دیگری از قبیل هم گروهی و موردی- شاهدی می باشد.
    کلید واژگان: سرطان پستان، عوامل خطر شایع، ارتباط، رگرسیون خطی، مطالعه اکولوژیک و مغالطه اکولوژیک
    Hedayat Abbastabar, Masoud Soleymani Dodaran, Parvin Hamidi Fard, Faezad Jalilian, Mostafa Nasir Zadeh, Mehdi Mirzaee Alvijeh
    Background
    Breast cancer is the most common cause of cancer-related deaths among women worldwide. Each year it is newly diagnosed in more than 1.1 million women around the world. The aims of this study were to investigate the role of dietary factors such as consumption of vegetables, fruits, dairy products, fried food, fish, and salt along with food, and factors such as weight, physical activity, hypertension, diabetes, smoking, educational level, and marital status in the development of colorectal cancer.
    Methods
    First we calculated the bilateral Pierson correlation coefficient between the mean incidences of breast cancer during 2001-2006, and the proportion of risk factors of non-contagious diseases. Then the risk factors with statistically significant correlation coefficient were separated and were entered into the multiple linear regressions model, in order to investigate the effects of that factor both individually and in relation to other factors over these years.
    Findings
    Based on the Pearson correlation results, there was a significant positive correlation between breast cancer in women, and the percentage of diabetic women, fish consumptions per week, academic education, and lack of consumption of fruits per week. However, there was a significant negative correlation between the incidence of breast cancer, and lack of fish consumption per week, percentage of illiteracy, and consumption of fruit per week. However, in regression analysis there was a significant correlation between university education, fruit consumption per week, and the percentage of diabetic women.
    Conclusion
    Since this was an ecological study we should be careful of ecological fallacy in the interpretation of results. This study can only hypothesize about some possible factors causing breast cancer; therefore, other studies are required, these could be cohort or case control studies.
    Keywords: Breast Cancer, Common Risk Factors, Correlation, Linear Regression, Ecological Study, Ecological Fallacy
  • Mohammad Amin Pourhoseingholi, Soghrat Faghihzadeh, Manijeh Habibi, Azadeh Safaee, Fatemeh Qafarnejad, Mohammad Rostami Nejad, Bijan Moghimi Dehkordi, Mohammad Reza Zali
    Aim
    To determine the associated factors of reflux duration, using quantile regression model.
    Background
    Reflux is one of the most prevalent gastrointestinal disorders. Statistical tools are widely used to assess the associated factors on reflux severity and frequency.Patients and
    Methods
    A door to door questionnaire has been used to evaluate gastrointestinal symptoms including reflux and heartburn between May and December 2006 in Tehran. A total of 790 adult patients with gastrointestinal problems were selected using random sampling method. Among them 208 persons were found to have heartburn. A quantile regression was employed to assess the associated factors and the results were compared to linear regression and Cox semi parametric model.
    Results
    Heartburn duration had dramatically high negative skewness. Quantile regression analysis indicated significant increase in the given decile of heartburn duration associated with a unit increase in given patient characteristic containing sex, pain severity and pain after having some specific food. The results from linear regression and Cox model showed poor reliability in comparison to Quantile regression.
    Conclusion
    The results have demonstrated that using quantile regression leads to better interpretation and richer inference about association between heartburn duration and patient characteristics.
    Keywords: Quantile regression, Linear regression, Heartburn
  • نجف زارع، ساره کشاورزی، بهرام ضیغمی
    زمینه و هدف
    چاقی به عنوان یک مشکل جهانی تقریبا تمام گروه های سنی، جنسی، نژادی و اقتصادی را تحت تاثیر قرار داده است. این معضل بهداشتی عامل خطر ساز برای برخی بیماری ها می باشد. اما در این رابطه مطالعات اندکی در مناطق روستائی ایران انجام شده است. هدف مطالعه حاضر بررسی میزان شیوع و عوامل خطر چاقی در زنان روستائی شهرستان زرین دشت با استفاده از نسبت شانس (OR=Odds Ratio) حاصل از مدل رگرسیون خطی می باشد.
    مواد و روش کار
    در یک مطالعه مقطعی در سال 1384، تعداد 920 نفر از زنان سن باروری در مناطق روستائی شهرستان زرین دشت با استفاده از نمونه گیری تصادفی چند مرحله ای انتخاب و ارتباط شاخص توده بدنی (BMI = Body Mass Index) با متغیرهای مستقل تحصیلات زن و شوهر، تعداد فرزندان، سن زن وشوهر، وضعیت اقتصادی،اجتماعی و میانگین مدت شیردهی فرزندان، توسط شاخص نسبت شانس به دو روش رگرسیون لجستیک و رگرسیون خطی (بدون مرز بندی) بررسی شد. شاخص توده بدنی25 تا 9/29 به عنوان اضافه وزن و شاخص توده بدنی 30 و بالاتر بعنوان چاقی در نظر گرفته شد.
    یافته ها
    دراین بررسی دامنه سنی زنان مورد مطالعه 17 تا 47 سال و میزان شیوع اضافه وزن و چاقی به ترتیب 30 و 14 درصد بدست آمد. در هر دو روش، تحصیلات شوهر، تعداد فرزندان و وضعیت اقتصادی، اجتماعی با افزایش خطر چاقی رابطه معنی داری نشان دادند. دقت روش رگرسیون در برآورد نسبت شانس بیشتر از روش رگرسیون لجستیک بود.
    نتیجه گیری
    با توجه به شیوع زیاد چاقی در مناطق روستائی (شبیه به مناطق شهری) و تاثیر سوء آن بر سلامت جامعه اجرای برنامه های ملی پیشگیری و کنترل چاقی بایستی در اولویت برنامه های بهداشتی قرار گیرد.
    کلید واژگان: چاقی، شاخص توده بدنی، زنان، رگرسیون خطی، نسبت شانس
    Zare N., Keshavarzi S., Zeighami B.
    Background
    Obesity is becoming a worldwide health problem, affecting all groups of age, sex and economy. This important problem is a major risk factor for some diseases. The prevalence of obesity not has been well studies in the rural areas. The purpose of this study was to determine the prevalence of obesity and some of the relevant risk factors in women of Zarrindasht rural areas using the odds ratio estimated from the regression approach. Methods and Materials: In a cross-sectional study in 2005, a number of 920 women in fertility age from rural areas of Zarrin-Dasht, at eastern part of Fars province were selected by random multi stage sampling. Correlation ship between BMI and some variables including age, education level, number of children, socio-economic status and mean duration of breast feeding were evaluate. The age and education level of their husbands were also considerved. Odds ratio (OR) was using both logistic regression approach and the linear regression procedure (without dichotomizing). BMI of 25 or higher was considered as overweight or obesity
    Results
    The studied women aged between 17 to 47 years old and the prevalence of over weight (25Conclusions
    It is concluded that, similar to the urban areas, the obesity is highly prevalent in the rural population. This can potentially affect the health of rural community and needs consideration. Prevention and control of obesity are recommended to be as of health program priorities.
    Keywords: Obesity, Body Mass Index (BMI), Women, linear regression, Odds Ratio (OR)
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
  • کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شده‌است. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
  • در صورتی که می‌خواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.
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