Publications by authors named "Azam Biderafsh"

7 Publications

  • Page 1 of 1

The Epidemiology of Aggression and Associated Factors among Iranian Adult Population: A National Survey.

J Res Health Sci 2020 Nov 25;20(4):e00499. Epub 2020 Nov 25.

Department of Public Health, School of Public Health, Ilam University of Medical Sciences, Ilam, Iran.

Background: This survey was conducted to determine the level of aggression among the Iranian adult population and underlying predisposing factors.

Study Design: A cross-sectional study.

Methods: This cross-sectional study included 10,957 participants, involving 23 out of the 31 provinces of Iran in 2019. The outcome of interest was aggression, evaluated by the Buss & Perry aggression questionnaire. The association between aggression and 34 demographic, behavioral, social, and cultural characteristics was assessed using simple and multiple linear regression.

Results: The overall mean (SD) score of aggression was 77.10 (22.53). Based on the severity of aggression, the participants were categorized into four groups as follows: 2,464 (23.1%) nonaggressive, 4,692 (43.9%) mild, 3,071 (28.8%) moderate, and 454 (4.2%) severe aggressive. Aggression was more likely to occur in people with the following characteristics: younger ages, having several siblings, lower ranks of birth, having an intimate friend of the opposite sex, having an aggressive father/mother, history of parental divorce, interest in watching action/porn movies, listening to music, history of escape from home/school, using neuropsychiatric drugs, using illicit drugs, history of suicidal thoughts/attempt, and family conflict and hostility. Aggression was less likely to occur with the following characteristics: reading, regular physical exercise, the ability to control anger, regular prayer, adherence to avoid lying, respect to other people's rights, sexual satisfaction, and attachment to parents.

Conclusion: A majority of the population has some degree of aggression. Aggression is a multifactorial behavior corresponding with several demographical, social, cultural, and religious factors, some of which back to early childhood events.
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http://dx.doi.org/10.34172/jrhs.2020.34DOI Listing
November 2020

The Relationship Between Spiritual Development and Life Satisfaction Among Students of Qom University of Medical Sciences.

J Relig Health 2020 Aug;59(4):1889-1896

Spiritual Health Research Center, Qom University of Medical Sciences, Qom, Iran.

Having a spiritual perspective on life can have an effect on the optimism and individuals level of life satisfaction, and it is a protective factor against self-harm in life. The aim of this study was to investigate the relationship between spiritual development and life satisfaction in students of Qom University of Medical Sciences, Iran. This cross-sectional study is part of study that was performed in Qom University of Medical Sciences, Iran, from February 2015 to July 2016 which accommodates 250 medical and paramedical students that were selected through systematic random sampling. Data collection tools were demographic, spiritual attitude and ability questionnaire and Diener's satisfaction with life scale. Data were analyzed using frequency, percent, Pearson correlation and linear regression analysis in SPSS 20 software. The Pearson correlation coefficient between spiritual attitude and life satisfaction (R = 0.37) at the level of p < 0.001 and between spiritual ability and addiction (R = 0.34) at the level of p < 0.001 was direct and meaningful. The relationships between spiritual development and life satisfaction should be considered in university programs for the development of spirituality in the life of students in order to increase the life satisfaction.
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http://dx.doi.org/10.1007/s10943-018-00749-8DOI Listing
August 2020

The Relationship of Spirituality Development and Addiction Potential Among Students of Qom University of Medical Sciences.

J Relig Health 2019 Aug;58(4):1107-1114

Medical-Surgical Nursing Department, Tehran University of Medical Sciences, Tehran, Iran.

Drug abuse is one of the problems of the world which due to the specific characteristics of individual, social and personality causes irreparable difficult. The aim of this study was the investigation of the relationship between the spirituality development and addiction potential among students of Qom University of Medical Sciences, Iran. This cross-sectional study was performed in Qom University of Medical Sciences, Iran, from February 2015 to July 2016 which accommodates 250 subjects that were selected through systematic random sampling. Data collection tools were demographic, spiritual attitude and addiction potential questionnaire. Data were analyzed, using frequency, percent, Pearson correlation and linear regression analysis in SPSS 20 software. The mean age was 22.26 ± 4.8; 189 (75.6%) of them were women, 207 (82.8%) were single, 239 (95.6%) of them were Iranian, and the others were non-Iranian. The Pearson correlation coefficient between spiritual attitude and addiction potential (R = - 0.25) at the level of p < 0.001 and between spiritual ability and addiction (R = - 0.16) at the level of p < 0/009 was reversed and meaningful, and between spiritual attitude and spiritual ability (R = 0/76) is directly and statistically significant at the level of p < 0/001. Increasing spiritual attitude and spiritual ability is associated with decreasing addiction potential among students. Information this article can be use to planning spirituality development among students that can be a kind of obstacle against addiction during stressful events.
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http://dx.doi.org/10.1007/s10943-018-0643-xDOI Listing
August 2019

Documentation of Measles Elimination in Iran: Evidences from 2012 to 2014.

J Res Health Sci 2017 08 5;17(3):e00387. Epub 2017 Aug 5.

Departments of Family Medicine, Seoul National University, College of Medicine, Seoul, Republic of Korea.

Background: Documentation of achieving the goal of measles elimination to justify to international organizations including the WHO is a priority for public health authorities. This study aimed to address the status of Iran in the achievement of the measles elimination goal from 2012-2014.

Study Design: A descriptive study METHODS: Data on the measles outbreaks were extracted from the national notifiable measles surveillance system in Iran from 2012 to 2014. The required documents regarding the achievement of measles elimination, including Effective Reproduction Number (R) and the distribution of outbreak size, was addressed. The R was calculated using the proportion of imported cases as 1 - P, where P is equal to the proportion of cases that were imported. The distribution of the measles outbreaks size was described using descriptive statistics to show their magnitudes. The proportion of large outbreaks with more than 10 cases was considered as a proxy of the R value.

Results: The total number of measles cases was 232 cases (including 186 outbreak related cases) in 2012 and 142 cases in 2014, including108 outbreak related cases. The distribution of the measles outbreak size of occurred outbreaks from that period indicated that there were 37 outbreaks with three or more than three cases. The R value in 2012 was 0.87 and the corresponding value for 2014 was 0.76.

Conclusions: According to the magnitude of effective reproduction number and distribution of outbreaks' size, measles has been eliminated in Iran. However, it is necessary to consider the potential endemic activity of measles because of no authorized immigration.
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August 2017

Global Incidence and Mortality Rates of Stomach Cancer and the Human Development Index: an Ecological Study.

Asian Pac J Cancer Prev 2016 ;17(4):1701-4

Department of Educational Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran E-mail :

Background: Stomach cancer (SC) is the second leading cause of cancer death with the rate of 10.4% in the world. The correlation between the incidence and mortality rates of SC and human development index (HDI) has not been globally determined. Therefore, this study aimed to determine the association between the incidence and mortality rates of SC and HDI in various regions.

Materials And Methods: In this global ecological study, we used the data about the incidence and mortality rate of SC and HDI from the global cancer project and the United Nations Development Programme database, respectively.

Results: In 2012, SCs were estimated to have affected a total of 951,594 individuals (crude rate: 13.5 per 100,000 individuals) with a male/female ratio of 1.97, and caused 723,073 deaths worldwide (crude rate: 10.2 per 100,000 individuals). There was a positive correlation between the HDI and both incidence (r=0.28, <0.05) and mortality rates of SC (r=0.13, P = 0.1) in the world in 2012.

Conclusions: The high incidence and mortality rates of SC in countries with high and very high HDI is remarkable which should be the top priority of interventions for global health policymakers. In addition, health programs should be provided to reduce the burden of this disease in the regions with high incidence and mortality rates of SC.
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http://dx.doi.org/10.7314/apjcp.2016.17.4.1701DOI Listing
January 2017

Multiple Sclerosis Associated Risk Factors: A Case-Control Study.

Iran J Public Health 2015 Nov;44(11):1498-505

Dept. of Epidemiology & Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.

Background: Hamadan Province is one of the high-risk regions in Iran for Multiple sclerosis (MS). A majority of the epidemiological studies conducted in Iran addressing MS are descriptive. This study was conducted to assess MS and its associated risk factors in Hamadan Province, the west of Iran.

Methods: This case-control study compared 100 patients with MS (case group) and 100 patients with acute infectious diseases (control group) from September 2013 to March 2014. A checklist was used to assess the demographic, medical, and family history of the patients. The Friedman-Rosenman questionnaire was also used to assess personality type. Statistical analysis was performed using logistic regression model with Stata 11 software program.

Results: The adjusted odds ratio (OR) estimate of MS was 4.37 (95% CI: 2.33, 8.20) for females compared to males; 0.15 (95% CI: 0.06, 0.43) for people aged above 50 years compared to aged 14 to 29 years; 0.44 (95% CI: 0.21, 0.91) for overweight or obese people compared to normal weights. Crude OR indicated a significant association between the occurrence of MS and exclusive breast feeding, season of birth, and smoking. However, the association was not statistically significant after adjustment for other covariates.

Conclusion: The risk of MS is significantly lower in male gender, obese/overweight, and old people. Furthermore, non-smoking, non-exclusive breast-feeding, and born in autumn may increase the risk of MS but need further investigation. However, long-term large prospective cohort studies are needed to investigate the true effect of the potential risk factors on MS.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4703229PMC
November 2015

Estimating the potential impact fraction of hypertension as the main risk factor of stroke: Application of the distribution shift method.

J Epidemiol Glob Health 2015 Sep 20;5(3):231-7. Epub 2015 Jan 20.

Modeling of Non-Communicable Diseases Research Center, Department of Biostatistics & Epidemiology, Hamadan University of Medical Sciences, Hamadan, Iran.

Few published studies have assessed the impact of quantitative risk factors such as high blood pressure on stroke. The aim of this study was to quantify the potential impact fraction (PIF) of hypertension on stroke in Hamadan Province, western Iran. Avoidable burden of stroke associated with high blood pressure was calculated using distribution shift at different scenarios. Data on the prevalence of high blood pressure among residents of Hamadan province older than 19 years were extracted from non-communicable diseases risk factors surveillance system in 2009. Five mmHg hypothetical reduction in systolic blood pressure above 140 mmHg, leads to 3.5% (PIF=0.035) reduction in the total burden to stroke. This value may reach 7%, if systolic blood pressure decreases 10 mmHg. In addition, 5 mmHg hypothetical reduction in diastolic blood pressure above 82 mmHg, leads to 4.87% reduction in the total burden to stroke. PIF more than 10 mmHg modification on distribution of diastolic blood pressure was estimated as 9.38%. According to these findings, policy makers are advised to implement interventions on hypertension based on the distribution shift method rather than the proportion shift one.
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http://dx.doi.org/10.1016/j.jegh.2014.11.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320525PMC
September 2015