Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 43 7 2014 07 15 857 66 Li Qi 1. Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China ; 2. Dept. of Military Epidemiology, Third Military Medical University, Chongqing, China. Xiaoling Qi 1. Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China. Hongyan Xiong 1. Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China. Qin Liu 1. Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China. Jinxin Li 1. Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China. Yao Zhang 1. Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China. Xiangyu Ma 1. Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China. Na Wu 1. Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China. Qingyun Liu 1. Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China. Liangui Feng 1. Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China. 2015 10 15 Epidemiology studies have demonstrated inconsistent associations between type 2 diabetes mellitus and the risk of malignant melanoma. To this end, the aim was to perform a meta-analysis of cohort studies.Medline, PubMed, Embase and the Cochrane Library were searched up to February 2014. Cohort studies addressing the relative risk of type 2 diabetes mellitus on malignant melanoma were included in this meta-analysis. The Newcastle-Ottawa Scale was applied for quality evaluation. The pooled relative risks with the corresponding 95% confidence intervals (95% CIs) were calculated by using random-effects or random-effects model. Heterogeneity and publication bias were evaluated by I (2) and funnel plot analysis, respectively. Data was analyzed using STATA 11.0.A total of 9 independent cohorts from 8 manuscripts were entered this meta-analysis. Type 2 diabetes mellitus was slightly associated with an increased risk of malignant melanoma, and the pooled relative risk was 1.15 (95% CI, 1.00-1.32) in diabetes compared with non-diabetes with significant evidence of heterogeneity among these studies (P=0.016, I (2) =57.6%). For the studies adjusted for age, gender and obesity, the relative risks were 1.21 (95% CI, 1.03-1.42), 1.17 (95% CI, 1.01-1.35) and 1.11 (95% CI, 1.00-1.24), respectively. For the population-based studies in which case cohort established, the relative risk was 1.85 (95% CI, 1.31-2.62).Type 2 diabetes might be an independent risk factor for malignant melanoma. Further studies are needed to specifically test the effect, and fully elucidate the underlying pathophysiologic mechanisms. https://ijph.tums.ac.ir/index.php/ijph/article/view/4016 https://ijph.tums.ac.ir/index.php/ijph/article/download/4016/3675

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 43 7 2014 07 15 867 76 Seyama Sultana 1. Dept. of Business Administration, Faculty of Economics & Management Sciences, International Islamic University Malaysia, Kuala Lumpur, Malaysia. Ahasanul Haque 1. Dept. of Business Administration, Faculty of Economics & Management Sciences, International Islamic University Malaysia, Kuala Lumpur, Malaysia. Abdul Momen 1. Dept. of Business Administration, Faculty of Economics & Management Sciences, International Islamic University Malaysia, Kuala Lumpur, Malaysia. Farzana Yasmin 1. Dept. of Business Administration, Faculty of Economics & Management Sciences, International Islamic University Malaysia, Kuala Lumpur, Malaysia. 2015 10 15 In this edge, medical tourism is not a new idea. Medical treatment is one of the essential demands of human beings and it requires high quality and intensive care. Beside western world, few developing countries are playing key roles as medical tourism destinations. India is one of the leading names among these countries. The purpose of the paper is to find the factors influencing the attractiveness of India as a health tourism destination.The study has found the major contributing factors and their relative importance in the attractiveness of the health tourism destination that is India from consumers' perspectives by conducting survey with an application of structural equation modelling approach.In Indian context, medical tourists consider service quality and cost mostly to select any medical destination. In addition they also give value to the destination competitiveness but tourist attitude is less important in comparison with other factors affecting their destination choice. Since the study has used structural equation modelling approach to test the hypothesis and figure out the relative importance of the factors, the fundamental indices such as Normed Chi square(less than 3), RMSEA (less than 0.08) and CFI (more than 0.90) values show the overall model fit of the proposed model.In order to transform a country such as India as an attractive and competitive medical tourist destination in this time of globalization, a step should be taken to control cost ensuring the quality of services. https://ijph.tums.ac.ir/index.php/ijph/article/view/4015 https://ijph.tums.ac.ir/index.php/ijph/article/download/4015/3674

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 43 7 2014 07 15 877 88 Wei Wang Dept. of Respiratory Medicine, Zhongnan Hospital of Wuhan University , Wuhan, Hubei 430071, China. Ping Li Dept. of Respiratory Medicine, Zhongnan Hospital of Wuhan University , Wuhan, Hubei 430071, China. Yifei Chen Dept. of Respiratory Medicine, Zhongnan Hospital of Wuhan University , Wuhan, Hubei 430071, China. Jiong Yang Dept. of Respiratory Medicine, Zhongnan Hospital of Wuhan University , Wuhan, Hubei 430071, China. 2015 10 15 The association between β2-adrenergic receptor (ADRB2) -16Arg/Gly polymorphism (rs1042713) and chronic obstructive pulmonary disease (COPD) risk has been investigated in many published studies. However, the results were inconclusive. A meta-analysis was performed to make a more precise estimation of the relationship.The PubMed, EMBASE, ISI web of science, the Cochrane Database of Systematic Reviews, and Chinese databases (CNKI, Wanfang Data, CBM, VIP) were searched for published literature. Odds ratios (OR) with 95% confidence interval (CI) were used to assess the strength of association.Eleven studies, comprising 1,128 COPD patients and 1,182 controls, were included in the meta-analysis. Overall, there was no significant association between the ADRB2-16Arg/Gly polymorphism and COPD risk in general population. In the stratification analysis by potential confounding variables, significant associations were observed between the ADRB2-16Arg/Gly polymorphism and COPD risk among smoking Asians under the dominant genetic model and allele model (Arg vs. Gly) (dominant model: OR = 1.45, 95% CI = 1.04-2.01, P = 0.311 for heterogeneity, z = 2.22, P = 0.026 for OR; allele model: OR = 1.27, 95% CI = 1.03-1.57, P = 0.209 for heterogeneity, z = 2.20, P = 0.028 for OR), but not in other subgroups.This meta-analysis suggested that the ADRB2-16Arg/Gly polymorphism might be a potential risk factor for the development of COPD in smoking Asian populations, but not in European descendents, and tobacco smoking probably increased the genetic susceptibility. More studies with larger sample sizes are needed to validate the results. https://ijph.tums.ac.ir/index.php/ijph/article/view/4014 https://ijph.tums.ac.ir/index.php/ijph/article/download/4014/3673

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 43 7 2014 07 15 889 902 Vesela Radović 1. Faculty of Applied Security, Educons University, Sremska Kamenica, Serbia. Zoran Keković 1. Faculty of Applied Security, Educons University, Sremska Kamenica, Serbia. Samir Agić 1. Faculty of Applied Security, Educons University, Sremska Kamenica, Serbia. 2015 10 15 Food safety issues are not a new issue in science, but due to the dynamic changes in the modern world it is as equally important as decades ago. The aim of the study was to address the efforts in the development of a comprehensive food safety system in Serbia, and make specific recommendations regarding the improvement of epidemiological investigation capacity as a useful tool which contributes to improving the public health by joint efforts of epidemiologists and law enforcement.We used the methodology appropriate for social sciences.The findings show the current state-of-affairs in the area of food safety and health care system and present some most important weaknesses which have to be overcome. Policy makers need timely and reliable information so that they can make informed decisions to improve the population health in an ongoing process of seeking full membership in the European Union.Serbia has to apply significant changes in practice because the current state-of-affairs in the area of food safety and health care system is not so favourable due to numerous both objective and subjective factors. Hence, the policy-makers must work on the development of epidemiological investigation capacities as a firm basis for greater efficiency and effectiveness. Epidemiologists would not stay alone in their work. Law enforcement as well as many other stakeholders should recognize their new role in the process of the development of epidemiological investigation capacity as a tool for the development of a comprehensive food safety system in Serbia. https://ijph.tums.ac.ir/index.php/ijph/article/view/4013 https://ijph.tums.ac.ir/index.php/ijph/article/download/4013/3672

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 43 7 2014 07 15 903 12 Seung Hee Lee 1. Dept. of Nursing, University of Ulsan , Ulsan, South Korea. Young Bum Kim 2. Hallym University Institute of Aging, Hallym University , Chuncheon, South Korea. 2015 10 15 The aim of this study was to examine whether formal and informal social activities are associated with a lower risk of depression. Besides, we investigated which type of social activities may protect against late-life depression by gender using data from a population-based study of older Korean adults.Data for analysis were drawn from the 2010 Korean Longitudinal Study of Aging. Study sample included 3968 Korean adults aged ≥ 65 years. Depression was measured using the 10-item Center for Epidemiological Studies. Depression scale. Multivariate logistic regression analyses were used.Among the informal activities, frequent contact by phone or letters with adult children is significantly associated with a lower risk of depression among older Korean adults, even after adjusting for potentially confounding factors. Face to face contact with close friends was negatively associated with depression in women, but not in men. Face to face contacts with adult children were not significantly associated with depression. All of formal social activities (attending religious activities, volunteering, and participating in alumni society or family councils, political or interest groups) were not significantly associated with depression in both men and women.Informal social activities (contact by phone/letters with children and contact with friends) may have a greater impact on geriatric depression than formal social activities in this population. Researchers need to consider gender differences when examining the relationship between social activity and depression. More research is warranted to examine the direction of associations between particular types of social activities and late-life depression across time. https://ijph.tums.ac.ir/index.php/ijph/article/view/4012 https://ijph.tums.ac.ir/index.php/ijph/article/download/4012/3671

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 43 7 2014 07 15 913 25 Joanna Kowalkowska Dept. of Human Nutrition, Faculty of Food Science, University of Warmia and Mazury in Olsztyn , Poland. Lidia Wadolowska Dept. of Human Nutrition, Faculty of Food Science, University of Warmia and Mazury in Olsztyn , Poland. Justyna Weronika Wuenstel Dept. of Human Nutrition, Faculty of Food Science, University of Warmia and Mazury in Olsztyn , Poland. Małgorzata Anna Słowińska Dept. of Human Nutrition, Faculty of Food Science, University of Warmia and Mazury in Olsztyn , Poland. Ewa Niedźwiedzka Dept. of Human Nutrition, Faculty of Food Science, University of Warmia and Mazury in Olsztyn , Poland. 2015 10 15 The aim of this study was to analyze the association between overweight prevalence and socioeconomic status (SES) measured by complex SES index and single SES factors in Polish adolescents in respect to age and sex.This cross-sectional study was conducted in 2010-2011. A total of 1,176 adolescents aged 13.0-18.9 years were included. The respondents were students of junior-high and high schools from northern, eastern and central Poland. Quota sampling by sex and age was used. The SES was determined by: place of residence, self-declared economic situation, and parental education level. Respondents with low, average or high SES index (SESI) were identified. The level of overweight was assessed using Polish and international standards.The odds ratio (OR) for overweight prevalence in the oldest girls (aged 17.0-18.9 years) with high SESI was 0.34 (95%CI:0.13-0.92; P < 0.05) by Polish standards and 0.22 (95%CI:0.05-0.95; P < 0.05) by international standards, in comparison to the reference group (low SESI). In total girls who had mothers with higher education level, the OR adjusted for age was 0.44 (95%CI:0.21-0.90; P <0.05) by Polish standards and 0.35 (95%CI:0.15-0.81; P < 0.05) by international standards, in comparison to the reference group (maternal elementary education). The other single SES factors were not significant for overweight prevalence.The relationship between socioeconomic status and prevalence of overweight was related to sex and age. The high socioeconomic status strongly lowered the risk of overweight prevalence in the oldest girls, but not in boys, irrespective of age. Maternal education level lowered risk of overweight prevalence in girls. https://ijph.tums.ac.ir/index.php/ijph/article/view/4011 https://ijph.tums.ac.ir/index.php/ijph/article/download/4011/3670

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 43 7 2014 07 15 926 35 Makmor Tumin 1. Dept. of Administrative Studies and Politics, Faculty of Economics and Administration, University of Malaya, Kuala Lumpur, Malaysia. Raja Noriza Raja Ariffin 1. Dept. of Administrative Studies and Politics, Faculty of Economics and Administration, University of Malaya, Kuala Lumpur, Malaysia. NurulHuda Mohd Satar 2. Dept. of Economics, Faculty of Economics and Administration, University of Malaya, Kual65

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1528 1531 Meysam SHARIFDINI Department of Medical Parasitology and Mycology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Elham HAJIALILO Department of Parasitology and Mycology, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran AND Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran Laleh GHANBARZADEH Department of Parasitology and Mycology, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran AND Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran Mehrzad SARAEI Department of Parasitology and Mycology, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran AND Cellular and Molecular Research Center, Qazvin University of Medical Sciences, Qazvin, Iran 2019 07 18 We report a human case of Hymenolepis diminuta infection in Guilan Province, northern part of Iran in 2017. The patient was a 15-month-old boy with gastrointestinal symptoms. In stool examination, eggs of H. diminuta was found based on morphological characteristic. The infant was successfully treated with a single oral dose of praziquantel, and then completely recovered. For the first time, we report human infection with this species in north of Iran.     https://ijph.tums.ac.ir/index.php/ijph/article/view/17828 https://ijph.tums.ac.ir/index.php/ijph/article/download/17828/6482

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1535 1536 Aria GUSTI Department of Environmental Health, Faculty of Public Health, Andalas University, Padang, Indonesia 25121 Resi Arifa YURNAL Department of Environmental Health, Faculty of Public Health, Andalas University, Padang, Indonesia 25121 2019 07 18 No Abstract#### https://ijph.tums.ac.ir/index.php/ijph/article/view/17830 https://ijph.tums.ac.ir/index.php/ijph/article/download/17830/6484

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1518 1522 Mojtaba NOWROZI Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Gholam Reza MOWLAVI Department of Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Mostafa ALISHAVANDI Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Gholamreza HATAM Basic Sciences in Infectious Diseases Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran 2019 07 18 Background: Parasitoses are among the most important problems of most countries especially developing countries. We aimed to detect the situation of intestinal parasitic infections in the Farashband district in Fars Province South of Iran and identify influential factors in the escalation of parasitic diseases and to reduce them. Methods: Overall, 1009 participants from the age of 6 months to 90 years were selected from 3 cities and 15 villages of Farashband district, Fars Province South of Iran from 2015 to 2016. Parasitological methods such as the direct assay method, formalin-ether concentration method, and zinc sulfate flotation were used for diagnosis of worm eggs, cysts, and protozoa trophozoite. Susceptible and protozoan positive samples were stained using the Trichrome staining method. The modified acid-fast staining procedure was conducted for diarrheal samples and the results were used for diagnosis of coccidia. Results: Overall, 313 subjects were infected with at least one intestinal parasite (pathogenic and nonpathogenic). Helminthes infection and protozoan infection were observed in 9 (0.9%) and 304 (30.13%) participants, respectively. Fecal samples of 34 patients with diarrheal feces were used to prepare smears for further examinations using the Ziehl-Neelsen staining method. Examinations showed no infection with coccidia. Conclusion: Helminthes infection has decreased drastically but protozoan infection is still considered a health issue in this region. It is possible to reduce parasitic infections through proper measures such as increasing public awareness and education the public, especially children on health problems with education courses.   https://ijph.tums.ac.ir/index.php/ijph/article/view/17824 https://ijph.tums.ac.ir/index.php/ijph/article/download/17824/6479

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1452 1460 Chai YANG School of Management, Hefei University of Technology, Hefei 230009, PR China And TheFirst Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, 230031, PR China Wei GU The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China Hefei, 230031, PR China Tongzhu LIU The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China Hefei, 230031, PR China 2019 07 18 Background: Supply, processing, and distribution (SPD) model is sparingly used in hospitals in China. We evaluated its effects on the management efficiency, quality control, and operating costs of medical consumables (MCs) in the clinical nursing surroundings in a single Chinese hospital-Anhui Provincial Hospital from 2014 to 2015. Methods: Amount-based packages (ABP) and procedure-based packages (PBP) models were created. They were introduced the use of quick response (QR) code scanning for using in clinical nursing departments (CNDs). Questionnaires were prepared by referring to previous literature and using Delphi method repeatedly, further discussed and formalized. Partial results of the formal questionnaire were analyzed using SPSS. Results: Frequency of MCs claims reduced without any requirements of MCs in 70% of CNDs. Average time spent on the inventory per week decreased and the time required to procure MCs reduced. Moreover, the average satisfaction score with MCs management increased, reaching 100%. Average space occupied by MCs decreased significantly, reducing by 1.2444m3. Overall, 100% of the respondents concluded that the management of MCs improved effectively and the inventory turnover rate had accelerated. The cost of MCs decreased by 15% with more than 10% increase in in-hospital amount, and the average daily cost of MCs also showed decrease. Conclusion: SPD can improve the efficiency of MCs management in CNDs, reducing medical risks and disputes, saving hospital operating costs, and decreasing capital occupation.     https://ijph.tums.ac.ir/index.php/ijph/article/view/17816 https://ijph.tums.ac.ir/index.php/ijph/article/download/17816/6471

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1418 1427 Marita MOHAMMADSHAHI Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Minoo ALIPOURI SAKHA Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Atefeh ESFANDIARI Department of Health Policy, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran Maryam SHIRVANI Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Ali AKBARI SARI Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 2019 07 18 Background: Mobile technologies are widely used in healthcare. The purpose of this study was to compare the effectiveness and cost-effectiveness of fixed computed tomography (CT) and magnetic resonance imaging (MRI) with the mobile ones. Methods: In this systematic review, PubMed, Cochrane Library, Scopus and CRD database were searched from 1995 to 2015. The data on safety and effectiveness of technologies were extracted from included studies. Because the review showed no significant differences in the performance of mobile CT and MRI compared to the fixed ones, then a cost minimization approach was used to explore the cost-effectiveness of three scenarios.   Results: Twenty two articles were included in the review that showed no statistically significant differences in the performance of mobile MRI and CT scan compared to the fixed ones. The cost minimization approach showed that the third scenario based on purchasing a common mobile MRI and CT scan; and using it by two or more hospitals that are in rational distance from each other is associated with the lowest costs, so it is the most cost-effectiveness strategy. Conclusion: The performance of Mobile CT and mobile MRI is comparable to the fixed ones; and using a combined mobile CT and MRI by two or three hospitals is the most cost-effective approach.     https://ijph.tums.ac.ir/index.php/ijph/article/view/17811 https://ijph.tums.ac.ir/index.php/ijph/article/download/17811/6466

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1537 1538 Yujeong KIM College of Nursing, Kyungpook National University, 680, Gukchabosang-ro, Jung-gu, Daegu, South Korea Eunmi LEE Department of Nursing, Hoseo University, 79-20, Hoseo-ro, Baebang-eup, Asan-si, Chungcheongnam-do, South Korea Mee Kyung LEE School of Nursing, University of Washington, Washington, Seattle, WA, USA Mi Young KIM College of Nursing, Eulji University, South Korea 2019 07 18 No Abstract#### https://ijph.tums.ac.ir/index.php/ijph/article/view/17831 https://ijph.tums.ac.ir/index.php/ijph/article/download/17831/6485

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1461 1468 Yong YANG Department of Vascular Mammary Surgery (Thyroid and Hernia), Jiangxi Provincial People's Hospital Affiliated to Nanchang University, Nanchang 330006, P.R. China Yanqin JIAO Department of Nursing, Jiangxi Health Vocational College, Nanchang 330052, P.R. China Jieqing YU Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Nanchang University, Nanchang 330006, P.R. China Chenxiu WANG Department of Endocrine, Jiangxi Provincial People's Hospital, Nanchang University, Nanchang 330006, P.R. China 2019 07 18 Background: To investigate the treatment efficacy of radioactive iodine therapy on patients after total thyroidectomy and its effect on the quality of life. Methods: A retrospective analysis of clinical data of 120 thyroid cancer patients admitted to Jiangxi Provincial People's Hospital Affiliated to Nanchang University, Nanchang, China from February 2014 to February 2017 was performed. According to different treatment methods, they were divided into observation group of 62 cases and control group of 58 cases. Both groups were treated with total thyroidectomy. The control group was treated with anti-infection and prevention of complications after operation, the observation group with radioactive iodine therapy. Treatment efficacy, quality of life score, recurrent laryngeal nerve injury and postoperative survival rate were compared between the two groups. Results: The total effective rate of treatment in the test group was 98.39%, significantly higher than 72.41% in the control group, with a statistically significant difference (P<0.05). Compared with the control group, the fatigue score of the test group was lower, but the score in the area of emotion function and the overall health status score were higher, with a statistically significant difference (P<0.05). There was no significant difference in the recurrent laryngeal nerve injury between the two groups of patients. The postoperative survival rate of the test group of patients was 96.77%, significantly higher than 86.21% of the control group.      Conclusion: The effect of radioactive iodine therapy after total thyroidectomy is remarkable, which can significantly improve the clinical treatment efficacy and postoperative quality of life of patients, worthy of clinical application.   https://ijph.tums.ac.ir/index.php/ijph/article/view/17817 https://ijph.tums.ac.ir/index.php/ijph/article/download/17817/6472

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1428 1438 Majid TAHERI Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Mohammad TAVAKOL Department of Sociology, School of Social Sciences, University of Tehran, Tehran, Iran Mohammad Esmaeil AKBARI Cancer Research Center (CRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran Amir ALMASI-HASHIANI Department of Epidemiology, School of Health, Arak University of Medical Sciences, Arak, Iran AND Traditional and Complementary Medicine Research Center, Arak University of Medical Sciences, Arak, Iran Mahmoud ABBASI Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2019 07 18 Background: Despite our awareness of the significant effect of Social Determinant of Health (SDoH) such as Socio Economic Status (SES), income and education on breast cancer survival, there was a serious lack of information about the effect of different level of these factors on breast cancer survival. So far, no meta-analysis has been conducted with this aim, but this gap was addressed by this meta-analysis. Methods: Main electronic databases such as PubMed, Web of Science, and Scopus were investigated up to January 2019. Epidemiological studies focusing on the association between SDoH and breast cancer were singled out. Q-test and I2 statistic were used to study the heterogeneity across studies. Begg's and Egger's tests were applied to explore the likelihood of the publication bias. The results were reported as hazard ratio (HR) with 95% confidence intervals (CI) through a random-effects model. Results: We identified 7,653 references and included 25 studies involving 1,497,881 participants. The HR estimate of breast cancer survival was 0.82 (0.67, 0.98) among high level of SES, 0.82 (0.70, 0.94) among high level of income and 0.72 (0.66, 0.78) among academic level of education. Conclusions: The SES, income, and education were associated with breast cancer survival, although the association was not very strong. However, there was a significant association between the levels of these factors and breast cancer survival.     https://ijph.tums.ac.ir/index.php/ijph/article/view/17812 https://ijph.tums.ac.ir/index.php/ijph/article/download/17812/6467

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1539 1540 Xiaolin LIU Department of Chronic Disease Control and Prevention, Shanghai Pudong New Area Center for Disease Control and Prevention Fudan University Institute of Preventive Medicine, Shanghai, China Xianfeng ZHOU Department of Chronic Disease Control and Prevention, Shanghai Pudong New Area Center for Disease Control and Prevention Fudan University Institute of Preventive Medicine, Shanghai, China Juzhong KE Department of Chronic Disease Control and Prevention, Shanghai Pudong New Area Center for Disease Control and Prevention Fudan University Institute of Preventive Medicine, Shanghai, China Hua QIU Department of Chronic Disease Control and Prevention, Shanghai Pudong New Area Center for Disease Control and Prevention Fudan University Institute of Preventive Medicine, Shanghai, China Kang WU Department of Chronic Disease Control and Prevention, Shanghai Pudong New Area Center for Disease Control and Prevention Fudan University Institute of Preventive Medicine, Shanghai, China Xiaonan WANG Department of Chronic Disease Control and Prevention, Shanghai Pudong New Area Center for Disease Control and Prevention Fudan University Institute of Preventive Medicine, Shanghai, China Siyu YU Department of Chronic Disease Control and Prevention, Shanghai Pudong New Area Center for Disease Control and Prevention Fudan University Institute of Preventive Medicine, Shanghai, China Zhitao LI Department of Chronic Disease Control and Prevention, Shanghai Pudong New Area Center for Disease Control and Prevention Fudan University Institute of Preventive Medicine, Shanghai, China Tao LIN Department of Chronic Disease Control and Prevention, Shanghai Pudong New Area Center for Disease Control and Prevention Fudan University Institute of Preventive Medicine, Shanghai, China Xiaonan RUAN Department of Chronic Disease Control and Prevention, Shanghai Pudong New Area Center for Disease Control and Prevention Fudan University Institute of Preventive Medicine, Shanghai, China Li PENG Laboratory of Meteorology and Health, Shanghai Meteorological Service, Shanghai, China 2019 07 18 No Abstract### https://ijph.tums.ac.ir/index.php/ijph/article/view/17832 https://ijph.tums.ac.ir/index.php/ijph/article/download/17832/6486

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1469 1477 Ali ALAMI Department of Public Health, School of Public Health, Gonabad University of Medical Sciences, Gonabad, Iran AND Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran Mahbobeh NEJATIAN Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran Elaheh LAEL-MONFARED Student Research Committee, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran Alireza JAFARI Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran 2019 07 18 Background: Suicide/suicide attempt, as a major public health problem, has been included among anti-social behaviors. We aimed to investigate the epidemiology of suicide and some associated individual, family, and social factors. Methods: A historical cohort study was conducted among all cases (748 persons) reports related to suicide/suicide attempt that register in hospital reporting system and health care center in Gonabad and Bajestan, Iran, from 2009 to 2014. The required data were extracted through a checklist. Descriptive (mean and standard deviation) and analytic statistics (t-test, Chi-square, and logistic regression) applied to analyzed data. All data were analyzed using SPSS software. Results: Of the 748 reported suicide attempters, 17 cases (2.3%) had completed suicide. The annual average incidence rate of suicide was 110.03 per 100,000 populations. The mean age of suicide attempt had significantly decreased during the time (P=0.007). Furthermore, a significant association was observed between outcome of suicide and place of residence (P=0.019), history of physical illnesses (P=0.002), and method of suicide (P=0.001). Conclusion: Due to trend of age among suicide attempters, considering intervention programs of suicide prevention for school pupils and university students especially individuals residing in rural areas, as well as individuals suffering from physical illness would be effective to reduce the rate of suicide.        https://ijph.tums.ac.ir/index.php/ijph/article/view/17818 https://ijph.tums.ac.ir/index.php/ijph/article/download/17818/6473

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1541 1542 Maria VAKRILOVA BECHEVA Department of Nursing, Faculty of Public Health, Medical University - Plovdiv, Plovdiv, Bulgaria Angelina KIRKOVA-BOGDANOVA Department of Medical Informatics, Biostatistics and E-learning, Faculty of Public Health, Medical University - Plovdiv, Plovdiv, Bulgaria 2019 07 18 No Abstract### https://ijph.tums.ac.ir/index.php/ijph/article/view/17833 https://ijph.tums.ac.ir/index.php/ijph/article/download/17833/6487

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1478 1487 Zeinab SHAYEGHIAN Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran Parisa AMIRI Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran Golnaz VAHEDI-NOTASH Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran Mehrdad KARIMI Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran Fereidoun AZIZI Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2019 07 18 Background: We aimed to investigate the reliability and validity of the Iranian version of the short form social well-being scale. Methods: After linguistic validation, the Iranian version of social well-being scale was completed by 715 participants, aged ≥ 18 yr between Jan and Sep 2015. Concurrent validity was examined by calculating the Pearson’s correlation coefficient between the dimensions of social well-being and social support. Internal consistency, Cronbach’s alpha coefficient, confirmatory and explanatory factor analyses were also examined. Results: The internal consistency as measured by Cronbach’s alpha coefficients was 0.72 for total score. No ceiling and floor effect was found in total score or any of the subscales. The concurrent correlation coefficients between social well-being and social support ranged from good to excellent agreement. Exploratory factor analysis supported mainly comparable results with the original US English dialect version. The results of the confirmatory factor analysis for 5-factor models indicated acceptable fit for the proposed research models. Conclusion: The findings support the initial reliability and validity of the Iranian version of the social well-being scale in the research and community settings in Iran.     https://ijph.tums.ac.ir/index.php/ijph/article/view/17819 https://ijph.tums.ac.ir/index.php/ijph/article/download/17819/6474

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1543 1544 Priya KALYANASUNDARAM Sankara Institute of Management Science, Saravanampatty, Coimbatore, India 2019 07 18 No Abstract## https://ijph.tums.ac.ir/index.php/ijph/article/view/17834 https://ijph.tums.ac.ir/index.php/ijph/article/download/17834/6488

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1488 1495 Mostafa AMINI-RARANI Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran Arash RASHIDIAN Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran AND Department of Information, Evidence and Research, World Health Organization, Eastern Mediterranean Region, Cairo, Egypt Mohsen BAYATI Health Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran Esmaeil KHEDMATI MORASAE Center for Systems Studies, Hull University Business School (HUBS), Hull York Medical School (HYMS), University of Hull, Hull, UK 2019 07 18 Background: Despite constant decrease in rate of neonatal mortality, the rate is still higher than that of other under-five children. One of the first steps towards reduction of neonatal mortality is to identify its determinants using health production function. The aim of the present study was to estimate neonatal health production function for Iran. Methods: In this cross-sectional study, Iranian Multiple Indicator Demographic and Health Survey (IrMIDHS) 2010 was used. Four categories of socioeconomic, mother, neonatal demographic and healthcare system factors were entered into the Binomial Logistic Regression model to estimate neonate health production function. Households’ economic status was constructed using principal component analysis. Results: History of abortion/stillbirth had the highest significant positive impact on odds of neonatal mortality (odds ratio=1.98; 95 % CI=1.55-2.75), indicating that neonates of mothers with such a history had 1.98 times higher chance of death compared to other neonates. Moreover, odds ratio of neonatal death for the poorest quintiles was 1.70 (95 % CI=1.08-2.74), indicating that by moving from the poorest quintile to the richest one, the odds of being alive for neonates increased up to 70%. However, skilled birth attendant decreased the chance of death up to 58% (odds ratio=0.58; 95 % CI=0.36-0.93). Conclusion: Considering the most significant inputs of neonatal health production function in Iran, improvement of economic status of households, provision of appropriate care services for mothers, and improvement of delivery care provided by trained personnel, could be priorities for health policymakers to act and reduce neonatal mortality in Iran.      https://ijph.tums.ac.ir/index.php/ijph/article/view/17820 https://ijph.tums.ac.ir/index.php/ijph/article/download/17820/6475

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 8 2019 07 18 1545 1546 Fatemeh BAGHERI Department of Medical Entomology and Vector Control, School of Public Health,Tehran University of Medical Sciences, Tehran, Iran Mansoureh SHAYEGHI Department of Medical Entomology and Vector Control, School of Public Health,Tehran University of Medical Sciences, Tehran, Iran Hassan VATANDOOST Department of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran AND Department of Environmental Chemical Pollutants and Pesticides, Institute for Environmental Research, Tehran University of Medical Sciences, Tehran, Iran Fatemeh