فهرست مطالب

Health Promotion Perspectives
Volume:12 Issue: 2, May 2022

  • تاریخ انتشار: 1401/06/14
  • تعداد عناوین: 13
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  • Sodiq Inaolaji Yusuff*, Iyiola Olatunji Oladunjoye, Olalekan Tolulope Popoola, Bolarinwa Olufunmilayo Victoria Pages 120-121
  • Faezeh Ghalichi, Alireza Ostadrahimi, Maryam Saghafi-Asl* Pages 122-130
    Background

    Oxidative stress has a significant role in the commencement and development of hyperglycemia. Vanadium, as a transitional metal with redox properties, enters the redox process, produces free radicals, and distracts the pro-antioxidant balance. The present animal systematic review aimed to assess the effect of vanadium supplementation on inflammation and oxidative stress biomarkers in diabetes-induced animals.

    Methods

    A systematic search was conducted using the PubMed, Scopus, and web of science databases from 1990 to 2021, according to the inclusion and exclusion criteria. The search strategy was based on the guidelines for systematic review of animal experiments and Preferred Reporting Items for Systematic Reviews (PRISMA). Criteria for eligibility were animal-based studies, evaluating the therapeutic effects of vanadium on inflammatory and oxidative stress biomarkers in diabetes. The Systematic Review Centre for Laboratory Animal Experimentation (SYRCLE) tool was used for assessing the methodological quality of included studies.

    Results

    In the present study, 341 articles were evaluated out of which 42 studies were eligible for inclusion. The majority of the studies confirmed the advantageous properties of vanadium on inflammatory and oxidative stress biomarkers. A minor risk of bias was reported, based on the SYRCLE’s tool.

    Conclusion

    According to the findings, well-designed clinical trials are warranted to assess the long-lasting effects of various vanadium compounds on inflammatory and oxidative stress biomarkers.

    Keywords: Systematic review, Animals, Diabetes mellitus, Inflammation, Oxidative stress
  • Keyvan Fardi, Ghader Ghanizadeh, Mohammadkarim Bahadori, Samaneh Chaharbaghi, Sayyed Morteza Hosseini Shokouh* Pages 131-140
    Background

    Establishing field hospitals is a critical task for governments to complete following disasters, with the first step being to identify suitable locations. Although field hospitals are similar to permanent hospitals and temporary shelters, no research in English has been conducted to extract the location selection criteria for field hospitals from those for hospitals and temporary shelters.

    Methods

    A meta-synthetic approach was used to review all related qualitative, quantitative, and mixed studies published in English between January 2010 and June 2020 to identify new field hospital site selection criteria distinct from those used to select a permanent hospital and temporary sheltering sites.

    Results

    From 4317 screened records, 24 articles were eventually identified as eligible studies, through which 151 open codes, 21 axial codes, and nine themes were identified. The top three axes included proximity to main roads, proximity/distance to permanent hospitals, and proximity/distance to other medical centers.

    Conclusion

    By considering a field hospital as a facility with certain characteristics similar to permanent hospitals and temporary shelters, it is possible to identify specific new criteria and sub-criteria by extracting items common to permanent hospitals and temporary shelter site selection studies.

    Keywords: Field hospital, Site selection, Systematic review, Meta-synthesis
  • Foruzan Sharifipour, Mojgan Javadnoori, Zahra Behboodi Moghadam, Mahin Najafian, Bahman Cheraghian, Zahra Abbaspoor* Pages 141-150
    Background

    Poor and insufficient social support to the mother in the post-partum period impairs the effective functioning of her new role as a mother, and it is an important risk factor for the maternal depression and stress after childbirth. Thus, interventions to improve social support to mothers in their postpartum period are required. The present review aimed to investigate the effectiveness of the existing interventions aimed at improving social support among postpartum women.

    Methods

    In this systematic review, PubMed, Scopus, Science Direct, Cochrane Library, Web of Science, EMBASE, Google Scholar, IranDoc, IranMedex, MagIran and SID were searched until January 2022. Full-text articles on the social support outcome, published in English or Persian, which used the design of randomized controlled trials (RCTs) or comparison groups and involved postpartum or pregnant women as participants were included. The quality of the studies was assessed based on the seven criteria offered by Cochrane guidelines.

    Results

    Our review included 10 studies involving 3328 women. According to our results, the following interventions were successful in increasing social support compared to the controlled conditions: counseling with men in the prenatal period, interventions based on interpersonal psychotherapy (IPT), advanced practice nurse (APN), internet support, and home visiting in the postpartum period.

    Conclusion

    These interventions could be provided to mothers during their prenatal or postpartum care. However, which one of these interventions is the most effective in improving social support among postpartum mothers was not identified in the present study.

    Keywords: Intervention education, Social support, Postpartum period, Systematic review
  • Soorya Haridas, Jancirani Ramaswamy*, Tharanidevi Natarajan, Prema Nedungadi Pages 151-162
    Background

    Micronutrient deficiency has long been recognized as a public health problem, particularly among vulnerable groups such as children, adolescents, pregnant and lactating women. Micronutrient deficiency could not be ruled out in spite of the implementation of various intervention strategies. Different interventions are being used to prevent and treat micronutrient deficiencies at the national and global level. The aim of this study is to systematically review the intervention strategies among different vulnerable age groups in India.

    Methods

    The review was focused on identifying various interventions published based on the internet databases and the peer-reviewed papers from 2011 to 2021, on the predefined inclusive/exclusive criteria. The major intervention strategies implemented in India were recognized and evaluated based on dietary supplementation, micronutrient supplementation, knowledge interventions and food fortification among various age groups.

    Results

    The results show that there are still considerable gaps in identifying the effective intervention strategies, research initiatives, programs and policies addressing to tackle micronutrient deficiencies in India. Multiple interventions are effective that could lead the road to innovations in approaches with diverse dietary intake, developing multiple micronutrient supplements, fortifying foods and nutrition interventions to address calcium, zinc, iodine, vitamin D and vitamin A deficiencies among the vulnerable population.

    Conclusion

    Evidence-based multiple intervention studies covering a large population, in the long term cross-sectional, is the need for the hour to design policies and programs for improving the micronutrient status of vulnerable population in the community.

    Keywords: Micronutrients, Deficiencies, Hidden hunger, Malnutrition, Anemia
  • Ahmad Yamin*, Suryani Suryani, Siti Yuyun Rahayu, Neti Juniarti Pages 163-168
    Background

    Adolescents are more likely than adults to engage in risky health behaviors such as smoking, drinking, and sexual activity. Community development plays a role in reducing adolescents’ personal, cognitive, and social skill deficits. A review of the effectiveness of community-development interventions is required to advance our understanding of how the intervention reduce health risk behaviors. This study analyze type and effectiveness of adolescents’ community development programs reduce multiple health risk behaviors among adolescents.

    Methods

    This scoping review used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). With a date range of 2015–2021, searches were conducted in PubMed, EBSCO, and ProQuest using keywords (((Life skill education) OR (community development)) AND ((health risk behavior) OR (risk behavior)) AND ((adolescent) OR (adolescence) OR (teenagers) OR (teens) OR (youth))). After title and abstract checking, full-text retrieval, and data extraction, data were synthesized based on the main objectives. The most important data were tabulated.

    Results

    Most studies showed that community development–based interventions effectively reduce adolescents’ health risk behaviors, including risky sexual behaviors, drug and alcohol use. Interventions were carried out in schools, places of worship, and communities, involving adolescents, educational institutions, health professionals, religious leaders, and families.

    Conclusion

    This review can assist community health nurses, policymakers, researchers, and teachers in developing and implementing effective community-development programs that ensure knowledge, attitudes, and skills transfer to reduce health risk behaviors.

    Keywords: Adolescent, Community development, social plannings, Health risk behaviors
  • Omid Nikpayam, Ehsan Safaei, Nazgol Bahreyni, Vahideh Sadra, Maryam Saghafi-Asl*, Laleh Fakhr Pages 169-177
    Background

    Diabetes is a risk factor for chronic kidney disease because it induces nephropathy. Okra is a rich source of antioxidants, vitamins, minerals, and fibers, of which favorable effects in diabetes have been reported in many animal studies. The present trial aimed to investigate the effect of dried okra extract (DOE) supplementation on anthropometric measures, body composition, appetite, and dietary intake in diabetic nephropathy (DN) patients.

    Methods

    In this triple-blind placebo-controlled randomized clinical trial, 64 DN patients were randomly allocated to receive a 125-mg capsule of DOE (n=32) or placebo (n=32) for 10 weeks. At baseline and endpoint of the trial, anthropometric variables, body composition indices, dietary intake, and appetite scores were evaluated.

    Results

    The results showed that energy (P=0.047, CI: -425.87, -3.25, ES: 0.539) and carbohydrate (P=0.038, CI: -85.64, -2.53, ES: 0.555) intake as well as desire to eat salty food (P=0.023) were reduced in DOE group at the endpoint, compared to the baseline values. However, anthropometric measures, body composition, and appetite score were not significantly different between the two study groups.

    Conclusion

    In conclusion, the present clinical trial showed that DOE could significantly decrease energy intake and carbohydrate consumption in the DN patients. Further clinical trials are needed to determine the effects of this supplement.

    Keywords: Abelmoschus, Diabetic nephropathy, Anthropometry, Appetite, Clinical trial
  • Mereerat Manwong, Saowanee Thongnopakun*, Yuvadee Rodjarkpai, Aimutcha Wattanaburanon, Sawitree Visanuyothin Pages 178-185
    Background

    This study explored the association between sexual health literacy (SHL) and preventive behaviors of pregnancies and sexually transmitted diseases (STDs) among middle-school students during the COVID-19 outbreak to aid in the development of an informative program.

    Methods

    Mixed-method study with stratified two-stage cluster sampling was used to obtain 730 students from 20 middle schools in a rural province of Thailand. Online self-administered questionnaire was used to collect data from February 2020 to February 2021. Two brainstorming sessions were conducted with a purposeful sample of 25 stakeholders. Multiple linear regressions were used to assess the relationships.

    Results

    The associated significant factors with the preventive behaviors were sex (b=2.06, 95% CI: 1.07, 3.05), nightlife (b=-2.33, 95% CI: -3.99, -0.67), drinking alcoholic beverages (b=2.24, 95% CI: -3.24, -1.23), sexual intercourse experience (b=-2.64, 95% CI: -4.56, -0.72), and SHL (b=0.12, 95% CI: 0.08, 0.16). The stakeholders recommended an edutainment online program via Facebook.

    Conclusion

    This study investigated factors associated with SHL and preventive behaviors among middle school students. The most effective variable in this model was SHL. Therefore, a trial of an online program emphasizing SHL improvement should be examined for effectiveness among these students and seems appropriate, considering their rural area context and middle-school status.

    Keywords: Sex education, Reproductive health, Teenage pregnancy, Adolescent, SARS coronavirus 2
  • Nelson Okorie* Pages 186-191
    Background

    This study examined global media framing on issues of vaccination for COVID-19. The framing and media dependency theories were used to understand the potential influence of global media outlets as suppliers of health messages during pandemics.

    Methods

    Content analysis was used to generate qualitative and quantitative data to answer the research questions. The qualitative data provided rich descriptive data about the themes and types of news frames on issues of vaccination for COVID-19, while the quantitative data provided statistical details about the frequency, viewership level and types of news frames on issues of vaccination for COVID-19.

    Results

    The findings of this study showed that conflict and responsibility frames were the predominant frames used to report issues of vaccination for COVID-19. Also, the findings of this study indicated that vaccine safety was the overriding media theme on vaccination issue for COVID-19.

    Conclusion

    The global media serve as suppliers of health communication in developed and developing countries. This study recommended that the global media can spearhead an information campaign to correct misconceptions, misrepresentations and misinformation on issues of vaccination for COVID-19.

    Keywords: Health promotion, Health communication, COVID-19, Health literacy, Pandemic
  • Nam Xuan Ha, Truong Le-Van, Nguyen Hai Nam, Akshay Raut, Joseph Varney, Nguyen Tien Huy* Pages 192-199
    Background

    The Japanese government advised mild or asymptomatic coronavirus disease-2019 (COVID-19) cases to self-isolate at home, while more severe individuals were treated at health posts. Poor compliance with self-isolation could be a potential reason for the new outbreak. Our study aimed to find out the correlation between the rising new cases of COVID-19 and home-based patients in Japan.

    Methods

    A secondary data analysis study was conducted with the data from COVID-19- involved databases collected from Johns Hopkins University, Japanese Ministry of Health, Labour and Welfare, and Community Mobility Reports of Google. New community cases, stringency index, number of tests, and active cases were analyzed. Using a linear regression model, an independent variable was utilized for a given date to predict the future number of community cases.

    Results

    Research results show that outpatient cases, the stringency, and Google Mobility Trend were all significantly associated with the number of COVID-19 community cases from the sixth day to the ninth day. The model predicting community cases on the eighth day (R2=0.8906) was the most appropriate showing outpatients, residential index, grocery and pharmacy index, retail and recreation index, and workplaces index were positively related (β1=24.2, 95% CI: 20.3– 26.3, P<0.0001; β2=277.7, 95% CI: 171.8–408.2, P<0.0001; β3=112.4, 95% CI: 79.8–158.3, P<0.0001; β4=73.1, 95% CI: 53- 04.4, P<0.0001; β5=57.2, 95% CI: 25.2–96.8, P=0.001, respectively). In contrast, inpatients, park index, and adjusted stringency index were negatively related to the number of community cases (β6=-2.8, 95% CI: -3.9 – -1.6, P<0.0001; β7=-33, 95% CI: -43.6 – -27, P<0.0001; β8=-14.4, 95% CI: -20.1– -12, P<0.0001, respectively).

    Conclusion

    Outpatient cases and indexes of Community Mobility Reports were associated with COVID-19 community cases.

    Keywords: COVID-19, Japan, Social isolation, Outpatients, Health policy
  • Bernadine N. Ekpenyong, Emmanuel K Abu, Raymond Langsi, Uchechukwu L Osuagwu*, Richard Oloruntoba, Godwin Ovenseri-Ogbomo, Chikasirimobi G. Timothy, Deborah D Charwe, Obinna Nwaeze, Christopher P Goson, Chundung A Miner, Tanko Ishaya, Khathutshelo P Mashige, Kingsley E. Agho Pages 200-211
    Background

    The coronavirus disease (COVID-19) outbreak has caused a universal health crisis resulting in significant morbidities and mortalities particularly among high-risk groups. This study sought to determine regional factors associated with knowledge and attitude towards COVID-19 mitigation practices and risk perception of contracting the disease in Sub-Saharan African (SSA) countries.

    Methods

    A cross-sectional anonymous online study was conducted among 1970 participants between April and May 2020, during the lockdown in many SSA countries. Recruitment of participants was via WhatsApp, Facebook and emails using authors’ networks. The outcome variables were KAP (knowledge, attitudes and practice) of COVID-19 and analysis of variance (ANOVA) with post hoc test was run to assess the level of KAP by four regions in SSA. Simple and multiple linear regression (MLR) analyses were performed to examine factors associated with the outcome measures in the four SSA regions.

    Results

    Mean knowledge (P=0.707) and risk perception (P=0.904) scores by four regions in SSA did not differ significantly. However, the mean attitude score was higher among West Africans compared with Southern (P=0.019) and Central Africans (P=0.003). MLR analysis revealed that among those living in West (adjusted coefficient β=-0.83 95% CI: -1.19, -0.48) and Southern Africa (β=-0.91 95% CI: -1.42, -0.40), having a primary or secondary education was associated with a decrease in knowledge scores while not being worried about COVID-19 decreased risk perception scores across the four SSA regions(West [β=-6.57, 95% CI: -7.53, -5.62], East [β=-6.24: 95% CI: -8.34,-4.15], Central [β=-6.51, 95% CI: -8.70, -4.31], and Southern Africa [β=-6.06: 95% CI: -7.51, -4.60]). Except among Southern Africans, participants who practiced self-isolation had positive attitude towards COVID-19.

    Conclusion

    Future research on health education regarding COVID-19 or a future related pandemic in SSA should target people with lower education, those who do not self-isolate, those living in Southern and Western Africa and not worried about contracting COVID-19.

    Keywords: Coronavirus, Africa, Pandemic, Awareness, Risk perception, Attitude
  • Alireza Ostadrahimi, Vahideh Sadra, Amir Bahrami, Zohreh Razzaghi, Mostafa Najafipour, Helda Tutunchi, Farzad Najafipour* Pages 212-217
    Background

    Clinical evidence of endocrine involvement in coronavirus disease needs further investigation. The aim of the present study was to assess the relationship between hematology and endocrine parameters in coronavirus disease 2019 (COVID-19) infection.

    Methods

    In the present cross-sectional study, a total of 320 patients (215 survivors and 105 non-survivors) with confirmed COVID-19 infection were enrolled. After isolation of serum samples, hematological, biochemical, and hormonal parameters were analyzed.

    Results

    The mean age of survivors and non-survivors was 58.92 (SD: 15.28) and 63.65 (SD: 16.62) years, respectively. The results demonstrated significant differences in free triiodothyronine (FT3) [MD (95% CI): 0.40 (0.10, 0.71), P=0.009], total calcium [MD (95% CI): 0.53 (0.21, 0.86), P=0.003], vitamin D [MD (95% CI): 7.72 (6.38, 9.05), P=0.003], erythrocyte sedimentation rate (ESR) [MD (95% CI): 17.09 (9.38, 22.05), P=0.004) and serum ferritin [Median difference: -1091.9, P<0.001), between survivors and non-survivors, respectively.

    Conclusion

    The results revealed that some hematological and endocrine factors play an important role in prognosis of COVID-19 infection. However, further studies with a larger population are required to clarify the exact effects of COVID-19 on the endocrine system.

    Keywords: Coronavirus, Endocrine system, Hematology, Triiodothyronine, Free vitamin D
  • Zeinab Javadivala, Akbar Ranjbarkhah, Asghar Mohammadpoorasl, Farhad Shekari, Devender Bhalla, Neda Gilani* Pages 218-225
    Background

    We aimed to determine the role of demographic, lifestyle, and personality trait factors in predicting control of blood pressure (BP) among patients with hypertension (HTN) in West Azerbaijan, Iran.

    Methods

    In this case control study we recruited participants from all primary health centers of Salmas city; who were at least 18 years of age, had a HTN diagnosis during the previous six months, and had a mandatory household record. Of 490 random subjects approached, 441 (84.2%) fulfilled our inclusion criteria (case: 221; control: 220). The age-matched controls were recruited from the same source population and were required to have controlled HTN. Data were collected through demographic Checklist, Ten-Item Personality Inventory (TIPI) and International Physical Activity Questionnaire (IPAQ).

    Results

    Upon multivariate analyses, factors related to personality traits subdomains including extraversion personality (odd ratio [OR]: 0.85; CI: 0.73, 0.97) was effective in control of BP. Factors related to uncontrolled BP were agreement and consciences subdomains (OR 1.26 [CI: 1.07, 1.48] and OR 1.21 [CI: 1. 02, 1.44]), rare fruit consumption (OR 5.95 [CI: 1.24, 12.1]), Grade 1 and 2 obesities (OR 2.29 [CI: 1.28, 4.09] and OR 7.11 [CI: 2.21, 12.52]) and smoking (OR 3.27 [CI: 1.56, 6.89]).

    Conclusion

    In addition to regular physical activity and fruit consumption and quitting smoking; personality traits such as Agreement and conscience personality traits were predictive of HTN control. We believe our work provides the required knowledge to design comprehensive HTN prevention programs by taking into account the multi-level causality approach.

    Keywords: Prediction, Blood pressure, Hypertension, Case-Control, Epidemiology