Development and Psychometric Properties of an Extended Theory of Planned Behavior Questionnaire for Childbearing Intentions and Behaviors in Iran / 가정의학회지

Background@#Childbearing is the most important determinant of population fluctuations, and its study is more important than other population phenomena. Owing to the lack of a valid questionnaire based on the extended theory of planned behavior, this mixed-method study was conducted to determine the validity and reliability of a questionnaire designed to examine related belief-based factors on the intention to bear children in Iranian society. @*Methods@#This study was conducted in two phases in Hamadan city, western Iran, in 2021. Phase 1 consisted of an extensive literature review and a qualitative study using a directed content analysis approach to generate an item pool. Psychometrics were measured in phase 2, including content, face, and construct validity. Reliability was assessed based on internal consistency and stability. The collected data were analyzed using IBM SPSS and AMOS ver. 24.0. @*Results@#Mean content validity ratio and content validity index were 0.7 and 0.85, respectively. Exploratory factor analysis of the 32 items identified an eight-factor solution. These factors jointly accounted for 79.1% of the observed variance in the outcome variables. Confirmatory factor analysis indicated a good fit for the data. The internal consistency based on Cronbach’s α was 0.85 (0.71–0.93). In addition, stability was confirmed using the test-retest method and intraclass correlation coefficient (0.74–0.94). @*Conclusion@#The designed questionnaire is a valid and reliable instrument for evaluating related belief-based factors on the intention and behavior of childbearing among married men and women in Iran.

The Impact of Preventive Interventions on Intimate Partner Violence among Pregnant Women Resident in Hamadan City Slum Areas Using the PEN-3 Model: Control Randomized Trial Study / 가정의학회지

Background@#Intimate partner violence is a severe life-threatening criminal and public health problem affecting the well-being of individuals, families, and society. Planning interventions to reduce the burden of this persistent and criminal violence should be relevant culturally and socially. @*Methods@#In this randomized control trial, 150 pregnant women residing in slum areas of Hamadan were randomly assigned to two groups (intervention group: n=50 and control group: n=100). Interventional strategies included educating the victims based on local cultural norms, culturally sensitive individual and group counseling, and educating health care providers. Data were collected via face-to-face interviews at baseline and again at 3 months after the intervention. We used a paired t-test to evaluate the effect of the intervention by comparing changes in the outcomes measured. @*Results@#There were no statistically significant differences between the two groups at baseline in terms of sociodemographic characteristics. Post-test scores of knowledge (7.50±2.65 vs. 5.14±3.51, P=0.001), communication skills (18.38±4.25 vs. 16.2±3.83, P=0.04), and family support and social expectation of obedience (15.79±4.45 vs. 13.40±4.57, P=0.005) of the victims were statistically significantly higher in the experimental group compared to the control group. Moreover, physical (0.74±2.28 vs. 1.20±2.60, P=0.06), psychological (2.80±4.10 vs. 4.52±5.43, P=0.06), and sexual (0.11±0.58 vs. 0.61±1.22, P=0.04) violence reduced in the experimental group compared to the control group. @*Conclusion@#Culturally relevant interventions can reduce intimate partner violence.

Unintentional Injuries among the Elderly in Rural Areas and Their Related Behaviors / 가정의학회지

BACKGROUND: Although the role of unintentional injuries as a cause of death in adults is known, there is limited knowledge about such adults’ behaviors. This study aims to investigate the frequency of and factors affecting unintentional injuries among the elderly living in rural areas and their related behaviors. METHODS: A cross-sectional study was carried out in the rural areas of Hamadan County, Iran, in 2016. The sample consists of randomly selected 445 adults aged 60–75 years. Data collection was conducted through face-to-face interviews, using questionnaires. RESULTS: One hundred and forty-three participants (34.7%) experienced 166 injury occurrences. The injuries occurred more in females than in males. There were more mild and severe injuries (48.2% and 31.3%, respectively) than moderate ones (20.5%). The most frequent mechanism of injuries was accidental falls (64.5%). There was a significant relationship between using aid devices and injuries (P=0.001). Among the most applied injury preventive measures as reported by the elderly, crossing streets safely and the use of proper lighting at night had the highest percentages (81.5% and 69.7%, respectively). However, the use of protective handles and plastic flooring in bathrooms in order to prevent slipping had the lowest percentages (less than 1.0%). CONCLUSION: The injuries among the elderly in this study were important health concerns. Injury-related factors should be considered in the development of injury prevention programs.

The Association between Social Support and Happiness among Elderly in Iran / 가정의학회지

BACKGROUND: Elderly people's life is affected by multiple factors including social support, which is of the utmost importance. This study aimed to explore the association between social support and happiness as well as the impact of types of social support on happiness among elders. METHODS: This descriptive and analytical study was carried out on 411 elderly men and women referred to the retirement, cultural, and rehabilitation centers in Hamadan, west of Iran. Participants were selected by a multi-stage random sampling method. The research instrument included a questionnaire consisting of three parts: demographic information, the Oxford Argyle Happiness Inventory, and a Questionnaire derived from Social Support Theory. The questionnaire was completed through a self-report study. The collected data were analyzed using Pearson correlation coefficients, multiple linear regression, independent t-tests, and one-way analysis of variance in IBM SPSS Software ver. 22.0 (IBM Corp., Armonk, NY, USA). RESULTS: The mean for happiness was reported as 41.17±15.2. The values given for social support were 29.40±11.95 and for its dimensions were 7.53±3.89 and 13.70±4.90 for informational support and emotional support, respectively. Moreover, the mean value for appraisal support was 3.48±2.37 and was 4.70±2.56 for instrumental support. Multiple linear regression analysis revealed that social support and demographic variables could account for approximately 25% (R2=0.25) of changes in the variable of happiness. CONCLUSION: High social support could increase happiness among elders. The quality and quantity of social support can be taken into account as proper determinants and predictors of happiness among elders.

Prevalence of anabolic steroid use and associated factors among body-builders in Hamadan, western province of Iran

Androgenic-anabolic steroids [AAS] are abused by a growing number of bodybuilders. This descriptive cross-sectional study was conducted to determine prevalence and patterns of AAS use by bodybuilders in Hamadan, western Iran. In this cross-sectional study, participants were recruited from five gym clubs in two area of Hamadan [a total of 10 clubs]. Twenty-five bodybuilders from each club were administered. Questions investigating demographic information, sport history, education level, general knowledge about AAS, and their side effects were asked. Statistical analysis was performed using SPSS 16. The frequency of AAS use was 28.8% [72/250]. Fifty-four percent of users were 25 years or younger. AAS abuse showed a significant association with duration of exercise. The drugs were suggested mostly from peers [43.1%] and coaches [36.1%]. The most commonly consumed anabolic steroid was testosterone [66.7%]. The most commonly reported AAS side effect was acne [18.1%]. There was not significant association between general knowledge about side effects of ASS and their use. The results of current survey indicate that frequency of ASS use is high in adolescents and young adult bodybuilders. Well educated bodybuilders have a higher prevalence of abuse. Awareness about the side effects of drugs is not deterrent factor for their abuse. Iranian Ministry of Sport and the Youth, and the National Council for Youth, should be urged to conduct more effective prevention strategies

Prenatal care behaviors status among pregnant women using by BASNEF model

The aim of the study was to determine the prenatal care behaviors status among pregnant women using by BASNEF model. This Descriptive-Analytical study was carried out on 360 pregnant women in their 28th-42th week of pregnancy, attending health care centers for the study using random sampling selection method. Data-gathering tools consisted of a 2-part questionnaire: demographic variables and one scales for measuring prenatal care based on the BASNEF constructs. Inferential and descriptive statistics via SPSS-16 software was used for data analysis. The subjects reported 92.5, 94.3, 62.7, 73.4 and 90.2% of receivable scores of attitude, subjective norms, behavioral intention, enabling factors and prenatal care behaviors scores, respectively. In liner regression, factors influencing prenatal care behaviors were subjective norms, intention and enabling factors [p< 0.05]. Regarding the results, status of prenatal care behaviors are related meaningfully indicating that pregnant women should be considered as vulnerable group

Predictors of unintended pregnancy among married women in Hamada, Western Iran: a case-control study

Literatures that focus on the risk factors of unintended pregnancy among married women are limited especially in developing countries. The aim of this study was to determine the predictors of unintended pregnancy in a west region of Iran. This case-control study was conducted from September to November 2011 in Hamadan City, western Iran. A stratified cluster random sampling method was used for data collection. All participants were enrolled voluntarily into the study including 181 cases and 391 controls. Cases were married women with unintended pregnancy. Controls were married women with planned pregnancy. Of 572 participants, 31 [5.4%] women had not used any methods of contraception prior to the recent pregnancy. The proportion of using ineffective contraceptive methods such as withdrawal was higher in cases than in controls. The most effective predictor of unintended pregnancy was the number of previous alive children so that the risk of unplanned pregnancy increased 3.68 per one child [P<0.001]. This study introduced several effective predictors for unintended pregnancy among married women which may be useful for family planning programs. The high-risk population should be strongly advised to use highly effective contraceptive methods such as tubal ligation, vasectomy or OCP provided that being used correctly

impact of cognitive-behavioral stress management training program on job stress in hospital nurses: applying PRECEDE model

Nursing is one of the most stressful jobs. The present study aimed to determine the effect of a cognitive-behavioral stress management training program based on PRECEDE model on stress reduction among nurses. In this quasi-experimental study, which was conducted in 2010, 58 female nurses in Hamadan, northwest Iran were enrolled in the study and were divided into two equal groups included 29 nurses from one Hospital and 29 nurses from the other as intervention and control groups respectively. The data collection tool was a self-administered questionnaire including demographic characteristics and nursing stress scale [NSS]. In addition, a questionnaire based on PRECEDE model was used in order to assess predisposing, reinforcing and enabling factors. The intervention was a training program including five sessions during three weeks in which relaxation and problem-solving training was thought. A pre-test and a post-test were performed 1.5 months apart. The t-test, Mann Whitney and Willxocon statistical tests were used for data analysis at 95% significant level using SPSS 13. The baseline score average of job stress was 113.0 and 109.8 for intervention and control groups respectively [P=0.250]. After intervention, score average of job stress decreased to 94.0 in experimental group while that of control group remained relatively unchanged [109.2], [P<0.001]. A significant difference was found in PRECEDE model constructs and stress management behaviors in intervention group compared to control group after training interventions [P<0.001]. Training programs based on PRECEDE model might be effective on decreasing job stress in nurses

Association between physical activity and mental health among high-school adolescents in Boushehr province: a population based study

Mental health is one of the evaluating factors of community indicators, and physical activity is considered an important tool for the importance of public health. Previous studies have demonstrated associations between physical activity and mental health, but these studies did not include those populations in which training children have some traditional and religious aspects. Multiple logistic regression analyses were used to compare the prevalence of mental health among those who had inactive, minimally and HEPA activity in a representative sample of adolescents aged 15-19 in South of Iran using data from the Mental Health Survey [n = 2584]. The GHQ-28 and IPAQ-short forms were used to evaluate the mental health and physical activity, respectively. A total of 2584 adolescents [1401 male and 1178 female] participated in the study. The observed odds of psychological symptoms in boys compared to girls is 1.2 times [p=0.018]. We observed that HEPA-activity decreases odds of somatic distress and social dysfunction compared with inactivity [p=0.031 and 0.001, respectively]; minimally activity decreases odds of anxiety compared with inactivity [p=0.038]; but physical activity rate was not affected on odds of adolescents' depression [p>0.05]. Physical activity decreases mental health subscales except for depression among adolescents in Boushehr, southern city of Iran

effect of educational program on increasing cervical cancer screening behavior among women in Hamadan, Iran: applying health belief model

The systematic application of Pap test helps early diagnosis and effective treatment of cervical cancer. This study was conducted to assess the effect of education on health beliefs and practice of women eligible for Pap test using Health Belief Model [HBM]. This quasi-experimental study was conducted in Hamadan City, the west of Iran, in 2010 using before-after design. In this study, 70 women aged 16 to 54 years participated voluntarily who had never done Pap test until the date of the study. The volunteers were divided into several small groups. For each group, 2-hour training session was held twice. The data collection tool was a self-administered multi-choice questionnaire that was developed based on HBM constructs. Health beliefs and practice of the target group were evaluated pre-intervention and four months later. Our findings indicated that education based on HBM was effective and could enhance the participants' knowledge significantly and improve the HBM constructs including perceived susceptibility, severity, benefits, and barriers. The training program enhanced the practice from zero before intervention to 81.4% after that. The results of the present study revealed that increase in knowledge had effect on the HBM constructs. Furthermore, there was a significant relationship between knowledge and both age and educational level. Health education based on HBM can enhance women's knowledge of cervical cancer, change their health beliefs and improve their behaviors regarding screening programs like Pap test