Epidemiology
Amir Mehrdadi; Shahnaz Sadeghian; Ashraf Direkvand-Moghadam; Aatollah Hashemian
Volume 4, Issue 1 , Winter 2017, , Pages 31-36
Abstract
Background and aims: Students experience some degrees of mental disorders during their life. Therefore, the present study was conducted to determine the prevalence and risk factors of mental disorders among the secondary school students in Ilam, Iran. Methods: This is a cross sectional study, carried ...
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Background and aims: Students experience some degrees of mental disorders during their life. Therefore, the present study was conducted to determine the prevalence and risk factors of mental disorders among the secondary school students in Ilam, Iran. Methods: This is a cross sectional study, carried out among the secondary school students in Ilam, Iran. We assessed 841 students including 446 males and 395 females from all grades of secondary school. A multistage cluster sampling method was used. Data were collected using two instruments including both demographic information questionnaire and DSM-IV. SPSS software was used to analyze the data of this project. Results: Totally, 841 secondary students were studied. Overall 34.96% of all the participants of the study had mental disorders. The Mean ± SD of participants' age and gender has not significant differences between groups (P>0.05). The results show that anxiety disorders are the most common disorder among the study population. Although no one in the study population had an adaptation disorders. Conclusion: About a third of students in Ilam province experience the mental disorders. So, we suggest that the school counselors consider pay attention to this important issue in their consulting planning.
Epidemiology
Parivash RahimPour; Ataollah Hashemian; Azadeh Direkvand-Moghadam; Ashraf Direkvand-Moghadam
Volume 2, Issue 4 , Autumn 2015, , Pages 172-177
Abstract
Background and aims: Loneliness typically includes anxious feelings. It is particularly relevant to adolescence period. It has effect on physical and mental health. The present study aimed to identify the predictive factors of loneliness among high schools female students.Methods: A cross– sectional ...
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Background and aims: Loneliness typically includes anxious feelings. It is particularly relevant to adolescence period. It has effect on physical and mental health. The present study aimed to identify the predictive factors of loneliness among high schools female students.Methods: A cross– sectional survey was carried out among high schools female students in Ilam during the academic year 2014-15. Sampling was done by multistage method. The student's consent to participation in the study obtained by full filled the questionnaires. Data were collected by demographic and University of California, Los Angeles questionnaires. Questionnaires with incomplete information were excluded. The Cronbach’s alpha coefficient was measured as an index of internal identicalness of the questionnaire to verify its reliability.Results: A total of 400 female high school students were studied. Overall, 62.8% of students put into non- loneliness group and 37.3% of all have loneliness. The univariate logistic regression analysis demonstrates that education field, father’s education and father’s occupation were different between the groups (P<0.05). The risk of loneliness was higher in students with a mathematical sciences education field in comparison to general education field (OR=1.75). In multivariate logistic regression analysis the education field, father’s education and father’s occupation were considered as independent predictive variables for female students’ loneliness. The AUROC criterion was applied to compute both the sensibility and the specificity of the manikin. The overall percent of correct classification of the model is 64%.Conclusion: Identify the causes of students loneliness can prevent complications and provide appropriate solutions.
Health Promotion
Safa Seidpour; Eskandar Gholamy- Parizad; Abdolhossein Poornajaf; Ashraf Direkvand-Moghadam; Ali Delpisheh
Volume 2, Issue 3 , Summer 2015, , Pages 134-139
Abstract
Background and aims: The mortality rate for breast cancer is directly related to the stage of disease at diagnosis. The present study was aimed to determine the factors influencing on knowledge, attitudes, and practices in women with breast cancer and its screening methods.Methods: In a cross- sectional ...
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Background and aims: The mortality rate for breast cancer is directly related to the stage of disease at diagnosis. The present study was aimed to determine the factors influencing on knowledge, attitudes, and practices in women with breast cancer and its screening methods.Methods: In a cross- sectional study, we evaluated 383 women who referred to health centers of Ilam. Sampling was done in 2 stages. The inclusion criteria were included healthy women with minimum education level. Data were collected by a two-section questionnaire including demographic characteristics and knowledge, attitudes and practices of women with the breast cancer and its screening methods. Data were analyzed using chi-square and t-test in SPSS software. The level of significance was considered P<0.05.Results: The Mean ± SD knowledge score was 22.43±11.01. The Mean ± SD attitude and performance score were 29.08±3.34 and 3.52±1.66, respectively. There was a significant correlation between age, occupation and education with knowledge, attitude and practice of women with breast cancer and its screening methods (P<0.05). There was no significant relationship among the marital status, history of benign breast disease and family history with knowledge, attitudes and practices of breast cancer and screening methods, (P>0.05).Conclusion: Half of the participants had good knowledge about breast cancer and screening procedures, but, all the participants with good knowledge had not good practice. Therefore, further training is necessary to enhance awareness and more research should be conducted to identify barriers to women's performance.
Women's Health
Ashraf Direkvand-Moghadam; Ali Delpisheh; Azadeh Direkvand-Moghadam; Parvaneh Karzani; Parvin Saraee; Zahra Safaripour; Nasim Mir-Moghadam
Volume 2, Issue 1 , Winter 2015, , Pages 4-11
Abstract
Background and aims: Infertility is a major problem during reproductive age. Physical and psychological effects of infertility in women are problematic. The aim of this study was to determine the potential predictive factors of infertility, among women referring both public and private health centers ...
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Background and aims: Infertility is a major problem during reproductive age. Physical and psychological effects of infertility in women are problematic. The aim of this study was to determine the potential predictive factors of infertility, among women referring both public and private health centers in Ilam province, western Iran, in 2013. Methods: In this cross-sectional study, 1013 women referring the health care centers of Ilam province were enrolled in 2013. The participants were selected by simple random sampling method and their demographic, medical and obstetric variables were collected. The univariate and multiple logistic regression analyses were used to predict the potential risk factors of infertility. Results: The husband’s education and occupation showed to be suitable independent predictor variables for infertility by multivariate logistic regression analysis (OR: 1.36 and 2, respectively). Overall percentage of correct classification of the model was 88.7%. It means that, considering the husband’s education and women’s occupation, the ability of the model to predict the actual category of the cases was 88.7%. Conclusions: It seems that husband education level and women occupation are independent predictive variables. The women at risk of infertility have to be identified and high-quality counseling should be given in order to minimize the complications of infertility in both genders.
Epidemiology
Ataollah Hashemian; Ashraf Direkvand-Moghadam; Ali Delpisheh; Azadeh Direkvand-Moghadam; Elham Fathollahi; Razieh barmalzan; Sakineh Nazari; Shirin Javid
Volume 2, Issue 1 , Winter 2015, , Pages 18-23
Abstract
Background and aims: Many factors could affect on the health status. This study aimed to assess the general health status of high-school students in Ilam province in 2014. Methods:This cross– sectional study determined the general health status of high-school students in Ilam, located in west ...
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Background and aims: Many factors could affect on the health status. This study aimed to assess the general health status of high-school students in Ilam province in 2014. Methods:This cross– sectional study determined the general health status of high-school students in Ilam, located in west of Iran in 2014. The samples were selected by multi-stage random sampling method. Data were collected by a two-part questionnaire. The first part of the questionnaire included the personal characteristics and the second part of the questionnaire contained General Health Questionnaire- 28 (GHQ-28. Results: A total of 381 students were enrolled in this study. Overall 236 (61.9%) of students had healthy status. In addition, 145 (38.1%) of all participants had disorder in one or more dimensions of their general health status. The mean±SD of overall score of general health was 5.78±4.53 in healthy status students and 7.83±5.72 in disorder status students. The difference in overall score of general health was statistically significant between healthy and disorder status students (P<0.001). Moreover, the differences in the age, school grade, parental education and number of children living with families were significant between healthy and disorder status students (P<0.05). Conclusion: General health is an important issue among adolescents and high-school students who are at high risk of general health disorder. Therefore, the regular evaluation of their general health status is necessary for planning an appropriate counseling program.
Epidemiology
Ataollah Hashemian; Ashraf Direkvand-Moghadam; Ali Delpisheh; Azadeh Direkvand-Moghadam
Volume 1, Issue 1 , Autumn 2014, , Pages 9-15
Abstract
Background and aims: Internet addiction is one of the problems emerged with the development of technology. Considering the potential negative effects of internet addiction on health, the present study aimed to determine the prevalence of internet addiction in university students in Ilam, west of Iran, ...
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Background and aims: Internet addiction is one of the problems emerged with the development of technology. Considering the potential negative effects of internet addiction on health, the present study aimed to determine the prevalence of internet addiction in university students in Ilam, west of Iran, in 2014.
Methods:In this cross– sectional study, 1066 university students in both public and private sectors were assessed in 2014. The samples were selected by multi-stage random sampling method. Data were collected by a two-part questionnaire: the personal characteristics and Internet Addiction Test (IAT)-20. This 20-itemed questionnaire measures internet addiction in mild, moderate and severe levels. Each answer is scored based on a Likert scale from 1 to 5. The higher score represents a greater level of addiction. The total score between 20 and 49 represented mild, 50-79 showed moderate and 80-100 was severe addiction.
Results:Overall, 466 (43.7%) of students were placed in the Internet addiction group. Generally, 39.6% of students had mild and 4.1% had moderate addiction. No case of sever Internet addiction was seen. Prevalence of internet addiction in the medical students was higher compared to nonmedical students (P< 0.0001).
Conclusion: Based on the results, internet addiction should be considered as a serious problem in adolescents and young adults. So, it is necessary that proper use of internet to be educated to adolescents and young adults to prevent the risk of internet addiction.
Women's Health
Ashraf Direkvand-Moghadam; Zeynab Ghazanfari; Ali Montazeri; Ali Delpisheh; Azadeh Direkvand-Moghadam
Volume 1, Issue 1 , Autumn 2014, , Pages 29-34
Abstract
Background and aims: Pelvic organ prolapse (POP) is a common condition which affects on a large proportion of women. The objective of this study was to determine the risk factors of POP in Iranian women. Methods: This cross-sectional study was carried out to examine the role of demographic, anthropometric ...
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Background and aims: Pelvic organ prolapse (POP) is a common condition which affects on a large proportion of women. The objective of this study was to determine the risk factors of POP in Iranian women. Methods: This cross-sectional study was carried out to examine the role of demographic, anthropometric and clinical characteristics in POP disease in a sample of 365 females in Ilam, Iran. Examinations were performed according to Pelvic Organ Prolapse Quantification (POPQ) technique in dorsal lithotomic position. Then, the sample divided into two groups as with and without prolapse. Then, unilabiate and multivariate analyses were performed. Results: Totally, 365 women participated in this study. The prevalence of POP was 80.8%. Univariate logistic regression analysis showed a significant differences between groups with and without POP based on age, maximum birth weight, BMI, pregnancy, delivery mode, delivery operative and delivery position. But after multivariate analysis, the most significant factors identified as risk factors for POP were age (OR= 1.12, 95% CI= 1.02-1.23, P= 0.02), normal vaginal delivery (NVD; OR= 6.18, 95% CI= 1.43-26.75, P= 0.01) and episiotomy (OR= 30, 95% CI= 5.69-158.11, P= 0.000). Conclusion: Findings of the study showed that several risk factors could collaborate in creating of POP. However; body mass index and number of pregnancies are modifiable factors. So, maternal care providers should educate women for maintaining the ideal weight and decreasing the number of pregnancy in order to prevent POP.
Women's Health
Ashraf Direkvand-Moghadam; Kourosh Sayehmiri; Ali Delpisheh; Azadeh Direkvand-Moghadam
Volume 1, Issue 1 , Autumn 2014, , Pages 35-43
Abstract
Background and aims: Infertility is one of the most important conditions in reproductive system and there is no reliable estimates for global prevalence of infertility. Therefore, knowing the prevalence of infertility is important and can be effective in decision making. Methods: We systematically reviewed ...
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Background and aims: Infertility is one of the most important conditions in reproductive system and there is no reliable estimates for global prevalence of infertility. Therefore, knowing the prevalence of infertility is important and can be effective in decision making. Methods: We systematically reviewed all published papers in Medline database and Scopus (1988–2010). Univariate and multivariate approaches were applied to assess the causes of heterogeneity among the selected studies. Meta-regression was used to examine the relationship between the prevalence of infertility and the year of study. Data manipulation and statistical analyses were performed using Stata 11.1. Results: The study population was not similar in all papers. Studies evaluated the prevalence of infertility in the general population, the total female population, women and couples. Some studies defined infertility as failure to conceive within 12 months of regular sexual life without contraception methods while other studies defined it as failure to conceive within 24 months of regular sexual life without contraception methods. Overall, 52 studies met our inclusion criteria and the pooled worldwide of infertility was obtained about 10%. The correlation between prevalence of secondary infertility and year of study was significant (P=0.039). Conclusions: Approximately 10% of the world's population suffers from infertility. Due to the negative impact of infertility on couples in various aspects of life, and the need for treatment and support programs, accurate estimate of infertility is essential worldwide.