فهرست مطالب کتایون فلاحت

Considering the importance of positive mental health promotion for preventing psychosocial disorders and increasing physical health and productivity, it is necessary to identify the social determinants of health (SDH) to implement the necessary interventions to improve community health. The present study aims to identify the SDH of positive mental health in Iranian adults.

This is a quantitative and correlational study that was conducted on adults aged 30-60 years living in Tehran, Iran. The sample size was estimated to be 547 people using G*Power software. The samples were selected using a multi-stage random sampling method. After reviewing the literature and meeting with a panel of experts, the SDH list was extracted, and the conceptual model was plotted. The criteria for entering the model was a significance level (P≥0.2). At the end, the structural equation modeling method was applied. The tools used included the mental health continuum–short form, the socioeconomic status questionnaire, multidimensional scale of perceived social support, perceived stress scale-10 items, international physical activity questionnaire-short form, Neissi’s job security questionnaire, Ten Horn’s job security questionnaire, the visual analogue scale for occupational stress assessment, the neighborhood status checklist, Internet use checklist, and social security insurance checklist. The data was analyzed in SPSS software, version 21 and LISREL version 8.8.

The data of 607 questionnaires were analyzed. The mean age of participants was 44.04±9.4 years. The mean score of positive mental health was 45.96±8.65. Among structural determinants, the social class (B=0.181), socio-economic status (B=0.114), job position (B=0.08), building volume per capita (B=0.092) had positive effect on positive mental health, while education (B=-0.071) had negative effect. Among intermediary determinants, job satisfaction (B=0.16), social support (B=0.23) and insurance (B=0.14) had positive effect on positive mental health, while perceived stress (B=-0.62) had negative effect.

Improving socioeconomic status by increasing social support and job satisfaction can increase Iranian adults' positive mental health. On the other hand, the reduction of perceived stress can determine the positive mental health of Iranian adults both directly and indirectly.

Currently, coronavirus disease 2019 (COVID-19) pandemic is recognized as a major threat to human public health. Obviously, accurate and in-depth identification of patients’ help-seeking behavior not only explains the process but also is able to identify the related factors, challenges, strengths, and weaknesses, and depicts participants' expectations for optimization and improvement.

This qualitative study was conducted based on content analysis and through individual interviews (in person and by phone) with people with a history of COVID-19 disease until data saturation was reached between June and September 2020 in Tehran, Iran.

In this study, 15 in-depth individual interviews were conducted. Strengths, weaknesses, and strategies to improve the help-seeking behavior were extracted in four levels: individual, family, social, and health system. The most important strengths were self-care (individual level), empathy of family members (family), charitable activities (social), and human resources (health system). The most important weaknesses in these levels included lack of attention to health protocols, lack of requirements for full quarantine, economic problems, and lack of proper monitoring by the health system.

The most important and key element to improve the help-seeking behavior is human resources and promoting the individual capabilities in various aspects.

According to the WHO Commission on social determinants of health, identification of social determinants of health and collection of scientific evidence in this domain is essential for reducing health inequity. This is considered one of the main missions of social determinants of health research centers. The aim of this study was to evaluate the status of knowledge production in the county SDH research centers in Iran.

In this 5-year cross-sectional study (2014 – 2018) 33 SDH research centers were assessed in regard to knowledge production indicators such as published articles, citation, H index, the high-quality publication (Q1), and international collaborations.

We found 4229 indexed articles which have been published by 334 faculty members/researchers of these research centers from 2014 to 2018. 11.9 percent of these articles have been published in high-quality research journals and 488 articles were produced with international collaboration. In 2018, the total number of citations to these articles published by these research centers from 2014 to 2018, was 4427 and the highest five-year H index was 26. According to the results of the research rankings, social determinants of health research centers of Kermanshah, Kurdistan, and Qazvin were ranked first to third, respectively.

The trend of knowledge production in Iranian social determinants of health research centers has paralleled the trend of their citations and it is necessary to pay more attention to high-quality journals for publication of articles and expansion of international collaboration. Obviously, producing scientific documentation can be an effective source in health promotion policies and reduction of access gradients

Nowadays, newspapers are of high importance in raising community awareness due to their large daily circulation, national distribution, appropriate price and accessibility. The present study was conducted to assess the quality and quantity of published health research results and news in three national broadsheet newspapers with large daily circulation.

In this cross-sectional study, Sixty issues of three newspapers named Iran, Keyhan and Hamshahri have been assessed in terms of the number of published health article using a validate questionnaires.

In this study, 696 health related articles were found one forth of them represented the results of different health researches. The mean number of these articles in each edition was 3.8. The sources of most of these articles were interviews of the journalists and national news agencies. Most of health or health research results have been situated in knowledge and technology sections and more than 70% of articles were news-type. More than 50% of health related articles provided health promotion results. 70% of health research articles had been conducted in developed countries. Target group of mentioned news and research results were public community.

Media has effective role in transferring health information. It is obvious that empowerment of researchers on how to disseminate knowledge based on their audience have important roles in public health promotion.