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عضویت

جستجوی مقالات مرتبط با کلیدواژه "women health" در نشریات گروه "پزشکی"

  • Manzoor Ahmad Malik*, Tukur Dahiru
    Background

    Women in conflict are vulnerable to health and nutrition risks. Anemia and underweight are the common risks faced by women particularly in war torn countries. Yemen is one of the most affected places that has a fragile public health system due to the conflict. Increasing conflict has put women’s health and wellbeing at risk and has severely affected their nutritional development. Therefore, this study aims to examine the association between underweight and anemia with different risk factors among married women in Yemen.

    Methods

    This study used the data from Yemen demographic health survey-2013 (YDHS-2013) of married women aged 15-59 year. Bivariate and multivariate logistic models were used to study the association between anemia and underweight with various socio-economic and maternal health risk factors.

    Results

    A positive and significant association of socio-economic and maternal health risk factors was found with anemia and underweight.  Women belonging to more prosperous groups had the lowest odds of underweight [OR=0.30, P<0.001)] and anemia [OR=0.61, P<0.001). The study also examined some key risk factors like breast feeding, iron supplements and contraceptive use among women and found a positive and significant association of these risk factors with underweight and anemia.

    Conclusions

    Nutritional challenges have to be addressed especially in the country like Yemen. The results clearly indicate that women in Yemen are facing acute nutritional risks of underweight and anemia. Therefore, policy interventions are required to address their nutritional needs and also empower them economically to minimize these nutritional risks. Moreover, nutrition related interventions are required to attain the targets for sustainable development goals in Yemen

    Keywords: Anemia, Underweight, Women health, Breastfeeding, Iron supplementation
  • Fatemeh Asadollahi, Hamid Taher Neshat Doost *, MohammadReza Abedi, Hamid Afshar Zanjani
    Background

     Persistent depressive disorder (PDD) is a chronic problem that is more prevalent among women than men. Various studies have revealed that these people experience many problems in their interpersonal relationships, which increase their suffering.

    Objectives

     The present study was done to identify how people suffering from PDD experience interpersonal relationships that often seem troubled and broken.

    Methods

     A phenomenological approach was adopted for this qualitative study. For this purpose, in-depth interviews were conducted with 21 individuals with PDD, focusing on exploring their experience and suffering in interpersonal relationships. All interviews were recorded and transcribed, and the transcripts were analyzed using Giorgi’s phenomenological descriptive method.

    Results

     In general, five main themes and 16 sub-themes emerged. The main themes were: (1) Feeling empty of love and compassion; (2) feeling ignored; (3) ignoring others’ needs, conditions, and suffering; (4) feeling of being annoying to others; and (5) feeling confused and helpless in relationships.

    Conclusions

     It seems that all five themes convey the message that these individuals demonstrate less skill in feeling compassion and receiving it from others. Therefore, it appears that long-term compassion-based interventions can effectively reduce the interpersonal suffering of these individuals. It should be noted that although these themes have commonalities in different cultural contexts, the culture can influence the content and intensity of these feelings.
     

    Keywords: Phenomenology, Lived Experience, Persistent Depressive Disorder, Women Health, Interpersonal Relationships
  • Ensiyeh Norozi, Fatemeh Nazari, Mitra Moodi
    BACKGROUND AND AIM

    Arthritis is the most common type of arthritis in people over 40 years. This study aimed to determine the effect of an educational intervention on the prevention of arthritis among middle-aged women using the health belief model.

    MATERIALS AND METHODS

    This was a randomized controlled field trial. The study population was women aged 29–59 years who referred to health centers in Birjand. Seventy-three women were selected by a systematic random sampling method and were randomly divided into intervention (n = 36) and control (n = 37) groups. The data collection tool was a researcher-made questionnaire. Data were analyzed using the Chi-square test, Fisher's exact test, t-test, repeated-measures ANOVA, and Bonferroni post hoc test. As for the cases where the data were not normally distributed, the Friedman nonparametric test, Mann–Whitney U-test, and Wilcoxon post hoc tests were used.

    RESULTS

    In the intervention group, the mean score of knowledge, perceived susceptibility, severity, benefits, self–efficacy, and behavior significantly increased, and the mean score of perceived barriers significantly decreased after the intervention (≤0.001). In the control group, there were significant differences in the mean scores of perceived susceptibility, perceived severity, perceived self-efficacy, and performance after an intervention (P ≤ 0.001). However, this increase was significantly higher in the intervention group than in the control group.

    CONCLUSION

    Based on the present study and according to the positive impact of the educational intervention based on the health belief model on the prevention of arthritis, it is recommended to use this theory in educational programs to prevent arthritis.

    Keywords: Arthritis, education, middle aged, women health
  • Parvin Azhrak, Mahin Kamalifard, Mojgan Mirghafourvand, Soleiman Khedri, Shirin Hasanpour
    Objectives

    Vulvovaginal candidiasis is the second most common gynecological infection in the world that can bring about unfavorable consequences for the health and life of the women of reproductive age. Accordingly, the purpose of this study was to determine the prevalence of vulvovaginal candidiasis and its relationship with the health-promoting lifestyle in Boukan, Iran.

    Materials and Methods

    This cross-sectional study was conducted with the participation of 320 married women aged 15-49 years who referred to all health centers of Boukan. The subjects were selected using a convenience sampling technique from October 2018 to March 2019. Written informed consent was obtained from the participants who were then asked to complete a demographic questionnaire and the Health Promoting Lifestyle Profile-II (HPLP-II). Finally, the data were analyzed in SPSS, version 24.

    Results

    A total of 124 women (38.8%) had vulvovaginal candidiasis, and the total mean (standard deviation) score of healthpromoting lifestyle was 2.4 (0.2) from the possible range of 1-4. None of the demographic characteristics and vulvovaginal candidiasis were significantly related based on the results (P<0.05). The highest (2.8±0.3) and lowest (1.6±0.4) mean scores belonged to “nutrition” and “physical activity” subdomains, respectively. In addition, no statistically significant relationship was found between vulvovaginal candidiasis and the total mean score of health-promoting lifestyle and its subdomains (P>0.05).

    Conclusions

    In general, more than one-third of the participants had vulvovaginal candidiasis. Eventually, the infection had no statistically significant relationship with any of the characteristics of demographic information and health-promoting lifestyle.

    Keywords: Vulvovaginal candidiasis, Healthy lifestyle, Women health
  • Farnaz Farnam*
    Background

    Managing sexual problems requires skill and enough time and precision. The patient’s chief complaint and data can alter through treatment processes.

    Objectives

    This case report is about the complexities and challenges of sexual dysfunctions diagnosis in females.

    Methods

    The present study reports different diagnoses of a woman referred to a sexual clinic.

    Results

    A 24 years old woman with a history of 4-year unconsummated marriage due to primary vaginismus referred to a sexologist. Previous visits by gynecologists, psychiatrists, and urologists showed no mental or medical problems in the couple. The woman reported that marriage had been done with the couple’s consent, she loved her husbands, and no conflict existed between the couple. After examining history and assessing sexual distress and function by means of FSDS-R and BISF questionnaires, routine treatment of vaginismus such as desensitization was initiated through vaginismus diagnosis. Some sessions later, woman’s narratives and examinations led to the diagnosis of sexual aversion (sexual aversion was one of the DSM-IV categories). Next interviews with the couple revealed that the woman did not suffer from any sexual dysfunction. The woman replaced her husband with her dead father and consequently was not able to have any sexual relationship with her, although she loved him.

    Conclusion

    In the mentioned case, 11 visits and more than 10 hours’ interview were done. One session with the husband alone, three sessions with the couple, and seven sessions with the wife were held. Three distinctive diagnoses were considered. Although enough time was devoted to introduction in the first session (60 minutes), correct diagnosis needed more visits. The process of the client’s trust to the therapist occurred gradually, and frequent interviews and separated man and woman visits were crucial for precise diagnosis

    Keywords: case report, sexual dysfunction, unconsummated marriage, vaginismus, women health
  • Fatemeh Saboktakin, Alireza Yargholi, Fatemeh Moradi, Fatemeh Alizadeh, MohammadAli Zareian*

    Today, for various reasons, there is a growing tendency towards traditional and complementary medicine in the world as well as growing interest in Persian Medicine in Iran. This study aimed to investigate the frequency of major complaints by patients in some chosen Persian Medicine clinics. In this retrospective cross-sectional study, 1319 files of patients referred to Persian Medicine clinics of Tehran University of Medical Sciences in the fourth week of each month in 2012 were investigated and analyzed in terms of major complaints and demographic indices. Data gathering tool was an information form regulated based on main study goals. Data were analyzed by SPSS software Version 19. mean age of patients was 40.82 ± 16.006 years. The most common complaint in all the clinics was musculoskeletal problems (28,7%). Most of the patients were single housewives (38%). The most common complaints in the single-patient group were musculoskeletal problems (35.44%) and in the married-patient group were skin problems (29.41%). The most common complaints in both genders were musculoskeletal complaints (26% in men &31.44% in women). Due to the prevalence of women referral to Persian Medicine centers, adequate knowledge of gynecological diseases is one of the requirements of Persian Medicine professionals that should be considered in their education. Planning for adequate knowledge of musculoskeletal, digestive, and skin diseases should also be considered in educational curricula.

    Keywords: Muscular pain, Women health, Iranian traditional medicine, Complementary medicine, Traditional medicine professionals
  • Nazdar Qudrat*, Dilshad Jaff
    This letter to the editor addresses some of the shortcomings and limitations of a recently published article entitled "Women"s Health and Status in Kurdistan Region of Iraq: A Review" by Shabila and Al-Hadithi in the Crescent Journal of Medical and Biological Sciences. The present review failed to highlight the developments that have been made in the Kurdistan Region of Iraq in the last decades. In addition, little is reported about mental health in the article while accessing effective and culturally appropriate mental health services is considered as one of the biggest challenges that Kurdish women face in the Kurdistan Region of Iraq. Therefore, systematic documentation of the women" status was agreed to be important for improving the health of women in this region. Such reports and reviews should conscientiously and deliberately seek for capturing the depth and scope of the women"s health status in order to help public health, along with medical and political leaders to make progress towards achieving the intended goal.
    Keywords: Women health, Female genital mutilation, cutting, Mental health
  • Batoul AHMADI, Sedigheh SALAVATI *
    Background
    National plans have an important role in defining vision, goals, priorities, and action plans. The present paper examined the international experience in developing upstream documents concerning women's health; it regards the necessity of developing Iranian women's health plan.
    Methods
    This review, conducted with search in electronic databases and literature of no limitation in terms of years conducted. The phrases such as "woman health policy", "woman health promotion", "woman health strategy" and "woman health plan” were searched. The criteria based on which the countries were chosen were the degree to which they were developed in health system, health indexes, the accessibility of required infor-mation, and the possibility of benchmarking the new methods.
    Results
    Emphasize on gender as a determinant of health, increasing the economic activities of women, de-creasing the violence against women, gender-based researches, and inter-sectorial approach are some common items in the women’s health plans in selected countries. The main upstream documents about women health in Iran such as ‘Research policies and principles of women issues’, “Women Charter of Rights in Iran” were not developed and implemented in form of a comprehensive plan so we need to formulate a full women health national plan that summarizes all previous policies with addition of new needed strategies inclusion.
    Conclusion
    Developing a national plan for Iranian women’s health regarding with selected countries experi-ences makes a long-term vision for health and obtains the institutional and organizational efforts and resources necessary for women health promotion in Iran.
    Keywords: Women health, National health plan, Iran
  • Somayeh Mousaeipour, Ali Ansari Jaberi, Tayebeh Negahban Bonabi *
    Background
    Self-medication is a challenging issue in health care systems and it seems that health literacy is a determining factor in safe self-medication behaviors. Limited studies are available in this field. Therefore, the aim of this study was to determine the relationship between health literacy and self-medicating behaviors among women referred to comprehensive health care centers
    Materials And Methods
    In this descriptive study, 540 women, who were referred to comprehensive health care centers in 2017, were selected randomly and their health literacy and self-medicating behaviors were assessed through self-reporting method. The data collection tools were the standard Health Literacy for Iranian ýAdults (HELIA), and the self-medication behaviors questionnairesý. Data were analyzed using chi-square, Mann-Whitney U, and Kruskal-Wallis H tests.
    Results
    The results showed that the majority of women (94.6%) had inadequate health literacy. More than 89% of them approved self-medication and more than 98% of them performed self-medication. Older women and those who had a higher education level had lower mean health literacy scores (P = 0.021 and P = 0.001, respectively). There was no significant relationship between self-medication and demographic characteristics. Furthermore, there was no significant relationship between health literacy and confirmation and performance of self-medication.
    Conclusions
    The women had low health literacy levels and high incorrect self-medication behaviors. Self-medication behaviors are performed independent of health literacy. It seems a reform in women's health programs and the empowerment of women in the target population is necessary in order to promote health literacy skills and appropriate self-medication behaviors.
    Keywords: Self Medication, Health Literacy, Empowerment, Women Health, Iran
  • فرانک فرزدی، بتول احمدی، ژیلا صدیقی، بتول محتشمی، مروئه وامقی، فرحناز محمدی
    مقدمه
    دین و معنویت از جنبه های گوناگون با سلامت در ارتباط هستند. لذا شناسایی عوامل نشات گرفته از دین و معنویت، نحوه تاثیرگذاری و ارتباط آن با سایر عوامل موثر بر سلامت از مقوله های مهم و ضروری در این مبحث است. این مهم در تبیین و طراحی مدل سلامت زنان ایران (مدل فرمهر) که توسط محققان گروه علمی سلامت زنان فرهنگستان علوم پزشکی جمهوری اسلامی ایران طراحی شده، لحاظ شده است. این مقاله به بیان عوامل دین و معنویت و جایگاه آن در مدل فوق پرداخته است.
    مواد و روش ها
    این مطالعه از نوع کیفی بود. داده های حاصل از جستجوی مستندات مرتبط در طی 23 نشست تخصصی توسط گروه تحقیق مورد تحلیل محتوی قرار گرفت. نتایج حاصل در طی 6 مصاحبه عمیق و 8 جلسه بحث گروهی متمرکز با 15 نفر از صاحب نظران و سیاستگذاران کلیدی حوزه سلامت مورد نظرخواهی و اصلاح قرار گرفت.
    یافته ها
    نتایج مطالعه نشان داد «باورها و اعتقادات»، «ارزش ها»، «اخلاق» و «سرمایه دینی معنوی در جامعه» که از جمله عوامل نشات گرفته از دین و معنویت فرد و جامعه هستند بر تمامی متغیرهای موثر بر سلامت تاثیر زیربنایی، زمینه ساز و همه جانبه دارند. بنابراین این عوامل با نام «دین و معنویت با تاکید بر اسلام» به عنوان محور زیربنایی در مدل فرمهر قرار گرفت. از دیگر عوامل متاثر از دین و معنویت«رفتارهای دینی و معنوی» و «شیوه تربیتی دینی و معنوی خانواده» شناسایی شدند که به ترتیب در لایه شیوه زندگی در سطح فردی و روابط خانوادگی در سطح خانوادگی مدل گروه بندی شدند.
    بحث و نتیجه گیری
    طراحان مدل سلامت زنان فرمهر بر این باورند که مجموعه ویژگی های یاد شده بر درک و تفسیر افراد از سلامت خود و دیگران، رفتارهای سلامتی فرد، رفتارهای تاثیرگزار بر سلامت در خانواده و جامعه و حتی سیاستگذاری ها و برنامه ریزی های سلامت در مجموعه نظام سلامت نقش ایفا می کنند.
    کلید واژگان: سلامت معنوی, دین و معنویت, سلامت زنان, مدل سلامت, ایران
    Faranak Farzadi, Meroe Vameghi, Jila Sadighi, Farahnaz Mohammadi, Batool Mohtashami, Batool Ahmadi
    Objective(s)
    There is a relationship between health and religion and spirituality. Thus in designing a health model for Iranian women (Farmehr) this relationship was considered. The Farmehr model is a comprehensive conceptual model aiming to represent all factors affecting Iranian women's health and their interactions. This paper deals with stating religion and spiritual factors and their position in the Farmehr model.
    Methods
    This was a qualitative study. In all 23 experts were interviewed. Content analysis was performed to explore the data. The data further were examined and modified through deep interviews and focused group discussions with experts and policy makers.
    Results
    The findings revealed that the relationship exist between health and "attitudes and believes", "values", "morality", and “religious and spiritual capital and resources in society”. Also it was found that they affect the health of whole society and thus were considered as the fundamental axis in the Farmehr model. Other factors that affected by the religion and spirituality were religious and spiritual behaviors and family background that were recognized respectively in the layer of life style and family relationships in individual level of the model. The spiritual factors have been indicated in some other health models such as social determinants of health model as social, cultural, and spiritual values, forces, or assumptions.
    Conclusion
    The Farmehr women's health model suggest that the set of indicated factors have a significant impact on understanding and interpretation of individuals about their own health and that of the others, their health behaviors and other behaviors that affect the health of family and society and even on thinking behind making policy and planning in public and health system.
    Keywords: Spiritual health, religion, spirituality, women health, health model, Iran
  • Abolfazl Mohammadbeigi, Narges Mohammadsalehi, Hossein Ansari, Ali Ahmadi
    Background And Objectives
    Due to the negative consequence of girls’ escape, this study was conducted to compare personality, demographic, and religious characteristics of runaway girls and normal ones in Qom city.
    Methods
    In a case control study, 66 single runaway girls and 66 normal girls were selected as experimental group and control group, respectively. Data was culled using interview method, demographic information questionnaire, Allport religious orientation, and general health questionnaires (GHQ). Chi square and independent t-test were applied to analyze final data.
    Results
    Average general health scores were calculated to be 13.9±11 and 9±6.2 in runaway and normal girls, respectively. The score of religious orientation is significantly lower in runaway girls than normal girls (p0.05).
    Conclusion
    Religious orientation was found to be lower in runaway girls than in normal ones. Since runaway girls are subject to physical and sexual abuse, their psychological health is highly vulnerable—the fact which might pave the way for other social abnormalities.
    Keywords: Anxiety, Female Adolescents, Religious, Runaway Girls, Women Health
  • محمود طاووسی، محمد اسماعیل مطلق، محمد اسلامی، علی اصغر حائری مهریزی، اکرم هاشمی، علی منتظری*
    فرزند آوری یکی از مولفه های مهم علم جمعیت است. ایران جزو کشورهایی است که با روند نزولی رشد جمعیت به تدریج با سالخوردگی جمعیت مواجه خواهد شد. لذا با توجه به اهمیت موضوع فرزندآوری در رابطه با رشد جمعیت، در این مطالعه محققان به دلایل تمایل و عدم تمایل شهروندان تهرانی به فرزندآوری پرداختند.
    در این مطالعه جمعیتی، که در شهر تهران انجام شد، 1200 نفر از شهروندان مناطق 22 گانه شهر تهران شامل 600 نفر مرد و 600 نفر زن اطلاعات پرسشنامه ذی ربط را تکمیل کردند.
    بیشترین دلایل عنوان شده برای تمایل به فرزندآوری به ترتیب، علاقه به پدر/ مادر شدن 7/90%، عدم کفایت فرزندان فعلی 72/4% و علاقه به داشتن خانواده پر جمعیت 1/64% و بیشترین دلایل عدم تمایل به فرزندآوری به ترتیب، نگرانی در مورد تامین آینده فرزندان جدید 83/2%، نگرانی در مورد افزایش مشکلات اقتصادی با آوردن فرزند دیگر 77/5%، کافی بودن فرزندان فعلی 74/5% بود.
    با توجه به نتایج به دست آمده مهمترین دلیل تمایل به فرزندآوری علاقه فطری افراد به کسب جایگاه و نقش والدی و مهمترین دلیل عدم تمایل مشکلات اقتصادی گزارش شد. به نظر می رسد ترویج تجربه مثبت پدر و مادر شدن زوج های جوان از یک سو و کمک به پایداری و رونق خانواده ها از سوی دیگر و همزمان رفع مشکلات اقتصادی و معیشتی بتواند تا حدودی مشکل توقف رشد جمعیت را رفع نماید.
    کلید واژگان: تمایل به فرزندآوری, جمعیت, مطالعه جمعیتی
    Mahmoud Tavousi, Mohammad Esmaeil Motlagh, Mohammad Eslami, Aliasghar Haerimehrizi, Akram Hashemi, Ali Montazeri*
    Objective
    To find out reasons for fertility desire or fertility disinterest among people living in Tehran, Iran.
    Methods
    This was a population-based study. A sample of married individuals living in all 22 districts in Tehran recruited and was asked to indicate reasons for desire or disinterest for fertility. Data were collected via a single open question. Participants were free to name several reasons as they wish. Descriptive analysis was used to explore the data.
    Results
    In all 1200 individuals (600 male and 600 female) were interviewed. The mean age of participants was 33.6 (SD = 7.31) years. The most important reason for fertility desire was wish to experience parenthood (90.7%) followed by having inadequate number of children (72.4%) and interest in having a crowded family (64.1%). The most important reason for disinterest for fertility was worrying about the future of the new child (83.2%) followed by economic problems (77.5%), and having adequate number of children (74.5%).
    Conclusion
    The findings might help health policy makers to implement appropriate interventions if they wish to improve population growth rate for the country.
    Keywords: Oral Contraceptive Pills (OCP), Side effects, Women Health, Mood Changes
  • Maryam Nikpour, Mozhgan Firouzbakht, Aram Tirgar
    Although the International Labor Organization (ILO) has reported that two-thirds of the world’s occupations belong to women, a few studies regarding employed women have been conducted. The present study aimed at conducting survey on scientific outputs regarding women’s occupational health. This cross-sectional study was conducted from 2010 to 2014 at five-year intervals on a number of hygiene-based journals regarding workers’ health at Scimago data center. Surveyed articles were categorized on the basis of type of work-related risk factors, methodologies, types of women jobs. Articles were distributed under the terms of the subjects. Out of 4,197 published papers on 17 subjects related to occupational hygiene indexed by Scimago, 203 papers (4.8%) were allocated to women’s health. With regards to women’s health, health staff had taken the most papers with 37.7%. Most of the studies were cross-sectional and on hazardous chemical agents. Due to low range of articles with the issue of occupational hygiene, it was concluded that occupational hygiene researchers have not focused much attention on this occupational group.
    Keywords: Scientific output, women health, Employed women, Journals of occupational hygiene
  • شهین سواد زاده*، کژال حسامی
    بیشتر از صد میلیون زن در جهان از روش های پیشگیری از بارداری هورمونی اعم از روش های تزریقی و خوراکی استفاده می کنند. نگرانی بزرگی وجود دارد که بسیاری از زنانی که از روش های پیشگیری از بارداری هورمونی استفاده می کنند، احتمالا«در معرض خطر ابتلا به ویروس نقص ایمنی (HIV) هستند؛ بنابراین این مطالعه با هدف مروری بر شواهد مربوط به خطر ابتلا به HIV در افراد استفاده کننده از روش های پیشگیری از بارداری هورمونی انجام شد.
    مواد و روش ها
    مطالعه حاضر مروری بر مطالعات انجام شده در زمینه خطر آلودگی به HIV در زنان استفاده کننده از روش های پیشگیری از بارداری هورمونی است. برای دستیابی به مقالات منتشر شده در این زمینه، با استفاده از کلید واژه های پیشگیری از HIV، پیشگیری از بارداری هورمونی، سلامت زنان، عوامل خطر، در سایت هایScienceDirect ،BMJ ، JAMA و PubMed جستجو انجام شد. مقالاتی که در طی سال های 1989 تا 2013 به زبان انگلیسی منتشرشده بودند جهت مرور بررسی شدند.
    یافته ها
    در حال حاضر بیشتر از 42 میلیون نفر به HIV مبتلا هستند. اکثر افراد آلوده در سنین باروری 49- 15 سال قرار دارند. حدود 45 درصد از این زنان از روش های پیشگیری از بارداری هورمونی استفاده می کنند. استفاده طولانی مدت از روش های پروژسترونی تنها مانند DMPA و NET-EN موجب باریک شدن موکوس سرویکوواژینال شده و سبب دسترسی آسان HIV به سلولهای +4CD در بافت ساب موکوسال می شود و زمینه برای کسب HIV فراهم می شود. اگرچه هنوز اهمیت بالینی مکانیسم بیولوژیکی که ارتباط بین مصرف روش های پیشگیری از بارداری هورمونی و خطر ابتلا به HIV را مطرح می کند، ناشناخته است.
    بحث و نتیجه گیری
    یافته ها نشان داد که ارتباطی بین مصرف روش های پیشگیری از بارداری هورمونی و خطر ابتلا به HIV وجود ندارد. با وجود این مراکز ارائه دهنده خدمات تنظیم خانواده نقش مهمی را در پیشگیری از ابتلا به HIV دارند.
    کلید واژگان: روش های پیشگیری از بارداری هورمونی, ویروس نقص ایمنی انسان (HIV), عوامل خطر, سلامت زنان
    Savadzadeh Shahin*, Hesami Kajal
    Introduction
    More than 100 million women worldwide use hormonal contraceptive, including using DMPA or oral contraceptive. There is particular concern about a putative link between hormonal contraception and HIV infection. The aim of this review article was to evaluate the association between hormonal contraception use and risk of HIV infection.
    Methods
    We were retrieved through a systematic search of electronic databases such as PubMed, Science Direct, Elsevier, BMJ, JAMA by utilizing keywords HIV prevention, hormonal contraception, womens` health, risk factors and human immunodeficiency virus (HIV). This search conducted for relevant literature published between 1989 and 2013.
    Finding: An estimated 40 million people live with human immunodeficiency virus (HIV) globally. Most HIV infected human are of reproductive age 15–49 years. Approximately 45% of women using hormonal contraceptions. Long term used of Progestin-only Injectable such as DMPA and NETEN, may cause thinning of cervico-vaginal mucosa, it may lead to abrasions that facilitate access of HIV to CD4 target cells in submucosal tissue and increased simian immunodeficiency virus acquisition. Although the clinical significance of this thinning remains uncertain.
    Conclusions
    The data do not support an association between use of oral contraceptives and increased risk of HIV acquisition. Nonetheless, family planning services are an important venue for HIV prevention activities
    Keywords: Hormonal Contraception, HIV, Risk Factors, Women Health
  • Hourieh Shamshiri Milani, Eznollah Azargashb, Narges Beyraghi, Sara Defaie, Taha Asbaghi
    Background
    Postpartum depression (PPD) is one public health issue that affects both maternal and child health. This research studies the effect of health volunteers’ telephonebased support on decreasing PPD.
    Materials And Methods
    This randomized controlled trial evaluated 203 women who had uncomplicated deliveries. The women completed the Edinburg Postnatal Depression Scale (EPDS), 10 to 15 days after childbirth in order to be assessed for pre-trial depression scores. The cut-off point for depression was considered to be a score of >10. We randomly assigned 54 eligible mothers (n=27 per group) with mild and moderate depression to the intervention and control groups. In both groups, mothers received routine postpartum care. The intervention group additionally received telephone support from health volunteers. A questionnaire was used to gather demographic and obstetric information. By the end of the 6th week, mothers completed the EPDS to be reassessed for depression after intervention. Data were analyzed using the chi-square, Fisher’s exact, t- and paired t tests.
    Results
    The mean depression scores before intervention (10 to 15 days after childbirth) in the intervention and control groups did not significantly differ (P=0.682). Depression scores of the intervention and control groups showed a significant difference after 6 weeks (P=0.035). In addition, there was a significant decrease in depression for the intervention and control groups (P=0.045).
    Conclusion
    Health volunteer telephone-based support effectively decreased PPD and may be beneficial to women with symptoms of mild and moderate PPD (Registration number: IRCT201202159027N1).
    Keywords: Postpartum Depression, Postnatal Care, Volunteers, Mother, Women Health
  • Fariba Moradi *, Zohreh Balaghi, Hassan Joulaei, Najaf Zare, Samad Mohammadi, Mohsen Moghadami
    Background
    Prevention of unwanted pregnancy is a key strategy to improve the women’s health through spacing of birth and avoiding pregnancy at high-risk maternal ages. Unmet need by definition is the percentage of fecund married women who are not using contraceptives while they do not want to get pregnant. They do this due to unavailable quality services, limited choice of methods, lack of information, safety concerns or side-effects and partner disapproval. The present study aimed to assess the magnitude of unmet need for prevention of unwanted pregnancy in Shiraz.
    Methods
    In this descriptive cross-sectional study, 2000 married women of childbearing age (10-49 years) were selected randomly in a survey in Shiraz. Data collection was done using a researcher-made questionnaire and the results were reported using descriptive statistical methods.
    Results
    In the present study, 85.6% of the women used a contraceptive method. 58.7% of them used modern methods of contraception. Reported reasons for not using contraceptives included recent delivery (25%), intention to have more children (20.6%), lack of awareness about contraceptive methods or where such services were offered (6.3%) and irregular sexual intercourse with husband (4.5%). Interrupted intercourse ranked the highest among the methods used. Finally, the unmet need for prevention of unwanted pregnancy in this study was reported to be 4.3 percent.
    Conclusion
    Women in Shiraz had a relatively lower level of unmet need. Counseling is recommended for higher risk women with unmet need in order to keep the descending trend of unmet need for prevention of unwanted pregnancy in Shiraz.
    Keywords: Unwanted pregnancy, Women health, Iran
  • Leila Amini, Maryam Heidary, Hamidreza Daneshparvar
    Background and Aim
    Domestic violence is an individual and social damage, which is affected by personality traits and can cause a crisis for the mental health of individuals; thus, the present study aimed to investigating personality traits and its impact on mental health of battered women in Tehran, 2013.
    Methods
    In this cross-sectional study, 196 married women who referred to Tehran Legal Medicine Center in 2013 were selected based on simple sampling method, and then were studied based on General Health Questionnaire (GHQ-28) and the NEO Five Factor Inventory (NEO-FFI). In this cross-sectional study, the data were analyzed with the Pearson Correlation Test using the SPSS-16.
    Results
    The present study revealed that statistically mental health has a significant and positive correlation with neuroticism personality trait (r=0.318, P<0.001), while it has a significant but negative correlation with extraversion personality trait (r=-0.280, P<0.001), agreeableness (r=-0.201, P=0.002), and conscientiousness (r=-0.265, P=0.001).
    Conclusion
    Although mental disorder on the part of battered women paves the way for violence against them, learning personality traits along with individual and social factors among women can significantly contribute to prevention, screening and necessary treatments by experts and authorities.
    Keywords: domestic violence, Mental health, personality traits, women health
  • عفت سادات مرقاتی خویی، فاطمه زارعی، محمدحسین تقدیسی، فاطمه رجعتی، اعظم رحمانی
    مقدمه
    طلاق تغییر غیر قابل پیش بینی در وضع تاهل می باشد. این تغییر با پیامدهائی در وضعیت سلامت جسم ی،روانی و موقعیت اجتماعی فرد همراه است. طلاق، پدیده پیچیده ای است که از دیدگاه های مختلف و در بسترهای متفاوت قابلیت مفهوم پردازی دارد. هدف این مطالعه مفهوم پردازی طلاق از دیدگاه زنان مطلقه ایرانی است.
    روش
    شرکت کنندگان به صورت نمونه گیری هدفمند و در ادامه توسط نمونه گیری نظری انتخاب شدند. پس از کسب رضایت آگاهانه از آنان، داده ها با استفاده از مصاحبه فردی به صورت نیمه ساختاری، حضور در عرصه و دست نوشته ها جمع آوری گردید. کلیه مصاحبه های ضبط شده روی کاغذ بازنویسی و مرور شد. سپس به روش تحلیل محتوا با رویکرد استقرایی مورد تجزیه و تحلیل قرار گرفت و درون مایه ها استخراج گردید. معیارهای تاییدپذیری وانتقال پذیری جهت حمایت از صحت و استحکام داده ها لحاظ شد..
    یافته ها
    پس از تجزیه و تحلیل نتایج، پدیده طلاق در این مطالعه در دو طیقه «مفهوم»، و«فرایند تجربه» معنا پردازی شد. هر یک از طبقات به زیر طبقاتی تقسیم بندی شدند. زیر طبقات شامل: لغوی عام، لغوی خاص (تجربه شده)،درک متعارض: تجربه در مقابل باور،آسیب زا بود..
    نتیجه گیری
    درک مفهوم طلاق برگرفته از باورهای جامعه است. طلاق بر سلامت تاثییر دارد.بعبارت دیگر، طلاق نه تنها یک مقوله اجتماعی – فرهنگی است بلکه یک تعیین کننده اجتماعی موثر بر سلامت نیز می باشد. بنابر این هر گونه برنامه ریزی بر ای ارتقا سلامت زنان مطلقه نیازمند کشف و تفسیر دیدگاه ها تجربه کنندگان پدیده پیچیده طلاق است. نتیجه آنکه، مولفه هایی متعددی در معناسازی طلاق نقش دارند. این مولفه ها مشمول پیامد و تجارب درک شده، ادراکات، باورهای جمعی، نمادسازی، و جنسیت است.
    کلید واژگان: طلاق, دیدگاه زنان, زنان مطلقه, تحلیل محتوی کیفی, مفهوم پردازی
    Dr. Effat Sadat Merghati -Khoei, Fatemeh Zarei, Dr. Mohammad Hossein Taghdisi, Fatemeh Rajati, Azam Rahmani
    Introduction
    Divorce is an unexpected change in marital life. This change affects physical and psychological health. Divorce is a complex phenomenon which can be conceptualized from different perspectives. Aim of the present study was to conceptualize divorce from Iranian women''s perspectives.
    Method
    A qualitative content analysis approach was employed. Using purposeful sampling، data collected from 26 women with divorce experience. In-depth semi-structured interviews and focus group discussions were used to gather information.
    Results
    The findings suggest two main themes: «concept» and «process of experience». Each theme was divided into sub-themes as general vocabulary، especially lexical (experience)، perceived conflict، versusbelief experience، and traumatic.
    Conclusion
    Concept of divorce is driven from social believes. Divorce affects health. In fact، divorce not only is a socio-cultural issue، but also، a social health determinant. Thus، any program in women health promotion needs to consider divorcee women''s perspective. We came to conclusion that، several factors make the meaning of divorce. Furthermore، these components are subject to a separated woman''s perceived experiences، perceptions، social beliefs، and gender.
    Keywords: Divorce, Conceptualizing, Women health, women perspective, divorcee women, Qualitative Content analysis
  • قدرت الله شاکری نژاد، علیرضا حیدرنیا، محمد اسماعیل مطلق، خدابخش کرمی، شمس الدین نیکنامی، فرخنده امین شکروی، محمود طاووسی، محمد اسلامی
    بیش از 100میلیون زن در سراسر جهان از قرص های جلوگیری از بارداری استفاده می کنند و تغییرات خلق و خوی به عنوان اولین دلیل قطع مصرف قرص ها به شمار می رود. این پژوهش توصیفی تحلیلی با هدف بررسی تاثیر قرص های جلو گیری از بارداری بر سلامت خانواده روی 500 زن 49-15 سال مصرف کننده قرص منوفازیک LD(low dose) تحت پوشش دو مرکز بهداشت غرب و شرق اهواز به روش نمونه گیری خوشه ایدر سال 1390 انجام شد. اطلاعات مورد نیاز با تکمیل پرسشنامه به روش مصاحبه چهره به چهره جمع آوری گردید. آزمون رگرسیون لجستیک ارتباط بین تغییرات خلق و خوی و دیگر عوامل را تعیین نمود. بر اساس نتایج بین تغییرات خلق و خوی و عواملی مانند خودکارآمدی، آموزش نحوه کنترل عوارض جانبی قرص و محل سکونت رابطه معنادار برقرار بود. بر این اساس به ازای هر واحد خودکارآمدی 13درصد از بخت ایجاد تغییرات خلق و خوی کاسته شد. کسانی که آموزش ندیده بودند 1/8 برابر بیشتر در معرض تغییرات خلق و خوی بودند، و شهر نشینی به روستانشینی حدود 2/5 برابر بخت ایجاد تغییرات خلق و خوی را در مصرف کنندگان قرص افزایش داد. زنان مصرف کننده قرص LD در مدت مصرف تغییرات خلق و خوی را تجربه می کنند و آموزش نحوه کنترل عوارض جانبی و افزایش خودکارآمدی مهمترین عوامل پیش بینی کننده تغییرات خلق و خوی هستند.
    کلید واژگان: قرص جلوگیری از بارداری, عوارض جانبی, سلامت زنان, خلق و خوی
    Ghodratollah Shakerinejad, Alireza Hidarnia, Mohammad Esmaeil Motlagh, Khodabakhsh Karami, Shamsoddin Niknami, Farkhondeh Aminshokravi, Mahmoud Tavousi, Mohammad Eslami
    Objective
    over 100 million women worldwide are using oral contraceptives pills (OCP) and mood changes were being as the primary reason for OCP discontinuation. The purpose of this study was to determine the prevalence and predisposing factors to mood change in oral contraceptive pills users.
    Methods
    This was a cross-sectional study of 500 women aged 15-49 years old using low dose (LD) pills attending family planning centers in Ahwaz، Iran in year 2012. Data were collected via face-to-face interviews using an structured questionnaire including items on demographic، self-efficacy and mood change. Both univarate and multiple logistic regression analyses were performed to assess the relationship between OCP use and the independent variables.
    Results
    In all 31% of women (n =153) reported mood change due to OCs use. The results of logistic regression revealed that education (OR =1. 80، 95% CI=1. 15-2. 80، P =0. 009)، place of living (OR =2. 57، 95% CI=1. 06-6. 20، P =0. 03)، and self-efficacy (OR =0. 87، 95% CI=0. 80-0. 94، P =0. 001) were significant predictors of mood change.
    Conclusion
    The findings indicated that the prevalence of mood changes due to OCP use was relatively high among Iranian women. In addition the findings showed that education on side effects and self-efficacy was important predicting factors for mood changes. Indeed implementing educational programs and increasing self-efficacy among women are recommended.
    Keywords: Oral Contraceptive Pills (OCP), Side effects, Women Health, Mood Changes
  • زینب حبیب پور، معصومه اکبربیگلو، شهریار سخایی، لیلا مختاری
    زمینه و هدف
    سلامت از نیاز های اساسی انسان است که در توسعه پایدار نقش حیاتی دارد. میزان مشکلات سلامتی روان نظیر افسردگی و فرسودگی در حرفه های گوناگون را می توان به تفاوت و میزان های متفاوت تنش های شغلی در آنها مرتبط دانست. فرسودگی شغلی یکی از مهمترین عوامل موثر در کاهش کارایی افراد است، لذا پژوهش حاضر با هدف تعیین سندرم فرسودگی شغلی زنان شاغل در شبکه بهداشت و درمان شهر خوی انجام شده است.
    مواد و روش ها
    پژوهش حاضر یک مطالعه توصیفی است روش نمونه گیری تصادفی و تعداد نمونه 152 نفر بود. ابزار گردآوری اطلاعات پرسشنامه دو قسمتی شامل خصوصیات دموگرافیک و فرسودگی شغلی مازلاک بود. برای تجزیه و تحلیل از روش های آماری توصیفی و استنباطی استفاده شده است.
    یافته ها
    بالاترین درصد فرسودگی شغلی(7/22) مربوط بعد خستگی هیجانی(عاطفی) بود. میزان مسخ شخصیت در کارکنان بیمارستان بیشتر از کارکنان مراکز بهداشتی بوده ولی میزان احساس کفایت شخصی در کارکنان بیمارستان بیشتر از کارکنان بهداشت دیده شد.
    نتیجه گیری
    فرسودگی شغلی هرچند نسبتا خفیف تر در کارکنان بهداشت و درمان دیده می شود ولی به دلیل این که میزان مسخ شخصیت در کارکنان درمان بیشتر از کارکنان بهداشت است لذا لزوم بررسی بیشتر علل و عوامل آن موجب افزایش میزان رضایت مندی کارکنان و مددجویان خواهد شد.
    کلید واژگان: فرسودگی شغلی, سلامت زنان, کارکنان بهداشتی
    Z. Habibpour, M. Akbarbeglo, Sh Sakhai, L. Mokhtari
    Background And Objective
    Health is a basic human need play ing pivotal role in stable development. Mental health problems including depression and burnout in various careers can be related to levels of job stress and tensions. Burnout is one of the most important factors in reduced productivity. Therefore, the present research study aimed to evaluate the burnout syndrome in female health staff in Khoy city.
    Material And Methods
    This study is a descriptive analysis of random sampling method and sample size was 152. Data were collected using the two-part questionnaire that included demographic characteristics and burnout questionnaire (Mazlak). The data analyzed by descriptive and inferential statistical methods (frequency and t tests and Pearson).
    Results
    The results show that the highest percentage of burnout 22.7% related to emotional exhaustion and Depersonalization of the hospital staff were more than health staff but personal accomplishment in hospital staff was more than the health staffs.
    Conclusion
    Although mild burnout was seen in women but depersonalization of the hospital staffs was more than health staffs. Therefore, it is necessary to further investigate the causes and ultimately increased satisfaction of staff and clients.
    Keywords: burnout, women health, health workers
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
  • کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شده‌است. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
  • در صورتی که می‌خواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.
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