1.Prevalence of iron deficiency anemia in Asian female population and human development index (HDI): an ecological study
Elham GOODARZI ; Reza BEIRANVAND ; Hasan NAEMI ; Isan DARVISHI ; Zaher KHAZAEI
Obstetrics & Gynecology Science 2020;63(4):497-505
Objective:
Anemia is a major problem in developing countries, the purpose of the present study was to investigate the relationship between the human development index (HDI) and the prevalence of anemia among Asian women.
Methods:
This was a descriptive-analytic ecological study. The study analyzed data including HDI and prevalence of anemia extracted from the World Bank. The correlation coefficient and analysis of variance were used for data analysis. The significance level was considered to be less than 0.05. Analyses were performed using Stata-14 software.
Results:
The results revealed that the prevalence of anemia in women of reproductive age (R=−0.626, P<0.001), pregnant women (R=−0.576, P<0.001) and non-pregnant women (R=−0.623, P<0.0001) was significantly negatively correlated with HDI index. In the analysis of HDI components and the prevalence of anemia, a significant negative correlation was observed between the prevalence of anemia and the mean years of schooling, life expectancy at birth, and expected years of schooling indices in all 3 groups of women (non-pregnant, pregnant, and of reproductive age) (P<0.05).
Conclusion
Since there was a negative correlation between the prevalence of anemia in women and HDI, paying greater attention to factors which influence anemia may contribute to the prevention of anemia in developing countries.
2.Knowledge, attitude, practice, and self-efficacy of women regarding cervical cancer screening
Shahnaz GHALAVANDI ; Alireza HEIDARNIA ; Fatemeh ZAREI ; Reza BEIRANVAND
Obstetrics & Gynecology Science 2021;64(2):216-225
Objective:
Iran has a low incidence of cervical cancer (CC). The country is introducing an organized screening system, including human papillomavirus screening. Studies show a high dropout rate among eligible women in continuing testing.
Methods:
This descriptive-analytic study was part of the first phase of a clinical trial conducted on a random sample of 400 women aged 18–49 in Andimeshk City, Khuzestan Province, in 2020. The data collection tool consisted of a man-made questionnaire that included domains of demographic characteristics, knowledge, attitude, practice, and self-efficacy in the Pap smear test. The data were analyzed with Stata-16 using linear and logistic regression models.
Results:
The mean knowledge, attitude, and self-efficacy scores were 6.80±2.33, 34.99±4.32, and 28.67±7.34, respectively. In the multiple models, every unit increase in the knowledge or attitude scores raised the mean self-efficacy score by 1.04 and 0.48, respectively (P<0.001). Every unit increase in the knowledge and self-efficacy scores increased the chance of performing Pap smear 1.61 and 1.41 times, respectively (P<0.001).
Conclusion
Given the association of women’s knowledge and self-efficacy with practice in performing the Pap smear, it seems that an effective program promoting women’s health behavior regarding CC screening would include applied education to raise community awareness and improve women’s attitudes, self-efficacy, and practice.
3.Prevalence of iron deficiency anemia in Asian female population and human development index (HDI): an ecological study
Elham GOODARZI ; Reza BEIRANVAND ; Hasan NAEMI ; Isan DARVISHI ; Zaher KHAZAEI
Obstetrics & Gynecology Science 2020;63(4):497-505
Objective:
Anemia is a major problem in developing countries, the purpose of the present study was to investigate the relationship between the human development index (HDI) and the prevalence of anemia among Asian women.
Methods:
This was a descriptive-analytic ecological study. The study analyzed data including HDI and prevalence of anemia extracted from the World Bank. The correlation coefficient and analysis of variance were used for data analysis. The significance level was considered to be less than 0.05. Analyses were performed using Stata-14 software.
Results:
The results revealed that the prevalence of anemia in women of reproductive age (R=−0.626, P<0.001), pregnant women (R=−0.576, P<0.001) and non-pregnant women (R=−0.623, P<0.0001) was significantly negatively correlated with HDI index. In the analysis of HDI components and the prevalence of anemia, a significant negative correlation was observed between the prevalence of anemia and the mean years of schooling, life expectancy at birth, and expected years of schooling indices in all 3 groups of women (non-pregnant, pregnant, and of reproductive age) (P<0.05).
Conclusion
Since there was a negative correlation between the prevalence of anemia in women and HDI, paying greater attention to factors which influence anemia may contribute to the prevention of anemia in developing countries.
4.Knowledge, attitude, practice, and self-efficacy of women regarding cervical cancer screening
Shahnaz GHALAVANDI ; Alireza HEIDARNIA ; Fatemeh ZAREI ; Reza BEIRANVAND
Obstetrics & Gynecology Science 2021;64(2):216-225
Objective:
Iran has a low incidence of cervical cancer (CC). The country is introducing an organized screening system, including human papillomavirus screening. Studies show a high dropout rate among eligible women in continuing testing.
Methods:
This descriptive-analytic study was part of the first phase of a clinical trial conducted on a random sample of 400 women aged 18–49 in Andimeshk City, Khuzestan Province, in 2020. The data collection tool consisted of a man-made questionnaire that included domains of demographic characteristics, knowledge, attitude, practice, and self-efficacy in the Pap smear test. The data were analyzed with Stata-16 using linear and logistic regression models.
Results:
The mean knowledge, attitude, and self-efficacy scores were 6.80±2.33, 34.99±4.32, and 28.67±7.34, respectively. In the multiple models, every unit increase in the knowledge or attitude scores raised the mean self-efficacy score by 1.04 and 0.48, respectively (P<0.001). Every unit increase in the knowledge and self-efficacy scores increased the chance of performing Pap smear 1.61 and 1.41 times, respectively (P<0.001).
Conclusion
Given the association of women’s knowledge and self-efficacy with practice in performing the Pap smear, it seems that an effective program promoting women’s health behavior regarding CC screening would include applied education to raise community awareness and improve women’s attitudes, self-efficacy, and practice.