فهرست مطالب

  • Volume:4 Issue:4, 2019
  • تاریخ انتشار: 1397/11/02
  • تعداد عناوین: 6
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  • Kambiz Abachizadeh*, Ahmad Kousha, Reza Shekarriz, Maryam Mohseny Pages 190-200
    Background
    Islamic Republic of Iran, as a country has undergone dramatic and rapid demographical and economic transition leading to increase mortality and morbidity of Non-Communicable Diseases (NCDs). Furthermore, the prevalence of risk factors of NCDs is at alarming range for the population. In response to this challenge, a number of different high level policies have been developed dealing with NCDs, directly or indirectly. However, the fragmentation of policies makes monitoring of NCDs control difficult. Therefore, the aim of the present study was to develop a comprehensive framework for monitoring and evaluating of NCDs control and prevention. 
    Methods
    A qualitative approach with content analysis method was conducted. Components of NCDs monitoring and evaluation framework were extracted and adaptation of components based on requirements of Iran’s health system was made.   
    Results
    Based on the proposed framework, the three main components of NCDs surveillance are as follows; 1) monitoring outcomes (morbidity and mortality); 2) monitoring risk factors; and 3) assessing health care system response, which includes national capacity to prevent NCDs. 
    Conclusion
    The developed framework is a political tool to strengthen activities to control and prevention of NCD and making more effective inter-sectorial collaboration.
    Keywords: Framework, Iran, Monitoring, Non-communicable diseases
  • Hedayat Allah Nikkhah * Pages 201-207
    Background
    Health is a key component of an individual's welfare and the standard of living. Social capital has attained a considerable attention in science and policy making since researchers have suggested that it may have a positive impact on the well-being of individuals and the society. The aim of this study was to examine the relationship between social capital and self-rated health. 
    Methods
    A cross-sectional study was conducted among individuals aged from 18 and older, who lived in Bandar Abbas city in 2017. The data used in this study obtained from a questionnaire with multi-stage random sample of respondents. The data were coded, computed, and analyzed by using SPSS software 16 (SPSS Inc., Chicago, IL, USA).  
    Results
    A total of 255 respondents participated in the present study. Approximately 126 (49.4%) were male. The results obtained on age also report that the average age of respondents were equal to 30.08. Additionally, 126 (49.4%) of the respondents were married. The result of the correlation between self-rated health and socio-economic variables, such as income, education, and age confirmed that there was a statistically significant positive correlation between self-rated health and income (P<0.001) and age (P=0.043). The statistical analysis of t-test showed that the respondents who were married (P=0.01) and male (P=0.01) showed to be healthier compared to the single and female participants.The results also showed that social trust and social participation were positively associated with desirable self- rated health. Moreover, higher levels of trust and social participation were both associated consistently with high levels of self-rated health. Social trust was also associated positively with desirable self-rated health, after adjusting for the individuals’ demographic factors and socioeconomic status (P=0.001). 
    Conclusion
    Income and social trust have the most significant influence on self-rated health. Social trust as an indicator of social capital had a significant impact on the self-rated health of respondents. Social trust increases social health and reduces stress and anxiety in individuals.
    Keywords: Health Status, Income, Social Capital, Social Participation
  • Noosha Samieefar*, Maryam Golmohammadi, Ronak Rashedi, Arezoo Rezazadeh, Mohammad Ali Heidarnia Pages 208-216
    Background
    After centuries paying particular attention to physical health, attention has been attracted to other aspects of human health meaning the psychological, social, and especially spiritual aspect in the past decades. Spiritual aspect of health is the coordinator of other dimensions and improves mental function. Spiritual well-being issues such as halal and haram and food purity should also be considered.
    Method
     This was a cross-sectional study conducted among Shahid Beheshti university staff. Pearson’s correlations were used to calculate variable associations. Linear multiple regression analysis was performed to identify variables contributing to an explanation of different aspects of nutrition and health. 
    Results
    128 personnel participated in this study. Positive correlations were observed between education and total scores of nutrition aspects (r=0.049, p-value<0.05) and attention to physical aspect of nutrition for males (r =0.052, p-value<0.05). Also there is a significant correlation between attention to mental aspect of nutrition and social aspect of nutrition (r=0.740, p-value<0.01). 
    Conclusion
    Age, sex and education, are among the factors that may affect the nutritional attitude. Therefore, using different methods to improve the nutritional practice of society considering its dimensions and taking the factors influencing it into account seems to be essential.
    Keywords: Nutrition spirituality, Education, Shahid Beheshti University Staff, Iran
  • Ziba Farajzadegan*, Kamal Heidari, Rahele Samoei, Negah Tavakolifard Pages 217-225
    Background
    Social capital includes a series of issues and values, which is potentially in relation with social groups and organizations. Due to the importance of the social capital as a determining factor in the health, this study aimed to evaluate the social capital in the students of the Isfahan University of Medical Science.
    Methods
    This survey was the first phase of a survey that was carried out in Isfahan University of Medical Sciences on 700 students. Students were selected by a simple random sampling method. Data on social capital of students were collected by Bullen questionnaire. For data analysis, SPSS version 22 statistic software were used.
    Results
    The mean score of social capital of the students in this study were 62.11± 14.6, in which the lowest score were belonged to the cooperation domain and the highest one were belonged to the identity. The most important factors that related to the social capital of the students, includes the gender in medical students (male: 58.82±15.87 vs. female: 65.44±15.87, p-value: 0.028), residency (dormitory: 62.89±14.3, live with family: 62.22±14.27, personal home: 50.53±20.63, p-value: 0.006) and educational level (doctorate degree: 60.48±13.79 vs. bachelor degree: 63.27±15.07, p-value: 0.019).
    Conclusion
    The results of this study show that the social capital score of college students is moderate and policy makers need to design interventions in order to improve students' social capital especially level of their participation in the society.
    Keywords: Social capital, students, university of medical sciences
  • Factors affecting medical tourism: A case study of Azeri tourists in Iran
    Mohammad reza Sohrabi, Navid Hezari, Kiarash Shafizadeh* Page 226
    Health tourism is one of the effective factors in the economic prosperity of the countries, the beautiful nature and hot springs of Ardebil province makes it a good destination for health tourism. The aim of this study was to investigate demographic and socioeconomic characteristics of health tourists of Ardebil.To investigate the viewpoint of health tourists coming to Ardebil province from Azerbaijan, a comprehensive Turkish language questionnaire was designed by the researcher and by visiting medical centers in Ardebil and pharmacies and restaurants the questionnaires were completed. Out of 200 distributed questionnaires, 193 were completed.The average age of the participants was 26.23 years and often had less than 1800 USD monthly income. (184, 95.4%) of people were not covered by the general insurance of Azerbaijan. The cost of treatment and the total travel cost per person for participants was less than 120 USD. About the hospital services, one-third of respondents rated them (well). More than 95% of the tourist were from the border provinces.The lack of public insurance coverage in Azerbaijan and the higher value of the Azerbaijani manat compared to Iranian rial attract health tourists to Ardebil, but the quality of services provided needs to be improved . Government planners need to focus more on health tourism issues, especially in Ardebil so as to improve the infrastructures and remove barriers, it is a step towards the prosperity of this lucrative industry.
    Keywords: Health Tourism, Ardebil, Iran, Azerbaijan
  • Evaluation and review of educational programs and delivery of care services for elderly people, Western General Hospital, Edinburgh, UK: a practical module for developing countries
    Alihossein Zeinalzadeh * Page 227
    The developing world is going grey. These countries need to establish new care services according to standards of Healthcare Improvement. This report emphasizes on important management components of   older people care which can facilitate the initiating and continuing the good practice   in context of multidisciplinary team.    The principle focus of this assessment is on the team activities. Some of the important features of this team approach include the increased quality of provided services, mutual respect, empathy, increased sense of responsibility and accurate follow-ups. The aim of this report is evaluation and review of educational programs, delivery of care services for elderly patients admitted to Western General Hospital: a module for developing countries.
    Keywords: Geriatrics, Elderly, Care