• 제목/요약/키워드: Social Determinants

검색결과 785건 처리시간 0.028초

Prevalence of Abnormal Papanicolaou Test Results and Related Factors among Women Living in Zanjan, Iran

  • Maleki, Azam;Ahmadnia, Elahe;Avazeh, Azar;Mazloomzadeh, Saeideh;Molaei, Behnaz;Jalilvand, Ahmad
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권16호
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    • pp.6935-6939
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    • 2015
  • Background: Currently, a comprehensive program for screening and early detection of cervical cancer does not exist in Iran. This study aimed to determine the prevalence of abnormal Papanicolaou (Pap) smears and some related factors among women living in Zanjan, Iran. Materials and Methods: This cross-sectional study was conducted in 2012 in Zanjan on 4274 married women aged 20-65 years. The study participants were selected through two-stage cluster sampling. After obtaining written consent, demographic and fertility questionnaires were completed. Samples from cervix were obtained through a standard method using the Rover Cervex- Brush. Evaluation and interpretation of the samples were reported using the Bethesda 2001 method. Data were statistically analyzed using chi-square and logistic regression models. Results: Most inflammatory changes in the samples were mild (37.4%). Abnormal atypical changes in the epithelial cells were found in 4.04%. The highest percentage of abnormal changes in the epithelial cells was atypical squamous cells of undetermined significance (ASCUS) (1.9%). Abnormal results of Pap smear was significantly and independently associated with age, papillomavirus infection, and lack of awareness about Pap smear tests. Conclusions: Given the high prevalence of inflammatory and precancerous changes in this study, compared to other studies in Iran and other Muslim countries, and the effect of demographic variables and individual factors on abnormal results, increasing the awareness of women and their families regarding the risk factors for cervical cancer, preventive measures such as screening, and timely treatment seem necessary.

Incidence of Cancers in Kuzestan Province of Iran: Trend from 2004 to 2008

  • Amoori, Neda;Mirzaei, Masoud;Cheraghi, Maria
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권19호
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    • pp.8345-8349
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    • 2014
  • Background: Cancer is an increasing cause of mortality and morbidity worldwide. Incidences of common cancers has been growing in different provinces of Iran in recent years but trends in Khuzestan which shares a border with Iraq and is located in south west of Iran have not been investigated. This study aimed to assess secular changes in incidences of common cancers in Khuzestan province from 2004 to 2008. Materials and Methods: Data were collected from Khuzestan cancer registry which is a branch of Iranian Ministry of Health Cancer Registry (http://ircancer.ir) for the period 2004-2008. Data were presented as incidence rates by site, sex, age, using the crude rate and age-standardized rate (ASR) per $10^5$ persons. A direct method of standardization was applied according to the WHO guideline and data analysis was performed using the SPSS package. Results: During the 2004-2008 period, 14,893 new cases of cancer were registered in Khuzestan cancer registry. The age-standardized incidence rate of all cancers was 153.7 per $10^5$ in males and 156.4 per $10^5$ in females. The incidence was increased over the period of five years. The most incident cancers among males were skin cancer ($ASR=18.7/10^5$), stomach cancer ($ASR13.8/10^5$), lung cancer ($ASR12.9/10^5$), leukemia ($ASR=12.6/10^5$) and prostate cancer ($ASR=12.4/10^5$). In females, the most incident cancers were breast cancer ($ASR=41/10^5$), skin cancer ($ASR=16.4/10^5$), colorectal cancer ($ASR=10.0/10^5$), leukemia ($ASR=8.1/10^5$) and lung cancer ($ASR=6.9/10^5$). Conclusions: Incidences of various cancers are rising in Khuzestan. It is necessary to develop and implement comprehensive cancer control programs in this region which could be monitored and evaluated by the future trend data from Khuzestan cancer registry.

Educational Intervention Based on the Health Belief Model to Modify Risk Factors of Cardiovascular Disease in Police Officers in Iran: A Quasi-experimental Study

  • Saffari, Mohsen;Sanaeinasab, Hormoz;Jafarzadeh, Hassan;Sepandi, Mojtaba;O'Garo, Keisha-Gaye N.;Koenig, Harold G.;Pakpour, Amir H.
    • Journal of Preventive Medicine and Public Health
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    • 제53권4호
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    • pp.275-284
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    • 2020
  • Objectives: Police officers may be at a greater risk for cardiovascular disease (CVD) than the general population due to their highstress occupation. This study evaluated how an educational program based on the health belief model (HBM) may protect police officers from developing CVD. Methods: In this single-group experimental study, 58 police officers in Iran participated in a 5-week intervention based on HBM principles. Outcomes included changes in scores on an HBM scale, time spent on moderate to vigorous physical activity (International Physical Activity Questionnaire), body mass index (BMI), blood lipid profile, blood glucose, and blood pressure. The intervention consisted of 5 HBM-based educational sessions. Follow-up was conducted at 3 months post-intervention. The paired t-test was used to examine differences between baseline and follow-up scores. Results: All aspects of the HBM scale improved between baseline and follow-up (p<0.05), except the cues to action subscale. Self-efficacy and preventive behaviors improved the most. BMI decreased from 26.7±2.9 kg/㎡ at baseline to 25.8±2.4 kg/㎡ at follow-up. All components of the lipid profile, including triglycerides, cholesterol, high-density lipoprotein, and low-density lipoprotein, showed significant improvements post-intervention. Blood glucose and blood pressure also decreased, but not significantly. Nearly 25% of participants who were not physically active at baseline increased their physical activity above or beyond the healthy threshold. Conclusions: A relatively brief educational intervention based on HBM principles led to a significant improvement in CVD risk factors among police officers. Further research is needed to corroborate the effectiveness of this intervention.

The maternal prepregnancy body mass index and the risk of attention deficit hyperactivity disorder among children and adolescents: a systematic review and meta-analysis

  • Jenabi, Ensiyeh;Bashirian, Saied;Khazaei, Salman;Basiri, Zohreh
    • Clinical and Experimental Pediatrics
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    • 제62권10호
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    • pp.374-379
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    • 2019
  • Background: Attention deficit hyperactivity disorder (ADHD) symptoms have a major impact on individuals, families, and society. Therefore identification risk factors of ADHD are a public health priority. Purpose: This is meta-analysis evaluated the association between maternal prepregnancy body mass index and the risk of ADHD among the resulting offspring. Methods: The search identified studies published through December 2018 in the PubMed, Web of Science, and Scopus databases. The odds ratios (ORs) or hazard ratios (HRs) with 95% confidence intervals (CI) extracted from eligible studies were used as the common measure of association among studies. Results: A significant association was found between overweight women and the risk of ADHD among children with the pooled HR and OR estimates (HR, 1.27 and 95% CI, 1.17-1.37; OR, 1.28 and 95% CI, 1.15-1.40, respectively). This association was significant between obese women and the risk of ADHD among children and adolescents with the pooled estimates of HR and OR (HR, 1.65 and 95% CI, 1.55-1.76; OR, 1.42 and 95% CI, 1.23-1.61). Conclusion: The current epidemiological studies present sufficient evidence that prepregnancy overweight and obesity are significantly associated with an increased risk of ADHD among children and adolescents. These findings provide a new approach to preventing ADHD by controlling weight gain in the prenatal period, which should be considered by policymakers.

The Health and Occupation Research Network: An Evolving Surveillance System

  • Carder, Melanie;Hussey, Louise;Money, Annemarie;Gittins, Matthew;McNamee, Roseanne;Stocks, Susan Jill;Sen, Dil;Agius, Raymond M.
    • Safety and Health at Work
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    • 제8권3호
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    • pp.231-236
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    • 2017
  • Vital to the prevention of work-related ill-health (WRIH) is the availability of good quality data regarding WRIH burden and risks. Physician-based surveillance systems such as The Health and Occupation Research (THOR) network in the UK are often established in response to limitations of statutory, compensation-based systems for addressing certain epidemiological aspects of disease surveillance. However, to fulfil their purpose, THOR and others need to have methodologic rigor in capturing and ascertaining cases. This article describes how data collected by THOR and analogous systems can inform WRIH incidence, trends, and other determinants. An overview of the different strands of THOR research is provided, including methodologic advancements facilitated by increased data quantity/quality over time and the value of the research outputs for informing Government and other policy makers. In doing so, the utility of data collected by systems such as THOR to address a wide range of research questions, both in relation to WRIH and to wider issues of public and social health, is demonstrated.

OECD 29개국 2000-2013년 데이터를 이용한 영유아교육보육 지원의 여성, 모성, 남성 고용률에 대한 효과 분석 (The Effects of Early Childhood Childcare and Education on Female, Maternal, and Male Employment: Evidence from an unbalanced panel data of 29 OECD countries)

  • 이영;차병섭
    • 노동경제논집
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    • 제41권1호
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    • pp.1-38
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    • 2018
  • 본 논문은 2000-2013년의 OECD 29개국 데이터를 이용하여, 여성, 모성, 남성, 전체 고용률의 결정요인들을 실증 분석하였다. 영유아교육보육 지원이 여성 고용률과 양의 상관관계를 가지고 있음을 발견하였고, 영유아교육보육 지원이 남성 고용률에는 부정적인 효과를 가지지는 않는 것으로 나타났다. 또한, 부소득자에 대한 한계세율이 높아질수록 여성뿐 아니라 남성의 고용률이 낮아지는 것으로 나타났다. 여성 전체를 대상으로 계산된 고용률에 비하여 어린 자녀를 둔 여성의 고용률이 보다 민감하게 정책 및 여건 변수들에 반응하는 것으로 나타났다. 이러한 분석 결과는 현금성 가족지원보다는 영유아교육보육 지원을 확대해 나가는 것이 바람직함을 의미한다.

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국제결혼 이주여성의 삶의 만족도에 관한 연구 (A Study on the Life Satisfaction of Migration Women on International Marriage)

  • 우영희;하규수
    • 한국산학기술학회논문지
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    • 제16권12호
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    • pp.8535-8549
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    • 2015
  • 본 연구의 목적은 국제결혼 이주여성의 삶의 만족도를 파악하여 삶의 만족을 향상시킬 수 있는 사회적지지 방안을 마련하기 위한 기초자료를 제공하고자 하는데 두었다. 전반적인 삶의 만족도 수준은 보통 이상(평균 3.40)으로 나타났으며 남편의 연령층이 낮을수록, 부부의 연령차이가 적을수록 높게 나타났다. 남편의 학력이 높을수록, 부인이 종교가 있는 경우가 높게 나타났고, 남편과의 학력 차이에 따라 유의미한 차이를 보였다. 거주기간에 따라서는 5년 미만이 높게 나타났으며 남편의 직업이 전문직과 사무직인 경우 높게 나타났다. 가정의 월 소득 수준이 높을수록, 자신의 집에 거주하고 있는 경우에 삶의 만족도가 높게 나타났다. 이러한 배경에서 국제결혼 이주여성들에게 사회구성원이라는 통합된 관점에서 글로벌 국가로 나아가는 체계적인 지원정책이 필요하다.

구조방정식을 활용한 개인연금 가입의 결정요인 분석 (An analysis of determinants of individual's pension purchase using structural equation model)

  • 이찬희;전희주
    • Journal of the Korean Data and Information Science Society
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    • 제27권2호
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    • pp.437-449
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    • 2016
  • 본 연구는 구조방정식모형 (SEM)을 활용하여 개인연금의 가입에 영향을 주는 심리요인들 간의 인과관계와 장수정서의 매개효과를 실증하고자 하였다. 전국 7대 도시에 거주하는 928명의 일반인을 대상으로 실시한 설문자료를 활용하여 분석하였다. 실증분석 결과 개인연금의 가입에는 장수가능성, 대처효용성, 장수지식 (인지요인), 보험사 신뢰 (사회요인), 금융이해력 (금융요인)이 직접적으로 영향을 주었다. 장수감정, 장수가능성, 국가신뢰, 대처효용성이 장수정서 (두려움과 걱정)에 영향을 주었으나, 장수정서를 매개로 하여 개인연금 가입에는 영향을 주지 못하였다. 본 연구를 통해 보험사에 대한 고객의 신뢰도와 잠재고객의 금융지식수준을 높이는 것이 개인연금의 판매활성화에 중요한 요인임을 재확인하였다. 장수할 가능성을 높게 생각하는 사람들이 개인연금을 가입한다는 사실은 연금보험시장에서도 역선택 가능성이 높음을 보여주었다.

부업 참여 및 부업 근로시간의 결정요인: 기혼자를 중심으로 (Determinants of Moonlighting: the Case of the Married Workers in Korea)

  • 임용빈;최형재
    • 노동경제논집
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    • 제40권2호
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    • pp.31-68
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    • 2017
  • 본 연구는 그동안 우리나라에서는 연구가 상대적으로 미진하였던 부업에 관한 실증분석을 수행하였다. 25세부터 65세까지의 유배우자 임금근로자를 대상으로 분석한 결과, 부업 참여율은 1.4% 정도이고, 부업 참여자들은 주업에서 주당 40시간, 부업에서 20시간 등 주당 총 60시간의 장시간 근로를 하고 있는 것으로 나타났다. 부업 참여에 대한 고정효과 로짓 모델의 추정 결과에서는 주업의 시간당 임금 및 근로시간이 부업 참여에 부정적인 영향을 미치며, 주업의 일자리 안전성이 하락할수록 부업 참여 확률이 높아지는 것으로 분석되었다. 부업의 근로시간에 대한 고정효과 모형 분석 결과에서는, 주업의 근로시간은 부업의 근로시간에 부정적인 영향을 미치지만 주업의 임금은 부업의 근로시간에 유의한 영향을 미치지 않는 것으로 분석되었다. 흥미롭게도 부업의 임금이 증가할수록 부업의 근로시간은 감소하는 것으로 나타났는데, 이는 장시간 근로를 하고 있는 부업 근로자들의 상황 때문인 것으로 보인다.

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도시 고층아파트단지 주거민의 외부공간 이용행태 및 만족요인 분석 (Analysis on Residents Behavior and Determinants of Satisfaction to the Exterior Space in High-rise Apartment complex.)

  • 이현택;이철희
    • 한국조경학회지
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    • 제18권2호
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    • pp.79-93
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    • 1990
  • The purpose of this study is to establish better residential environment in APT. complex. In this study, the actual conditions of exterior space, user behavior and degree of satisfaction are investigated and analyzed on the 5 high-rise story APT complex in Taegu city. The results of this study were as follow ; The size and arrangement of organizational elemnnt to exterior space in APT. complex have been regulated by law and regulations as the buildings coverage and floor space index, but housinghold and accessibility to the racility will be simultaneously considered to raise Quality of the residential environoment. The main user behavior to exterior space in APT. complex was practical activity and the user behavior pattern by week and among APT. complex were found similiarly. In the ratio of use to exterior space in APT. Complex, that of high-rise residents were lower than that of lowrise residents. In the degree of satisfaction by property of variables to exterior environment In APT. comples, physical of buildings, social - psychologic, managerial economical, physical property of exterior space were estimated positively, but properly of facility were estimated negatively. The degee of satisfaction to exterior environment in APT. complex was highly Influenced by green space, site size. As a result of ractor analysis, the four factors were drawn out from exterior environment in APT. complex. and the factors that have an effect on the degree of residents' satisfaction by factorscore were found in the order of importance as fallow ; managemental, physical, environmental, organizalional factor. Therefore, devilopment of APT. complex should be considered in a view of environmental psychology according to physical organization for used in the future. It is recommended that this problems should be necessitated to be more deeply studies in the future.

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