fa اضطراب سلامت در دانشجویان دانشگاه علوم پزشکی: تحلیل رگرسیونی سواد سلامت و عوامل جمعیتی- اجتماعی 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">افراد با سطح پایین‌تر سواد سلامت، اضطراب بیشتری را تجربه می‌کنند. پژوهش حاضر به منظور تعیین اضطراب سلامت در دانشجویان دانشگاه علوم پزشکی بابل و بررسی ارتباط آن با سواد سلامت و برخی عوامل جمعیتی- اجتماعی انجام شد</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:10.0pt"><span bold="" 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: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">در این مطالعه مقطعی، 321 نفر از دانشجویان جدیدالورود به‌ صورت تصادفی طبقه‌ای انتخاب شدند. اطلاعات به کمک پرسش‌نامه‌های اطلاعات دموگرافیک- اجتماعی، اضطراب سلامت و سواد سلامت جمع‌آوری گردید. 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">ANOVA</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">Independent t</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">، ²</span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="font-family:Symbol"><span style="color:black">c</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black">، رگرسیون تک متغیره و چند متغیره 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"> 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"> 141 نفر (9/43 درصد) از دانشجویان شرکت‌کننده پسر و 180 نفر (1/56 درصد) از آنان دختر بودند. میانگین نمره کل اضطراب سلامت در دانشجویان، 36/5 </span></span></span><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:black">&plusmn;</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> 60/13 و نمره کل سواد سلامت، 87/24 </span></span></span><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:black">&plusmn;</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> 20/147 گزارش شد. تحلیل رگرسیونی نشان داد که دو متغیر سواد سلامت و اضطراب سلامت ارتباط معکوس و معنی‌داری داشتند (001/0 > </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">همچنین، ارتباط معکوس سواد سلامت با دو بعد ابتلا به بیماری و پیامدهای منفی بیماری در اضطراب سلامت تأیید گردید (001/0 > </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">). در تحلیل تک متغیره، بعد نگرانی کلی سلامت معنی‌دار نبود، اما در تحلیل چند متغیره مشخص شد که به ازای یک واحد افزایش نمره سواد سلامت، نمره بعد نگرانی کلی سلامت به طور متوسط 01/0 واحد افزایش یافت (031/0 = </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"> افزایش سواد سلامت با کاهش اضطراب سلامت همراه است. اگرچه در تحلیل‌های تک متغیره تفاوت‌هایی بر اساس جنسیت و رشته تحصیلی مشاهده گردید، اما این روابط در مدل چند متغیره معنی‌دار نبود. بنابراین، مهم‌ترین عامل مرتبط با اضطراب سلامت، سطح سواد سلامت دانشجویان است. به نظر می‌رسد که ارتقای سواد سلامت از طریق برنامه‌های آموزشی، می‌تواند به کاهش اضطراب سلامت و بهبود وضعیت روانی دانشجویان کمک کند.</span></span></span><span dir="LTR" 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,"><span style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black"></span></span></span></span></span></span></div> <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">Lower health literacy is associated with increased anxiety. This study aimed to evaluate health anxiety among students at Babol University of Medical Sciences and to examine its relationship with health literacy and socio-demographic factors</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">In this cross-sectional study, 321 newly enrolled students were randomly selected. Data were collected using questionnaires covering demographic information, health anxiety, and health literacy. Analysis was performed using SPSS, employing ANOVA, independent t-tests, chi-square tests, and regression analysis. The significance level of the tests was set at 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 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 study included 141 male students (43.9%) and 180 female students (56.1%), with a mean health anxiety score of 13.60 &plusmn; 5.36 and a mean health literacy score of 147.20 &plusmn; 24.87. Regression analysis demonstrated a significant inverse relationship between health literacy and health anxiety (P < 0.001). Additionally, health literacy was negatively correlated with disease-related concerns and the adverse consequences associated with health anxiety (P < 0.001). While the general health concern dimension was not significant in the univariate analysis, multivariate analysis revealed that a one-unit increase in health literacy corresponded to a 0.01-unit increase in the overall health concern score (P = 0.031).</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">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">The results of this study indicated that higher health literacy is associated with lower health anxiety. Although some differences were observed by gender and field of study in the univariate analysis, these associations were not significant in the multivariate model. Therefore, the most important factor related to health anxiety among students was their level of health literacy. It appears that improving health literacy through educational programs may help reduce health anxiety and enhance the psychological well-being of students</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></div> اختلالات اضطرابی, اضطراب, سواد سلامت, دانشجویان Anxiety disorders, Anxiety, Health literacy, Students 277 285 http://hsr.mui.ac.ir/browse.php?a_code=A-10-993-1&slc_lang=fa&sid=1 Sana Nazmi سنا نظمی sananazmi98@gmail.com 100319475328460027691 100319475328460027691 No Student Research Committee, Babol University of Medical Sciences, Babol, Iran کارشناس ارشد، کمیته تحقیقات دانشجویی دانشگاه علوم پزشکی بابل، بابل، ایران Fereshteh Behmanesh فرشته بهمنش f.behmanesh2015@gmail.com 100319475328460027692 100319475328460027692 Yes Associate Professor, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran دانشیار، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، پژوهشکده سلامت، دانشگاه علوم پزشکی بابل، بابل، ایران Faezeh Habibnejad-Roshan فائزه حبیب‌نژاد ‌روشن faeze.habibnejad@gmail.com 100319475328460027693 100319475328460027693 No Student Research Committee AND Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran کارشناس ارشد، کمیته تحقیقات دانشجویی و دانشکده پرستاری و مامایی نسیبه، دانشگاه علوم پزشکی مازندران، ساری، ایران Hossein-Ali Nikbakht حسینعلی نیکبخت ep.nikbakht@gmail.com 100319475328460027694 100319475328460027694 No Associate Professor, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran دانشیار، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، پژوهشکده سلامت، دانشگاه علوم پزشکی بابل، بابل، ایران