جستجوی مقالات مرتبط با کلیدواژه « Protective factors » در نشریات گروه « پزشکی »

Sleep problems and aggression are common among healthcare workers due to shift work and constant interaction with patients and their relatives. The present study examined the associations between sleep problems, self-regulation, and interpersonal aggression among healthcare workers.

In this cross-sectional study, 400 healthcare workers were selected from four state-run hospitals in Kermanshah City, Iran, using a multi-stage random sampling between March 2021 and March 2022. The sample size was selected using the N>50+8m standard formula. The participants completed several standard scales, including the Pittsburgh sleep quality index, the Berlin questionnaire, the insomnia severity index, the self-regulation questionnaire, and the Buss-Perry aggression questionnaire. The obtained data were analyzed using the Pearson correlation, hierarchical multiple regression techniques, and standardized z scores.

The Mean±SD age of the participants was 32.5±8.8 years and 70% were female. All sleep problems, including poor sleep quality, sleep apnea, and insomnia severity, are significantly related to the total score of interpersonal aggression and all its subfactors (P<0.001). The results showed that adding self-regulation to sleep problems to predict aggression greatly reduces the effect of sleep problems, especially the insomnia severity (P<0.001).

The results showed that self-regulation is not only a protective factor for aggression but also indirectly protects against aggression by controlling the severity of insomnia. Because both sleep problems and self-dysregulation are modifiable risk factors for interpersonal aggression, psychological interventions can target these risk factors.

The prevalence and increase of suicidal ideation and attempts among young people and students have been one of the concerns of researchers and mental health care professionals. The present study evaluated the psychometric properties of the Persian version of Reasons for Living for Young Adults-II (RFL-YA-II) in a group of Iranian students. 

This study was conducted on a sample of 250 students of Kurdistan University, Iran in the academic year 2021-2022. The instruments used in this study were RFL-YA-II, suicide behaviors questionnaire-revised (SBQ-R), oxford happiness questionnaire-short form (OHQ-SF), beck hopelessness scale (BHS), and ryff scale of psychological wellbeing (RSPWB).

The results of confirmatory factor analysis demonstrated a four-factor structure of the Persian version of RFL-YA-II, while the goodness of fit indices of the one-factor model were not satisfactory. The factor loads of items related to all four factors ranged from 0.41 to 0.91. The findings also provided evidence for the convergent (0.17 to 0.57) and discriminant (-0.20 to -0.56) validity, and Cronbach's alpha coefficients ranged from 0.86 to 0.91.

The Persian version of RFL-YA-II is a valid and reliable tool for assessing the reasons for living in Iranian university samples and it can be used in research and treatment settings.

Coronavirus pandemic puts healthcare workers (HCWs) at high risk and challenges the abilities of healthcare systems to respond to the crisis. This study aimed to assess the level of knowledge of HCWs and associated factors in West Guji zone public health facilities in southern Ethiopia.

A health facility‑based quantitative cross‑sectional study was undertaken from June 10 to July 10, 2020. Two hundred and eighty‑three HCWs were involved in the study using a systematic sampling method. The instrument was pretested on 5% of the sample in Yabello Hospital. Data were analyzed using bivariate and multivariate logistic regression.

The HCW who had good knowledge was 84.7%. HCWs who had degree holders, masters and above holders, work experience of 2–4 years, and >4 years of experiences, had training on Coronavirus, and medical diseases were significantly associated with good knowledge of Coronavirus.

This study indicated that HCWs’ knowledge about the Coronavirus was good. Improving the educational status of HCWs and giving updated training on the Coronavirus will improve HCW’s knowledge of the Coronavirus.

Fall is one of the main reasons for serious injuries in workplaces. Protective measures are not frequently used by farmers and farm workers. In Iran, there are no adequate data in recognizing the various effective factors of falls from height in the agricultural sector. Thus, we used the PRECEDE model to recognize causes and factors which can affect the acceptance of the protective measures for the prevention of fall from the walnut tree.

From July until November 2018, a cross‑sectional research was conducted in Tuyserkan County in the west of Iran among 222 farm workers and farmers from 12 villages. A questionnaire was developed to measure demographic features, history of injuries, and constructs recommended in the PRECEDE model. Data were gathered by face‑to‑face interviews.

Predisposing factors (β =0.348, t = 5.116), enabling factors (β =0.131, t = 3.672), and reinforcing factors (β =0.164, t = 2.128) had a positive impact on protective measures, with an explained variance of 35.3%. In this study, the goodness‑of‑fit value was obtained as 0.455, indicating an excellent overall fit of the model to the data.

The results of this research recognized the causes of protective measures among farmers and farm workers. Our findings suggest that the PRECEDE model could help as a guide for developing a more effective intervention for the prevention of fall from the walnut tree.

This study was conducted aiming at evaluating some risk factors in patients with Chronic Kidney Disease (CKD) in Djamaa (El Oued, Algeria) region.

Our study is based on 77 voluntary individuals divided into healthy man and women reserved as a control with average age of 46.61± 2.84 years old and CKD patients with average age of 46.03± 2.95 years old; their origin covers the whole Djamaa (El Oued, Algeria) region and they were selected from the dialysis service of SAAD DEHLEB hospital Djamaa (El Oued Algeria). Risk of certain socio-clinical factors has been estimated by the determination of the value of Odd Ratio (OR).

Our study reports show a strong association between clinical factors such as Diabetes, urinary problems and Arterial hyper pressure (OR= 5.135, 6.60 and 78.276; P ≤0.05) with chronic kidney disease, respectively, but in this study we show that the Renal herbal medicine and History of kidney disease are the most dangerous risk factors, (OR = 20.00, OR =25,45 ; p≤0.001), respectively, for spices and Amount of water (OR ranging from 0.232 to 0.352; P ≤0.032) are important protective factors against this disease.

Lifestyle is a contributing factor in CKD attainment in the region of Djamaa (El Oued, Algeria), which requires high sensitivity to modify these behaviors for limited progression of the disease in this region.

 Fatal intimate partner violence occurs among adolescents, which is often when first exposure to intimate partner violence occurs in the United States. However, research mainly examines intimate partner violence-related fatalities between adult intimate partners. Such findings document that non-intimate partners, corollary victims, are at risk for violence during intimate partner violence incidents, as well. Research examining fatal intimate partner violence among adolescents is scant. This study informs public health of the extent and circumstances of fatal adolescent intimate partner violence by quantifying the burden across a five-year span; describing fatal victims by demographics and precipitating circumstances; and examining differences by victim type.

 This study used data from 17 states of the United States in the National Violent Death Reporting System to examine fatal intimate partner violence-related incidents involving at least one adolescent intimate partner (15-19 years of age) from 2011-2015. IPV-related death cases were guided by the intimate partner violence surveillance criteria prescribed by Centers for Disease Control and Prevention. Decedents were subdivided into intimate partner victims, perpetrator victims, and corollary victims. Victims were described by demographics, victim descriptors, and precipitating circumstances of death. Annual trends and descriptive statistics were calculated.

 There were 93 intimate partner violence-related fatal incidents among adolescents with 116 decedents. A firearm was the predominant weapon. Crises, arguments, jealousy, and physical fights were common precipitating circumstances. Corollary victims represented 18% of all victims, 65% were intimate partner victims, and 17% perpetrator victims. Corollary victims were primarily linked to the suspect by other intimate partners, and friends and acquaintances.

 Intimate partner violence is a preventable public health problem. This study documents that intimate partner violence among adolescents can result in deaths of intimate partners and corollary victims. Effective prevention should begin in early adolescence and incorporate shared and protective risk factors to have the greatest impact on adolescent IPV.

Incidents of vector-borne disease have recently tripled in the United States. Chikungunya disease is a particularly common disease in the Caribbean, posing a threat to international tourists. However, the relationship between psychological variables derived from the protection motivation theory (PMT), and adoption of protective behaviors against the disease, is uncertain. This study sought to identify the psychological predictors of travelers’ protective health behaviors, specifically (1) appropriate clothing use, and (2) indoor spatial repellent use.

An online, retrospective survey of U.S. international travelers to Caribbean destinations measured the five constructs of the PMT in the context of Chikungunya disease: Perceived severity, perceived vulnerability, perceived response efficacy, perceived self-efficacy, and knowledge. Hierarchical logistic regression analyzed whether these five theoretical constructs predicted the two protective behaviors in respondents who met study criteria (n = 184).

Results suggest that the interaction between chikungunya knowledge and perceived chikungunya severity predicts both appropriate clothing use (odds ratio [OR]: 1.95, CI: 1.18-3.25, P=0.010) and indoor spatial repellent use (OR: 1.55, CI: 1.05-2.29, P=0.029). In the cases of appropriate clothing use, the interaction between perceived chikungunya severity and perceived vulnerability was also a significant predictor (OR: 9.67, CI:1.23-75.80, P=0.031). Additionally, indoor spatial repellent use was also predicted by the interaction of chikungunya knowledge and perceived vulnerability (OR: 1.88, CI:1.18-3.02, P=0.009).

Two-pronged educational approaches may be most efficacious in increasing protective health behaviors. Such efforts could reduce incidents of chikungunya disease and other vectorborne diseases in travel destinations featuring high exposure risks.

Genome-wide association studies (GWAS) have recently shown that Single Nucleotide Polymorphism (SNP) rs17465637 on chromosome 1p41 is associated with atherothrombotic Coronary Artery Disease (CAD). However, whether rs17465637 acts as a protective factor or a risk factor for acute myocardial infarction (AMI) is not well understood in the general population.

In this article, we aimed to determine whether this locus was related to susceptibility to AMI in a Chinese Han population.

A retrospective experimental study was performed in Guangxi province, People’s Republic of China, on January 1, 2012, to December 31, 2017. We recruited 688 patients who were matched for age, lifestyle, and socioeconomic status from the Chinese Han population and subdivided them into two groups of 344 AMI patients and 344 healthy controls. We used standardized questionnaires to collect information on demographics, socioeconomic status, and lifestyle factors. Genotypes of SNP rs17465637 were determined by the TaqMan assay. Diagnostic criteria and research protocols were based on the guidelines of the European Resuscitation Commission. Statistical analysis was performed by SPSS version 22.0.

The percentage of the AA genotype in the AMI group was 22.97%, which was greater than that of the control group (13.08%) (kappa = -0.082, P < 0.001). The AA genotype of SNP rs17465637 had significant differences between different infarct sites (kappa = -0.011, P < 0.05). There were interactions between the CC genotype and BMI ≥ 24 kg/m2 (OR = 4.060, 95% CI = 1.680 - 9.812, P = 0.002) and smoking ≥ 20 cigarettes/d (OR = 2.732, 95% CI = 1.495 - 4.991, P = 0.001).

This study revealed that the AA genotype of SNP rs17465637 was positively correlated with the risk of AMI. Subjects with the AA genotype were positively correlated with extensive anterior of AMI. Also, interactions between the CC genotype of SNP rs17465637 and BMI or smoking seem to increase the risk of AMI.

Alcohol use is one of the most complicated health problems. The understanding of risk and protective factors contributing to alcohol use could help deal with this problem more efficiently.

The present study examined the risk and protective factors for alcohol use among homeless men living in Tehran, Iran.

This cross-sectional study was conducted from September to November 2015. A total of 193 homeless men were recruited using convenience sampling from Khavaran Shelter, the largest shelter for homeless people, in the south of Tehran. Data were analyzed using a logistic regression model to examine if using alcohol is associated with potential risk and protective factors. Conducting logistic regression, adjusted odds ratio (aOR) point estimate and 95% confidence interval (CI 95%) as the effect measures were reported. All tests were run using SPSS version 21.

The prevalence rates of recent (past 7 days) and past-year alcohol use were 14.5% (95% CI: 9.50, 19.50) and 43.52% (95% CI: 36.50, 50.50), respectively. Hosmer-Lemeshow test (χ 2 (4) = 10.37, P = 0.17) indicated the goodness of fit of the model to the data. The results of the fitted logistic regression model explained that social support (OR = 0.63, CI 95%: 0.36-1.08) and being a local resident (OR = 0.32, CI 95%: 0.17 - 0.61) were the protective factors while the level of relationship with peer network (OR = 2.08, CI 95%: 1.19 - 3.63) and having a history of arrest (OR = 3.16, CI 95%: 1.34 - 7.46) were risk factors of alcohol use among Iranian homeless men during the last year. The predictors entered into the regression model could explain between 13% and 17.5% of the variance of the outcome (alcohol use).

This study contributes to the existing literature by examining risk and protective factors among a high-risk population. Our findings can be used in designing and implementing interventions that are more effective for the homeless group living in a non-Western context.