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عضویت

جستجوی مقالات مرتبط با کلیدواژه "households" در نشریات گروه "پزشکی"

  • حسن ورمزیار، علی اکبر فضائلی، تقی ترابی، فرهاد غفاری*
    مقدمه

    اقتصاددانان همواره به دنبال کشف عواملی که فقر را ایجاد می کنند بوده اند، زیرا با درک این عوامل، می توانند جهت کاهش فقر برنامه ریزی نمایند. هدف از این مطالعه برآور خط فقر و عوامل موثر بر آن در سال 1400 است.

    روش بررسی

    در پژوهش حاضر بوسیله داده های طرح هزینه و درآمد خانوارهای شهری و روستایی در سال 1400و با استفاده از سیستم مخارج خطی (LES) خط فقط و شاخص های آن برآورد شده است و عوامل تعیین کننده فقر مورد بررسی قرار گرفت. همچنین تاثیرپذیری احتمال ایجاد فقر از ویژگی های خانوارها به وسیله مدل پروبیت و با نرم افزار Stata ویرایش 17 بررسی شد.

    یافته ها

    خط فقر برای یک خانوار در سال 1400 معادل 73.980.000 ریال محاسبه شده است. بالاترین کاهش احتمال فقر خانوارها، با میزان تحصیلات سرپرست خانوار مرتبط می باشد. با افزایش هر واحد از سطح تحصیلات، احتمال مواجه با فقر خانوار 23.1 درصد کاهش خواهد یافت. پس از آن، تعداد افراد شاغل در خانوار با کاهش احتمال 19.9 درصد، دارای بالاترین اثر در کاهش احتمال فقر خانوار می باشد. بعد خانوار و برخوردار بودن از بیمه درمانی کمترین اثر را در جلوگیری از فقیر شدن خانوار دارند.

    نتیجه گیری

    جنسیت سرپرست خانوار در کاهش فقر موثر است. همچنین در خانوارهایی که سرپرست دارای سن پایین تری است، احتمال فقر افزایش می یابد. حمایت بیشتر از جوانان و ایجاد شرایط مساعدتر جهت اشتغال آنها برای کاهش فقر ضروری است. افزایش سطح و عمق پوشش بیمه ای نیز در کاهش فقر موثر خواهد بود.

    کلید واژگان: سطح فقر, عوامل اقتصادی و اجتماعی, نابرابری های بهداشتی, خانوارها
    Hasan Varmazyar, AliAkbar Fazaeli, Taghi Torabi, Farhad Ghaffari*
    Introduction

    Economists have always sought to discover the factors that cause poverty, because by understanding these factors, they can plan to reduce poverty. The purpose of this study is to determine the poverty line and the factors affecting it in the year 2021.

    Methods

    In the present study, only the line and its indicators were estimated by the data of urban and rural households' expenditure and income plan in the year 1400 and using the linear expenditure system (LES), and the determining factors of poverty were investigated. Also, the impact of the probability of poverty on the characteristics of the households was investigated using the probit model with Stata17 software.

    Results

    The poverty line for a household in 2021 was calculated as 73,980,000 Rials. The highest reduction in the probability of household poverty is related to the level of education of the head of the household. With the increase of each unit of education level, the probability of facing poverty in the household will decrease by 23.1%. After that, the number of working people in the household has the highest effect in reducing the probability of household poverty with a decrease of 19.9 percent. Among these variables, in terms of the household, having health insurance has the least effect in preventing the household from becoming poor.

    Conclusion

    The gender of the head of the household is effective in reducing poverty. Also, in households where the head is younger, the probability of poverty increases. More support for young people and creating more favorable conditions for their employment is necessary to reduce poverty. Increasing the level and depth of insurance coverage will also be effective in reducing poverty.

    Keywords: Poverty Level, Socioeconomic Factor, Health Inequities, Households
  • سید فرزاد متولی حقی، نسیبه حسینی واسوکلایی، محمدتقی احمدیان، جمشید یزدانی چراتی، سیدحسن نیکوکار*
    زمینه و هدف

    کک ها حشراتی خونخوار و انگل خارجی اجباری انسان و حیوانات هستند و اهمیت آن ها در سلامت عمومی انسان بیشتر به توانایی آن ها در انتقال طیف گسترده ای از عوامل بیماری زای عفونی در طول وعده غذایی خون مربوط می شود. هدف از این مطالعه، بررسی دانش، نگرش و عملکرد افراد خانوارهای روستایی شهرستان بجنورد، خراسان شمالی در ارتباط با کک بود.

    روش بررسی

    این مطالعه توصیفی تحلیلی از اردیبهشت تا آبان سال 1399 انجام شد. جامعه پژوهش شامل افراد خانوار روستایی و محیط پژوهش شامل 11 روستا در شهرستان بجنورد بود. داده ها با استفاده از پرسش نامه محقق ساخته جمع آوری شدند. روایی پرسش نامه با استفاده از روایی محتوایی و پایایی آن با استفاده از روش آلفای کرونباخ سنجیده شد. آنالیز آماری با استفاده از نرم افزار SPSS نسخه 20 و آزمون های آماری تی مستقل و آنووا (آنالیز واریانس یک طرفه) در سطح معنی داری 05/0 انجام شد.

    یافته ها

    از 408 نفر شرکت کننده، 209 نفر (51/23درصد) زن و 199 نفر (48/77 درصد) مرد بودند. بیشتر افراد در رده سنی 21-30 سال (37/01 درصد) و کمتر در رده سنی بالاتر از 41 سال (11/27 درصد) بودند. 109 نفر (26/71 درصد) کارمند و فقط 6/62 درصد بیکار بودند. اختلاف معنی داری در دانش، نگرش و عملکرد افراد در ارتباط با حشره کک با توجه به متغیر های جنسیت، رده سنی، سطح تحصیلات و شغل مشاهده شد (0/05>P). میانگین درصد نمره دانش 75/38، نگرش 53/6 و عملکرد 49/3 بود.

    نتیجه گیری

    نتایج نشان داد افراد سطح آگاهی بالاتری درباره کک داشتند، اما ترجمه آن به نگرش و عملکرد به خوبی صورت نگرفته است.بنابراین برنامه های آموزشی مناسب برای بهبود آن ضروری به نظر می رسد

    کلید واژگان: دانش, نگرش, عملکرد, کک, افراد خانوار, ایران
    Seyed Farzad Motevalli Haghi, Nasibeh Hosseini Vasoukolaei, MohamadTaghi Ahmadian, Jamshid Yazdani Charati, Seyed Hassan Nikookar*
    Background and Objectives

    Fleas are obligate blood-sucking ectoparasites of humans and animals, and their importance in general human health is mostly related to their ability to transmit infectious pathogens. This study aims to evaluate the knowledge, attitude, and practice (KAP) of rural households in Bojnourd, North Khorasan Province of Iran, regarding the fleas.

    Methods

    This descriptive-analytical study was conducted from May to November 2020. The study population consisted of rural household members from 11 villages in Bojnourd City. The data were collected using a researcher-made KAP questionnaire with acceptable validity and reliability. Statistical analysis was performed in SPSS software, version 20 using t-test and ANOVA. The significance level was set at 0.05.

    Results

    Of 408 participants, 209 (51.23%) were female and 199 (48.77%) were male. Most of them were in the age group of 21-30 years (37.01%), and less in the age group above 41 years (11.27%)., and were employed (n=109, 26.71%). A significant difference was observed in KAP score based on gender, age, educational level, and occupation (P<0.05). The mean scores of knowledge, attitude and practice were 75.38%, 53.6% and 49.3%, respectively.

    Conclusion

    The rural households in Bojnourd has a high knowledge of fleas, but their attitude and practice are low. Therefore, appropriate training programs are necessary to improve their attitude and practice

    Keywords: Knowledge, Attitude, practice, Flea, Households, Iran
  • معصومه جعفرزاده، پیغام حیدرپور*، طیبه رخشانی
    زمینه و هدف

    با افزایش روزافزون پسماندهای ناشی از زندگی صنعتی و اثرات مخرب کوتاه مدت و بلند مدت آن بر روی محیط زیست و با عنایت به اهمیت آموزش نظریه محور به زنان خانه دار، این پژوهش با هدف توانمند سازی آنها در تفکیک زباله اجرا شد.

    مواد و روش ها

    این پژوهش به روش مداخله ای از نوع نیمه تجربی بر روی 60 نفر (30 نفر مداخله و 30 نفر کنترل) از خانم های خانه دار شهرستان نوشهر انجام گرفت، که به صورت تصادفی به دو گروه مداخله و کنترل تقسیم شدند. مداخله به صورت حضوری حضوری طی 4 جلسه و در طول یک ماه انجام شد. ابزار جمع آوری داده ها پرسشنامه استاندارد مشتمل بر 22 سوال بر اساس نظریه رفتار برنامه ریزی شده بود. داده ها طی دو مرحله از طریق آزمون اولیه و سه ماه بعد از مداخله برنامه آموزشی توسط نرم افزار SPSS22 تجزیه و تحلیل شدند.  

    یافته ها

      میانگین سن شرکت کنندگان در گروه مداخله 34/7 و در گروه کنترل 34/2 بود. آزمون t مستقل اختلاف معنی داری قبل از مداخله آموزشی بین گروه مداخله و کنترل نشان نداد ولی سه ماه بعد از مداخله آموزشی، میانگین سازه های نظریه رفتار برنامه ریزی شده دو گروه به غیر از سازه هنجار های ذهنی با هم تفاوت معنادار داشتند (p<0/005)، بطوریکه میانگین این سازه ها در هر دو گروه با گذشت زمان افزایش یافته است.

    نتیجه گیری

    اجرای برنامه آموزشی مبتنی بر نظریه رفتار برنامه ریزی شده بر بهبود رفتار تفکیک زباله در خانم های خانه دار موثر است. بنابراین، برنامه های آموزشی در خصوص تفکیک زباله از مبدا باید بر اساس نظریه های علمی و روش های آموزشی مناسب با گروه هدف انجام شود.

    کلید واژگان: مدیریت پسماند, محیط زیست و بهداشت عمومی, رفتار, خانوارها
    Masoumeh Jafarzadeh, Peigham Heidarpoor*, Tayebeh Rakhshani
    Background and Objective

    The research was carried out to empower housewives in waste separation as a result of the ever-increasing waste caused by industrial life and its short-term and long-term damaging effects on the environment.

    Materials and methods

    This research was conducted by a semi-experimental intervention method on 60 people (30 intervention group and 30 control group) homemakers of Nowshahr city, who were randomly divided into two intervention and control groups. Face-to-face intervention was conducted over a month with four sessions. The data collection tool was a standard questionnaire containing 22 questions based on the theory of planned behavior. The data were analyzed in two stages the preliminary test and three months after the intervention of the training program through SPSS22 software.

    Results

    The average age of the participants in the intervention group was 34.7 and in the control group was 34.2. Independent t-tests did not show a significant difference between the intervention and control groups before the educational intervention, but three months after the educational intervention, the average structures of the theory of planned behavior were significantly different except for the structure of subjective norms (p<0.05), indicating that the average of these structures had increased over time in both groups.

    Conclusion

    The training program based on the theory of planned behavior is effective in improving the behavior of waste separation. Therefore, educational programs regarding the separation of waste from the source should be based on scientific theories and appropriate educational methods for the target group.

    Keywords: Waste Management, Environment, Public Health, Behavior, Households
  • محمود کاظمیان، محمد مسکرپور امیری*
    مقدمه

    پیش بینی روند تغییرات مخارج سلامت در ایران، می تواند زمینه لازم برای کنترل و مدیریت هزینه های سلامت و ایجاد یک رشد برنامه ریزی شده و متعادل در هزینه ها را فراهم نماید. هدف از مطالعه حاضر پیش بینی روند رشد مخارج سلامت در ایران تا سال 1404 بود.

    روش بررسی

     پژوهش حاضر یک پژوهش توصیفی-تحلیلی و کاربردی بود. برای پیش بینی روند رشد مجموع مخارج سلامت، با استفاده از روش اقتصادسنجی، یک تابع تعادلی برای تقاضا خدمات سلامت خانوارها برازش گردید. جهت تخمین تابع تعادلی تقاضای خانوار از روش دو مرحله ای حداقل مربعات(2SLS)  استفاده شد. پیش از برازش مدل، وجود مانایی در متغیرهای مورد مطالعه با استفاده از آزمون دیکی-فولر تعمیم یافته(ADF)  مورد تایید قرار گرفت. همچنین عدم وجود مشکل همبستگی سریالی از طریق آزمون دوربین-واتسن  (D-W) مورد بررسی و تایید قرار گرفت. تمامی تخمین ها با استفاده از نرم افزار اقتصادسنجی Eviews 7 انجام شد. 

    یافته ها

     رشد مخارج سلامت طی سه سال اول (1396-1398) بین 3/1 تا 7/4 می باشد و پس از آن در یک دوره 4 ساله (1399-1402) کاهش خواهد یافت و سپس مجددا رشد بلندمدت خود را دنبال می نماید. به طوری که در سال 1403 و 1404 به ترتیب مجددا رشد 3/3 و 6/5 درصدی را تجربه خواهد نمود.

    نتیجه گیری

     ادامه رشد بلندمدت در مخارج سلامت، در شرایط محدودیت تامین مالی دولت، می تواند منجر به افزایش ریسک مواجه خانوارها با هزینه های کمرشکن سلامت گردد. سیاست گذاران سلامت کشور باید با گسترش فضای مالی بخش سلامت، منابع مالی جدیدی را برای تامین مالی هزینه های سلامت خانوارها تخصیص دهند.

    کلید واژگان: پیش بینی, مخارج سلامت, خانوار, ایران
    Mahmood Kazemian, Mohammad Meskarpour-Amiri*
    Introduction

    Predicting the trend of changes in health expenditures in Iran can provide the necessary basis for controlling and managing health expenditures and creating a planned and balanced growth in expenditures. The purpose of this study was to predict the growth trend of health expenditures in Iran until 2025.

    Methods

    The present study was a descriptive-analytical and applied research. To predict the growth trend of total health expenditures, an equilibrium function for household health service demand was fitted using the econometric method. Two-stage least squares (2 SLS) method was used to estimate the equilibrium function of household demand. Before fitting the model, the presence of mania in the studied variables was confirmed using the generalized Dickey-Fuller test (ADF). The absence of serial correlation was also assessed and confirmed by the Watson-D-W camera test. All estimates were performed using Eviews 7 econometric software.

    Results

    The growth of health expenditures during the first 3 years (2017-2019) is between 1.3 to 4.7, after which it will decrease over a period of 4 years (2020-2023) and then pursues its long-term growth again; In 2024 and 2025, it will grow again by 3.3 and 5.6 percent, respectively.

    Conclusion

    Continued long-term growth in health expenditures, in conditions of limited government funding, can lead to an increased risk of households facing catastrophic health expenditures. The country’s health policy makers must allocate new financial resources to finance household health expenses by expanding the financial sector of the health sector.

    Keywords: Forecasting, Health Expenditures, Households, Iran
  • مینا باباشاهی *، سمیرا شکری
    زمینه و هدف

    سیاست های مالی می توانند نقش مهمی در رفتار و سلامت مصرف کنندگان بازی کنند. مطالعه حاضر با هدف تحلیل روند میزان مصرف نان در ایران و تغییرات میزان یارانه پرداختی به آن صورت پذیرفت.

    روش کار

    برای دستیابی به اهداف این مطالعه، میزان مصرف نان در خانوارهای ایرانی از ترازنامه غذایی سال های 1390-1381 جمهوری اسلامی ایران و میزان یارانه پرداختی به آن از مستندات و آمارهای موجود در وزارت امور اقتصادی و دارایی و سازمان حمایت مصرف کنندگان و تولیدکنندگان استخراج گردید. تجزیه و تحلیل داده ها به وسیله نرم افزار SPSS-16 و با استفاده از آمار توصیفی و آزمون های آماری ضریب همبستگی پیرسون و رگرسیون خطی با ضریب اطمینان 95 درصد انجام شد.

    یافته ها

    نتایج آزمون رگرسیون خطی بین میزان یارانه پرداختی به نان و میزان مصرف نان (019/0=p و 720/0-=r) و همچنین میزان انرژی تولیدی در بدن (003/0=p و 824/0-=r) اختلاف آماری معناداری را نشان داد، به طوری که به ازای افزایش هر یک میلیارد ریال یارانه پرداختی به نان، 712/63 تن از میزان مصرف نان و 014/0 کیلوکالری از انرژی مصرفی در روز کاسته می شود.

    نتیجه گیری

    یافته های این مطالعه نشان داد که در طی سال‫های مورد بررسی، مصرف نان و میزان انرژی تولیدی آن در بدن با افزایش میزان یارانه های پرداختی به نان روند کاهشی داشته است، توجه ناکافی به کیفیت آرد و نان تولیدی، افزایش ضایعات نان، فقدان حق انتخاب برای مشتریان و نانوایان، ضعف در آموزش نانوایان و پیچیدگی‫های مربوط به سهمیه بندی آرد از عمده‫ترین مشکلات مرتبط با ساختار یارانه های تولید نان در کشور هستند.

    کلید واژگان: گندم, آرد, یارانه, خانوار
    M* Babashahi*, S Shokri
    Background & objectives

    Fiscal policies can play an important role in the behavior and health of consumers. This study aimed to analyze the trend of bread consumption in Iran and changes in the amount of subsidy paid to it.

    Methods

    In order to achieve the objectives of this study, the amount of bread consumed in Iranian households was extracted from the balance sheet of food products of the Islamic Republic of Iran during 2002-2011 and the amount of subsidy paid to it was obtained from the documents and statistics available at the ministry of economic affairs and finance and consumer and producer protection organization. Data analysis was conducted with SPSS, version 16, using descriptive statistics, Pearson correlation test and linear regression with 95% confidence interval.

    Results

    Linear regression results showed statistically significant difference between subsidies for bread, bread consumption (p=0.019 and r=0.720) and energy level produced in the body (p=0.003 and r=0.824). For each one miliard Rials increase in subsidies paid for bread, 63.712 tons of bread consumption and 0.014 kilo-calories of daily energy consumption were decreased.

    Conclusion

    In order to hold bread price constant, huge money is spent as subsidies for this product every year. Not paying attention to flour quality and low quality of bread produced in bakeries has caused a part of subsidies to be spent for bread waste and per capita consumption of bread has decreased as a result.

    Keywords: Wheat, Flour, Households, Supportive Policies
  • Javad Javaheri, Mehdi Khodayari, Heidar Farahani, Mina Asgari, Pegah Mohaghegh*
    BACKGROUND

    Iodine deficiency is known as a major nutritional health problem in Iran. The aim of this study was to evaluate iodine salt intake, salt storage, and urinary iodine in households of Markazi Province, Iran, in 2014.

    METHODS

    In this cross-sectional analytical study, 440 households of 11 cities in Markazi Province in 2014 were selected through a multistage random sampling. A structured questionnaire was used to collect information about the type of salt used and awareness about salt storage. Parameters of salts were measured by taking the samples from household salt. Simultaneously, urinary iodine was measured via samples from the elementary students in the household. Data were analyzed using SPSS software.

    RESULTS

    Of 440 households, 225 households (58.0%) used iodized refined salt. Approximately, 60.0% of households were aware of the correct way of salt storage. The mean urinary iodine concentration (UIC) of children was 19.2 ± 18.3 μg/l. The average iodine concentration in household salts was 29.3 ± 3.8 ppm and only half of the salt-producing companies had iodine levels above 30 ppm. The average of salt heavy metals at the level of production and consumption was at a standard level.

    CONCLUSION

    The average iodine concentration of salts was less than the standard level. Therefore, in the absence of proper monitoring of the cycle of production and supply of iodized salt, there is a possibility of recurrent iodine deficiency complications in Markazi Province. Enhancing public awareness about salt storage for maintaining the quantity and quality of iodine is recommended.

    Keywords: Iodine, Iodized Salt, Urinary Iodine Concentration, Households
  • Ahmad Jonidi Jafari*, Hesam Seyedin, Masoud Baba, Shandiz Moslehi, Fazeleh Sadat Sakahei, Mohsen Dowlati
    Background

    Disasters and emergencies are always among the major challenges and problems facing societies. By proper education and preparedness promotion for households, the effects of disasters and emergencies can be reduced. This study was performed to provide disaster assessment and education guidelines in western regions of Tehran Province in 2018. 

    Materials and Methods

    This was a cross-sectional study. For data collection, the “Disaster Assessment and Education Guidelines” provided by the Ministry of Health was used. The forms and checklists were compiled by experts of urban and rural health centers. Then, the level of household preparedness for disaster was evaluated.

    Results

    Based on the present study in 314 centers covered, 1726803 households were evaluated. In the northwest and west Tehran health centers, Shahryar, Malard, Qods, Robat Karim, and Baharestan and all of the regions, the levels of preparedness were estimated 34.9, 24.7, 31.3, 36.2, 21.9, 24.6, 12.3, and 26.9, respectively. 

    Conclusion

    The city of Tehran is located on important faults and areas prone to floods. So Tehran is highly vulnerable to natural disasters. Because of the important role of the people and the community-based management of disasters, household readiness must be improved to reduce the burden of death, injuries, and other disastrous consequences.

    Keywords: Preparedness, Disasters, Emergencies, Households
  • Mohammad Khammarnia, Eshagh Barfar, Alireza Ansari-Moghadam, Fatemeh Setoodehzadeh*, Mehdi Zanganeh Baygi, Mostafa Peyvand, Mahdi Mohammadi, Ali Mirbalochzahi
    Background
    Iran’s Health Transformation Plan (HTP) was implemented to decrease households’ out of pocket and protect them from facing catastrophic health expenditure and impoverishment from 2014. It is needed to assess the effect of HTP; therefore, the study aimed to examine the households’ impoverishment due to health expenditure after HTP.
    Methods
    A household survey was carried out in 2017 in Sistan and Baluchestan province in southeast Iran. About 2400 households were selected as the study sample using a multi-stage sampling technique. The household section of the World Health Survey questionnaire was used to collect data. Independent variables contained households’ characteristics, household income, chronic illness status, the use of health services, and health spending. The dependent variable was whether the household was faced with health spending impoverishment. Mixed effects logistic regression was used to assess the effect of the independent variables on the impoverishment using SPSS software 21.
    Results
    About 7.5% of the households had no basic insurance and 757 (31.6) heads’ of the households were unemployment. The results showed that about 5.4% of the households impoverished due to health expenditure. The households in the furthest region were forced with impoverishment more than other regions (23.0%). Living in a rural area, unemployment, economic status, and inpatients and outpatient costs were the main determinates on impoverishment (P
    Conclusions
    In general, despite the implementation of HTP, healthcare expenditures leading to impoverishment of high percent of the households and Iranian development goals have not been fulfilled in this region. Economic poverty of the people may also be an important factor in this regard. It is recommended that outpatient services are covered by health insurances.
    Keywords: Households, Impoverishment, Health Expenditure
  • الهام نارمکی، فریده شیراسب، مصطفی قربانی، گیتی ستوده*
    مقدمه
    ناامنی غذایی از مقوله هایی است که تاثیر جدی بر وضعیت تغذیه ی افراد جامعه به جای می گذارد. با توجه به اینکه تاکنون هیچ مطالعه ای ارتباط بین اجزای ترکیب بدن با امنیت غذایی را نسنجیده است، هدف از این مطالعه تعیین ارتباط امنیت غذایی با اندازه های تن سنجی، ترکیب بدن و فشار خون در زنان تهرانی می باشد.
    روش ها
    در این مطالعه ی مقطعی توصیفی - تحلیلی 397 خانم سالم بزرگسال تهرانی به طور تصادفی از باشگاه های شهرداری مناطق تهران انتخاب شدند. وضعیت امنیت غذایی توسط پرسش نامه ی 18 گویه ای امنیت غذایی USDA خانوار سنجیده شد. قد، وزن و فشارخون براساس روش های استاندارد و اجزای ترکیب بدن هر فرد توسط دستگاه BIA اندازه گیری شد.
    یافته ها
    شیوع ناامنی غذایی در افراد مورد بررسی 4/54 درصد بود. در مقایسه با خانوارهای امن غذایی، افراد با ناامنی غذایی به طور معنی داری چاقی عمومی و مرکزی بیشتری داشتند. همچنین بیشتر افراد با فشار خون بالا در گروه با ناامنی غذایی قرار داشتند و ارتباط بین فشارخون و امنیت غذایی از نظر آماری معنی دار است. متغیرهای ترکیب بدن و فشار خون سیستولی و دیاستولی زنان در گروه با ناامنی غذایی نسبت به زنان در گروه با امنیت غذایی به طور معنی داری بیشتر است.
    نتیجه گیری
    نتایج این مطالعه نشان داد که ناامنی غذایی به طور معنی داری با چاقی، توده ی چربی و توده ی چربی احشایی بیشتر و فشارخون بالاتر ارتباط مستقیم دارد. لذا برنامه ریزان باید به کاهش ناامنی غذایی در جامعه به ویژه زنان از طریق بهبود وضعیت اقتصادی و اصلاح الگوهای غذایی خانوار توجه داشته باشند.
    کلید واژگان: ناامنی غذایی, امنیت غذایی, خانواده, ترکیب بدنی, چاقی
    Elham Narmaki, Farideh Shirasb, Mostafa Qorbani, Gity Sotoudeh *
    Background
    Household food insecurity is defined as limited or uncertain access to nutritionally adequate and safe food or limited ability to obtain foods in socially acceptable ways. The association between food security and obesity had been investigated before but so far, its association with body composition has not been investigated. Therefore, the aim of this study was to investigate the relationship between Food security with anthropometric measurements, body composition and blood pressure in women attending the sport clubs of municipality in west of Tehran.
    Methods
    This cross-sectional survey was conducted in 397 randomly selected healthy women from 14 sport clubs dependent to mayoralty in North West, South West and West of Tehran. To determine the food security, USDA food insecurity (18-item scale) was used. Weight, height, waist circumference (WC), systolic and diastolic blood pressure (SBP, DBP) were measured according to standard protocols Body composition was measured using body impedance analyzer (BIA). Socio-demographic and socioeconomic status were recorded. Data analysis included chi-square test, ANOVA test and multivariate analyses of variance.
    Results
    The prevalence of food insecurity in subjects was 54.4% that 45.3% were food insecure without hunger, and 9.1% were food insecure with moderate and severe hunger. Compared to food secure households, people with food insecurity significantly had more general obesity (Body Mass Index > 30kg/m2) and central obesity (Waist > 80 cm) (P-value
    Conclusion
    The results of this study showed that food insecurity was significantly associated with obesity, fat mass, visceral fat mass and blood pressure.
    Keywords: Food insecurity, Food security, Households, Body composition, Obesity
  • مهدی نصرت آبادی، زهره حلوایی پور
    مقدمه
    رفاه و بهزیستی کودک به طور مستقیم یا غیر مستقیم، از هزینه های صرف شده برای سلامت خانواده متاثر می شود. هدف از انجام مطالعه حاضر، تحلیل روند فقر در حوزه سلامت خانوارهای دارای کودک در مناطق شهری و روستایی استان کرمان طی سال های 92-1363 بود.
    روش بررسی
    این پژوهش، کاربردی از نوع تحلیل روند بود که در آن با استفاده از داده های پیمایش هزینه- درامد خانوارهای کشور طی دوره مورد مطالعه، خانوارهای دارای کودک استان کرمان به چهار گروه سنی تفکیک شدند و با استفاده از رویکرد مشارکت مالی خانوار و سنجه های نرخ و شکاف، فقر سلامت خانوارهای دارای کودک مورد اندازه گیری قرار گرفت. در انجام محاسبات از نرم افزارهای STATA و Excel استفاده گردید.
    یافته ها
    یافته های مطالعه نشان داد که نرخ فقر سلامت در سال های مختلف مطالعه هم در مناطق شهری و هم روستایی با نوسانات زیادی همراه بوده است. بالاترین میزان فقر سلامت در مناطق شهری و روستایی استان، مربوط به سال 1368 بود. در طول برنامه توسعه اول تا سوم، کاهش نرخ و شکاف فقر سلامت در مناطق روستایی و شهری استان مشاهده شد، اما این روند در طول برنامه چهارم توسعه به صورت افزایشی بود. نرخ فقر سلامت در دوره اخیر (منتهی به سال 1392)، هم در مناطق روستایی و هم مناطق شهری افزایش داشت، اما شکاف فقر با نوسانات همراه بود.
    نتیجه گیری
    در مجموع، نرخ و شدت فقر سلامت در مناطق روستایی استان بیشتر از مناطق شهری بوده است و این امر نشان می دهد که در طول برنامه های توسعه، سیاست های منسجم و هدفمندی برای رفع مواجهه خانوارهای دارای کودک با هزینه های کمرشکن سلامت به خصوص در مناطق روستایی استان اتخاذ نگردیده است.
    کلید واژگان: تحلیل نسلی, خانوار, مشارکت مالی, فقر سلامت
    Mehdi Nosratabadi, Zohreh Halvaiepour
    Introduction
    Child well-being is, either directly or indirectly, affected by the health expenditures of the household. This study aims to investigate the health poverty trends in the field of health within households with children in rural and urban areas of Kerman Province, Iran, between the years 1984 and 2012.
    Methods
    In this trend analysis, using the statistical data on health poverty indices of households during 1984-2012, the households of Kerman were divided into four age groups. Moreover, their health poverty status was measured using the household financial contribution approach and rate and gap measures. For data analysis, STATA and Excel Software were used.
    Results
    The health poverty rate showed large fluctuations in both urban and rural households with children. The highest rate of health poverty in urban and rural households was observed in the year 1989. A decline was observed in the rate and depth of health poverty during the first to third development plan in rural and urban areas. However, this trend showed an increase during the fourth development plan. Health poverty rate in the year 2012 (beginning of the fifth development program plan) increased in both rural and urban areas of the province, but poverty gap showed some fluctuations.
    Conclusion
    The present study showed that, in total, the rate and severity of health poverty was higher in rural areas compared to urban areas. These research findings showed the lack of efficient and effective policies to reduce household experience of catastrophic health care expenditures, especially in rural areas.
    Keywords: Cohort Analysis, Households, Financial Contribution, Health Poverty
  • Mehdi Ahmadi, Zahra Tamimic, Nemat Jaafarzadeh, Pari Teymourid*, Rohangiz Maleki
    Background & Aims of the Study: Industrial wastewater sludges must be disposed in a safe way because they have hazardous effects on the human and environment. The aim of this study is to investigate the physicochemical characteristics and disposal options of sludges from oil-water separator (OWS) and dissolved air flotation (DAF) clarifier of a Refinery wastewater treatment plant.
    Materials and Methods
    Sludge samples were collected in grab sampling manner¡ in 6 month (April-September 2013) in order to be analyzed for their physicochemical characteristics. Kolmogorov-Smirnov Z¡ independent t-test¡ Mann-Whitney U test¡ one sample t-test and Wilcoxon signed rank test were used for statistical analysis. Canadian Soil Quality Guidelines (CSQG) and Florida Department of Environmental Protection Soil Cleanup Target Levels (FDEPSCTLs) were used to discuss the disposal fate of the generated sludge.
    Results
    As¡ Cd¡ Cu¡ Pb and Se were not detected in the studied sludge. As compared with CSQG¡ the investigated sludge were polluted for residential/parkland¡ agricultural¡ commercial and industrial applications¡ because they contained high concentrations of Cr¡ Ni and Zn. Also¡ according to FDEPSCTLs¡ the studied sludges were not suitable for residential and non-residential applications due to their high Al and Ni contents. DAF sludge had a high Zn concentration for residential application¡ too.
    Conclusions
    present sludge management in the studied plant needs to be revised because metals’ concentrations are above the international standards and guidelines.
    Keywords: Household hazardous waste, Households, Knowledge, Attitude, Practices
  • Amin Aliabadi, Hakimeh Baseri, Maliheh Dadgarmoghaddam, Mohsen Imenshahidi, Mohammad Khajedaluee *
    Background

    Unusedmedicines in households are among the problems inmanymodern societies and developing nations. This issue leads to social and economical problems, and it is associated with other complications such as self-medication, poisoning, incomplete recovery, and suicide.

    Objectives

    The present study was carried out in Mashhad and aimed at determining the amount of unused medicines in Mashhadi households in 2013.

    Patients and Methods

    In a cross-sectional study in 2013, three hundred householdswere selected through a cluster randomsampling with the help of 12 healthcare centers in Mashhad. Data were collected by applying a checklist and analyzed by SPSS 11.5. Descriptive indices, including central tendency and dispersion, and frequency distribution were applied to describe qualitative variables; and chi- 2,Man-Whitney, and Kruskall-Wallis to compare quantitative variables. Level of significance was set to P < 0.05.

    Results

    This study showed that the existence of unused drugs and the number of unused drugs in household have significant differ- ence in four zones (P = 0.01, P < 0.001). Also, health insurance coverage was statistically different in various health centers (P = 0.002). Also, there is a significant association between unusedmedication in the household and family size, father’s occupation, and a family member being a health professional, respectively (P value 0.02, 0.002, 0.04)

    Conclusions

    The findings of this study and similar ones support that the amount of unusedmedicines inside houses has to be lowered by physicians prescribing a more reasonable number of drugs, giving consultation to patients, and raising public awareness. On the other hand, amechanismneeds to be applied in order tomake use of the drugs kept inside houses and reduce drug wastage.

    Keywords: UnusedMedicines, Households, Society health, Healthcare system
  • Ramin Ravangard, Abdosaleh Jafari, Soraya Nouraei Motlagh
    Background
    One of the most important indicators of any society development is its health status and one of the most substantial issues in the field of community health status is its access to essential drugs so that the timely and adequate provision of essential drugs is one of the components of primary health care (PHC) principles..
    Objectives
    This research aimed to study the influence of various factors such as drug price index, inflation rate, income, the number of physicians, etc. on the drug demand and consumption for Iranian urban households based on households'' budget during 1990-2010..Patients and
    Methods
    This research was a descriptive-analytical study which, used time-series data econometrics method to examine the relationships between the costs of drug consumption in urban households with variables such as drug price index, inflation rate, income, and tariff of the Medical staff visits. In addition, ADF test was used to show that whether variables were stationary or not. Furthermore, the OLS technique was employed to estimate the drug demand function using Eviews7 and STATA 11 software..
    Results
    The results showed that the estimated effects of sub-specialist visits tariff and general physician visits tariff on the drug demand were positive but not significant (P > 0.05) and urban households'' income and drug price index had positive and significant effects on the drug demand (P < 0.05)..
    Conclusions
    Based on the results of this research, it seems that allocating public resources in the form of providing health insurance or government subsidies can decline financial burden of drugs on patients.
    Keywords: Consumption, Households, Demand
  • Olayinka Stephen Ilesanmi, Akindele Olupelumi Adebiyi, Akinola Ayoola Fatiregun
    Background
    The major objective of the National Health Insurance Scheme (NHIS) in Nigeria is to protect families from the financial hardship of large medical bills. Catastrophic Health Expenditure (CHE) is rampart in Nigeria despite the take-off of the NHIS. This study aimed to determine if households enrolled in the NHIS were protected from having CHE.
    Methods
    The study took place among 714 households in urban communities of Oyo State. CHE was measured using a threshold of 40% of monthly non-food expenditure. Descriptive statistics were done, Principal Component Analysis was used to divide households into wealth quintiles. Chi-square test and binary logistic regression were done.
    Results
    The mean age of household respondent was 33.5 years. The median household income was 43,500 naira (290 US dollars) and the range was 7,000–680,000 naira (46.7–4,533 US dollars) in 2012. The overall median household healthcare cost was 890 naira (5.9 US dollars) and the range was 10-17,700 naira (0.1–118 US dollars) in 2012. In all, 67 (9.4%) households were enrolled in NHIS scheme. Healthcare services was utilized by 637 (82.9%) and CHE occurred in 42 (6.6%) households. CHE occurred in 14 (10.9%) of the households in the lowest quintile compared to 3 (2.5%) in the highest wealth quintile (P= 0.004). The odds of CHE among households in lowest wealth quintile is about 5 times. They had Crude OR (CI): 4.7 (1.3–16.8), P= 0.022. Non enrolled households were two times likely to have CHE, though not significant
    Conclusion
    Households in the lowest wealth quintiles were at higher risk of CHE. Universal coverage of health insurance in Nigeria should be fast-tracked to give the expected financial risk protection and decreased incidence of CHE.
    Keywords: National Health Insurance Scheme (NHIS), Catastrophic Health Expenditure (CHE), Households, Wealth Quintiles, Cost, Healthcare Utilization
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
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