Journal of community health research

139-140

Authors: Mehrnoosh Shirdeli , MaryamSadat Shahidi ,Matthew Shirani , Ameneh Marzban , Fatemeh Yaghoubi

There is no abstract.

149-158

Authors: Hamideh Mihanpour, Maryam Khashij, Zahra Shamsizadeh, Maryam Gholami, Aliasghar Ebrahimi, Hassan Rezaeipandari, Roya Malekahmadi, Ala Arsham, Fatemeh Parizan, Vahid Jafari

Introduction: With regard to the importance of the environment in sustainable development along with environmental literacy among citizens, the present study aimed to assess the levels of environmental literacy among citizens residing in the city of Yazd, Iran. Methods: In this descriptive--analytical study, the sample size was determined based on the Cochran formula of 410 individuals. The data selection tool was also a researcher-made questionnaire comprised of items on demographic characteristics information as well as levels of awareness, attitudes, and practices concerning the environment such as air pollution, waste management, etc. Face validity verified by 10 qualified individuals as the faculty members and Reliability was confirmed by Cronbach’s alpha coefficient of 0.93. The collected data was analyzed using the SPSS 22. In this study, significance level was considered as 0.05. Results: awareness score was statistically significant in terms of age, level of education, and employment status (p<0.05). However, attitudes were only in a significant relationship with employment status (p=0.004). The relationship between practice score was also statistically significant with regard to age, marital status, and area of residence (p<0.05). A significant relationship was further observed between age and level of income and level of awareness, but there was no significant relationship considering attitudes (p>0.05). Moreover, a positive correlation was found between awareness, attitude, and practice scores (0.323≥ r ≥0.28, p<0.001). Conclusion: Although awareness among Yazd citizens on some environmental issues was at low levels, in general, their awareness specifically regarding health issues stemming from air pollution was proper. In view of the importance of environmental factors, it is necessary to conduct various research studies to identify and control these factors and find proper solutions. Keywords: Environmental Literacy, Awareness, Attitude, practices, Yazd

172-183

Authors: Rahim Khodayari, Hassan Jafari, Leila Torkzadeh, Solmaz Azimzadeh

Introduction: There are significant differences in the health status of different social groups, despite governments' commitment to improving health indicators, which can be avoided by intervening appropriately. In this regard, it can be mentioned that the formation of the social deputy in the Ministry of Health of Iran in 2016, which was dissolved in 1998, and the socialization of health were ignored. Due to the ambiguity in the new process of socialization of health, this study aimed to investigate the status of health socialization in the current structure of the country. Methods: The present study as a qualitative study carried out through documentation analysis and two in-depth semi-structured interviews with social deputies of two medical universities of Iran. Data were analyzed using the contractual content analysis method. Two in-depth semi-structured interviews were conducted with the social deputies of the universities of Tehran and Ilam, who were selected using convenience sampling to complete the findings. Results: According to the results of content analysis and 23 extracted codes, the socialization of health in Iran is debatable in two main areas, namely strategies and pillars of socializing health which consisted of three and five sub-themes, respectively. At present, the structure and pillars of socializing health and coordination among these pillars are vague and uncertain due to the distribution of responsibilities of the social deputy in other departments of the Ministry of Health and universities. Conclusion: For achieving equity in the socialization of health goals, it is better to clarify the socialization of health stewardship, strategies, and policies in the whole country concerning social issues and dimensions of the health system. Keywords: Health, Socialization of health, social determinants of health

191-202

Authors: Mohammad Hossein Sorbi, Ali Issazadegan, Esmaiel Soleimani, Hamid Mirhosseini

Introduction: In recent years, different values of the general prevalence of restless legs syndrome (RLS) have been reported in various studies and its related factors in Iranian society are not known. The aim of this study was to evaluate the prevalence and factors associated with RLS in Iran by meta-analysis. Methods: This study was performed based on the PRISMA checklist. There was a time limit from July 1, 2014, to November 11, 2019, for documents obtained from English and Persian databases such as MagIran, SID, MedLib, IranMedex, IranDoc, Civilica, Islamic Science Citation (ISC), Web of Science, Science Direct, Pubmed, Scopus, Springer, and Google Scholar. Comprehensive Meta-analysis (CMA-2) software was used to analyze the data by meta-analysis random- effects model. Results: The prevalence of RLS was estimated to be 32.9% (95% CI: 22.9- 44.7) in 24 studies with 26474 Iranian subjects that 65.9% of whom were women. The prevalence of this disorder was 47.6% in Iranian women (95% CI: 28.7-67.2) and 36.7% in Iranian men (95% CI: 21.4-55.3). The most and the least prevalence of RLS based on the geographical region were respectively in the east (44.3%) and north of the country (15.5%) and this difference was significant based on meta-regression (p <0.05). The prevalence of this syndrome was 50% in hemodialysis patients, 35% in other diseases, 25.7% in pregnant women, 20.2% in elderly and 13.8% in adults. Conclusion: The prevalence of RLS in Iran is higher than in other parts of the world based on different studies. Therefore, early detection, prevention and treatment of this disorder in adults are essential. Keywords: Restless legs syndrome, Systematic review, Meta-analysis, Iran