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Article
Publication date: 3 September 2021

Yousef Moradi, Marzieh Mahboobi and Ghobad Moradi

Identifying the health-related needs in transgender (TG) people can help to formulate strategies for providing appropriate and accessible health services and promoting health and…

177

Abstract

Purpose

Identifying the health-related needs in transgender (TG) people can help to formulate strategies for providing appropriate and accessible health services and promoting health and social justice, as well as human rights in these populations. This systematic review aims to determine health-related needs, problems and barriers, as well as ways to solve them in TG people from the viewpoint of TG individuals and health policymakers.

Design/methodology/approach

All international electronic databases such as PubMed (Medline), Embase, CINAHL, Scopus, Web of Sciences, Cochrane, PsycInfo and Google Scholar (Gray Literature) were searched from December 1990 to December 2019. After the search, the articles were screened based on their title, abstract and full text. The quality of articles was assessed using the Strengthening the reporting of observational studies in epidemiology (STROBE), Consolidated Standards of Reporting Trials (CONSORT) and Standards for Reporting Qualitative Research (SRQR) checklists. The search strategy, data extraction and quality evaluation of articles were independently performed by two researchers.

Findings

The general health-related needs identified in TG individuals from the viewpoint of themselves included access to legal hormone therapy, psychological and psychiatric counseling, privacy, health and hygiene needs, equality and freedom of expression. General health-related needs in TG individuals from the viewpoint of health policymakers included screening tests to detect sexually transmitted diseases, especially HIV, cancers and other diseases, as well as training service providers (physicians, nurses, health workers, etc.).

Research limitations/implications

One of the limitations of this study was nonreporting of health-related needs in initial articles by different TG groups because these groups have had different needs and different barriers to accessing health-care services. In this study, health-related needs and barriers to satisfy them were categorized from the viewpoint of TG populations and health policymakers around the world, which may influence future decisions to provide services to TG populations. The results of this systematic review can help to develop different strategies by considering all TGs from individual, family and social aspects to better provide services for this group. However, given the dynamics and changes in the existing communities and the limited studies on gender minorities in developing countries, further research is required to comprehensively address the subject.

Originality/value

The findings can be used as an incentive to improve existing conditions and to address problems and shortcomings. The results of this systematic review formulate strategies for providing appropriate and accessible health services and better lives for TGs, planning for more effective participation of these individuals in local communities, improving their physical problems and mental health through counseling, as well as promoting health and social justice, and human rights for these populations.

Details

International Journal of Human Rights in Healthcare, vol. 17 no. 1
Type: Research Article
ISSN: 2056-4902

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Article
Publication date: 19 July 2019

Bakhtiar Piroozi, Bushra Zarei, Bayazid Ghaderi, Hossein Safari, Ghobad Moradi, Satar Rezaei, Mahfooz Ghaderi, Shina Amirhosseini and Amjad Mohamadi-Bolbanabad

The right to health for all people means that everyone should have access to the needed healthcare services without suffering from severe financial hardship. The purpose of this…

113

Abstract

Purpose

The right to health for all people means that everyone should have access to the needed healthcare services without suffering from severe financial hardship. The purpose of this paper is to investigate the prevalence as well as the effective factors on facing catastrophic health expenditures (CHE) among gastrointestinal cancer patients and families in Kurdistan province in west of Iran after the implementation of Health Transformation Plan (HTP).

Design/methodology/approach

A cross-sectional study was carried out on 189 households with gastrointestinal cancer patients in Kurdistan province in 2018. Data were collected using World Health Survey questionnaire. A method developed by World Health Organization with the threshold of 40 percent household’s capacity to pay was used in order to measure the proportion of households facing CHE. Also, logistic regression was applied for identifying the effective factors on household’s exposure to CHE. Data were analyzed using STATA version 13.

Findings

Almost 73 percent (72.7 percent) of the households (n=117) faced the CHE. Not having supplementary health insurance (adjusted odds ratio (AOR): 3.8; 95% confidence interval: 1.3–10.8 (and having low socio-economic status (AOR: 7.1; 95% CI: 1.8–28.1) were the significant factors affecting the households’ exposure to CHE. In total, 57 and 1 percent of the studied households reported that having a gastrointestinal cancer patient at home had a significant effect on refraining from using health services by other family members.

Originality/value

The proportion of the studied households facing CHE was very high. This may indicate the weakness of health system as well as health insurance or the weakness of HTP in financial protection of fragile population.

Details

International Journal of Human Rights in Healthcare, vol. 12 no. 4
Type: Research Article
ISSN: 2056-4902

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Article
Publication date: 17 November 2020

Azad Shokri, Ghobad Moradi, Amjad Mohamadi Bolbanabad, Mitra Satary, Mahin Shabrandi, Parsa Sadeghkhani, Aram Mohammadi, Armin Ghorishi, Ronak Veisy, Arshad Veysi, Bakhtiar Piroozi, Shina Amiri Hoseini, Sonia Darvishi and Heshmatollah Asadi

The purpose of the study is to investigate the perceived stigma among residents of Sanandaj, west of Iran, following COVID-19 pandemic.

101

Abstract

Purpose

The purpose of the study is to investigate the perceived stigma among residents of Sanandaj, west of Iran, following COVID-19 pandemic.

Design/methodology/approach

This is a cross-sectional study conducted from March to April 2020. The sample consisted of 1,000 participants who live in Sanandaj. The data collection tool was a self-report electronic questionnaire. ANOVA and T-test were used to analyze the data.

Findings

The mean perceived stigma for COVID-19 was 5.50±2.24 (IQR: 3.75–6.87) out of 10-point scale. The highest point was seen for perceived external stigma (6.73±2.49, IQR: 5–8.75) followed by disclosure stigma (4.95±3.92, IQR: 0–10). Interestingly, self-employers were more concerned about disclosing their illness than those with governmental jobs (25±3.93 vs. 4.31±4.14, P<0.05), and also had an overall higher stigma score; 5.72±2.23 vs. 5.19±2.37, P<0.05).

Originality/value

COVID-19 stigma is high among Iranians and more common among men, youngsters and self-employers.

Details

International Journal of Human Rights in Healthcare, vol. 14 no. 1
Type: Research Article
ISSN: 2056-4902

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Article
Publication date: 15 June 2021

Bakhtiar Piroozi, Farman Zahir Abdullah, Amjad Mohamadi-Bolbanabad, Hossein Safari, Mohammad Amerzadeh, Satar Rezaei, Ghobad Moradi, Masoumeh Ansari, Abdorrahim Afkhamzadeh and Jamshid Gholami

The purpose of this study is to investigate the status of perceived need, seeking behavior and utilization of health services in the elderly population of Sanandaj (west of Iran).

89

Abstract

Purpose

The purpose of this study is to investigate the status of perceived need, seeking behavior and utilization of health services in the elderly population of Sanandaj (west of Iran).

Design/methodology/approach

This is a cross-sectional study conducted on 800 elderly people in Sanandaj. Subjects were selected using multistage sampling and data were collected using self-report questionnaires. A multivariate logistic model with odds ratios (ORs) was used to determine the relationship of independent variables with seeking perceived need. Also, the concentration index was used to measure the inequality in using health services.

Findings

The perceived need for outpatient (during the last 30 days) and inpatient health-care services (during the past 12 months) was 69.7% and 29.7%, respectively. Among them, the unmet need for outpatient and inpatient health-care services was 46.6% and 17%, respectively. Having health insurance (adjusted OR 12.08; 95% confidence interval [CI] 1.04–140.11), middle economic status (adjusted OR 5.18; 95% CI 1.30–20.51) and being in an age group of 65–70 years (adjusted OR 7.60; CI 1.42–40.61) increased the chance of seeking inpatient care. Also, being in an age group of 60–65 years (adjusted OR 0.41; 95% CI 0.18–0.95) reduced the chance of seeking outpatient care. There was also a pro-rich inequality in using outpatient health services.

Originality/value

The elderly population suffers from unmet health-care needs, especially in outpatient services. The most important reason for not seeking outpatient and inpatient services was financial barriers and self-medication, respectively. So, designing targeted policies and interventions to address barriers in the conversion of need to demand in the elderly population is essential.

Details

International Journal of Human Rights in Healthcare, vol. 14 no. 5
Type: Research Article
ISSN: 2056-4902

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Article
Publication date: 21 February 2020

Ebrahim Ghaderi, Kambiz Hassanzadeh, Khaled Rahmani, Ghobad Moradi, Nader Esmailnasab, Daem Roshani and Arian Azadnia

Health is one of the most basic human rights. Self-medication not only results in many risks, complications and mortalities but also remains a massive economic burden on…

82

Abstract

Purpose

Health is one of the most basic human rights. Self-medication not only results in many risks, complications and mortalities but also remains a massive economic burden on governments’ pharmaceutical budgets, insurance companies and the general population. The importance of self-medication as one of the worldwide health problems, this paper aims to investigate the extent of this problem and related factors in Sanandaj, Iran in 2018.

Design/methodology/approach

This cross-sectional, descriptive study was conducted on 838 people who referred to pharmacies in Sanandaj, Iran in 2018. The subjects were selected in 10 pharmacies, 84 in each, randomly. A self-constructed questionnaire was used to collect information about demographic features, prevalence and reasons for self-medication. The data was analyzed statistically by SPSS software.

Findings

The results show a high prevalence of self-medication, 73.70 per cent among people who referred to the pharmacies in Sanandaj during 2018. There was a significant correlation between self-medication and occupation, education level, age groups, chronic disease, smoking or reasons to refer to pharmacies (p < 0.05). Analgesics, antibiotics; non-steroid anti-inflammatory, cold and gastrointestinal medicines were the most commonly used medicines by the subjects. People with headache, cold, infection, stomach pain, toothache and dysmenorrhea were more likely to act self-medication than people with other complaints. Among people who do self-medication, (85.60 per cent) had already experienced satisfactory results after using medicines. Mild symptoms of the disease (74.11 per cent), availability of medicines (72.98 per cent) and easy access to medicine supplies in pharmacies (71.35 per cent) are other reasons for self-medication.

Research limitations/implications

In general, the study had some limitations. One of the limitations was related to the research period i.e. spring and summer. So, it is suggested to conduct studies in other seasons, too. Furthermore, as the time of self-medication was the past three months, there was a probability of recall bias.

Originality/value

The prevalence of self-medication in Sanandaj is high and alarming, implementing educational programs about this issue is extremely required. Health policymakers should take all necessary steps to tackle self-medication efficiently.

Details

International Journal of Human Rights in Healthcare, vol. 13 no. 3
Type: Research Article
ISSN: 2056-4902

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Article
Publication date: 3 May 2019

Bakhtiar Piroozi, Amjad Mohamadi-Bolbanabad, Hossein Safari, Mohammad Amerzadeh, Ghobad Moradi, Dalir Usefi, Arian Azadnia and Serajaddin Gray

The purpose of this paper is to investigate the prevalence of medication errors (MEs) and the factors affecting them among nurses of hospitals affiliated to Kurdistan University…

724

Abstract

Purpose

The purpose of this paper is to investigate the prevalence of medication errors (MEs) and the factors affecting them among nurses of hospitals affiliated to Kurdistan University of Medical Sciences (KUMS) in 2016.

Design/methodology/approach

This is a cross-sectional and descriptive-analytic study. In total, 503 nurses were selected using census method from six hospitals affiliated to KUMS. A self-constructed questionnaire was employed to collect information on nurses’ socio-demographic characteristics (6 items), the prevalence and type of MEs (21 items) and their perceptions about the main causes of MEs (40 items). Data were collected from August 15 to October 15, 2016. In addition, nonparametric and linear regression tests were used to describe the descriptive statistics and analyze the data.

Findings

The response rate was 73 percent and the monthly reported MEs per nurse was 6.27±11.95. Giving medication at non-scheduled time (28.4 percent), giving multiple oral medications together (22.4 percent) and giving painkillers after operation without physician’s prescription (15.3 percent) were three types of repetitive MEs, respectively. Gender, work experience, and having a second job affected the total number of MEs. “Long and unconventional nursing shifts,” “changing the dosage of medications for patients under observation due to multiple consultations and different doctors’ orders” as well as “failure to give feedback about the causes of errors to nurses by supervisors” were the three prioritized factors for MEs.

Originality/value

There is a need to reduce MEs in order to improve patient safety. It seems that in order to reduce MEs, systemic and managerial reforms such as reducing the working hours and workload of nurses, giving feedback about the causes of MEs to nurses, and using initiatives to reduce the stress in nurses are necessary.

Details

International Journal of Human Rights in Healthcare, vol. 12 no. 4
Type: Research Article
ISSN: 2056-4902

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Article
Publication date: 18 September 2019

Ghobad Moradi, Amjad Mohamadi-Bolbanabad, Sonia Darvishi, Fatemeh Azimian Zavareh, Bakhtiar Piroozi, Bushra Zareie, Mohammad-Mehdi Gouya and Mehrzad Tashakorian

The purpose of this paper is to determine patterns of sexual behaviors and related factors among prisoners in Iran, 2015.

182

Abstract

Purpose

The purpose of this paper is to determine patterns of sexual behaviors and related factors among prisoners in Iran, 2015.

Design/methodology/approach

This cross-sectional study was a part of a bio-behavioral surveillance survey conducted on 6,200 prisoners in 26 prisons in Iran. The subjects were selected through multi-stage sampling. Questionnaires and interviews were used to collect data on participant’s demographics and history of sexual behaviors. Using STATA-12 software, the collected data were analyzed through descriptive statistics, and crude and adjusted logistic regression.

Findings

A total of 5,508 prisoners with a response rate of 88.8 percent participated in this study. Of all prisoners, 55 percent (n=3,027) had a history of “unsafe sex in the lifetime” of whom 53.4 percent (n=1,549) never used condoms during unsafe sex in the lifetime. Based on the results of multivariate analysis, risk factors for “unsafe sex in lifetime” were the following: higher level of education (AOR=1.79, CI: 1.41–2.28), being single (AOR=1.32, CI: 1.18–1.47), unemployed before imprisonment (AOR=1.45, CI: 1.06–1.97), having history of previous imprisonment (AOR=1.31, CI: 1.17–1.47) and history of drug use in the lifetime (AOR=1.53, CI: 1.35–1.75).

Originality/value

Prisoners are high-risk groups that are prone to practice unsafe sex. Prisoners who are single, unemployed before imprisonment, a drug user, with a higher level of education and with a history of imprisonment are likely to be sexually active in their lifetime. Thus, they are a priority for receiving suitable interventions.

Details

International Journal of Prisoner Health, vol. 16 no. 1
Type: Research Article
ISSN: 1744-9200

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Article
Publication date: 13 May 2019

Amjad Mohamadi-Bolbanabad, Ghobad Moradi, Bakhtiar Piroozi, Hossein Safari, Heshmatollah Asadi, Karim Nasseri, Hiwa Mohammadi and Abdorrahim Afkhamzadeh

The purpose of this paper is to determine the second victims’ experience and its related factors among medical staff.

506

Abstract

Purpose

The purpose of this paper is to determine the second victims’ experience and its related factors among medical staff.

Design/methodology/approach

This research is a cross-sectional study that was conducted in public hospitals of Sanandaj, west of Iran, in 2017. The sample consisted of 338 medical staff including physicians, nurses and mid-wives. A self-report questionnaire was used for data collection. Descriptive statistics, cross-tabs and χ2 test were used for data analysis using SPSS20.

Findings

A total of 51.5 percent (n=174) of the medical staff had experienced medical error in the past year, of which 90.2 percent (n=157) had at least one of the symptoms of “second victims.” Tachycardia and sleep disturbances were the most commonly referred physical symptoms with 73 and 51.7 percent, respectively. Also, repetitive/intrusive memories and fear of reputation damage were the most commonly referred psychosocial symptoms with 68.3 and 51.7 percent, respectively. The experience of physical and psychosocial symptoms was different according to the occupational category. In addition, there was a significant association between the experience of physical symptoms with the hospital administrators’ awareness of medical errors and the consequences of medical errors for patients.

Practical implications

Adoption of coping strategies, including learning from medical errors as well as hospital administrators’ support from second victims, is recommended. It is also suggested that medical staff be informed about the consequences of medical errors as well as physical and psychological symptoms of second victims so that they can ask for help from managers and colleagues when the symptoms occur.

Originality/value

This study outlines the prevalence, the most psychological and physical symptoms, and the demographic and occupational factors associated with the second victim phenomenon in medical staff. Also, the most important strategies for coping with this phenomenon are prioritized from the perspective of medical staff.

Details

International Journal of Workplace Health Management, vol. 12 no. 3
Type: Research Article
ISSN: 1753-8351

Keywords

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