Journal of Health System Research
مجله تحقیقات نظام سلامت
J Health Syst Res
Medical Sciences
http://hsr.mui.ac.ir
1
admin
2783-4093
2322-5564
10.48305
14
8888
13
fa
jalali
1405
1
1
gregorian
2026
4
1
22
1
online
1
fulltext
fa
بررسی ابعاد فردی و اجتماعی رفتارهای مرتبط با بهداشت محیط در زنان تحت پوشش مراکز خدمات جامع سلامت شهری زنجان
Assessment of Personal and Social Dimensions of Environmental Health Behaviors among Women in Urban Comprehensive Health Service Centers in Zanjan, Iran
آموزش بهداشت و ارتقاء سلامت
education health and promotion
پژوهشي
Research
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">مقدمه:</span></span></span></b><b> </b><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">قرار گرفتن در معرض آلایندههای محیطی، اثرات نامطلوبی بر سلامت جمعیت عمومی به ویژه زنان دارد. در این راستا، انجام رفتارهای پیشگیرانه محیطی، یکی از راهکارهای حفاظتی است. هدف از انجام پژوهش حاضر، بررسی ابعاد فردی و اجتماعی رفتارهای مرتبط با بهداشت محیط در زنان بود</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">.</span></span></span><b><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">روشها</span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">: </span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">این مطالعه مقطعی بر روی 753 نفر از زنان بالای 18 سال ساکن شهر زنجان در سال 1402 و به روش نمونهگیری دو مرحلهای انجام شد. در مرحله اول از بین مراکز خدمات جامع سلامت موجود، 5 مرکز از مناطق مختلف شهر به صورت تصادفی ساده انتخاب شدند. سپس در مرحله دوم متناسب با جمعیت زنان تحت پوشش هر مرکز، نمونهگیری به روش در دسترس انجام شد. دادهها از طریق پرسشنامه ارزیابی رفتارهای بهداشت محیط در دو بعد فردی و اجتماعی که روایی و پایایی آنها در تحقیق حاضر تأیید گردید، جمعآوری شد. دادهها با استفاده از آزمونهای </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Independent t</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">One-way ANOVA</span></span></span><span style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> و ضریب همبستگی </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Pearson</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> در نرمافزار </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">SPSS</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> و سطح معنیداری کمتر از 05/0 مورد تجزیه و تحلیل قرار گرفت</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">.</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">یافتهها:</span></span></span></b><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> میانگین نمره رفتارهای بهداشت محیط در بعد فردی و اجتماعی به ترتیب 79/11 </span></span></span><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:black">±</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> 58/61 و 63/11 </span></span></span><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:black">±</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> 60/61 بود. 5/49 درصد زنان در بعد اجتماعی عملکرد خوب و 7/49 درصد در بعد فردی عملکرد متوسطی داشتند. کمترین میانگین نمره به رفتارهای پرهیز از استفاده از عطر و استفاده کمتر از مواد شوینده و بیشترین میانگین نمره به رفتارهای دوری از دود سیگار و صرفهجویی در مصرف آب اختصاص داشت. افراد متأهل دارای فرزند به طور معنیداری میانگین نمره بالایی را در هر دو بعد کسب کردند (05/0 > </span></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">).</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> بیشتر زنان در بعد فردی دارای سطح عملکرد متوسط، اما در بعد اجتماعی دارای سطح عملکرد خوبی بودند. با توجه به نقش کلیدی زنان در مراقبت از خانواده و آموزش فرزندان، توانمندسازی و استفاده از پتانسیل آنان در برنامههای مرتبط با سلامت محیط زیست توصیه میشود.</span></span></span><span dir="LTR" style="font-size:10.0pt"><span bold="" new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span></div>
<span style="font-size:11pt"><span style="line-height:107%"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black"></span></span></span></span></span></span>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Background</span></span></span></b><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">:</span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Exposure to environmental pollutants </span></span></span><span lang="EN-GB" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">adversely</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> affects the health of the general population, particularly women. In this context, adopting preventive environmental behaviors is a crucial protective measure. Therefore, this study aimed to investigate the personal and social dimensions of environmental health-related behaviors among women</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Methods:</span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">This cross-sectional study was conducted on 753 women aged ≥ 18 years living in Zanjan City, Iran, in 2023, using a two-stage sampling method. Initially, five comprehensive health service centers from various city areas were randomly selected. Subsequently, sampling was carried out proportionally based on the population size of women offered service by each center through convenience sampling. Data were collected using a self-administered questionnaire designed to evaluate environmental health behaviors on both individual and social levels, with confirmed validity and reliability. Data analysis was performed via SPSS software, utilizing independent t-test, one-way analysis of variance (ANOVA), and Pearson correlation coefficient with a significance level set at less than 0.05.</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Findings:</span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">The mean scores of environmental health behaviors in the personal and social dimensions were 61.58 ± 11.79 and 61.60 ± 11.63, respectively. Moreover, 49.5% of women </span></span></span><span lang="EN-GB" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">exhibited</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> good performance in the social dimension, while 49.7% had moderate performance in the personal dimension. The lowest mean scores were for behaviors such as avoiding the use of perfume and using less detergent, whereas the highest mean scores were for behaviors like avoiding cigarette smoke and saving water. Married women with children had significantly higher mean scores in both dimensions (P < 0.05).</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Conclusion:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black">The results indicated that the majority of women had a medium level of performance in personal behaviors but a good level of performance in social behaviors. Considering the key role of women in family care and child education, it is recommended that women’s potential be empowered and utilized in environmental health-related programs</span></span></span></span><span style="font-size:10.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black">.</span></span></span></span><span style="color:black"></span></span></span></span></div>
رفتار بهداشتی, محیط زیست, سلامت زنان
Health behavior, Environment, Women's health
120
130
http://hsr.mui.ac.ir/browse.php?a_code=A-10-873-1&slc_lang=fa&sid=1
Mina
Hashemiparast
مینا
هاشمیپرست
mina.hashemi26@yahoo.com