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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Journal of Kerman University of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: reliability,validity,Larson Sexual Satisfaction questionnaire
- چکیده:
- چکیده انگلیسی: Background & Aims: Sexual satisfaction has been considered as one of the basic physiological needs, with significant impact on the health of individuals and society. In order to understand this concept better and dealing with crises and issues arising from it, the development of a specific questionnaire for measuring sexual satisfaction among Iranian couples is required. The present study aimed to assess the validity and reliability of the Persian Version of Index of Sexual Satisfaction in couples in 2013. Methods: In this methodological study, 150 Iranian couples living in Qazvin completed the 25- item Larson's sexual satisfaction questionnaire. Reliability was determined by the calculation of Cronbach's alpha coefficient and intra-class correlation coefficients. Exploratory and confirmatory factor analysis was done by SPSS-AMOS22. Results: Cronbach's alpha values for all positives and negative items were above 0.70. By using exploratory principal components analysis, with Varimax orthogonal rotation and an eigenvalue cut-off of 1.0, three factors were produced that explained more than 42.73% of the data. Confirmatory factor analysis confirmed the final factor construct of Larson sexual Satisfaction questionnaire. Conclusion: Persian version of Larson sexual Satisfaction questionnaire has suitable validity and reliability to be used among the Iranian couples. The factor analysis demonstrated that Larson sexual Satisfaction questionnaire has a multi-dimensional structure. With consideration of the proper psychometric characteristics, this questionnaire can be used to measure sexual satisfaction in this population
- انتشار مقاله: 22-04-1395
- نویسندگان: Nasim Bahrami,Ameneh Yaghoob Zadeh,Hamid Sharif Nia,Mohammad Ali Soliemani,Ali Akbar Haghdoost
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Kerman University of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Ecological study,Maternal Mortality
- چکیده:
- چکیده انگلیسی: Background & Aims: Maternal mortality is a tragedy which threatens human life. It is an indicator of womenʼs health and development of society as well. Therefore, prevention of maternal deaths is one of the main goals in many countries, including Iran. The aim of this study was to review and analyze the recorded data on maternal mortality in the country, in order to improve the management of maternal mortality. Methods: In this ecological study, the data related to the maternal mortality during the years 2007-2010 were obtained from the Health unit at the Iranian Ministry of Health and Medical Education. Data were analyzed according to the number of births during the studied period and the country indices using univariate and multivariate analysis methodologies. Results: The maternal mortality ratio (MMR) in the studied years was calculated by 22.3 per 100,000 of live births which showed the average reduction of 0.41 in every 100,000 births annually in the whole country. The highest value was reported in Sistan and Baluchistan province (48.6) and the lowest in Cheharmehal and Bakhtyari province (9.6). In Iran, the maternal mortality was relatively high in the age groups under the 15 (50.2 in every 100,000 child births) and over the 35 years (61.3 in every 100000 child births). The analysis related to the different provinces indicated that there was a significant reverse relationship between the maternal mortality ratio and variables of net attendance of girls in secondary schools, men and women literacy, access to improved water and sanitation, as well as antenatal and delivery care. Likewise, there was a significant positive relationship between the maternal mortality ratio and births in the house assisted by unskilled health personnel. Conclusion: This study showed the association between the health and social variables with maternal mortality ratio in Iran at an ecologic level. In order to reduce maternal mortality, more efforts seem to be essential to develop the various provinces, particularly poor areas.
- انتشار مقاله: 23-04-1395
- نویسندگان: Fatemeh Kamiabi,Farahnaz Torkestani,Mehrandokht Abedini,Saiedeh Haji-Maghsoudi,Azam Rastegari,Saiedeh Hejazi,Mohammad Reza Baneshi,Ali Akbar Haghdoost
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Emergency Practice and Trauma
- نوع مقاله: Journal Article
- کلمات کلیدی: factors,Organ Donation,Brain death
- چکیده:
- چکیده انگلیسی: Organ donation is an integral part of the health care system. Many patients who have had an accident or have undergone a progressive disease are in need of an organ transplant and if they do not receive the required organ they would die. It is important to know that the most important source of organ donation is the brain death patients. It is highly essential to determine the pivotal factors that have an effect on organ donation. The aim of this study was to determine factors influencing decisions on organ donation in brain death patients. This study was conducted in 2014 and was based on a literature review both in English and Persian databases. In addition, some relevant books were scrutinized. Overall, 2 categories were identified as factors associated with the acceptance of organ donation and factors associated with the refusal of organ donation. Based on the results obtained, these factors have an effect organ donation and policy makers and management authorities should consider these factors to increase the likelihood of organ donation
- انتشار مقاله: 13-01-1394
- نویسندگان: Amin Beigzadeh,Bahareh Bahmanbijari,Mahla Salajegheh,Ali Akbar Haghdoost,Habibolah Rezaei
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Advances in Medical Education and Professionalism
- نوع مقاله: Journal Article
- کلمات کلیدی: Health,Policy,évolution,Medical education,Manpower
- چکیده:
- چکیده انگلیسی: Introduction: Lack of a clear policy for the development of healthhuman resources has created inconsistencies. These imbalancesare threats to the health system to achieve its goals. Therefore, thedevelopment of human resources through proper performance ofhigher education health system is an important part of the policydevelopment process of the health sector. The present paper aimsto introduce the methods applied for the compilation of evolutionand innovation program of medical sciences training as well asthe most important directions for evolution and innovation. Methods: In this study, we evaluated the methodology fordesigning packages of Iran’s higher education health systemevolution and innovation. For this purpose, the evaluation of thepolicy process was conducted based on Michelle and Scott’s policyprocess models. This policy evaluation model starts by problemidentification and definition and continue by agenda setting, policyformation, legitimation, implementation, evaluation, and policymodification, using the proper feedback. Qualitative contentanalysis method was used as a research method for subjectiveinterpretation of the content of the text data. Results: Twelve policies, 68 strategies and their translation in thehealth system were adopted in a comprehensive plan for higherhealth education. Eleven practical packages were also developedin order to implement these policies as packages for reform andinnovation in medical education. These packages were organizedbased on the IPOCC pattern. Conclusion: The lack of a comprehensive look at each projector program could bring about irreparableness consequences.However, the MoHME of Iran, relying on the integration of healthhigher education with health care system and comprehensivemethod used for transformation and innovation plan in the fieldof health higher education could take an important step towardsimproving the nation’s health.
- انتشار مقاله: 22-01-1397
- نویسندگان: ATA POURABBASI,HAMID AKBARI,AMIR AHMAD AKHVAN,ALI AKBAR HAGHDOOST,ZAHRA KHEIRY,REZA DEHNAVIEH,HAMED RAHIMI,SOMAYEH NOORI HEKMAT,BAGHER LARIJANI
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Health Policy and Management
- نوع مقاله: Journal Article
- کلمات کلیدی: Prevalence,attitude,Amphetamines,Cognition,Opioid Related Disorders
- چکیده:
- چکیده انگلیسی: Background
Providing population-based data on awareness, attitude and practice of drug and stimulant use has policy implications. A national study was conducted among Iranian general population to explore life time prevalence, awareness and attitudes toward opioids and stimulant use.
Methods
We recruited subjects from 5 provinces with heterogenic pattern of drug use. Participants were selected using stratified multistage cluster sampling. Data were collected using a validated self-administered questionnaire. Logistic regression model was applied to identify the variables that are associated with drug and stimulant use.
Results
In total 2065 respondents including 1155 men (33.96 ± 10.40 years old) and 910 women (35.45 ± 12.21 years old) were recruited. Two-third of respondents had good awareness about adverse effects of opioid use. Corresponding figure in terms of stimulants was 81.4%. Almost 95% of participants reported a negative attitude towards either opioid or stimulant use. The lifetime prevalence of opioid use and stimulant use were 12.9% (men: 21.5%, women: 4.0%) and 7.3% (men: 9.6%, women: 4.9%), respectively. Gender (adjusted odds ratio [AOR]M/W = 6.92; 95% CI: 2.92, 16.42), education (AORundergraduate/diploma or less = 0.49; 95% CI: 0.26, 0.90), and marital status (AORothers/single = 2.13; 95% CI: 1.36, 3.33) were significantly related with opioid use. With respect to stimulant use, age was negatively associated with the outcome (AOR60+/20-29 years = 0.08: 95% CI; 0.01, 0.98) and men were 2 times more likely than women to use stimulants (ORM/W=2.15: 95% CI: 0.83, 5.56). In addition, marital status (AOROthers/singles = 3.45; 95% CI: 1.09, 10.93), and awareness (AORWeak and moderate/good = 0.40; 95% CI: 0.25, 0.61) were independently correlated with stimulants use.
Conclusion
While the attitude of Iranian adults toward opioid and stimulant use was negative, their awareness was not that adequate to prevent the drug use. Men and those with lower socio-economic status (SES) should be the focus of health promotion programs regarding opioid use. However, regarding stimulants use, promotion programs should target younger age groups and those with higher SES status.- انتشار مقاله: 05-09-1396
- نویسندگان: Elham Mohebbi,Ali Akbar Haghdoost,Alireza Noroozi,Hossein Molavi Vardanjani,Ahmad Hajebi,Roya Nikbakht,Maryam Mehrabi,Akram Jabbarinejad Kermani,Mahshid Salemianpour,Mohammad Reza Baneshi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Health Policy and Management
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,alcohol,Abuse,Network Scale Up (NSU)
- چکیده:
- چکیده انگلیسی: Background
In Islamic countries alcohol consumption is considered as against religious values. Therefore, estimation of frequency of alcohol consumptions using direct methods is prone to different biases. In this study, we indirectly estimated the frequency of alcohol use in Iran, in network of a representative sample using network scale up (NSU) method.
Methods
In a national survey, about 400 participants aged above 18 at each province, around 12 000 in total, were recruited. In a gender-match face to face interview, respondents were asked about the number of those who used alcohol (even one episode) in previous year in their active social network, classified by age and gender. The results were corrected for the level of visibility of alcohol consumption.
Results
The relative frequency of alcohol use at least once in previous year, among general population aged above 15, was estimated at 2.31% (95% CI: 2.12%, 2.53%). The relative frequency among males was about 8 times higher than females (4.13% versus 0.56%). The relative frequency among those aged 18 to 30 was 3 times higher than those aged above 30 (3.97% versus 1.36%). The relative frequency among male aged 18 to 30 was about 7%.
Conclusion
It seems that the NSU is a feasible method to monitor the relative frequency of alcohol use in Iran, and possibly in countries with similar culture. Alcohol use was lower than non-Muslim countries, however, its relative frequency, in particular in young males, was noticeable.- انتشار مقاله: 18-09-1394
- نویسندگان: Ali Nikfarjam,Saiedeh Hajimaghsoudi,Azam Rastegari,Ali Akbar Haghdoost,Abbas Ali Nasehi,Nadereh Memaryan,Terme Tarjoman,Mohammad Reza Baneshi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Health Policy and Management
- نوع مقاله: Journal Article
- کلمات کلیدی: HIV,Middle East and North Africa (MENA),Data
- چکیده:
- چکیده انگلیسی: Although the HIV pandemic is witnessing a decline in the number of new infections in most regions of the world, the Middle East and North Africa (MENA) has a rapidly growing HIV problem. While generating HIV data has been consistently increasing since 2005, MENA’s contribution to the global HIV literature is just over 1% and the existing evidence often falls behind the academic standards. Several factors could be at play that contribute to the limited quantity and quality of HIV data in MENA. This editorial tries to explore and explain the barriers to collecting high-quality HIV data and generating precise estimates in MENA. These barriers include a number of logistic and socio-political challenges faced by researchers, public health officials, and policy-makers. Looking at successful regional HIV programs, we explore examples were policies have shifted and lessons could be learned in developing appropriate responses to HIV across the region.
- انتشار مقاله: 01-02-1395
- نویسندگان: Mohammad Karamouzian,Navid Madani,Fardad Doroudi,Ali Akbar Haghdoost
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Health Policy and Management
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Factor analysis,Equity,Re-Hospitalization,Congestive Heart Failure,Socio-Economic Status (SES)
- چکیده:
- چکیده انگلیسی: Background
The aim of this study was to examine the impacts of multiple indicators of Socio-economic Status (SES) on Congestive Heart Failure (CHF) related readmission.
Methods
A prospective study consisting of 315 patients without the history of admission due to CHF was carried out in Tehran during 2010 and 2011. They were classified into quartiles based on their SES applying Principal Component Analysis (PCA), and followed up for one year. Using stratified Cox regression analysis, Hazard Ratios (HRs) were computed to assess the impact of SES on the readmission due to CHF.
Results
During the 12 months follow-up, 122 (40%) were readmitted at least once. HR of lowest SES patients vs. the highest SES patients (the fourth versus first quartile) was 2.66 (95% CI= 1.51–4.66). Variables including abnormal ejection fraction (<40%), poor physical activity, poor drug adherence, and hypertension were also identified as significant independent predictors of readmission.
Conclusion
The results showed low SES is a significant contributing factor to increased readmission due to CHF. It seems that the outcome of CHF depends on the SES of patients even after adjusting for some of main intermediate factors.- انتشار مقاله: 04-03-1393
- نویسندگان: Atefeh Noori,Mostafa Shokoohi,Mohammad Reza Baneshi,Nasim Naderi,Hooman Bakhshandeh,Ali Akbar Haghdoost
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Health Policy and Management
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Health Policy,Family Planning (FP),Total Fertility Rate (TFR),Population Control
- چکیده:
- چکیده انگلیسی: Iran’s significant success in implementing Family Planning (FP) during the past 25 years, has made it a role model in the world. The Total Fertility Rate (TFR) in Iran has dropped from 6.5 in 1960 to 1.6 in 2012, which is well below the targeted value of 2.2 for the country. Iran’s success story, however, did not merely root in the implementation of FP programs. In other words, families’ strong tendency to limit fertility and delayed marriages had an undeniable role in decreasing the TFR. On the other hand, Iranian policy-makers are very concerned about such a decrease and have recently restricted access to contraception, while outlawing any surgery that reduces fertility. This paper, tries to highlight the pros and cons of such restrictive policies, and argue that the policy-makers might be jeopardizing the success of Iran’s FP program by overestimating its role in the TFR reduction rate.
- انتشار مقاله: 24-03-1393
- نویسندگان: Mohammad Karamouzian,Hamid Sharifi,Ali Akbar Haghdoost
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Health Policy and Management
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,HIV,Sexual Partners,People Who Inject Drugs (PWID),Peer Prevention
- چکیده:
- چکیده انگلیسی: Despite the fact that HIV epidemic is mainly driven by injection drug use in Iran, partners of People Who Inject Drugs (PWID) have been seriously neglected in terms of effective preventive interventions. Currently, sexual partners of PWID might have access to some harm reduction services at Voluntary Counselling and Testing (VCT) centers; however, their needs have not been effectively targeted and met. Unfortunately, the current programs implemented by the Ministry of Health have overlooked the importance of this population in the course of the HIV epidemic throughout the country. In this policy brief, we are trying to draw the health policy-makers’ attention to this overlooked population and while reviewing the advantages and disadvantages of some of the readily available options on the table, come up with a recommended action to tackle this problem. Our recommended action that seems to have had promising results elsewhere in Asia would try to implement preventive interventions targeting this particular population through peer prevention programs.
- انتشار مقاله: 16-11-1392
- نویسندگان: Mohammad Karamouzian,Ali Akbar Haghdoost,Hamid Sharifi
- مشاهده