Payesh
Year:2018 | Volume:17 | Issue:1|Papers Count:11

Objective: The present study aimed to identify the neglected aspects of women's health during the three decades after the Islamic Revolution of Iran.Methods: This was a descriptive review of the literature. All Persian and English articles published in journals from 20 March 1981.to 20 March 2013. The data were collected on health status, determinants and health outcomes of Iranian women, regardless of age limit. Studies were reviewed for eligibility based on inclusion and exclusion criteria and duplicate studies were excluded. Then the information including year of publication, number of authors, 17 major diseases in women and infertility, SDH (social determinants of health), life stage and methods were recoded and were analyzed.Results: In all 1880 Persian articles and 4090 English articles were reviewed (a total of 5970 articles). The frequency of research type was 4.15% for reviews, 22.12% for interventional, 22.34% for comparative and 51.37% for descriptive studies.Most researches based on life cycle was about the reproductive age 76%, based on burden of disease was about pregnancy and its complications 30.12% and based on SDH factors was about education and awareness 6.36%.Conclusion: The findings suggest that although scientific publications on women’s health in Iran increased dramatically, no consistent trend observed nor the designs and topics showed integrative coherences.

Objective(s): This study aimed to perform a review of the literature to examine sexual behavior in Iran.Methods: A review of Iranian literature covering all full publications in both Persian (2001- 2015) and English language (2010-2015) on sexual behavior was carried out. The search strategy included a combination of keywords ' 'Jensi' [Sexuality], Jema' [Coitus], Nazdiki [Coition], 'Mogharebat' and ' sexual attitude', 'sexual practice', "sexual performance', 'sexual function', 'sexual dysfunction', ’sexual satisfaction', 'sexual behavior in English language. All papers were filtered by 'Hamkhabegi/Hambastari' [Intercourse], in Persian language and ' Sexual', Sexual knowledge', keywords in title, abstract and keywords. The databases we used to search the publication in Persian language were Iran Medex, Magiran and SID.Furthermore, in English language PubMed/Medline, Scopus, Science Direct and ProQuest were used. A total of 1182 abstracts were identified and after exclusion of 234 duplicates and irrelevant papers, 951 abstracts were reviewed by 2 investigators.Results: All scientific documents were categorized in three bio-medical, psychological and sociological domains. According to the data pool, 481 articles were classified in bio-medical, 347 in psychological and 123 articles in sociological domain.Conclusion: There was relatively acceptable evidence on bio-medical and psychological issues. However, providing enough evidence on sociological perspective need further well designed investigations.

Objective(s): It is believed that cultural capital is a non-financial asset and has strong association with social relationships and life styles. As such it is understood that cultural capital even has relationship with people’s health including mental health.Methods: This was a population based study on a sample of adolescents living in Tehran, Iran. We measured cultural capital with a short questionnaire and mental health was assessed using the General Health Questionnaire (GHQ-12). To explore the data, association between cultural capital and mental health was assessed.Results: In all 164 adolescents were entered into the study. The mean age of participants was 23.7 (SD=3.23) years. The mean score for cultural capital score was 2.95 (SD=0.54) out of 5 and it was 2.38 (SD=0.50) out of 12 for mental health. The association between cultural capital and mental health was investigated using the logistic regression analysis. After controlling for demographic variables the results revealed that there was a significant association between cultural capital and mental health (OR=0.92, (5% CI=0.86-0.98; P=0.02) indicating that increased cultural capital could decrease mental health problems.Conclusion: The findings suggest that improving cultural capital could lead to improvement of mental health among adolescents.

Objective(s): Promoting mental health is a global priority. Therefore, this study aimed to evaluate the relationship between behaviors related to healthy lifestyle with the psychological distress of adults based on stages of change construct.Methods: This descriptive-study was conducted on 261 adults admitted to the health centers of Ahwaz, Iran. Stratified random sampling was employed. Data was collected by a questionnaire. Health promoting lifestyle was measured in five subscales (anthropometric status, food groups, dietary habits, physical activity, and substance and drug abuse). Psychological distress was measured based on the Kessler's scale. The stages of change construct also were recorded. The data were analyzed using independent t-test and one-way analysis of variance.Results: The findings indicated that the mean scores of psychological distress in women versus men, employed versus unemployed, those who do daily walking versus not walking individuals, salt users versus not using salt, dairy products users versus not using dairy products, daily fruit consumers versus not using daily fruit, and those who were in different stages of lifestyle was significantly higher. (P<or=0.001).Conclusion: The findings indicated that there were relationship between healthy life style and psychological well-being.

Objective(s): This study aimed to assess the effectiveness of an educational intervention on improving health promoting behaviors and quality of life among health volunteers.Methods: This experimental study conducted on 200 health volunteers of health centers in Tehran, Iran. The intervention included six educational sessions each lasting for 30-45 minutes. Follow up assessment performed six month later. Study instruments included the Health-promoting Behaviors (HPLP-II), Quality of life (SF-36) and a designed questionnaire based on the BAZNEF constructs.Results: The findings revealed that, before intervention, there were no significant differences in demographics, and health promoting behaviors between two groups (p>0.05). After the intervention, mean scores of the BASNEF model constructs, health-promoting behaviors, and quality of life (except for role emotional and mental health) increased significantly in the intervention group (p<0.001).Conclusion: The study results revealed that the BASNEF-based intervention was effective in improving health promoting behaviors and quality of life among health volunteers.

Objective(s): One of the cancers that endanger women's health is cervical cancer. The purpose of this study was to determine the effect of an educational intervention based on the BASNEF model on promoting cervical cancer preventive behavior in women.Methods: This was a semi-experimental study among women referring to health centers in Damavand, Iran, in year 2016.Women were randomly assigned either to intervention (n=60) or control (n=60) groups. Data were collected by a self designed questionnaire based on the BASNEF model constructs. After the pre-test, the intervention group received an educational program in 2 sessions each lasting for 60 minutes while the control group received nothing. The analysis was performed using t-test, paired t-test, and McNemar test. In order to analyze data, SPSS version 23 was used.Results: The mean age of women was (31.25 ± 3.38) years. The findings indicated that compared to the control group the intervention group showed significant improvements on knowledge, and behavioral variables (p=0.001).Conclusion: The results of this study showed that educational intervention based on the BASNEF model was effective in promoting cervical cancer prevention behavior in women.

Objective: The purpose of this study was to assess the effectiveness of a theory-based educational intervention on women's breast self-examination behavior.Methods: This was a semi-experimental study on sample of women referring to health care centers in southern Tehran in 2017. Simple random sampling was applied and 47 women assigned to intervention group and 47 women assigned to control group. The intervention group received 4 educational sessions each lasting for 45 minutes. Pre- and post-intervention data were collected by a self-designed questionnaire based on the Health Belief Model constructs. For statistical analysis, chi-square, paired t-test, independent t-test, McNemar and Wilcoxon tests were used. Data was analyzed using SPSS ver.23.Results: The mean scores of all constructs of health belief model, with the exception of the perceived benefits in the experimental group, were significantly better than the control group.Conclusion: The results of this study showed that the educational intervention based on health belief model has could influence breast self-examination behavior in women.

Objective(s): One of the dimensions of couples' relationships is the quality of marital relationships that has a fundamental role in evaluating the quality of family relationships. Evaluation of marital quality using valid and reliable tools is crucial.The purpose of this study was to determine psychometric properties of the Relationship Quality scale (RQ).Methods: In this cross-sectional study, the English version of the scale was translated into Persian language using a standard translation technique. Validity of the questionnaire was assessed by qualitative and quantitative content validity, face validity, construct validity, convergent and known groups comparison. Reliability was determined by internal consistency and test re test. Data were analyzed using SPSS software version 16 and statistical software AMOS version 22.Results: In evaluation of quantitative and qualitative content validity, all questions were approved. Content Validity Index (CVI) and Content Validity Ratio (CVR) were obtained 0.94 and 0.92 respectively. The Confirmatory factor analysis confirmed one -factor structure. In the evaluation of concurrent validity, the findings showed that the RQ scale is correlated with the relationship assessment scale (RAS) and the marital satisfaction ENRICH scale. The known groups comparison discriminated between people with and without marital satisfaction based on Kansas Marital Satisfaction Scale (p<0.001).The results showed that the score of RQ scale in satisfied group was significantly higher than those who were not satisfied. Reliability evaluation was demonstrated excellent internal consistency and test–retest reliability (Cronbach’s alpha and ICC were 0.90 and 0.92 respectively).Conclusion: The results showed that the Persian version of the quality of the relationship scale had a good structural characteristic and it is a reliable and valid instrument in assessing the quality of the relationship between couples.

Objective: The present study was conducted to evaluate validity and reliability of the Persian version of Coronary Artery Disease Education Questionnaire (CADE-Q).Methods: This was a methodological study on 300 patients with coronary artery disease. After translating, content validity and face validity of the questionnaire were carried out qualitatively. Then, known groups comparison (in terms of education) and criterion validity (correlation between Persian version of CADE-Q and HADS scale) were carried out to examine validity. Reliability was assessed by internal consistency analysis and test re-test analyses.Results: The instrument showed significant differences among patients who differed in education. The mean knowledge of patients with higher education was significantly higher than other patients. Criterion validity showed a significant correlation between CADE-Q Persian version and HADS scale (r=0.862). The internal consistency as measured by Cronbach’s alpha was 0.843. The intraclass correlation coefficient to test stability with a two-week interval was 0.900.Conclusion: The findings indicated that the Iranian version of CADE-Q has satisfactory psychometric properties. The questionnaire, now can be used in different situations, including clinical and research environments.