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Barati M, Bashirian S, Abdi J, Sadri M, Afshari M, Taheri M, Khazaei S, Rostami-Moez M. Predictors of COVID-19 vaccination intention among Iranian population: applying the theory of planned behavior. GMS Hyg Infect Control 2022; 17:Doc21. [PMID: 36570820 PMCID: PMC9761792 DOI: 10.3205/dgkh000424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Background The present study was conducted to assess the determinants of the intention to receive the COVID-19 vaccination among the Iranian population. Methods In this cross-sectional study, 1,056 individuals of the general population living in Hamadan County were studied from April to June 2021. Using a proportional stratified sampling method, subjects were selected from those covered by 34 comprehensive health service centers and health bases. Then, the subjects were selected by simple random sampling. Data were collected by sending a questionnaire link to eligible individuals, who completed it online. The questionnaire determined demographic data and constructs of the Theory of Planned Behavior. Results 1,056 subjects answered the study; women accounted for 57.9% of the respondents. According to the findings, the majority of respondents (79.5%) reported that they would strongly agree and agree to get vaccinated against COVID-19. Older age, male gender, occupation, underlying chronic disease, death of relatives and friends due to COVID-19, and history of influenza vaccinations were significantly related to the intention to get vaccinated against COVID-19 (P>0.05). Also, the intention was associated with increased scores in the attitude toward the behavior, subjective norm, and perceived behavioral control. Conclusion Despite doubt about the details of the intention to receive COVID-19 vaccination, most subjects reported intending to be vaccinated against COVID-19, but the real rate of vaccination may be lower. Vaccination intention reflects overall vaccination attitudes, subjective norms, and perceived behavioral control.
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Affiliation(s)
- Majid Barati
- Department of Public Health, School of Health, Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Saeed Bashirian
- Department of Public Health, School of Health, Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Jalal Abdi
- Public Health, Health Center of Hamadan, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mohadeseh Sadri
- MSc of Health Education, Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Maryam Afshari
- Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran,Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran,Research Center for Health sciences, Hamadan University of Medical Sciences, Hamadan, Iran,*To whom correspondence should be addressed: Maryam Afshari, Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Shahid Fahmideh Ave., 6517838695 Hamadan, Iran, Tel: +98 813 8380090 09183502663, Fax: +98 813 8380509, E-mail:
| | - Malihe Taheri
- Public Health, Health Center of Hamadan, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Salman Khazaei
- Research Center for Health Sciences, Hamadan university of Medical Sciences, Hamadan, Iran
| | - Masomeh Rostami-Moez
- Public Health, Health Center of Hamadan, Hamadan University of Medical Sciences, Hamadan, Iran
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Rostami-Moez M, Kangavari M, Teimori G, Afshari M, Ebrahimi Khah M. Cultural adaptation for country diversity: A systematic review of injury prevention interventions caused by domestic accidents in children under five years old. Med J Islam Repub Iran 2019; 33:124. [PMID: 32280630 PMCID: PMC7137865 DOI: 10.34171/mjiri.33.124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2018] [Indexed: 11/21/2022] Open
Abstract
Background: Children under five years old are the most vulnerable in home-injuries. More than half of the accident happens at home. Intervention programs are effective ways to reduce the risk of injuries. The use of cultural strategies has been recommended for effective interventions. The aim of this study was to evaluate cultural adaptability in interventional studies which were performed to prevent injuries caused by domestic accidents in children under five years old in all countries.
Methods: This systematic review has been conducted from June to July 2016. Iran Medex, Magiran, SID from Persian databases and Scopus, Web of Science, Science direct, Pub Med, Biomed central from English databases were employed. Available cultural adaptation guidelines were used to compare the cultural adaptation strategies. A search of studies had been conducted from the creation of databases until July 2016.
Results: Overall, 15 studies were entered into the analyses. The interventional approach in 11 studies was an educational approach. Consequently, 8 studies from 11 reported that they had significantly achieved all expected outcomes. Three studies had used behavioral change models or theories to achieve the desired changes. Seven studies had considered socio-cultural strategy in their interventions, and six studies had reported achieving outcomes. Only seven studies acquired a minimum score of cultural adaptation.
Conclusion: In this systematic review, an educational intervention was effective in preventing child injuries. If cultural strategies are taken into consideration in interventions, they will have a change in behavior in this regard. Also, theoretical frameworks and models can be effective.
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Affiliation(s)
- Masomeh Rostami-Moez
- Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mehdi Kangavari
- Department of Occupational Health and Safety, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Gholamheidar Teimori
- Department of Environmental Health Engineering, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.,Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
| | - Maryam Afshari
- Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Marya Ebrahimi Khah
- Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
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Rostami-Moez M, Kangavari M, Teimori G, Afshari M, Ebrahimi Khah M, Bande Elahi K. Cultural adaptation for country diversity: A systematic review of injury prevention interventions caused by domestic accidents in children under five years old. Med J Islam Repub Iran 2019. [DOI: 10.47176/mjiri.33.124] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
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Moeini B, Rostami-Moez M, Besharati F, Faradmal J, Bashirian S. Adult Functional Health Literacy and its Related Factors: A Cross-Sectional Study. Int J Epidemiol Res 2019. [DOI: 10.15171/ijer.2019.05] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Background and aims: Health literacy (HL) can affect individual health, health communication and error in taking medicine. The aim of this study was to determine the level of HL and associated factors among Iranian adults. Methods: In this cross-sectional study, 240 participants over 18 years of age referring to health centers in Hamadan, west of Iran in 2015 were selected by multistage random sampling. HL was assessed by the Test of Functional Health Literacy in Adults (TOFHLA). The questionnaire was completed by a trained interviewer. The independent variables were structural and intermediate social factors based on the Commission on Social Determinants of Health (CSDH). Data were analyzed by using IBM SPSS version 22. Results: Average age of the participants was 30.88 ±7.38 years and 75.4% of the them were female. The total score of HL was 64.58 ±16.71 (range: 23.82-98.98). Overall, 31.7% (n=76) of the participants had adequate HL level, 32.5% (n=78) had borderline HL level and 35.8% (n=86) had inadequate HL level. Additionally, participants with higher educational levels had higher HL scores than those with lower educational levels (P<0.001). HL score was significantly higher in males than in females (P=0.017). Conclusion: HL level seems to be inadequate among Iranian adults in the west of Iran. Moreover, enhancing social determinants such as educational level seems to increase HL. The results highlighted the necessity for change and improvement in adults’ HL.
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Affiliation(s)
- Babak Moeini
- Department of Public Health, School of Public Health, Social Determinants of Health Research Center Hamadan University of Medical Sciences, Hamadan, Iran
| | - Masomeh Rostami-Moez
- Research Center for Health Sciences Hamadan University of Medical Sciences, Hamadan, Iran
| | - Fereshteh Besharati
- School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Javad Faradmal
- Modeling of Noncommunicable Diseases Research Center & Department of Biostatistics and Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Saeed Bashirian
- School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
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Rostami F, Afshari M, Rostami-Moez M, Assari MJ, Soltanian AR. Knowledge, Attitude, and Practice of Pesticides Use Among Agricultural Workers. Indian J Occup Environ Med 2019; 23:42-47. [PMID: 31040589 PMCID: PMC6477942 DOI: 10.4103/ijoem.ijoem_153_18] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Background: Pesticides have critical effects on human health. Because of the high amount of pesticides used, individual exposure is almost inevitable. According to the above-mentioned issues, few studies have been done in this area in Iran. Therefore, this study was conducted to evaluate the knowledge, attitude, and practice of pesticides use among farmers in Kabudrahang County, Hamadan Province, Iran. Materials and Methods: This cross-sectional study was conducted in Kabudrahang County. Data were collected from 262 farmer's sprayer, during April to July 2016. Data were collected, using convenience sampling through interviews with the farmers who had spryer during period spraying. Data collection instrument was a questionnaire that included three sections. Content validity ratio and content validity index indicators were used to measure the validity of questionnaire used from. Data were recorded in SPSS version 21.0 (SPSS Inc., Chicago, Illinois) and were analyzed using frequency analysis and Pearson correlation test. Results: Burning eyes and dizziness were the greater symptoms of poisoning with pesticides. Overall, most of them did not have proper knowledge. Many farmers had proper attitudes toward the use of personal protective equipment. However, 37.4% of them reported that the use of personal protective equipment is not easy. The farmers' practice toward the use of the personal protective equipment correlated with their knowledge and attitude (P < 0.001). Conclusion: It is proposed that educational sets consisted of acquaintance with poisons and their applications, storage, and carrying the pesticides, the methods for effective of different individual protection facilities, and utilizing the behavior to reduce the exposure to poisons should be developed and be available to farmers.
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Affiliation(s)
- Fatemeh Rostami
- Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Maryam Afshari
- Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Masomeh Rostami-Moez
- Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mohammad Javad Assari
- Center of Excellence for Occupational Health, Occupational Health and Safety Research Center, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Ali Reza Soltanian
- Department of Biostatistics, Hamadan University of Medical Sciences, Hamadan, Iran
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Rostami-Moez M, Rezapur-Shahkolai F, Hazavehei SMM, Karami M, Karimi-Shahanjarini A, Nazem F. Effect of Educational Program, Based on PRECEDE and Trans-Theoretical Models, on Preventing Decline in Regular Physical Activity and Improving it among Students. J Res Health Sci 2017; 17:e00375. [PMID: 28469045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Accepted: 04/05/2017] [Indexed: 06/07/2023] Open
Abstract
BACKGROUND Adolescents especially middle school girls do not follow 60 min of regular physical activity (RPA), recommended by WHO, and endure physical activity decline. Using theory-based interventional program, considering the age of decline in RPA, seems to be effective. The aim of this study was to determine the effects of educational program, based on PRECEDE and Trans-Theoretical models, on preventing decline in RPA and improving it among 7th grade girl students. STUDY DESIGN Randomized controlled trial. METHODS This study was conducted on 7th grade girl students in Hamadan, west of Iran from 2015-16. Participants were divided into intervention (N=179) and control (N=165) groups by random assignment. Physical activity questionnaire for adolescents and the model-based questionnaire were used before and after intervention. Intervention included two months education and six months follow up. The effects of intervention were determined by statistical test and analysis of covariance using SPSS version 16. RESULTS The higher change in the mean scores was observed in self-efficacy (0.86), counter condition (0.66) and helping relationship (0.57) in the intervention group (P≤0.001). In addition, a significant difference (P ≤0.001) was observed between the two groups 6 months after the intervention in all constructs of model. The mean score of doing physical activity in the intervention group increased from 2.50 to 3.17 that it was differed significantly from the control group (P≤0.001). CONCLUSIONS: School based intervention using PRECEDE and Trans-Theoretical models might prevent girl students' RPA decline and improve their RPA.
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Affiliation(s)
- Masomeh Rostami-Moez
- Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Forouzan Rezapur-Shahkolai
- Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
| | | | - Manoochehr Karami
- Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Akram Karimi-Shahanjarini
- Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Farzad Nazem
- Department of Sport Physiology, Section of Health Science, Faculty of Physical Education and Sport Sciences, Bu-Ali Sina University, Hamadan, Iran
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