Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 42 3 2013 03 15 222 230 Zhenfang Xia School of Public Health, Central South University, Changsha, Hunan, China ; School of Public Health, Hainan Medical College, Haikou, Hainan, China. Zhuansuo Wang Qunfang Cai Jianjun Yang Xuan Zhang Tubao Yang 2015 10 15 Type 2 diabetes mellitus (T2DM) occurs around the world with high prevalence and causes serious physical harm and economic burden to the afflicted. Haikou City is China's southernmost tropical island city, which has not been previously studied for its T2DM prevalence. The objective of the study in employing a cross-sectional survey is to discuss the epidemiologic status of T2DM in Haikou City and to analyze the possible determinants.A total of 12,000 community residents over 18 years old from four districts in Haikou City were stratified-randomly sampled. A questionnaire survey and physical examination were conducted. Data entry and statistical analysis were performed using SPSS17.0 software.The prevalence of T2DM in Haikou City was 5.3% (5.15% for males and 5.46% for females). According to the multivariate analysis, the positive factors mainly associated with T2DM in the city included family history, Waist-to-Hip Ratio (WHR), triglycerides, low high-density lipoproteins (HDL), and blood pressure. For both men and women, family history was the highest independent risk factor associated with T2DM (OR= 47.128). The T2DM risk increased with increasing metabolic aggregate.The prevalence of T2DM for the community population of Haikou City was low. The possible risk factors included age, occupation, BMI, waist circumference, WHR, overweight, systemic obesity, central obesity, systolic blood pressure, diastolic blood pressure, total cholesterol, triglycerides, low-density lipoproteins, family history, and HDL. https://ijph.tums.ac.ir/index.php/ijph/article/view/4624 https://ijph.tums.ac.ir/index.php/ijph/article/download/4624/4269

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 42 3 2013 03 15 231 239 Alma Aubakirova Dept. of Public Health, Institute of Public Healthcare, JSC Astana Medical University, Astana, Kazakhstan. Alibek Kossumov Nurbek Igissinov 2015 10 15 The article provides the analysis of death rates in road traffic accidents in Kazakhstan from 2004 to 2010 and explores the use of sanitary aviation.Data of fatalities caused by road traffic accidents were collected and analysed. Descriptive and analytical methods of epidemiology and biomedical statistics were applied.Totaly 27,003 people died as a result of road traffic accidents in this period. The death rate for the total population due to road traffic accidents was 25.0±2.1(0)/0000. The death rate for men was (38.3±3.2(0)/0000), which was higher (P<0.05) than that for women (12.6±1.1(0)/0000). High death rates in the entire male population were identified among men of 30-39 years old, whereas the highest rates for women were attributed to the groups of 50-59 years old and 70-79 years old. In time dynamics, death rates tended to decrease: the total population (Tdec=-2.4%), men (Tdec=-2.3%) and women (Tdec=-1.4%). When researching territorial relevance, the rates were established as low (to 18.3(0)/0000), average (between 18.3 and 24.0(0)/0000) and high (from 24.0(0)/0000 and above). Thus, the regions with high rates included Akmola region (24.3(0)/0000), Mangistau region (25.9(0)/0000), Zhambyl region (27.3(0)/0000), Almaty region (29.3(0)/0000) and South Kazakhstan region (32.4(0)/0000).The identified epidemiological characteristics of the population deaths rates from road traffic accidents should be used in integrated and targeted interventions to enhance prevention of injuries in accidents. https://ijph.tums.ac.ir/index.php/ijph/article/view/4622 https://ijph.tums.ac.ir/index.php/ijph/article/download/4622/4267

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 42 3 2013 03 15 240 248 Mohamad Rodi Isa Population Health & Preventive Medicine, Faculty of Medicine, Universiti Teknologi Mara (UiTM) Sungai Buloh Campus, Jalan Hospital, Selangor Darul Ehsan, Malaysia ; Julius Centre, Dept. of Social & Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. Foong Ming Moy Azad Hassan Abdul Razack Zulkifli Md Zainuddin Nur Zuraida Zainal 2015 10 15 This study aimed to determine the prevalence of anxiety among prostate cancer patients, and to ascertain the association between stress status, socio-demographic, medical and surgical illness, current urinary problem and cancer status with general health-related quality of life (HRQOL) among these patients.A hospital based, cross sectional study was conducted at Surgical Clinic, University Malaya Medical Centre (UMMC) and Universiti Kebangsaan Malaysia Medical Centre (UKMMC) using universal sampling.A total of 193 patients were recruited. The prevalence of anxiety was 25.4% (95%CI: 19.2 - 31.6). The anxiety ratings were mild anxiety (10.4%), moderate anxiety (13.6%) and severe anxiety (1.6%). The total quality of life among stress group was 59.2 ± 14.7 and among non-stress group was 73.9 ± 12.7. There was a significant negative weak correlation between anxiety score and total quality of life (rs=-0.534, P<0.001). In multivariable analysis, there was a significant difference in the total quality of life (QOL) among anxiety status [adj. mean diff. = -9.1 (95%CI: -15.2, -4.7)]. The adjusted mean difference was associated by age category of the patients (P<0.001); living partner (P<0.001); intermittency (P=0.035) and problem of hematuria during micturition (P=0.005).The prevalence of anxiety among prostate cancer was moderately high. Treating the urination problem as well as encouraging living with spouse/family may improve the quality of life among anxiety condition of these patients. https://ijph.tums.ac.ir/index.php/ijph/article/view/4620 https://ijph.tums.ac.ir/index.php/ijph/article/download/4620/4265

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 42 3 2013 03 15 249 260 Zorica Terzic Supic Institute of Social Medicine, Medical Faculty, University of Belgrade, Belgrade, Serbia. Milena Santric Milicevic Isidora Sbutega Vladimir Vasic 2015 10 15 Adolescence is transitional stage of physical and mental human development occuring between childhood and adult life. Social interactions and environmental factors together are important predictors of adolescent cannabis use. This study aimed to examine the relationship between the social determinants and adolescents behavior with cannabis consumption.A cross sectional study as part of the European School Survey Project on Alcohol and other Drugs was conducted among 6.150 adolescents aged 16 years in three regions of Serbia, and three types of schools (gymnasium, vocational - professional, and vocational - handicraft) during May - June 2008. A multivariate logistic regression analysis was carried out to obtain adjusted odds ratios with 95% confidence intervals in which the dependent variable was cannabis consumption non-user and user.Among 6.7% of adolescents who had tried cannabis at least one in their lives, boys were more involved in cannabis use than girls, especially boys from gymnasium school. Well off family, lower education of mother, worse relations with parents were significantly associated with cannabis use (P < 0.05). Behaviors like skipping from schools, frequent evening outs, and playing on slot machines were also related to cannabis use (P < 0.05).The study confirmed the importance of family relationship development. Drug use preventive programmes should include building interpersonal trust in a family lifecycle and school culture. https://ijph.tums.ac.ir/index.php/ijph/article/view/4617 https://ijph.tums.ac.ir/index.php/ijph/article/download/4617/4263

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 42 3 2013 03 15 261 271 Mehmet Top Dept. of Health Care Management, Faculty of Economics and Administrative Sciences, Hacettepe University, Ankara, Turkey. 2015 10 15 The purpose of this study was to describe the influence of organizational variables on hospital staff nurses' job performance as reported by staff nurses in two cities in Turkey. Hospital ownership status, employment status were examined for their effect on this influence.The reported influence of organizational variables on job performance was measured by a questionnaire developed for this study. Nurses were asked to evaluate the influence of 28 organizational variables on their job performance using a five-point Likert-type scale (1- Never effective, 5- Very effective). The study used comparative and descriptive study design. The staff nurses who were included in this study were 831 hospital staff nurses. Descriptive statistics, frequencies, t-test, ANOVA and factor analysis were used for data analysis.The study showed the relative importance of the 28 organizational variables in influencing nurses' job performance. Nurses in this study reported that workload and technological support are the most influential organizational variables on their job performance. Factor analysis yielded a five-factor model that explained 53.99% of total variance.Administratively controllable influence job organizational variables influence job performance of nurses in different magnitude. https://ijph.tums.ac.ir/index.php/ijph/article/view/4615 https://ijph.tums.ac.ir/index.php/ijph/article/download/4615/4261

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 42 3 2013 03 15 272 279 Ladan Rokni Dept. of Geography and Tourism Planning, School of Human Geography, University of Tehran, Iran. Ahmad Pourahmad Mohammad Hassan Moteiey Langroudi Mehdi Rezaeiy Mahmoudi Najmeh Heidarzadeh 2015 10 15 The aim of the present study was to appraisal the prose and cone of Shiraz City in terms of its potential in the context of health tourism.The statistical sample included medical and health tourism sector in the city of Shiraz in the northwest of Fars Province, south of Iran. The efficient authorities on the topic were identified through the hospitals engaging in medical tourism. The research was based on theoretical sampling through which the experienced people of extensive knowledge on medical tourism were interviewed.Active hospitals on attraction foreign patients averagely admit 15 and 50 foreign patients monthly and annually, respectively. Arab countries in the Persian Gulf were detected as the main marketing for Shiraz medical tourism. Oman encompassed the highest rate with 20% of admitted patients. Eye treatments with 30% and orthopedic with 6% were demonstrated as the highest and lowest rates in terms of foreign patients' needs, respectively. Closeness of cultural and religious beliefs and familial relationships on one hand and trusting to Iranian physicians on the other hand were amongst the most reasons for selecting Iran as a destination for medical tourism by patients.Implementing 4 strategies on monitoring medical tourism would result into significant improvement of attracting more foreigner patients not only into Shiraz but all around Iran. These items have been discussed in the text. https://ijph.tums.ac.ir/index.php/ijph/article/view/4613 https://ijph.tums.ac.ir/index.php/ijph/article/download/4613/4259

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 42 3 2013 03 15 280 292 Isaac Rahimian Boogar Dept. of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran. Mohammad Reza Mohajeri-Tehrani Mohammad Ali Besharat Seyavash Talepasand 2015 10 15 Diabetic self-management is important for controlling the diabetes complications and promoting health-related quality of life in these patients. The objective of this study was to examine a hypothetical model regarding influences of sociostructural determinants, collaborative decision-making and patient's beliefs system on diabetes self-management.In a cross-sectional descriptive study from Dec 2010 to Mar 2010, 500 patients of Iranian adult patients with type II diabetes attended the outpatient diabetic clinics of the Shariati Hospital in Tehran were selected by convenience sampling. Data were collected by The Demographical Information, Social- Economical Status and Diabetic History Questionnaire and eleven self-reported scales of this research. Structural equation modeling (SEM) with LIZREL software applied for data analysis.The modified model had a desirable fitness to the observed data. Patient's beliefs system directly influenced the diabetes self-management. Sociostructural determinants influenced diabetes self-management indirectly via collaborative decision-making and Patient's beliefs system. In addition, collaborative decision-making significantly influenced patient's beliefs system that thereby impacted diabetes self-management.Sociostructural determinants, collaborative decision-making and patient's beliefs system are integrated and cooperatively affect on diabetes self-management. Comprehensive intervention schedules required to improve these agents for encouragement the type II diabetes self-management. https://ijph.tums.ac.ir/index.php/ijph/article/view/4611 https://ijph.tums.ac.ir/index.php/ijph/article/download/4611/4257

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 42 3 2013 03 15 293 297 Ahmad Shojaei Legal Medicine Research Center, Iranian Legal Medicine Organization, Tehran, Iran. Saadolah Moradi Farshid Alaeddini Mahmood Khodadoost Mohammad Reza Ghadirzadeh Ali Khademi 2015 10 15 https://ijph.tums.ac.ir/index.php/ijph/article/view/34616 https://ijph.tums.ac.ir/index.php/ijph/article/download/34616/8418

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 12 2024 12 08 2632 2645 Ayu Ameliyah 1. Doctoral Program of Public Health Sciences, Faculty of Public Health, Universitas Hasanuddin, Indonesia 2. Department of Hospital Administration, Faculty Health Technology, Universitas Megarezky, Indonesia Irwandy Irwandy Department of Hospital Management, Faculty of Public Health, Universitas Hasanuddin, Indonesia Fridawaty Rivai Department of Hospital Management, Faculty of Public Health, Universitas Hasanuddin, Indonesia Stang Stang Department of Statistics, Faculty of Public Health, Universitas Hasanuddin, Indonesia Muhammad Arsyad Department of Health Promotion and Behavioral Sciences, Faculty of Public Health, Universitas Hasanuddin, Indonesia 2024 04 22 2024 09 07 Background: The global maternal mortality rate has increased annually. This study aimed to examine the role of emotional support and the social support theraphy on the experience of emergency caesarean deliveries. Methods: The narrative study was conducted using scientific journal database sources from PubMed, Proquest, Ebsco, Science Direct, and Google Scholar from 2016 to 2023. After the articles were obtained, they were tabulated using an Excel table. Overall, 184 articles were identified based on the search titles. Ten articles focused on the influence of emotional support on patient experiences, and five articles focused on the influence of sociocultural atmosphere on patient experiences. Results: The influence of emotional support and the socio-cultural atmosphere on emergency caesarean section patients is one strategy for reducing maternal mortality rates. The poor sociocultural atmosphere regarding cesarean delivery is still a hot issue in the community, and the lack of emotional support from health service providers can cause patient and family approval to be late in agreeing to informed consent for emergency cesarean care, which should be provided immediately. Conclusion: There is a need for adequate emotional support in the form of empathy, interactive communication, presence and availability, motivation and hope, nonverbal communication, sense of humor, and ambient environment. https://ijph.tums.ac.ir/index.php/ijph/article/view/35316 https://ijph.tums.ac.ir/index.php/ijph/article/download/35316/8410

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 12 2024 12 08 2828 2830 EN Ali Majidpour Azad Shirazi Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran 2024 02 18 2024 12 08 no abstract. No Abstract. Not abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/34661 https://ijph.tums.ac.ir/index.php/ijph/article/download/34661/8430

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 12 2024 12 08 2730 2738 Heakyung Moon Department of Nursing, Hoseo University, Chungnam, Republic of Korea Wonjung Noh College of Nursing, Gachon University, Incheon, Republic of Korea 2023 09 20 2024 05 10 Background: Countries that are becoming aging societies are struggling to establish financial support policies due to their increasing numbers of retired people. In particular, the increase in middle-aged retirees has been reported as unusual and influenced by various factors. This study aimed to identify the subjective health conditions of middle-aged retirees and explore the factors that help provide basic data for developing health-related programs for them. Methods: This cross-sectional study was conducted among 7,893 people who participated in the 6th Korean Longitudinal Study of Aging in 2016. Among them, the data of 315 participants were analyzed. A theoretical framework guided the use of multiple regression analysis to examine the factors related to the subjective health status of middle-aged retirees. Results: The significant factors influencing the subjective health status were socioeconomic status (middle/high: β=.14, P=.005), number of chronic diseases (β=-.11, P=.035; above 2: β=-.38, P<.001), depression (β = -.17, P<.001), and retirement satisfaction (β=.32, P<.001). Conclusion: This study can help policymakers create effective retirement programs for middle-aged individuals and re-socialize them by enhancing physical and psychological support. https://ijph.tums.ac.ir/index.php/ijph/article/view/33252 https://ijph.tums.ac.ir/index.php/ijph/article/download/33252/8419

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 12 2024 12 08 2646 2658 Mojgan Zareivenovel Department of Medical Library and Information Science, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Leila Nemati-Anaraki Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran Shadi Asadzandi Department of Medical Library and Information Science, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran 2024 02 24 2024 05 13 Background: We aimed to identify and classify barriers and facilitators of implementation of research finding in healthcare. Methods: A scoping review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews (PRISMA-ScR). Articles were extracted from online databases. The initial search was implemented on Jun, 2022, and updated until end of 2023. Two independent reviewers screened, selected, and extracted the data. Data were synthesized using thematic analysis. Results: Overall, 32 studies from 3,435 documents met the inclusion criteria. From which 60 barriers and 45 facilitators were identified. The main barriers and facilitators extracted were grouped into eight components: Organization, Collaboration to knowledge utilization, Researcher role, Methodology and technical aspect of research, Management, Cultural and social determinants, Training, and Government and community. Organizational barriers and facilitators were the most concerning with insufficient attention, methodology and technical aspects of research were salient barriers, and the other components had similar roles. Conclusion: This study directly addresses a gap in implementing the research findings in organizations. The government would benefit from knowledge implementation with respect to evidence utilization. Additionally, implementation knowledge was not transferred to healthcare practice to a sufficient extent, thus restricting the systematic use of implementation knowledge in practice. https://ijph.tums.ac.ir/index.php/ijph/article/view/34730 https://ijph.tums.ac.ir/index.php/ijph/article/download/34730/8411

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 12 2024 12 08 2831 2832 Maliheh Kadivar Division of Neonatology, Department of Pediatrics Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran 2024 05 31 2024 12 08 No Abstract. Not abstract. Not Abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/35679 https://ijph.tums.ac.ir/index.php/ijph/article/download/35679/8431

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 12 2024 12 08 2739 2748 EN Eun Kyoung Han Department of Nursing, Eulji University, 553 Sanseong-daero, Sujeong-gu, Seongnam 13135, Korea Hae Kyoung Son Department of Nursing, Eulji University, 553 Sanseong-daero, Sujeong-gu, Seongnam 13135, Korea 2024 02 13 2024 06 01 Background: We aimed to identify the factors affecting sleep quality in community-dwelling older adults. Methods: This cross-sectional descriptive study was conducted from 6 to 13 October 2021. A hypothetical model based on Spielman’s 3P model of insomnia was constructed using the multiple factors that influence sleep quality in older adults. Data were collected from 114 elderly adults at two welfare centers located in, South Korea and analyzed using IBM SPSS 21.0. Results: The hierarchical regression model showing the predictors of sleep quality was significant, and it explained 23.9% of the variance (F=9.879, P<.001). Pre-sleep arousal (β=0.283, P=.005) and sleep hygiene (β=0.269, P=.014) were associated with sleep quality. Conclusion: Sleep improvement interventions which consider pre-sleep arousal and sleep hygiene for older adults may improve sleep quality. https://ijph.tums.ac.ir/index.php/ijph/article/view/34620 https://ijph.tums.ac.ir/index.php/ijph/article/download/34620/8420

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 12 2024 12 08 2659 2670 Abbas Nabore 1. Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 2. Bostan School of Nursing, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Mehrdad Farrokhi Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Shokoufeh Ahmadi Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Mohammad Saatchi Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Fereydoun Layeghi Department of Clinical Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Hamidreza Khankeh 1. Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 2. QUEST Center for Responsible Research, BIH, Charite, Berlin, Germany 2024 02 02 2024 05 13 Background: This systematic scoping review aimed to investigate and delineate the dimensions of the Community First Responder (CFR) model implemented in emergency medical services (EMS) across different countries. The primary focus was on identifying key components and characteristics associated with CFR programs. Methods: This study conducted an extensive search across multiple databases (PubMed, Scopus, and Web of Science) and grey literature sources (Google Scholar, official sites) until Mar 2023 using keywords related to community first responders. Initially, 14,135 articles were found. After removing duplicates and similar titles, 37 articles were reviewed. The analysis covered training, motivation, public awareness, emotional support for responders, coordination with ambulance staff, program development, and the impact on patient outcomes. Results: This review revealed key dimensions and components common to CFR models worldwide. Notable findings included insights into the significance of training, the motivating factors for individuals joining CFR groups, public awareness regarding the role of CFRs, the importance of emotional support for CFRs, effective coordination with ambulance staff, development requirements of CFR programs, and the consequential effects of plan implementation on patient outcomes. Conclusion: This systematic scoping review offers valuable insights into CFR models worldwide, enhancing understanding of their effectiveness, challenges, and capabilities. Its recommendations can influence policy, guide future research, and strengthen CFRs' contributions to emergency medical services. https://ijph.tums.ac.ir/index.php/ijph/article/view/34511 https://ijph.tums.ac.ir/index.php/ijph/article/download/34511/8412

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 12 2024 12 08 2833 2834 Eunjae Lee 1. Institute of Sports & Arts Convergence (ISAC), Inha University, Incheon, Republic of Korea 2. Waseda Institute for Sport Sciences, Waseda University, Saitama, Japan Seung-Taek Lim 1. Waseda Institute for Sport Sciences, Waseda University, Saitama, Japan 2. College of General Education, Kookmin University, Seoul, Republic of Korea 2024 01 05 2024 04 04 No Abstract. Not Abstract.  https://ijph.tums.ac.ir/index.php/ijph/article/view/34201 https://ijph.tums.ac.ir/index.php/ijph/article/download/34201/8432

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 12 2024 12 08 2749 2758 EN Andrea Mirkovic 1. Department of Medical Sciences, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia 2. Department of Refractive Anomaly Diagnosis, Eye Center “Etiko,” Kragujevac, Serbia Svetlana Radevic Department of Social Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia Nikola Savic Department of Health Studies, Faculty of Health and Business Studies, Singidunum University, Valjevo, Serbia Nela Djonovic Department of Hygiene and Ecology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia Sanja Ilic Department of Medical Sciences, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia Jovana Radovanovic Department of Medical Sciences, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia Snezana Corovic Department of Medical Sciences, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia Snezana Radovanovic Department of Social Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia 2024 01 25 2024 05 24 Background: Sensory impairments, notably hearing loss (68% in those aged 70+) and vision loss (24%-50%), are prevalent in older individuals. We investigated the correlation between visual and hearing impairments in older adults, considering sociodemographic factors, mental health, and social support. Methods: The study is part of The Serbian 2019 National Health Survey, conducted in 2019. Questionnaires were used as the research tool, following the methodology of the European Health Survey. Multivariable logistic regression was used to assess predictors of visual and hearing impairments. Results: Findings revealed a higher prevalence of vision difficulties among women (P< 0.001) and a significant reduction in reported vision issues with increased social support (P< 0.001). Higher education, particularly at the doctoral level, demonstrated a strong protective effect against hearing difficulties (P< 0.001). Conclusion: Education at the doctoral level provides significant protection against sensory difficulties, especially in the case of hearing loss, while a high level of social support positively influences the reduction of vision-related problems. Further research is necessary for a better understanding of relationships and the development of effective support strategies for the elderly population with vision and hearing impairments. https://ijph.tums.ac.ir/index.php/ijph/article/view/34424 https://ijph.tums.ac.ir/index.php/ijph/article/download/34424/8421

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