Journal of community health research

3-10

Authors: Zohreh Karimiankakolaki, Seyed Saeed Mazloomy Mahmoodabad, Fatemeh Heidari, Maryam Khadibi, Sakineh Gerayllo, Nooshin Yoshany

Introduction: Premenstrual syndrome can lead to numerous problems for women and increase their susceptibility to depression compared to men. PMS is not a serious threat, but it can influence women's quality of life and mental health and reproductive. This research was conducted to compare the quality of life (QOL) in the three groups: women with premenstrual syndrome, premenstrual dysphoric disorder, and general population in Yazd (a city in the center of Iran). Methods: This cross-sectional study was performed on 246 women referring to Yazd health centers. They were voluntarily or randomly selected. Data collection tools were quality of life questionnaire SF36 and the premenstrual syndrome screening tool. Obtained data were analyzed by SPSS18.0 with Kruskal-Wallis and Mann-Whitney test for comparison groups on SF-36 subscales. Results: Among samples, 102(41.5%) had premenstrual syndrome (PMS), in 20(8.1%) the diagnostic characteristics for premenstrual dysphoric disorder (PMDD) were found, and 124 (50.4%) were in general population (GP) group, respectively. Comparison groups with Kruskal-Wallis test on SF-36 subscales showed that except for physical function in other components of quality of life, PMS and PMDD groups and non-clinical populations were significantly different (p< 0.05). Considering the Mann-Whitney test, women with PMDD reported a poor health-related quality of life as measured by the SF-36. Women with PMS and PMDD had lower mean score especially in the aspect of role limitation- emotional problems. Conclusion: Quality of life is significantly affected by premenstrual symptoms, especially in the aspect of role limitation- emotional problems. Further studies and training program regarding PMS is recommended to improve the quality of life in this population, particularly for those experiencing severe premenstrual disorders.

18-28

Authors: Mohsen Pakdaman, Milad Shafiei, Sara Geravandi, Ali Hejazi, Farhad Abdi

Introduction: In order to achieve the highest level of effective interaction between the insurance organizations and the health system, efforts should be made to identify existing communication challenges for policymakers and decision makers. The present study was conducted to identify interactive behaviors aimed at designing an insurance mechanism based on game theory to cover the existing gaps. Methods: This study consisted of two phases of qualitative and quantitative. In the qualitative phase, data were collected and classified by a semi-structured interview with a number of insurance professionals in insurance organizations and the health system. In the quantitative phase of the study, interactive behaviors between the two organizations were studied. Finally, with the help of Gambit software, the insurance mechanism was designed. Results: In the qualitative phase, the data were collected in three main categories: behavioral and communicative, structural and financial and deductibles and 11 sub-categories. In the quantitative phase, 35 optimal interactive behavioral strategies were delineated. Conclusion: The best behavioral strategy for interaction between insurance organizations and health system, to fill gaps in insurance system and to improve the interaction between the two organizations, was introduced in the form of 35 strategies to provide an insurance mechanism.

38-45

Authors: Mojtaba Fatahi Ardakani, Vida Sadat Anoosheh, Ahmad Sotoudeh, Abdullah Hajivandi, Narges Sotoudeh, Zahra Yazdani

Introduction: Health-promoting behaviors and healthy behaviors are the healing factors for the promotion of health in pregnant women. The purpose of this study was to determine the health promotion behaviors in pregnant women referring to the comprehensive health centers in Bushehr (the capital city of Bushehr Province, Iran) in 2016. Methods: In this descriptive study, 385 pregnant women referring to the comprehensive health centers were selected by convenience sampling. The data collection tool was a questionnaire consisting of two parts: the first part was related to demographic questions and the second part of the questionnaire was related to health promotion behaviors (Health Promotion Lifestyle Profile II) HPLP II which includes 52 questions. After confirming the validity and reliability of the tool, the data were analyzed through descriptive statistics, independent t-test, Pearson correlation, and one-way ANOVA. Results: The mean score of health promotion behaviors was desirable. Also, among dimensions of health promotion behaviors, the area of health accountability with the mean and standard deviation of (38.25 ± 5.78) had the highest score, and the range of physical activity with the mean and standard deviation of (16.24 ± 5.47) had the lowest score. The age (being under 25 years old) and collegiate education level, among the demographic variables, had a significant relationship with health-promoting behaviors (P < 0.05). Conclusion: The result of the study indicated a moderate level of health promotion behaviors in women participating in the present study. Therefore, it is necessary to pay more attention to the areas of physical activity, stress management, and social relationships.

54-64

Authors: Hamed Seddighi, Ibrahim Salmani

Introduction: Earthquake occurs in the world every year and Iran is one of the most earthquake-prone countries in the world with the ranking of 15 between 120 countries. Children are the most vulnerable group in disasters and they have a number of negative symptoms after a disaster. Methods: This study used the systematic review method and followed systematic review principles. Mental health, earthquake, psychosocial, PTSD, post-traumatic stress disorder, and stress were the keywords used to search in the Iranian scientific information database (SID), Noor Specialized Magazines (Noormags) and Google Scholar. The language of the search was Farsi and just Farsi articles were included in the review. Results: The result were presented in five sections (Psychosocial interventions, Signs of disorder, Gender, Age, Geographical area). It showed psychosocial interventions of those studied in reviewed papers were effective and there were gender differences in children mental health disorders after earthquakes in Iran. In addition, PTSD group, girls reported all the symptoms of PTSD more than the boys except anger symptoms, but the prevalence of PTSD symptoms in males was higher than in girls. Conclusion: Iranian studies just focused on male and female gender and found that disorders are higher in girls of different ages in childhood. In the age group of 13 to 18 years, the frequency of each disorder was less than that of the seven to twelve-year-old group.