Fahimeh Mirzadeh, Pooneh Yousefi, Fayegheh Zareei, Mahshid Mahbobi, Azin Alavi,
Volume 8, Issue 3 (10-2021)
Abstract
Introduction: The risk of uterine cancer in women with a history of genital warts is high. In addition, uterine cancer has a significant effect on quality of life and psychological stress. The aim of this study was to investigate the Correlation of health belief model constructs with preventive behaviors of genital warts in women in Bandar Abbas.
Methods: This cross-sectional study was conducted on 720 women who aged 15-49 years and were selected using multi-stage cluster sampling method in Bandar Abbas in 2020. Data were collected using a valid and reliable researcher-made questionnaire and analyzed using SPSS software. Pearson correlation coefficient was used to investigate the relationship between health belief model constructs and health behavior.
Results: The mean and standard deviation of age of participants was 30.43 ±8 8.697. The scores of perceived benefits and perceived intensity were lower than the average level and the rest of the structures were almost close to the average level. Based on the results, knowledge (P-Value<0.001), perceived sensitivity (P-Value<0.001), perceived intensity (P-Value<0.001), and perceived self-efficacy (P-Value<0.001) had a significant correlation with health behavior. There was no significant correlation between perceived benefits (P-Value>0.001) and perceived barriers (P-Value>0.356) with health behavior.
Conclusion: Based on the results, the Health Belief Model can be a suitable model for the prevention and reduction of sexually transmitted infections, including genital warts. The findings of the present study indicate that the health belief model can be a useful tool for health professionals as a theoretical context in evaluating prevention programs and reducing sexually transmitted diseases such as genital warts.
Aida Najafian, Soghra Fallahi, Masoumeh Latifi, Marzieh Ghasemi,
Volume 8, Issue 3 (10-2021)
Abstract
This article has no abstract.
Somayyeh Khazaeian, Azita Fathnezhad-Kazemi,
Volume 9, Issue 2 (9-2022)
Abstract
Objective The stress and anxiety following high-risk pregnancies can lead to adverse perinatal outcomes. Identifying effective predictors is one of the most important aspects of preventive measures. This study aims to determine the perceived stress and its predictors in pregnant women with gestational hypertension.
Methods This is a cross-sectional study that was conducted in 2021 on 100 pregnant women with gestational hypertension in Tabriz, Iran. Sampling was done by a convenience method. Data were collected using a demographic-obstetric form, the Perceived Stress Scale, and the Multidimensional Scale of Perceived Social Support. Data analysis was performed in SPSS v. 22 software using statistical tests such as Kruskal-Wallis test, Mann-Whitney U test, and multivariate linear regression analysis. P<0.05 was statistically significant.
Results The mean of age and number of pregnancies were 28.67±4.38 years and 2.30±0.822, respectively. Maternal education, infant gender, previous pregnancy problems (P<0.001), number of pregnancies (P= 0.037), and perceived social support (P=0.002) were the predictors of perceived stress. Among these variables, experience of problems in previous pregnancies (β=0.300) and perceived social support (β=-0.273) had the highest impact on perceived stress. Perceived social support had indirect effect on the perceived stress of women.
Conclusion Due to the high perceived stress in pregnant women with hypertension, it is necessary to pay attention to appropriate sources to provide social supports to them. In addition, it seems logical to use adaptive coping strategies against pregnancy problems to reduce their stress.
Tahereh Fathi Najafi, Mohammadreza Najafi Fathi, Sareh Dashti, Elmira Farnoosh,
Volume 9, Issue 3 (10-2022)
Abstract
Objective Fetal rights are important in terms of being human being and being potential. The nature of these rights has received less attention from families and medical staff in Iran. The present study aims to compare the legal aspects of fetal rights from conception to birth in national and international laws.
In this narrative review study, a search was conducted in Google Scholar MagIran, SID, and PubMed databases for related studies conducted from 2000 to 2022.
Methods Keywords including fetal dignity, Fetal right, mother dignity, and childbirth rights were used in Persian and English. All articles that addressed the status of “fetal rights” were included. Those reported the laws for the fetus were excluded from the study.
Results Out of 1570 articles, 15 eligible articles were selected. Lack of awareness of fetal rights in developing counties and limitations in some legal basis resulted in intentional abortions, unnecessary labor induction, request for cesarean section by the mother or father, and lack of attention to the existence and health of the fetus and unwanted harms to it. Fetal rights based on the principle of dignity and the preservation of physical, mental and human existence were of special importance in developed countries and have important laws.
Conclusion Lack if a fetal's dignity law in Iran can impose harms on the society, in addition to numerous physical and psychological harms to the fetus.
Mari Goudarzi, Esmat Mehrabi, Niloofar Sattarzadeh Jahdi, Sedigheh Abedini, Sevil Hakimi,
Volume 9, Issue 4 (12-2022)
Abstract
Objective: During the COVID- 19 pandemic, the quality of prenatal care was affected considerably and online prenatal care emerged as a safe and effective method. This study aims to assess the quality of prenatal care during the pandemic in the south of Iran.
Methods: This is a descriptive analytical study that was carried out in Bandar Abbas city in August 2021 for four months. Participants were 400 pregnant women referred to health centers who received prenatal care services by telephone or in person at least three times and had health records. Data collection tools were the quality of prenatal care questionnaire and a researcher-made prenatal care delivery checklist.
Results: The mean age of participants was 28.1±5.9 years. Less than 10% of them received full routine prenatal care. Weight measurement was the most frequent service provided to mothers (96.8%) while oral and dental health education (33.3%) was the least frequent service. Pregnant women had the highest and lowest prenatal care quality perception score in dimensions of information sharing (3.8±0.47) and approachability (2.0±0.69), respectively. Low level of education (β=0.83, 95% CI: 0.5-0.9, P= 0001) and history of infertility (β=-0.32, 95% CI: -0.29-0.64, P= 0.008) were the two variables predicting the perceived prenatal care quality.
Conclusion: The quality of prenatal care provided to pregnant mothers in southern Iran during the pandemic is not favorable. The use of community-based midwifery system, gaining mothers’ trust in online services and telephone follow-up, and improving online prenatal care infrastructure should among the priorities of decision makers in the health sector.
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Volume 10, Issue 1 (7-2023)
Abstract
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Volume 10, Issue 2 (9-2023)
Abstract
Seyed Hesamaddin Banihashemi, Seyed Ali Mirabbasi, Maryam Azizi Kutenaee,
Volume 10, Issue 4 (1-2024)
Abstract
Objective The prevalence of cervical cancer in Iran is increasing. The cervical cancer screening can accelerate the elimination of cervical cancer in women with no HPV vaccination. The current study aims to investigate demographic characteristics, knowledge and accessibility of cervical cancer screening services in women from the outskirts of Bandar Abbas City, southern Iran.
Methods This is a case-control study on 200 women performed cervical cancer screening regularly in the past 3 years (case group) and 400 women with no cervical cancer screening in the past 3 years (control group). Information was collected using a researcher-made questionnaire surveying demographic/obstetric information, knowledge of cervical cancer and cervical cancer screening, and access to cervical cancer screening services. Analysis was done by using univariate and multivariate regression analyses in STATA software, version 14.2. P<0.05 was considered statistically significant.
Results The mean age of women was 30.33±4.892 years in the case group and 31.35±6.149 years in the control group. There was a significant difference in the means of knowledge and access between the two groups. Married women were 3 times more likely to perform cervical cancer screening than single women. Women with a diploma were 2 times and those with a university degree were 1.4 times more likely to perform cervical cancer screening than women with primary education. Both moderate and high economic status increased the odds of screening by 6 times. Non-smoking women were 1.1 times more likely to perform screening than smokers. Compared to women with low knowledge, women with moderate and high knowledge were 18 times and 13 times more likely to perform cervical cancer screening, respectively. In the group with moderate and high access to screening services, women were 4 and 8 times more likely to perform screening, respectively.
Conclusion It is recommended to remove barriers to cervical cancer screening in women with poor socio-economic status and focus on primiparous women or women without a history of childbirth to increase cervical cancer screening.
Farzaneh Pazandeh, Farzaneh Banihashem, Shokroallah Mohseni, Masoumeh Mohseni, Hamdan Firouzi,
Volume 10, Issue 4 (1-2024)
Abstract
Objective In line with of the sustainable development goals, Iran has aimed to reduce maternal mortality in deprived areas. Therefore, there is a need to identify the social determinants of health and lifestyle of pregnant women. In this regard, this study aims to investigate the health-promoting lifestyle and social determinants of health in pregnant women in Hormozgan Province, southern Iran.
Methods This is a cross-sectional study that was conducted on 800 pregnant women in the second and third trimesters of pregnancy referred to the urban and rural health centers in Hormozgan Province during 2010-2015, who were selected using cluster sampling and convenience sampling methods. Data were collected by a researcher-made form surveying demographic/socio-economic information and the health-promoting lifestyle profile (HPLP-II). The statistical analysis was done in SPSS software, version 21 using descriptive statistics, ANOVA, and multiple linear regression analysis.
Results The overall HPLP-II score of pregnant women was 139.94±22.52 (71.39%), and the lowest score was related to those from the eastern part of the province (138.78±19.73). Regarding lifestyle dimensions, women had the highest score in spiritual health and the lowest score in physical activity and stress management. The regression model showed that having a normal body mass index (BMI) and receiving prenatal care were the strongest predictors of a health-promoting lifestyle in pregnant women.
Conclusion The health-promoting lifestyle of pregnant women in Hormozgan Province is lower than the average level. Considering the impact of social determinants of health on the lifestyle of these women, they need to increase their awareness about the importance of having a health-promoting lifestyle before pregnancy. The health of the mother and fetus during pregnancy and after delivery should be considered by public education through the media and by health system officials.
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Volume 10, Issue 4 (1-2024)
Abstract
Volume 11, Issue 1 (3-2024)
Abstract
Tayebeh Shoja Aldini Ardakani, Bahare Amiri, Banafsheh Amiri, Ghazal Marvastinia,
Volume 11, Issue 1 (3-2024)
Abstract
Objective The outbreak of COVID-19 caused a global concern and changes in people’s lifestyles as well as mood disorders such as anger, depression, and post-traumatic stress disorder. The purpose of this study is to investigate the depression of women at reproductive age during the spread of COVID-19.
Methods The search was conducted in Ovid, Scopus, Science Direct, Scientific Information Database (SID), PubMed and MagIran databases using keywords depression, women, reproductive age, COVID-19, the related studies published from 1995 to 2019 in English or Persian were selected. Data were collected by reviewing the full texts of related articles.
Results The COVID-19 pandemic had a negative impact on the mental health and increasing the risk of depression in women. In the general population, the prevalence of depression is higher in women than in men. This difference is related to psychological, social and biological factors. Changes in gonadal hormones and the hypothalamic-pituitary-ovarian axis during menstruation, pregnancy and childbirth, breastfeeding and menopause play a key role in women’s depression.
Conclusion Postmenopausal women are at risk of numerous short-term and long-term complications due to depression during the COVID-19 pandemic. It is necessary to investigate the quality of life (QoL) of menopausal women and the prevalence of depression in them and provide them with group education through mass media to improve their QoL and adaption to the changes caused by COVID-19.
Fatemeh Dabiri,
Volume 11, Issue 2 (7-2024)
Abstract
Objective Reduced childbearing rate is one of the challenges in countries. This study aims to survey the attitudes towards childbearing in married people living in Bandar Abbas, south of Iran, and find the related factors.
Methods This cross-sectional study was conducted on 348 married people with a child at least 24 months old referred to ten comprehensive health centers in Bandar Abbas City in 2022. Sampling was done using one-stage cluster random sampling and convenience sampling methods. A researcher-made questionnaire was used to survey the attitudes and reasons. Data were analyzed in SPSS software, version 26 using descriptive statistics and independent t-test and chi-square test.
Results The mean age of women and men was 29±6 and 32±5 years, respectively. The results showed that 63% of women and 76% of men had a negative attitude towards childbearing. Also, there was no significant relationship between the attitude to childbearing and the variables of educational level, occupation, religion, and economic status (P>0.05). The most important reasons for the negative attitude or unwillingness to have children again included worry about the child’s future (72.3%), economic problems (64.5%) and lack of suitable housing for having more children (58.3%).
Conclusion Despite the interest in becoming a parent, most of married people in Bandar Abbas have negative attitude towards childbearing due to reasons such as worry about economic problems in the future.
Nahid Jafari, Azam Maleki, Aida Ghaffari, Ahmadreza Zabihi, Robab Bayat,
Volume 11, Issue 2 (7-2024)
Abstract
Objective Given the importance of skin-to-skin contact between a mother and her baby within the first hour after birth, due to its positive effects on the infant’s health, it is essential to evaluate the implementation of this practice is a crucial step in enhancing the quality of maternity healthcare services, the present study aims to identify the predictors of employee performance in implementing skin-to-skin contact between mother and baby and initiating breastfeeding within the first hour after birth.
Methods This is a cross-sectional study that was conducted in 2022 on 99 maternity health workers at Ayatollah Mousavi Hospital in Zanjan, Iran, and 386 mothers who gave birth at this hospital. Employee performance in implementing skin-to-skin contact between mother and baby and the initiation of breastfeeding within the first hour after birth was measured through self-assessment and interviews with mothers. Data were analyzed using descriptive statistics, chi-square test and linear regression analysis. The significance level was set at 0.05.
Results Self-assessments of employees showed that 32.3% had good performance. More than 40% of mothers perceived the health workers ‘ performance as good. Linear regression analysis revealed that working in the maternity block was significantly associated with good performance (β=0.24, P=0.001). Additionally, non-participation in training courses was associated with decreased performance (β=-0.65, P=0.001); Moreover, the regression model showed that mothers with a university education were more likely to perceive health workers’ performance as good (β=0.22, P=0.001). Also, mothers who did not receive training were less likely to perceive health workers’ performance as good (β=-0.20, P=0.001).
Conclusion The performance of maternity health workers working in the study hospital in implementing the skin-to-skin contact guidelines and initiating breastfeeding within the first hour after birth is relatively favorable. However, it is far from ideal level.
Tahereh Heydarian, Maryam Allahdadian, Baharsadat Amiri , Hadis Nikzad, Behrouz Rezaei,
Volume 11, Issue 3 (10-2024)
Abstract
Introduction: This study investigates the attitude of women of reproductive age in Isfahan province towards the population youth law.
Methods:This cross-sectional , Descriptive study was conducted on 300 women aged 15 to 44 who visited healthcare centers in Isfahan province in 2022-2023. Sampling was carried out using a convenience, non-random method. Data were collected using researcher-made questionnaires on demographics, fertility, and attitudes toward childbearing incentives. The childbearing incentive questionnaire consisted of 12 items, with a score range from 12 to 60. Data were analyzed using SPSS version 22, descriptive statistics (mean, frequency distribution), and inferential tests such as ANOVA and Spearman's correlation coefficient.
Results:The mean overall attitude score toward childbearing was 39.8 (minimum 12, maximum 55), and the mean age of the women was 30.02 years. Economic issues were identified as the main barrier to childbearing by 37% of the women, followed by educational challenges for parents (8%) and medical problems (4%). There was a significant positive correlation between attitudes toward childbearing incentives and the desire for pregnancy. The highest correlation was found with financial support incentives (r=0.724, p=0.001), while the lowest was observed with the provision of free food packages (r=0.598, p=0.001).
Conclusion:The Family Support and Youth Population Law has positively influenced the attitudes of women of reproductive age toward pregnancy in Isfahan. This law, through the provision of financial and supportive measures, especially in reducing living costs, has improved attitudes toward childbearing. However, economic challenges remain a primary obstacle.
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Volume 11, Issue 4 (4-2025)
Abstract
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Volume 11, Issue 4 (4-2025)
Abstract
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