جستجوی مقالات مرتبط با کلیدواژه « Socioeconomic status » در نشریات گروه « پزشکی »

 Hormonal changes during pregnancy may act as a modifying factor of the pathogenesis of periodontal disease, being reported as a potential risk factor of adverse pregnancy outcomes. This study was accomplished to investigate the level of periodontal disease in pregnant women and to identify associated risk factors in a population of pregnant women in Kashan in 2017.

 A total of 128 pregnant women in the second and third trimester of pregnancy were recruited. Demographic data, oral health behaviors and socioeconomic status were determined by using a standard questionnaire. The periodontal condition was evaluated by Community Periodontal Index (CPI), Clinical Attachment Loss (CAL) and Bleeding on Probing (BOP) indices.

 The mean (standard deviation) age of the samples was 24.35 (3.4). More than half of the participants (53.1%) were in the second trimester of pregnancy. A quarter of pregnant women had visited a dentist within the past year, of which more than 74% visit the dentist for pain or treatment. About half of the participants (50.8%) brushed their teeth daily, but only 10% of mothers had daily flossing habit. Periodontal screening is typically done using the Community Periodontal Index (CPI). Calculus had the highest score (49.2%) prevailing among the subjects, while prevalence of periodontitis (pocket depth>=3) was 35.2%. Pocket depth >3mm was more frequent in women with academic education, good socioeconomic status, women without history of pain, women who brush their teeth twice a day or more and women who visit the dentist  (P <0.05).

 The findings of the present study shows that all the studied factors are considered as risk factors for periodontal disease in pregnant women.

Socioeconomic status (SES) is frequently seen as a significant indicator of mental health outcomes. This study aimed to determine the mediating role of subjective social status (SSS) in the association of SES and mental health among the employees of Tehran University of Medical Sciences (TUMS).

This cross-sectional research involved the analysis of data collected from 4461 TUMS employees using a two-step structural equation modeling (SEM) approach. The study examined the impact of SES on mental health issues, specifically symptoms of depression, anxiety, and stress. SES was assessed as a composite index, and then each indicator was evaluated separately. SSS was considered as a potential mediator using the MacArthur scale, which was converted to a five-point Likert scale. The analysis utilized a two-step SEM approach in STATA version 14.0 with maximum likelihood estimation.

The majority of participants in the study were female (60.65%), and the mean (±SD) age of the participants was 42.21±8.72 years. The analysis revealed that the composite SES index had a standardized indirect effect of -0.05 on mental health through SSS. SSS accounted for 27.78% of the association between the composite SES index and mental health among TUMS employees (27.27% in males and 22.23% in females).

The results of the study indicated that a lower SES may impact the development of mental health issues, indicating a relationship between SES and symptoms of depression, anxiety, and stress.

It is well documented that India is an example of the unequal distribution of dental caries among different population groups, as higher prevalence and incidence have been reported among people with a low socioeconomic level. The objective of this review was to systematically map the scientific literature on the effect of socioeconomic status (SES) on dental caries among adults, identify the research gaps in this area, and propose recommendations for future research.

This scoping review was conducted based on the updated framework recommended by Joanna Briggs Institute. Relevant studies undertaken in India were identified by searching Medline/PubMed, EBSCO, and Google Scholar. The search strategy was limited to journal articles published between January 2012 and October 2022. Titles and abstracts were screened, and full texts were reviewed by two reviewers independently. 

The scoping review comprised 7 cross-sectional studies and 1 cohort study. Most reviewed studies used the Kuppuswamy scale or its modifications to assess the SES. Four studies determined the caries status regarding mean values according to SES and reported higher DMFT (decayed, missing, and filled teeth) among the middle and lower-class SES. Three studies employed regression analysis to determine the association, and all found that the DMFT score was significantly associated with socioeconomic status.

The findings of this review confirm the existence of inequalities in caries experience in adults from different socioeconomic backgrounds. More high-quality and follow-up studies are needed to establish the magnitude of the scientific evidence regarding the association between socioeconomic status and dental caries among adults in India.

It is essential to constantly review the risk factors and treatment outcomes of tuberculosis (TB). This study evaluated some important risk factors of TB over five years.

Between 2013 and 2018, all available information and possible risk factors related to TB patients were analyzed from the TB registry program of the health district of Gorgan, Iran.

Among 349 TB patients, 194 (55.59%) were males and 167 (47.85%) had at least a comorbidity. The death rate was higher in the age group more than 65 years (p < 0.001), the low-educated group (P = 0.012), and patients with underlying diseases, especially diabetes (p < 0.001). In total, univariate and multivariate statistical analyzes showed that having comorbidity (OR = 4.34; 95% CI 1.49 – 13.49), as well as, being jobless (OR = 3.07; 95% CI 1.19 – 8.59) were the main factors influencing the adverse events.

According to the study, aging, underlying diseases, and cultural poverty include a higher share of the main risk factors for active TB and/or treatment outcomes. By considering these risk factors and training the medical staff continually, we can reduce the time of TB diagnosis, and prevent it from spreading.

Ensuring equal utilization of health services has always been a priority in health systems globally. Iran implemented reforms such as the Health Transformation Plan (HTP), in which one objective was to reduce inequity in access to inpatient and outpatient services. These studies aimed to measure inequality in health services utilization in Qazvin, Iran, and clarify inpatient and outpatient utilization patterns among socioeconomic subgroups of the population. This cross-sectional study recruited 442 households living in Qazvin, Iran, in 2019. We collected data using a tool that included demographic characteristics, socioeconomic status, and health services utilization. We applied the concentration index to measure inequality and performed data analysis using STATA 15. Based on our estimates, the utilization rates of outpatient and inpatient services in the study sample were 0.89±1.39 and 0.45±0.94, respectively. There was no statistically significant difference in the use of outpatient healthcare services in terms of gender and insurance coverage of the households, while literacy, age, and health condition had statistically significant effects on inpatient healthcare utilization (P<0.05). Furthermore, the marginal effects of age and literacy on the utilization of outpatient services were statistically significant (P<0.05), so that literacy and aging increased the outpatient HSU. Except for age, the marginal effects of other characteristics on the utilization of inpatient services were statistically significant (P<0.05). Our findings indicated that inequality in healthcare utilization reduced over time, showing that in addition to reducing inequality in HSU, population groups with lower socio-economic status have benefited more from both inpatient and outpatient services.

Measuring socioeconomic status (SES) as an independent variable is challenging, especially in epidemiological and social studies. This issue is more critical in large-scale studies on the national level. The present study aimed to extensively evaluate the validity and reliability of the Iranian SES questionnaire.  

This psychometric, cross-sectional study was conducted on 3000 households, selected via random cluster sampling from various areas in East Azerbaijan province and Tehran, Iran. Moreover, 250 students from Tabriz University of Medical Sciences were selected as interviewers to collect data from 40 districts in Iran. The construct validity and internal consistency of the SES questionnaire were assessed using exploratory and confirmatory factor analyses and the Cronbach's alpha. Data analysis was performed in SPSS and AMOS.   

The complete Iranian version of the SES questionnaire consists of 5 factors. The Cronbach's alpha was calculated to be 0.79, 0.94, 0.66, 0.69, and 0.48 for the occupation, self-evaluation of economic capacity, house and furniture, wealth, and health expenditure, respectively. In addition, the confirmatory factor analysis results indicated the data's compatibility with the 5-factor model (comparative fit index = 0.96; goodness of fit index = 0.95; incremental fit index = 0.96; root mean square error of approximation = 0.05).

According to the results, the confirmed validity and reliability of the tool indicated that the Iranian version of the SES questionnaire could be utilized with the same structure on an extensive level and could be applicable for measuring the SES in a broader range of populations.

Multiple sclerosis (MS) may be affected by socioeconomic status (SES). This study aims to explore the determinants of SES among Iranian patients with MS and examine how these factors relate to disability and disease progression.

All patients with MS listed in the nationwide MS registry of Iran (NMSRI) until January 8, 2022, were included in this population-based study.

Among the 5153 patients, most were female (74.5%), married (70.8%), and did not hold an academic degree (53.8%). Unemployment (OR: 3.75) and being unmarried (OR: 2.60) were significantly associated with Expanded Disability Status Scale (EDSS) ≥ 6, and the time to progression was shorter in the unemployed group (P value: 0.03). There was also a significant negative correlation between the time to progression and the age at disease onset.

The study suggests that providing financial and social support to MS patients and their families through investment could reduce both individual and societal burdens.

Today, global attention has been directed towards differences in the health of different Socioeconomy of society (SES) groups. Trauma is one of the categories where SES determinants are not well understood, especially in developing countries. This study aims to determine the annual incidence of traumabased on SES in people over 15 years old in Kashan.

This was a population-based cross-sectional studyusing a household survey .Data were collected through stratified-cluster sampling during 2018- 2019 for over 15-year in Kashan. The researchers conducted univariate and multivariate analyses to evaluate trauma during and the past year rgarding SES of individuals using Principal Components Analysis (PCA).

The incidence of trauma was 70.6 (62. 6-78. 7) in 1000 annually, the risk of trauma in low SES was 1.06 (0.82-1.38), in moderate SES , 0.87 (0.69-1.10), and in high SES, it was 1.13 (0.84-1.52). Among different SES groups, mechanisms of injury were different (P-value = 0.09); also, the annual incidence of trauma in different SES groups was different based on the place of trauma (P-value = 0.02), the number of injuries (P-value = 0.00), treatment (P-value = 0.02), and the time to return to work (P-value = 0.00).

Annual incidence of trauma in different SES groups was different based on the place of trauma, the number of injuries, treatment, and time to return to work. The relationship between SES status and incidence of trauma is important to provide preventive services.

 Although polypharmacy is considered a major predictor of irrational use of drugs, little is known about polypharmacy in developing regions. We aimed to indicate the prevalence and correlates of polypharmacy and to determine the medication profile at the population level in southern Iran.

 In this cross-sectional study, we analyzed data from participants of the Pars Cohort Study (PCS) (aged above 40 years, N=9269). Polypharmacy was defined as using five or more medications concurrently. A Poisson multivariable model was applied to estimate the adjusted prevalence ratios (APRs) of various risk factors. The Anatomical Therapeutic Chemical (ATC) classification system was used for classifying medications.

 Prevalence of polypharmacy was 10.4%, (95% CI: 9.75; 11.08) and it was higher among females (15.0%), older adults (age≥65 years) (16.0%), and individuals with more than two chronic conditions (31%). Being female, educated, married, and not having a low socio-economic class were independently associated with a higher likelihood of polypharmacy. The most prevalent medications among female participants were sex hormones and modulators of the genital system (58.4%), drugs for acid-related disorders (14.6%), and anti-anemic preparations (13.6%,). On the other hand, males were using acid-related disorders (14.6%), anti-inflammatory and anti-rheumatic products (7.8%), and beta-blocking agents (6.3%).

 The prevalence of polypharmacy in our sample was relatively low, especially among males. Cardiovascular drugs, acid suppressants, hormonal contraceptives, and anti-anemic preparations are drug classes with the highest contribution to polypharmacy.

Women's empowerment has been introduced as a mechanism to improve the quality of women's work and personal life, one of the basic principles of protecting human rights and eradicating poverty. This study aimed to investigate the effect of social capital, social support, and Internet use on the empowerment of working women with a mediating role in socioeconomic status.

In this descriptive survey study, 4,000 women were studied working in the RCS of Tehran province, Iran. About 384 samples were selected due to Cochran's formula by a simple random method. The required data were collected using some questionnaires, namely the Social Capital (Hoff and Heisman, 2009), subjective assessment of the socioeconomic status (Nabavi et al., 2007), Social Support (Sherburne and Stewart, 1991), the researcher-made questionnaire of Internet Use and Women’s Empowerment. 

The results showed that social capital, social support, and the use of the Internet had a direct impact on the empowerment of women, and socioeconomic status played a mediating role in the relationship between social capital and empowerment. It was also found that socioeconomic status played a mediating role in the relationship between social support and the empowerment of working women.

According to the results, attention to the components of social capital, social support, and the use of the Internet and cyberspace provided the basis for the empowerment of working women, while in this process the key role of women's socioeconomic status should not be overlooked. However, managers' attention to strengthening organizational trust and women's participation in decision-making, providing conditions for good communication, training, and promoting women's media literacy, would increase the socioeconomic status proportionately and  improve women's empowerment.

Women's quality of life is essential both for women’s and their family’s health. The aim of this study was to examine the quality of life status and interaction of subjective socioeconomic status and violence, on quality of life of married women in west of Iran.

This was a cross-sectional study that recruited 1533 married women using multi-stages sampling method. Multiple linear regression was employed for estimating adjusted association and 95% confidence intervals.

The mean (SD) age of the participants was 33.67(11). The majority of participants (92%) experienced some degree of domestic violence. Less than half of women (46.70%) perceived medium socioeconomic status. Mean (SD) score of quality of life was 3.57 (0.94). There was a significant statistical interaction between socioeconomic status and domestic violence on quality of life.

These findings suggest that considering the interaction of subjective socioeconomic status with domestic violence in prevention program, especially in poor categories of family, appears to be one of the important ways in improving married-females’ quality of life.

South Korea has the fastest growing aging population in the world, and the Korean older adult population has been reported to have poor self-rated health (SRH). This cross-sectional descriptive survey aimed to examine the SRH and associated factors among the Korean older adult population using the 2019 Korea National Health and Nutrition Examination Survey (KNHANES) data.

The differences in SRH according to socioeconomic, health-related, and mental health-related factors and their relationships were analyzed using chi-square tests and logistic regression, using data from 1,521 older adults in Korea from the 8th KNHANES.

Self-rated health was higher among older adults with a high family income (odds ratio [OR]=1.58, 95% CI: 1.05−2.36), those who finished elementary school or lower as opposed to those with a middle school diploma (OR=0.52, 95% CI:0.29−0.95), those with a low body mass index (BMI) compared to those with a higher BMI (OR=0.43, 95% CI: 0.21−0.88), those with no unmet health needs (OR=2.00, 95% CI: 1.31−3.06), those with better diet-related circumstances (OR=1.98, 95% CI: 1.15−3.39), those with lower stress (OR=1.77, 95% CI: 1.28−2.44), those with no suicidal ideation (OR=2.92, 95% CI: 1.75−4.87), and those without a history of psychiatric counseling (OR=2.10, 95% CI: 1.02−4.34).

The findings highlight the importance of health behaviors in promoting SRH among older adults in Korea, and emphasize the need for developing and implementing educational programs that reflect these findings.

 Chronic immunity to hepatitis A (HA) is largely influenced by environmental factors, such as socioeconomic indicators, public health conditions, and access to safe water. In the past two decades, Iran has witnessed improvements in socioeconomic status, increased urbanization, enhanced health education, improved access to safe drinking water sources, and better public health conditions. However, these changes have not been uniform across all regions of Iran, and varying epidemiological situations are expected.

 This study aimed to delineate the pattern of HA chronic immunity across different regions of Iran using geographical information system (GIS) mapping.

 The study included a total of 3255 individuals who tested positive for anti-hepatitis A virus (anti-HAV) immunoglobulin G (IgG). This study analyzed factors such as place of residence, marital status, age, and gender to explore possible relationships. Univariate and multivariable analyses were conducted to identify independently associated factors for HA. A locally weighted scatterplot smoothing (LOWESS) multivariate model was developed using a backward stepwise approach. Geographical variations in the prevalence of HA chronic immunity in the general population of Iran were assessed to understand spatial effects and risk factors. A Bayesian spatial model was employed to identify the spatial pattern of HA chronic immunity prevalence, using OpenBUGS version 3.2.3.

 The prevalence of HAV immunity was higher in regions with mild semi-dry climates (aPR = 2.37, 95% confidence interval [CI] = 2.30 - 3.33, P< 0.001), medium semi-dry climates (aPR = 1.37, 95% CI = 1.14 - 1.63, P< 0.001), dry climates (aPR = 1.13, 95% CI = 0.9 - 1.4), and ultra-dry climates (aPR = 1.79, 95% CI = 1.05 - 2.98, P = 0.033), compared to semi-humid climates. Other variables did not exhibit a significant relationship with HA chronic immunity. The GIS analysis map revealed that immunity to HA was generally lower in the capital cities of Iran’s provinces. However, most central regions of Iran exhibit medium endemicity; nevertheless, higher immunity to HA was observed in border areas and coastal regions, particularly in the northern part of the country.

 Different regions of Iran display distinct patterns of HAV endemicity, influenced by the country’s climatic diversity.

Malnutrition is a major contributor to children’s low growth, development and also disease. To inform policymakers’ planning and action, this study aimed to assess malnutrition in under-5 children and its relationship with the household socioeconomic status.

The data of this cross-sectional survey was collected through a valid and reliable questionnaire including demographic, nutritional and socioeconomic data. Through proportional and random cluster sampling, 3980 children aged 6 to 59 months old were selected as the participants of the study. The data were analyzed through Chi-Square and ANOVA tests using EpiNut and Stata software.

138 (3.5%) had severe stunting (height for age), 58 (1.5%) severe low weighting (weight for age), 81 (2%) severe weight loss, 87 (2.2%) obesity based on BMI for age, 66 (1.7%) severe wasting and 84 (2.1) obese based on weight for height. Height and weight for age were significantly associated with father’s job and BMI for age was associated with household socio-economic status (p<0.05).

In spite of performing nationwide programs targeting under 5 children, the prevalence of malnutrition problems was high. This study indicated that the household socio-economic status is an effective factor. This indicates that the supporting measures such as insurance and free services for the poor are not well designed, targeted and administered.

Considering the higher rate of suboptimal glycemic control in type 1 diabetic(T1DM) children and the increasing trend of T1DM in our community and worldwide and the role of glycemic control in preventing complications of the patients along with the lack of studies regarding the role of family socioeconomic status (SES) and its indicators in our community, we aimed to investigate the association between family SES and glycemic control in children and adolescents with T1DM in Isfahan, Iran.
In this cross sectional study, T1DM patients aged 1-18 years were enrolled. The patients were classified into two groups, with and without appropriate glycemic control, based on the mean of the last three HbA1c mean levels. The characteristics of the patients in different categories of family SES were compared and the associations were evaluated.
In this study 312 children with T1DM (156 with and without optimal glycemic control) and their families were evaluated. Low, moderate and high family SES was presented in 20.4%, 71.6% and 8% of the total population. Frequency of low SES was significantly higher in patients with poor glycemic control (P<0.001).There was significant positive association between family SES and appropriate glycemic control (P<001, OR=6.63, CI95%; 2.2-19.3).
Our findings indicated that in accordance with previous studies, the SES of Iranian families, assessed by multiple factors of parents’ and families’ characteristics, is associated with glycemic control of children with T1DM. These findings would be helpful for health care professionals to design more comprehensive programs based on the SES of the patients' families as well as healthcare policymakers to properly allocate resources in order to obtain more appropriate glycemic control for all patients with T1DM.