Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 55 1 2026 02 07 123 132 Weiwei Sun Department of Gynecology, Pingshan District Central Hospital of Shenzhen, Shenzhen 518118, China Xiaolei Song Department of Gynecology, Shenzhen Hospital of Integrated Traditional Chinese and Western Medicine, ShenZhen 518104, China Xiaoxia Wang Department of Gynecology, Shandong Changle People’s Hospital, Weifang 262400, China Kuimei Zhang Department of Gynecology, Shandong Changle People’s Hospital, Weifang 262400, China Gladys Mae R. Laborde Adventist University of the Philippines, Cavite 4118, Philippines Kim Kwang Cheol Yonsei University, Seoul 03722, Republic of Korea Mei Wang Department of Gynecology, Pingshan District Central Hospital of Shenzhen, Shenzhen 518118, China Wenming Cao Department of Gynecology, Pingshan District Central Hospital of Shenzhen, Shenzhen 518118, China Nan Jiang Department of Gynecology, Shenzhen Hospital of Integrated Traditional Chinese and Western Medicine, ShenZhen 518104, China 2025 05 12 2025 09 30 Background: Reproductive health issues significantly impact female college students in China, yet comprehensive data on gynecological disorders and health education needs remain limited. We aimed to evaluate the prevalence, sociodemographic determinants, and health education preferences in this population. Methods: A nationwide cross-sectional study was conducted across 12 provinces from October 2024 to August 2025, including 2,318 female students recruited through stratified random sampling. Data were collected via a validated electronic questionnaire covering demographics, reproductive health status, and education participation. Statistical analyses involved descriptive statistics, chi-square tests, and multivariable regression. Results: High prevalence rates were found for dysmenorrhea (66.18%), irregular menstruation (58.07%), vaginitis (47.89%), premenstrual syndrome (42.19%), and breast disease (36.76%). Significant disparities were identified by education level, residence, and academic major. Rural students showed higher rates of dysmenorrhea (72.62% vs. 59.07%) and irregular menstruation (67.19% vs. 48.00%) than urban students. Although 49.44% had participated in health education, 28.86% had never attended. Students expressed strong preferences for STD prevention (64.32%) and sexual health education (62.25%), with online platforms being the primary information source (34.12%). Over 75% requested free consultations and regular checkups. Conclusion: Chinese female college students face a high burden of gynecological conditions, with notable sociodemographic disparities. Targeted, digital health education initiatives addressing vulnerable subgroups are urgently needed to improve reproductive health outcomes. https://ijph.tums.ac.ir/index.php/ijph/article/view/39077 https://ijph.tums.ac.ir/index.php/ijph/article/download/39077/8752

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 55 1 2026 02 07 1 13 EN Jeehye Jun Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea Choa Sung Biobehavioral Nursing Science, College of Nursing, University of Illinois Chicago, Chicago, USA Chang Park Department of Population Health Nursing Science, College of Nursing, University of Illinois Chicago, Chicago, USA 2025 06 02 2025 10 19 Background: Patients with acute and chronic conditions often experience multiple symptoms known as symptom clusters. The Patient-Reported Outcomes Measurement Information System (PROMIS) is widely used to assess health status across various conditions, but its suitability for identifying symptom clusters remains unclear. Therefore, we examined the internal consistency reliability of PROMIS tools used to measure symptom clusters in adults through a systematic review and a reliability generalization meta-analysis. Methods: We searched four electronic databases (PubMed, CINAHL, ProQuest, and Embase) for relevant articles published through December 31, 2024, including studies that measured symptom clusters in adults using at least one PROMIS measure. Meta-regression using a random effects model was performed to assess study heterogeneity, and funnel plots were employed to evaluate publication bias. Results: The systematic review included 24 studies of 27,982 subjects with or without diseases in community, inpatient, and outpatient settings. Twenty PROMIS domains were used for symptom cluster research, and anxiety and depression were the most frequently used domains. In our reliability generalization meta-analysis of four studies, Cronbach’s alpha coefficients indicated good internal consistency reliability across five PROMIS domains (anxiety, depression, fatigue, pain, and sleep disturbance), with an average reliability of 0.91. Conclusion: PROMIS measures may be reliable for assessing symptom clusters in adults and could serve as valuable tools for researchers and clinicians in patient assessment and symptom management. Nevertheless, future research should rigorously examine the reliability and validity of PROMIS tools in this context. Trial Registration Information: CRD42022373953 (PROSPERO). https://ijph.tums.ac.ir/index.php/ijph/article/view/39381 https://ijph.tums.ac.ir/index.php/ijph/article/download/39381/8742

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 55 1 2026 02 08 173 174 Nader Aghakhani Department of Research and Development, Food and Beverages Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran Béatrice Marianne Ewalds-Kvist 1. Division of Psychology and Logopedics, University of Turku, Turku, Finland 2. Department of Psychology, Stockholm University, Stockholm, Sweden Roghaieh Azimzadeh Department of Medical Surgery Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran 2025 05 29 2025 07 17 No Abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/39328 https://ijph.tums.ac.ir/index.php/ijph/article/download/39328/8757

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 55 1 2026 02 07 133 142 Chengyue Li Research Center of Sports Humanities and Social Sciences (National Sports and Fitness Research Think Tank), Tianjin University of Sport, Tianjin, China Jixing Gu Department of Physical Education, Shinhan University, Uijeongbu-si, Republic of Korea 2025 06 22 2025 09 25 Background: To assess trends and distributional characteristics of forced vital capacity (FVC) and vital capacity index (VCI) (a measure of FVC adjusted for weight) among Chinese children and adolescents aged 7-18 years from 1985 to 2019. Methods: FVC and VCI data for Chinese children and adolescents were obtained from the Chinese National Surveillance on Students’ Constitution and Health surveys in 1985, 1995, 2000, 2005, 2010, 2014 and 2019. VCI (ml/kg) = FVC (ml)/weight (kg). Trends were estimated by sample-weighted regressions with post-stratification population-weighted procedures. The trends in the distributional characteristics were visually described. Results: For the total population, FVC improved by 78.7 ml (95% confidence interval: -203.3 to 360.7 ml) or 0.12 effect size (ES) (-0.42 to 0.66 ES), which was a negligible improvement. VCI decreased by 11.5 ml/kg (4.8 to 18.3 ml/kg) or 0.84 ES (0.34 to 1.34 ES), which was a large decrease from 1985 to 2019. The sex, residence, and age-stratified VCI both experienced significant moderate to large decreases. Stratified by period, the FVC and VCI decreased dramatically until the 21st century, and the decrease stabilized from 2000 to 2010 and thereafter improved. FVC decreased in the lower percentile and increased in the higher percentile. For the VCI, the larger the percentile was, the smaller the decrease was.  Conclusion: Absolute levels of lung function among Chinese children and adolescents have stabilized over the past three decades, but relative levels of lung function have declined significantly. The government should implement health promotion programs to improve respiratory health. https://ijph.tums.ac.ir/index.php/ijph/article/view/39595 https://ijph.tums.ac.ir/index.php/ijph/article/download/39595/8753

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 55 1 2026 02 07 14 25 Mengyuan Wang Department of Pediatric Respiratory Intensive Care, Central Hospital Affiliated to Shandong First Medical University, Shandong, China Chengshuai Zhang Department of Neurorehabilitation, Shengli Oilfield Central Hospital, Shandong, China Hongzan Li School of Nursing, Guangdong Medical University, Guangdong, China 2024 11 21 2025 07 26 Background: We aimed to examine the association between nurse work satisfaction and patient care quality. The goal was to find out key factors influencing nurse’s job satisfaction and how these qualities relate to patient care outcomes by synthesizing prior data. Methods: A literature search was conducted using four databases: PubMed, CINAHL and Embase, published from 2014 and 2023. The inclusion criteria were the impact of nurse job satisfaction on several elements of patient care quality, including safety, effectiveness, patient satisfaction, and overall health outcomes. The research quality was evaluated by established critical evaluation procedures and data were collected and synthesized utilizing standard analysis methodologies. Results: Eighteen studies satisfied the inclusion criteria, indicating a strong positive relationship between nurse work satisfaction and patient care quality. Organizational support, work environment, professional growth opportunities, and workload management were important factors in determining job satisfaction. Nurse’s high job satisfaction levels were consistently linked to increased patient safety, greater patient satisfaction scores, fewer medical mistakes and better overall patient health outcomes. Conclusion: The findings demonstrate the importance of nurse work satisfaction in improving patient care quality. Healthcare organizations should prioritize tactics that increase worker satisfaction, such as creating supportive work environments, giving opportunities for professional development, and guaranteeing acceptable workloads. By addressing these issues, healthcare systems can enhance patient outcomes and overall healthcare quality. https://ijph.tums.ac.ir/index.php/ijph/article/view/37264 https://ijph.tums.ac.ir/index.php/ijph/article/download/37264/8743

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 55 1 2026 02 08 175 176 Mohammed Aljarousha Department of Optometry, Faculty of Health and Life Sciences, Management and Science University, Selangor Darul Ehsan, Malaysia Mohd Zaki Awa Isa Department of Optometry, Faculty of Health and Life Sciences, Management and Science University, Selangor Darul Ehsan, Malaysia Emad Ibrahim Shaqoura 1. School of Medicine, Faculty of Medicine and Health Sciences, Keele University, Staffordshire, UK 2. Islamic University of Gaza, Gaza, Palestine 2025 05 14 2025 06 01 No Abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/39118 https://ijph.tums.ac.ir/index.php/ijph/article/download/39118/8758

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 55 1 2026 02 08 143 150 Bashiru Garba 1. SIMAD Institute for Global Health, SIMAD University, Mogadishu, Somalia 2. Department of Public Health, Faculty of Medicine, & Health Sciences, SIMAD University, Mogadishu, Somalia 3. Department of Veterinary Public Health & Preventive Medicine, Faculty of Veterinary Medicine, Usmanu Danfodiyo Univer-sity, Sokoto, Nigeria Shukri Mohamud Diagnostic Laboratory, Dr. Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia Hafida Samatar Diagnostic Laboratory, Dr. Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia Najib Dirie 1. SIMAD Institute for Global Health, SIMAD University, Mogadishu, Somalia 2. Department of Urology, Faculty of Medicine, and Health Sciences, SIMAD University, Mogadishu, Somalia Abdirahman Mohamud Department of Medicine, Faculty of Medicine, & Health Sciences, SIMAD University, Mogadishu, Somalia Mohamed Adam 1. SIMAD Institute for Global Health, SIMAD University, Mogadishu, Somalia 2. Department of Public Health, Faculty of Medicine, & Health Sciences, SIMAD University, Mogadishu, Somalia Jihaan Hassan 1. SIMAD Institute for Global Health, SIMAD University, Mogadishu, Somalia 2. Department of Pediatrics, Faculty of Medicine, & Health Sciences, SIMAD University, Mogadishu, Somalia Fartun Hassan Orey Department of Pediatrics, Faculty of Medicine, & Health Sciences, SIMAD University, Mogadishu, Somalia Hodo Asowe Department of Nursing and Midwifery, Faculty of Medicine, and Health Sciences, SIMAD University, Mogadishu, Somalia Jamal Mohamoud 1. SIMAD Institute for Global Health, SIMAD University, Mogadishu, Somalia 2. Department of Public Health, Faculty of Medicine, & Health Sciences, SIMAD University, Mogadishu, Somalia Mohamed Ahmed Department of Medicine, Faculty of Medicine, & Health Sciences, SIMAD University, Mogadishu, Somalia 2024 05 20 2025 11 26 Qian Lihua Department of Gynecology, Taixing People's Hospital, Taizhou, Jiangsu, China 2024 12 24 2025 04 01 Hypertensive disorders of pregnancy (HDP) are the predominant pregnancy complication in both high and low-middle-income countries. The age-standardized incidence rate and the absolute incidence number of HDP in low-middle-income countries are 2-fold and 4-fold higher than in high-income countries in 2021, respectively.  However, the reduction in the age-standardized prevalence rate (-41.1% vs. -8.7%) and incidence rate (-40.8% vs. -7.1%) of HDP is ≈5-fold faster in low-middle income countries compared with high-income countries between 1990 and 2021. Moreover, HDP is significantly associated with the increased risk of adverse perinatal outcomes, including preterm birth, low birth weight, and perinatal mortality in both high and low-middle-income countries. In the current review, we have highlighted the prevalence, incidence, and temporal trend of HDP and its association with adverse perinatal outcomes in high and low-middle-income countries.  https://ijph.tums.ac.ir/index.php/ijph/article/view/37600 https://ijph.tums.ac.ir/index.php/ijph/article/download/37600/8512

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 54 4 2025 04 02 891 893 Mostafa Saadat Department of Biology, School of Sciences, Shiraz University, Shiraz, Iran Erfan Parizadeh Department of Biology, School of Sciences, Shiraz University, Shiraz, Iran 2024 06 11 2024 09 01 No Abstract. Not Abstract.   https://ijph.tums.ac.ir/index.php/ijph/article/view/35776 https://ijph.tums.ac.ir/index.php/ijph/article/download/35776/8533

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 54 4 2025 04 02 785 794 Djoko Raicevic Department of Geography, Tourism and Hotel Management, Faculty of Sciences, University of Novi Sad, Novi Sad, Serbia Mirko Mikic Department of Dentistry, Faculty of Medicine, University of Montenegro, Podgorica, Montenegro Ivan Mijanovic Faculty of Philosophy, University of Montenegro, Nikšić, Montenegro Nikola Milentijevic Department of Geography, Faculty of Sciences and Mathematics, University of Priština in Kosovska Mitrovica, Kosovska Mitrovica, Serbia 2024 08 28 2025 01 14 Background: We aimed to indicate whether the regional disparity in the general mortality rate from cardiovascular (CVDs) and chronic respiratory (CRDs) diseases correlates with the trends of the average annual values of PM10 particles in selected cities in Montenegro. Methods: We used descriptive statistics together with correlation tests. The paper deals with the regional distribution of mortality caused by CVDs and chronic respiratory (CRDs) diseases in Montenegro from 2011 to 2019, while the correlation of mortality in selected cities with PM10 particles covers the period from 2011 to 2019. Results: The selected cities from different regions of Montenegro, such as Pljevlja and Niksic, exhibited significant correlations between increased pollution concentrations and mortality from cardiovascular diseases. In Pljevlja, a strong correlation was found between PM10 concentrations and CVD mortality (r = 0.8), while in Niksic, the association between PM10 particles and CVD mortality in women was relatively strong (β=2.7). Similar, but weaker correlations were observed in Podgorica (r=0.5) and Bar (r=0.4). Regarding respiratory diseases, the correlations with PM10 particles were negative and weaker in all cities, with the lowest coefficients observed in Podgorica (r = -0.2) and Nikšić (r = -0.3), suggesting a lesser impact of pollution on mortality from respiratory diseases compared to cardiovascular diseases. Conclusion: Mortality trends particularly for cardiovascular diseases, show a strong correlation with poor air quality in certain cities, especially Pljevlja and Niksic. Reducing pollutant emissions would significantly contribute to improving public health in Montenegro. Future research must include established measuring stations network for air quality analysis in Montenegro.   https://ijph.tums.ac.ir/index.php/ijph/article/view/36493 https://ijph.tums.ac.ir/index.php/ijph/article/download/36493/8519

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 54 4 2025 04 01 710 722 Jielin Li Department of Thoracic Internal Medicine, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang 110042, Liaoning Province, China Yuan Liang Department of Thoracic Internal Medicine, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang 110042, Liaoning Province, China 2024 07 04 2024 12 06 NTRK gene is responsible for encoding TRK, which consists of three family members: NTRK1, NTRK2, and NTRK3. These family members encode different proteins known as TRKA, TRKB, and TRKC, respectively. NTRK fusion genes are the clearest driving factor for carcinogenesis. NTRK gene fusion detection and TRK inhibitors are effective measures for the treatment of malignant tumors. The development of anti-tumor drugs targeting TRK proteins has been favored by various scientific research institutions and pharmaceutical companies. The first-generation TRK inhibitors, larotrectinib and entrectinib, have been approved for the treatment of pediatric and adult patients with metastatic or locally advanced solid tumors harboring NTRK fusion proteins, demonstrating remarkable anticancer efficacy in clinical settings. However, the issue of acquired resistance to TRK inhibitors has emerged. Currently, efforts are underway to develop next-generation TRK inhibitors based on sequence, structural, and kinetic methodologies, as well as to explore the intracellular signaling pathways of TRK and the mechanisms underlying resistance. The main focus of this review was to discuss the fusion of NTRK genes and the application of TRK inhibitor treatment. https://ijph.tums.ac.ir/index.php/ijph/article/view/35967 https://ijph.tums.ac.ir/index.php/ijph/article/download/35967/8513

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 54 4 2025 04 02 894 895 EN Bahman Matinpour Department of Clinical Psychology, Shahed University, Tehran, Iran Elaheh Naseri Department of Clinical Psychology, University of Tabriz, Tabriz, Iran Arina Attaran Department of Clinical Psychology, Islamic Azad University Central Tehran Branch, Tehran, Iran Javad Kazemi Department of Educational Sciences and Counseling, Sayyed Jamaleddin Asadabadi University, Asadabad, Iran Alireza Karimpourvazifehkhorani Department of Clinical Psychology, University of Tabriz, Tabriz, Iran 2024 09 20 2025 02 24 No Abstract. Not Abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/36680 https://ijph.tums.ac.ir/index.php/ijph/article/download/36680/8534

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 54 4 2025 04 02 795 800 Kee Leng Chua Staff Health Clinic and Wellness Centre, National University Hospital, Singapore 119074, Singapore Hwang Ching Chan Epidemiology Unit, National University Hospital, Singapore 119074, Singapore Jyoti Somani Epidemiology Unit, National University Hospital, Singapore 119074, Singapore See Ming Lim Staff Health Clinic and Wellness Centre, National University Hospital, Singapore 119074, Singapore 2024 09 04 2024 12 15 Background: We investigated trends in acute respiratory illnesses and influenza activity in Singapore throughout the COVID-19 pandemic. Methods: Publicly available data from the Ministry of Health, Singapore was used to estimate the number of daily acute respiratory illnesses (ARI) and influenza cases between 2019 and Jun 2023. Overseas travel activity was obtained from the Department of Statistics, Singapore. Trends in ARI and influenza activity during different phases of the COVID-19 pandemic with changes in key public health measures were compared. Results: Pre-pandemic influenza activity exhibited seasonal peaks in Jan and Jul, with daily estimated cases exceeding 40 during these periods. During the early pandemic, influenza cases declined sharply to close to zero and remained at these levels until mid-2022, even after public health measures were eased. ARI cases followed a similar initial decline but gradually returned to pre-pandemic levels by 2023, with peaks occurring outside the usual seasonal pattern. These trends corresponded with phases of public health measures, including mask-wearing and travel restrictions. Conclusion: Several hypotheses for these contrasting trends were explored, including increased public health awareness, higher influenza vaccination rates, and potential virus-virus interactions.   https://ijph.tums.ac.ir/index.php/ijph/article/view/36539 https://ijph.tums.ac.ir/index.php/ijph/article/download/36539/8520

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 54 4 2025 04 01 723 738 Zahra Gohari Dezfuli 1. Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran 2. Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran Minoo Hasan Rashedi 1. Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran 2. Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran Fatemeh Naeini Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran Sakineh Shab-Bidar Department of Community Nutrition, School of Nutritional Science and Dietetics, Tehran University of Medical Sciences, Tehran, Iran Mohammadhossein Pourgharib-Shahi Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran Xueying Zhang Shenzhen Key Laboratory of Metabolic Health, Center for Energy Metabolism and Reproduction, Shenzhen Institutes of Ad-vanced Technology, Chinese Academy of Sciences, Shenzhen, China Elaheh Dehghani 1. Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran 2. Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran Kurosh Djafarian 1. Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran 2. Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran 2024 08 27 2024 11 11 Background: Numerous studies have aimed to compare the effects of glucose (Glu) consumption with those of glucose-fructose (Glu-Fru) consumption on oxidation rates during exercise. However, divergent outcomes have surfaced due to variations in exercise protocols and concurrent substance ingestion, leading to a lack of consensus. This systematic review and meta-analysis investigated the comparative effects of Glu and Glu-Fru on total carbohydrate oxidation, endogenous carbohydrate oxidation, exogenous carbohydrate oxidation, and total fat oxidation rates during exercise. Methods: A systematic search of PubMed, Scopus, and Web of Science databases up to February 2023.  The search yielded 14 randomized controlled trials involving 125 endurance athletes. Results: The meta-analyses revealed that Glu supplementation significantly increased total carbohydrate oxidation (WMD: 0.21 g/min) compared to Glu-Fru. Endogenous carbohydrate oxidation significantly increased with Glu (WMD: -0.12), while Glu-Fru led to increased exogenous carbohydrate oxidation (WMD: 0.27 g/min). Total fat oxidation decr eased with Glu-Fru (WMD: -0.06 g/min). Conclusion: By investigating athletic nutrition complexities, our findings shed light on metabolic responses to Glu-Fru versus Glu supplementation. Tailoring hydration strategies, athletes should select an optimal Glu-Fru to Glu ratio for maximal oxidation and enhanced performance. Future research could explore dose-response relationships for optimal metabolic benefits during exercise. https://ijph.tums.ac.ir/index.php/ijph/article/view/36484 https://ijph.tums.ac.ir/index.php/ijph/article/download/36484/8514

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 54 4 2025 04 02 896 898 Farzane Ahmadi Department of Biostatistics and Epidemiology, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran Farzaneh Karamitanha Department of Community Medicine, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran Mobin Hafezipour Student Research Committee, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran Kaveh Hadiloo Student Research Committee, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran 2024 06 09 2024 10 29 No Abstract. Not Abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/35755 https://ijph.tums.ac.ir/index.php/ijph/article/download/35755/8535

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 54 4 2025 04 02 801 809 Kyoung-lee Kim Asia Contents Institute, Konkuk University, Seoul, South Korea Eun-ra Cho Institute of French Culture and Regional Studies, Chonnam National University, Gwangju, South Korea 2025 02 10 2025 04 02  Background: We explored the perceptions, value, and social visibility of public toilets by comparing the implementation of public restrooms at the 2020 and 2024 Olympics. We specifically examined how sociocultural factors influenced restroom policies and development. Methods: We conducted a survey of the history of public toilets as a form of public hygiene management in Japan and France during the Olympics. The analyses compare Paris’s eco-friendly and Tokyo’s culture-oriented approaches. Results: The 2020 Tokyo Olympics demonstrated how public restrooms can promote cleanliness and hygiene. However, the 2024 Paris Olympics adopted a practical, eco-friendly approach in response to the climate crisis. Thus, the public restrooms in both cities provided novel examples of public health policies, integrating scientific and cultural perspectives. Conclusion: Although Tokyo successfully implemented its sanitation culture in its public restrooms, challenges related to sustainability remained. In Paris, the perceptions of public restrooms have not yet been fully addressed. Nevertheless, the innovative approaches of both cities are expected to yield constructive outcomes for the 2028 Games, demonstrating the future value of such policies.   https://ijph.tums.ac.ir/index.php/ijph/article/view/38119 https://ijph.tums.ac.ir/index.php/ijph/article/download/38119/8521

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 54 4 2025 04 02 739 750 Mohammad Hossein Mehrolhassani Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Vahid Yazdi-Feyzabadi Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Reza Dehnavieh Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Kambiz Bahaadinbeigy Medical Informatics Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Mohammad Kargar Faculty of Management and Medical Informatics, Kerman University of Medical Sciences, Kerman, Iran 2023 02 17 2024 10 07  Background: Despite the implementation of some experimental and temporary telemedicine projects in Iran in recent years, it has not been deployed in formal healthcare services. The first step in establishment of this technology in health system is identification of barriers of this area. Therefore, this study aimed to identify the barriers to telemedicine establishment in Iran health system. Methods: A systematic review was conducted according to PRISMA guidelines. Searches were conducted in PubMed, Web of Sciences, Scopus, Cochrane Library, Iranmedex, Magiran, SID and Google Scholar. The inclusion criteria were studies that reported barriers to telemedicine in Iran, non-review studies, published studies in English and Persian between Nov 22, 2010 and Mar 20, 2022. Data were analyzed using narrative synthesis and deductive-inductive thematic analysis and the World Health Organization building blocks framework was used in this regard. Results: Out of 1148 studies identified, 21 studies met the inclusion criteria for review. The findings fell into four themes, including governance/leadership, financing, health workers, and health information system besides 11 sub-themes. No specific findings were derived from the building blocks of service delivery and medical product, vaccines and technologies. Conclusion: Governance is an integral part of other building blocks of the health systems. Hence, overcoming the barriers in this field can be prioritized. Therefore, ensuring the existence of strategic policy frameworks along with some other factors such as effective supervision, coalition building, laws and regulations, and community participation can be the first solutions for establishment of telemedicine in Iran. https://ijph.tums.ac.ir/index.php/ijph/article/view/31269 https://ijph.tums.ac.ir/index.php/ijph/article/download/31269/8515

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 54 4 2025 04 02 810 819 Maja Vuković Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina Miloš Maksimović 1. Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina 2. Institute of Hygiene and Medical Ecology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia Siniša Ristić Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina Milan Kulić Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina Biljana Mijović Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina Marija Milić Faculty of Medicine, University of Pristina Temporarily Settled in Kosovska Mitrovica, Kosovska Mitrovica, Serbia Nenad Lalović 1. Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina 2. University Hospital Foča, Foča, Republic of Srpska, Bosnia and Herzegovina Nikolina Elez-Burnjaković Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina Danijela Radulović Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina Dajana Nogo-Živanović Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina Ljiljana Krsmanović 1. Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina 2. University Hospital Foča, Foča, Republic of Srpska, Bosnia and Herzegovina Nada Avram 1. Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina 2. University Hospital Foča, Foča, Republic of Srpska, Bosnia and Herzegovina Biljana Milinković 1. Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina 2. University Hospital Foča, Foča, Republic of Srpska, Bosnia and Herzegovina Siniša Šolaja 1. Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina 2. University Hospital Foča, Foča, Republic of Srpska, Bosnia and Herzegovina Sandra Matović Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina Jovan Kulić Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina Bojan Joksimović Faculty of Medicine Foča, University of East Sarajevo, Foča, Republic of Srpska, Bosnia and Herzegovina 2024 11 01 2024 12 23 Background: Undernutrition disorder is a prevalent comorbidity (up to 25%) in type 2 diabetes (T2D) patients which significantly compromises their health. We aimed to assess the association between single nucleotide polymorphysms (SNPs) adiponectin (ADIPOQ) +276 (G/T) and resistin (RETN) -420 (C/G) with the risk of developing T2D and undernutrition in patients with T2D. Methods: The research was conducted as prospective case-control study among 106 patients with T2D and 106 healthy control individuals in the territory of the Bosnia and Herzegovina from Sep 1st 2022 to May 1st 2023. For assessing the nutritional status, the mini nutritional assessment (MNA) was used. DNA analysis was carried out by restriction fragment length polymorphism-polymerase chain reaction (RFLP-PCR) method. The data were analyzed using chi-square test, t-test for independent samples and binary multivariate logistic regression. Results: The research included 212 subjects of which 124 (58.5%) were male. The mean age of the subjects was 68.48±4,67 yr. Almost 20% of subjects were undernourished, significantly more T2D patients when compared to controls (33% vs. 6.6%; P<0.001). ADIPOQ +276 GT genotype was identified as significant predictor of T2D (OR: 3.454; 95% CI: 1.400-8.521; P=0.007) and undernutrition disorder (OR: 3.453; 95% CI: 1.331-8.961; P=0.011) in T2D population, while the presence of RETN -420 CG genotype had protective effect against occurrence of T2D (OR: 0.353; 95% CI: 0.144-0.867; P=0.023). However, RETN genotypes were not associated with undernutrition disorder. Conclusion: ADIPOQ +276 gene polymorphism represent a significant predictor for development of T2D and undernutrition disorder in T2D population, while RETN -420 gene polymorphism was identified as a significant factor associated with a reduced risk for T2D, but was not associated with undernutrition. https://ijph.tums.ac.ir/index.php/ijph/article/view/37081 https://ijph.tums.ac.ir/index.php/ijph/article/download/37081/8522

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 54 4 2025 04 02 820 829 Yeon-Ju Kim Department of Nursing, Hyundai Women's & Children's Hospital, Jeollanam-do, Republic of Korea Yeonran Hong Department of Nursing, Sunchon National University, Jeollanam-do, Republic of Korea Ho-Jin Lee Department of Nursing, Yeungnam University College, Daegu, Republic of Korea 2024 12 13 2025 04 02 Background: We investigated the effects of self-leadership, resilience, and communication ability on the intention to keep one’s nursing job among Korean nurses. Methods: Data were collected from 245 nurses from hospitals in Jeollanam-do Province, Republic of Korea in 2022. The collected data were analyzed using independent t-tests, one-way analyses of variance, post-hoc tests, Pearson’s correlation coefficients, and stepwise multiple regression. Results: The intention to keep one’s nursing job was positively correlated with self-leadership (r=0.34, P<0.001), resilience (r=0.45, P<0.001), and communication ability (r=0.34, P<0.001). Positive correlations were also found between self-leadership and resilience (r=0.65, P<0.001), communication ability and self-leadership (r=0.49, P<0.001), and resilience and communication ability (r=0.69, P<0.001). Furthermore, resilience (β=0.27, P=0.001), age (β=0.26, P<0.001), welfare satisfaction (β=0.17, P=0.003), and communication ability (β=0.16, P=0.031) influenced nurses’ intention to keep their jobs. The regression model was statistically significant (F=24.94, P<0.001), and the explanatory power was 29.4%. Conclusion: Nurses’ intention to keep their jobs can be strengthened by improving their treatment, welfare, and communication abilities. Accordingly, educational programs are needed to create an efficient nursing environment and improve nurses’ resilience and communication abilities. https://ijph.tums.ac.ir/index.php/ijph/article/view/37521 https://ijph.tums.ac.ir/index.php/ijph/article/download/37521/8523

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 54 4 2025 04 02 830 838 Jianhong Dong Student Psychological Development Guidance Center, Xi 'an Shiyou University, Xi 'an, China Jing Chao College of Modern Service Management, Shandong Youth University of Political Science, Jinan, China 2025 02 26 2025 04 02 Background: Information Technology (IT) workers have long experienced high-intensity work pressure and overwork, thus bringing severe challenges to managing their mental health. As a key predictor of IT workers’ mental health, perceived stress significantly affects their tendency to experience depression. Self-esteem and self-control are important factors that influence individuals to regulate their behaviors and emotions and cope with challenges, thereby playing a possible chain mediating role in the relationship between perceived stress and depression. Methods: In this study, 708 IT workers in Shaanxi Province were investigated anonymously through questionnaires. The perceived stress scale, depression scale, self-esteem scale, and self-control scale were used to examine the influence of perceived stress on IT workers’ depression. Subsequently, the chain mediating role of self-esteem and self-control in this relationship was tested. Results: Perceived stress is found to influence IT workers’ depression (P < 0.01). Furthermore, self-esteem and self-control play a chain mediating role in the relationship between perceived stress and IT workers’ depression (P < 0.01). In addition, the duration of occupation in IT work influences the depression of IT workers significantly (P < 0.01). Conclusion: This study revealed the chain mediating roles of self-esteem and self-control in the influence of perceived stress on IT workers’ depression. This finding is of great reference value for reducing the depression risk of IT workers and implementing mental health intervention. Conclusion: Accurate evaluation of the governance ability of urban public health can provide guidance and policy propositions to improve the governance system of public health. https://ijph.tums.ac.ir/index.php/ijph/article/view/38292 https://ijph.tums.ac.ir/index.php/ijph/article/download/38292/8524

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 54 4 2025 04 02 839 849 EN Hye-Eun Oh Public Health and Medical Services Team, Ulsan University Hospital, Ulsan, Republic of Korea Hye-Jin Kim Department of Nursing, University of Ulsan, Ulsan, Republic of Korea 2024 09 05 2024 11 11 Background: We aimed to verify effects of a self-efficacy-based breastfeeding support program (SBP) through a 1:1 face-to-face education and non-face-to-face education via phone counselling on breastfeeding and postnatal depression in primiparous women. Methods: This is a nonequivalent control group pre-posttest design study and primiparous women who gave birth at a tertiary general hospital in South Korea from May to Oct 2022 participated. Participants in the experimental group were provided with SBP (6 educational sessions) by the researcher for 4 wk after birth. Pre and post-test measures included breastfeeding knowledge, breastfeeding self-efficacy, adaption, breastfeeding rate, and postnatal depression. Results: The participants were 48, with 26 in the SBP