JOURNAL OF COMMUNITY HEALTH RESEARCH
Year:2019 | Volume:8 | Issue:2|Papers Count:8

diseases (3). However, it should be considered that this oil, similar to all other liquid oils, has high potential for chemical and microbial spoilage due to factors, such as light, exposure to air, temperature, humidity of the environment, and microbial agents. Furthermore, Sesame oil causes hydrolysis and oxidation processes, which increases the necessity of observing the essential points during the production and maintenance. Generally, production of free radicals during the hydrolysis process is very harmful and causes diseases like cancer (4, 5). . . .

Introduction: Mental health of adolescent girls as future mothers is of great importance. The purpose of this study was to investigate the mediating role of religious identity in the relationship between mother-child interaction and mental health of adolescent girls in Yazd, Iran. Methods: This study was conducted on 319 female students, studying at the tenth to twelfth grades of high schools in Yazd. In this study, Parent-Child Relationship Survey (PCRS), the Goldberg General Health Questionnaire (GHQ-28), and Lotf-Abadi National-Religious Identity Questionnaire were used. The structural equation modeling was used to analyze data using AMOS software version 25. Results: The findings of this study, using the method of structural equation modeling, showed that the quality of mother-child interaction had a direct and significant effect on both mental health disorder (β =-0. 16, P< 0. 001) and religious identity (β = 0. 31, P< 0. 001). In addition, the results showed that religious identity had a direct and significant effect on mental health disorder (β =-0. 16, P< 0. 001). Furthermore, religious identity played a mediator role in the relationship between mother-child interaction and mental health disorder (β =-0. 05, P< 0. 05). Multiple indices were used to evaluate the model and the results showed that the proposed model had goodness-of-fit. Conclusion: Religious identity, as a protecting resource, helps adolescents against the stress and dangers, which arise from the puberty-related problems and increases their mental health. A good mother-child relationship has direct and significant relationship with the religious identity of adolescent girls. Therefore, the quality of relationship with mother, as a result of the religious identity development, can increase the mental health of female adolescents.

Introduction: The utilization of the medical research results is one of the most important indicators in the development of this profession, which provides effective care to patients and improves the quality of care. However, performing based on the evidence-based results has been unsuccessful in some cases. This study aimed to investigated and prioritize the factors affecting evidence-based medicine among physicians affiliated to Iranian Health insurance. Methods: This descriptive cross-sectional study was conducted on 150 physicians affiliated to Iranian Health insurance in Tehran city in 2018. The simple random sampling method was used to collect the data. The data collection tool was a questionnaire containing of three parts: demographic questionnaire, Fonk (1995) evidence-based medical barriers questionnaire that included four domains and 25 questions, as well as a researcher-made questionnaire that prioritized the factors influencing evidence-based medicine implementation. Data were analyzed by SPSS version 21 and Expert Choice software using hierarchical analysis method. Results: Most physicians were male (53. 3%) and worked as an official employee. Among four dimensions, the highest mean and standard deviation was related to organizational impact, while the lowest was related to the quality of research and possible outcomes. Regarding the factors of organizational impacts, the highest weight or priority was attributed to the feeling of insufficient independence to change care methods with a weight of 0. 259. Among the factors related to the research quality, the highest weight and priority was related to the factor of methodological defects in the research with a weight of 0. 192. Considering the factors related to the skills of conducting research, the highest priority and weight was attributed to the lack of documentary evidence for the performance change with a weight of 0. 320. Moreover, regarding the factors related to communication and access to the findings of the research, the highest weight and priority was in the factor of unavailability of actual articles (0. 475). Conclusion: The findings of this study showed that physicians considered problems and barriers related to organization, individual, and quality of research studies. Therefore, facilities should be created for using research findings as well as the conditions for updating physicians' knowledge, skills, and attitudes to use the research results.

Introduction: Smoking abstinence self-efficacy is a factor that plays a key role in preventing addiction or its revival tendency after quitting. This study attempted to analyze the relationship between the early maladaptive schemas and smoking abstinence self-efficacy among the sophomore high school students in the city of Gorgan, Iran. Methods: This was a descriptive study and its population (n= 9955) included all second grade high school students in the city of Gorgan in the school year 2015-2016. The multi-stage cluster sampling method was used to select 369 participants. The required data were collected using the maladaptive schema questioners and the smoking abstinence self-efficacy questionnaire. Pearson correlation and Multi-variable regression methods were also used to analyze data. Results: The results of the current study indicated a significant, yet reverse relationship of the early maladaptive schemas with smoking abstinence selfefficacy. Furthermore, 51 percent change in self-efficacy variance is derived from the components of early maladaptive schemas. Among components of the early maladaptive schemas, components of the abandonment / alienation, the strongest predictor was students smoking abstinence self-efficacy. Conclusion: Early self-efficacy schemas are among the individual and psychological causes with especial importance in studies on smoking dependency and its consumption. Such early schemas lead to biases in an individual’ s interpretation of the events. These biases are represented as distorted attitudes, false speculations, unrealistic aims and perspectives, and high-risk behaviors such as smoking.

Introduction: Ebola is a viral infection with a high mortality risk and health workers are considered as an at-risk group. The main aim of this study was to determine the knowledge and attitude of health workers about Ebola virus disease (EVD) in Yazd city, Iran. Methods: This cross-sectional study was carried out on 110 health workers in health centres of Yazd city, Iran in 2015, who were selected by cluster random sampling method. The tool for data collection was a researcher-made questionnaire including demographic information as well as knowledge and attitude questions about EVD with confirmed validity and reliability. Data were analysed by statistical tests of Student’ s T-test, Chi-square, ANOVA, and Pearson correlation coefficient. Results: The mean score of the participants' knowledge and attitude were 25. 16± 3. 58 (range 0-46) and 46. 59± 4. 05 (range 13-65), respectively. More than half of the health workers did not know transmission routes of EVD. However, 59. 6% of them were aware that the one way to prevent the disease was to avoid contact with an infected person. A significant correlation was also found between knowledge and attitude scores (P< 0. 001, r= 0. 384). Conclusion: Since knowledge of the health workers was at the moderate level, training courses and interventional programs are recommended for health care workers especially about transmission routes and signs of EVD to increase the Knowledge and attitude of the participants.

Introduction: Tension and chaos are considered as a socioeconomic phenomenon that can have adverse effects on individuals, organizations, and the community if not properly managed. Therefore, this study was aimed to investigate the factors affecting the formation of tension and chaos among nurses of Yazd Province, Iran. Methods: This exploratory mixed methods research was conducted on nurses selected from 10 out of 31 hospitals of the province through cluster sampling and proportionate stratified random sampling. Data were collected using interview and a researcher-developed questionnaire. In total, 376 individuals were enrolled. The validity of the questionnaires was evaluated by face and content validity, and its reliability was verified using Cronbach's alpha test. Results: Out of 47 factors identified, 44 factors explained 70% of the tension construct. These factors were classified into seven categories and confirmatory factor analysis was used to verify the construct validity of the categories. The results showed acceptable initial clustering. Moreover, financial and economic factors, work conditions and job security were identified as the most important factors for explaining the studied construct. Conclusion: Given the issues discussed and viewpoints expressed about the seven categories identified regarding the strike by hospital directors, human resources area must be paid special attention and measures beyond changing the name of the administrative unit to human resources or human capital must be taken.

Introduction: Piped water systems are considered to be the gold standard for drinking water according to the Joint Water Monitoring Study. However, poor maintenance of distribution pipes, intermittency of water supply, and sewage water intrusion have contributed to a number of water-borne disease episodes in developed and developing countries. Methods: This study investigated the risk burden related to drinking water and sanitation in population clusters of Pune, western India that are being served by a piped distribution system through a cross-sectional survey. Two-stage stratified convenience sampling was carried out. The city was divided into administrative wards of which the city center, the neo-urban and the peri-urban settlement were selected. In the second step a higher (HSG) and a lower socioeconomic group (LSG) were selected from each of the three studied wards. A questionnaire including close-ended items was used to conduct the survey. Results: In 2711 individuals studied, risk burden related to drinking water and sanitation was found to be higher in the LSG; 60% (677 of 1121), 70% (1029 of 1473), 74% (1325 of 1791) from the LSGs did not have a private water tap and continuous water supply, and did not treat the water at the household level, respectively. 98% (1403 of 1426) had neither a private water tap nor a private sanitary facility. The socioeconomic difference was significant (p<0. 0001). 51 (3. 5%) individuals from the LSGs and 42 (3. 49%) ones from HSGs reported having suffered from severe diarrhea in the recall period of 2 years. Although the number of disease cases was lower than the overall risk burden, the potential of the latter to cause a disease outbreak cannot be eliminated. Conclusion: The study highlights that piped drinking water system which is considered as a safe source can become a source of pathogenic microorganisms if not properly maintained. A holistic approach to risk assessment, i. e., from the catchment and its source water to the consumer, is required.

Introduction: Anemia is one of the major public health problems among pregnant women in the world. It causes low birth weight and maternal mortality during pregnancies. This study aimed to determine the prevalence of anemia and its associated factors among pregnant women. Methods: This cross-sectional study was conducted on 400 pregnant women in Shirvan city, Iran in 2015. For sampling, each of the three centers in this city were considered as a single cluster and the number of required participants from each center was selected proportional to the number of pregnant women covered by each center using systematic approach. Data were collected from health records of families using a checklist were analyzed by descriptive statistics and appropriate statistical tests including chi-square, Fisher's exact, and McNemar's test. Results: The age mean ± SD of the pregnant women was 29. 9 ± 5. 3 with a range of 16-40 years. Most of pregnant women were in the age group of 18-35 (84. 5%) years, had high school education (65. 8%), and were housewives (87. 8%). The prevalence of anemia in pregnant women in the first and third trimester were 4. 75% (CI95%: 2. 66%-6. 84%) and 16% (CI95%: 12. 40%-19. 60%), respectively. Prevalence of anemia increased in the third trimester (p<0. 01). Conclusion: Shirvan is one of the areas with a mild prevalence of anemia. However, iron deficiency anemia, as a nutritional disorder can be prevented. Therefore, community-based interventions should be implemented considering the identified associated factors.