Journal of community health research

103-104

Authors: Vali Bahrevar , Saeed Hosseini , Mohammad Hassan Lotfi

There is no abstact

112-116

Authors: Chai Li Tay , Noor Afiqah AW

Introduction: Fetal pleural effusion is rarely seen in primary care setting. It is more commonly diagnosed among women with diabetes mellitus in pregnancy. Method: This report illustrates two patients with fetal bilateral pleural effusions, detected at 18-week and 24-week period of amenorrhea (POA) during routine antenatal scans by primary care doctors. Result: These two pregnancies were complicated with hydrops fetalis and resulted in fresh stillbirth and intra-uterine death. Conclusion: Primary healthcare providers play an important role in the early diagnosis of fetal congenital anomaly, counseling regarding the ultrasonography findings, neonatal outcome, and referral to obstetrician for further management and monitoring for maternal complications, such as polyhydramnios, preeclampsia, mirror syndrome, and depression as a result of hydrops fetalis.

128-135

Authors: Hassan Zareei Mahmoodabadi , Leila Akrami

Introduction: The problems of girls and boys with mild intellectually disable (MID) increases with age gradually. Due to the emerging changes, puberty is a significant period for adolescents with MID. The aim of this study to investigate sexual abuse in girls and boys with mild intellectually disable in the puberty period. Methods: This research is a cross-sectional study. The statistical population consisted of all boys and girls with mild intellectual disabilities between the ages of 12 and 16 from exceptional public schools and their mothers in Yazd, Iran. 300 MID adolescents (150 girls and boys each) were selected by multi-stage sampling. To study sexual abuse, a self-designed questionnaire was used. The questionnaire comprised two sections. Kuder-Richardson coefficient obtained for boys and girls with MID turned out to be 0.80 and 0.84, respectively. Using frequency, percentage, and correlation coefficient (p<0.05). Data were analyzed with SPSS 24. Results: In this study, 2.67% (n = 4) of girls and 4% (n = 6) of boys with MID were abused. Also, their psychological and physical signs of sexual abuse were assessed (depression: girls,0.75% (n = 3), boys, 33.33% (n = 2), aggression: girls,0.75% (n = 3), boys, 66.66% (n = 4), avoiding certain adults, 0.50% (n = 2), boys, 33.33% (n = 2), sleep and eating disorder, 0.25% (n = 1), boys, 16.66% (n = 1) . Some of their parents pointed that their children had not received training in this area. There was a significant positive correlation coefficient between the mother's educational level and receiving training by schools and family with sexual abuse knowledge (p<0.05). Conclusion: The irrational reaction of families, the community, and the lack of adequate training lead to an increasein sexual abuse in such individuals. Hence, training these young individuals seems essential both before and during puberty.

150-158

Authors: Mohammad Tavakkol , Seyyed Mohammad Ali Mousavi

Introduction: Health is considered of utmost importance and can be assessed from various aspects. The social health assessment can be a good basis for planning to improve the general health of the target community. The present study was conducted to investigate the social health of Lamerd residents, a small town in Fars Province. Methods: The present study is descriptive and uses a researcher-made questionnaire as the instrument. The research population of the study is 60319 Lamerd residents over 20 years old in 2016, and using Cochran’s formula, a total of 382 people were selected through cluster sampling method. To describe social health, central tendency index of mean and dispersion index of standard deviation were used in SPSS version 24. The significance level was set at 0.05. Results: In this study, 382 people were studied. Out of this number, 89 percent were male, and 66 percent were single. Most of the respondents belonged to the 30-35 age bracket. The findings showed that the mean social health (M=3.03, Sd=0.35) was at an average level. Among the evaluated dimensions of social health, the economic dimension was favorable (M=3.09, Sd=0.96). The social trust, as the most significant social capital index, was assessed and the results showed that the institutional trust was low (M=2.14, Sd=0.65). On the contrary, interpersonal trust was at a high level (M=3.14, Sd=1.13). The social harms indicator was at a high level (M=3.07, Sd=0.87), yet physical and mental health were rated as average and low, respectively. Considering life expectancy, the sampling assumed that the life span of the residents has shortened (M=3.75, Sd=0.76), and on education and literacy, their responses proved a moderately high tendency towards academic promotion and towards studying technical majors (M=3.14, Sd=0.9). The environmental condition indicator was also rated as unfavorable, and noise, air, and marine pollution were high (M=2.84, Sd=0.84). Conclusion: Considering the importance of social health, investigating its different aspects through panel designs can be an appropriate analytical instrument for sociologists, pathologists, and health planners to move from unfavorable conditions to an optimal state.

167-174

Authors: Mohammad Hasan Lotfi , Hosein Malekafzali , Parisa Shojaei , Salime Zare Abdollahi

Introduction: Implementing any intervention in the community requires identifying and organizing the community as well as actively involving members of the community. This study was conducted to identify and organize one of the suburbs of Yazd in 2019. Method: This research was a community-based participatory research (CBPR), which was handled in the Yazd Eskan neighborhood. Considering the potentials of this neighborhood, including high social cohesion and the existence of a dynamic and popular non-governmental organization, since 1396, this place has been a candidate for the implementation of empowerment and optimal development of neighborhood health (Tabassum project). The steps of this project involved five steps of area identification, organizing, empowerment, requirement assessment, and intervention, and action. In this paper, the identification and organizing steps are explained. Frequency and percentage were used for descriptive statistics. Results: The executive steps in the identification phase were stakeholder justification and census, in which most of the study population were women (51.5%), age group 59.9-30 years (40.1%), diploma (27%), with an income of 1-2 million (49.1%). %) Formed. Selected neighborhoods included 61.4% women, 37.08% aged 30-50 years, 28.13% bachelors and 53.13% housewives. According to the results of this study, most of the people in this community who were more willing and free to participate in this project were young housewives with a bachelor's degree. In the phase of organizing the neighborhood clustering steps , the selection of Sarkhosheh, The Forming a Neighborhood Health Club (NHC), The Foundation Of Thought & Credit Fund (TCF) was done. Conclusion: Identifying and organizing the community, especially in the suburbs, provides a transparent and logical process for the community to participate purposefully in identifying the problems of their neighborhood. Paying attention to the basic needs of neighborhoods can lead to better participation in neighborhood development.