Women's Health
Yousef Veisani; Ali Delpisheh; Kourosh Sayehmiri
Volume 2, Issue 4 , Autumn 2015, , Pages 178-183
Abstract
Background and aims: According to psychological research female-headed households have a lot of physical and mental problems because they experience stress and anxiety more than the other women in general population. The aim of this study was to determine the quality of life and the associated factors ...
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Background and aims: According to psychological research female-headed households have a lot of physical and mental problems because they experience stress and anxiety more than the other women in general population. The aim of this study was to determine the quality of life and the associated factors in female-headed households under the Welfare Organization coverage of Ilam Province. Methods: In this descriptive analytical study, 787 female-headed households under the Welfare Organization coverage of Ilam in urban and rural in Ilam province participated in this study. Systematic random sampling was used as a sampling method. A validated questionnaire (SF-36) completed in a six-month interval and then the data were collected and analyzed. Results: From 787 female-headed households contributing to the project, the numbers of missing subjects were 79 and 708 of the subjects completed the questionnaires (response rate 89.9%). Mean ± SD age of participants was 53.3±19.18. The results of this study showed an unfavorable health related quality of life in female-headed households spatially in role–physical (mean score 48.06) and mental health (mean score 40.80) demission. We found that having the chronic disease and living in rural area were associated with an unfavorable health related quality of life (P≤0.001). Conclusion: According to the results, the most important reason affecting the quality of life in female-headed households is low level of illiteracy and having a chronic illness.
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.