Iranian Workers Research Articles

Identifying the Motivations Underlying Sex Work: Insights from the Experiences of Female Sex Workers in Iran

Identifying the Motivations Underlying Sex Work: Insights from the Experiences of Female Sex Workers in Iran

Prediction of accident-proneness among a sample of Iranian workers: usefulness of an adjusted version of the Health Belief Model with spiritual health

BackgroundWorkforce health is one of the primary and challenging issues, especially in industrialized countries. The purpose of the present study was to evaluate the ability to predict accident-proneness among Saveh Industry workers in Iran, based on an extended Health Belief Model, that included the construct of spiritual health.MethodThis descriptive-analytical study was conducted in 2022 on 384 workers in Saveh, Iran. The study aimed to explore relationships between accident proneness behavior, spiritual health, and health beliefs. The accident-proneness questionnaire consisted of two parts: the first part included demographic questions, and the second part comprised 9 sections covering personality traits, workplace harmful factors, miscellaneous factors, musculoskeletal disorders, safety culture, safety attitudes, job stress, organization interest, and degree of risk-taking. The Health Belief Model included 31 questions, while spiritual health was measured with the 20-question Paloutzian and Ellison questionnaire. The collected data were analyzed using SPSS version 26 software.ResultsIn terms of accident proneness, 229 (59.6%), exhibited high levels, 148 (38.5%) had medium levels, and 7 (1.8%) showed low levels of accident-proneness. Hierarchical multiple regression analysis showed that in the first model, variables of perceived self-efficacy, vulnerability, and severity independently predicted workers accident proneness, explaining a total of 43% of variance in accident proneness behavior. In the second step, perceived self-efficacy (β = 34%), perceived sensitivity (β = 27%), spiritual health (β = 16%), and perceived severity (β = 12%) were included, respectively, which explained a total of 46% of the variance of accident-prone behavior of workers.ConclusionGiven the high rate of accident proneness observed in this study, there is a critical need for policymakers and health planners to design policies aimed at mitigating the risks associated with occupational accidents. Furthermore, the findings highlight the potential of integrating spiritual health into the Health Belief Model, as a conceptual framework for planning effective intervention programs to enhance workplace safety.

Prevalence of Burnout Among Health Workers in Iran: A Systematic Review and Meta-analysis

Introduction: Burnout significantly impacts human service professions, reducing the sense of competence and successful performance of duties. This study aimed to investigate the prevalence of job burnout among healthcare workers in Iran. Methods: A systematic search was conducted according to the PRISMA checklist in databases such as PubMed, Scopus, Web of Science, PsycINFO, Magiran, Scientific Information Database (SID), and IranDoc from the inception of each database until December 30, 2023. Studies that used the Maslach burnout inventory to investigate the prevalence of burnout in health workers and had an observational design (including cross-sectional studies) were included. The selection of relevant studies was performed independently by two researchers at all stages of study selection, including screening, full-text review, and qualitative evaluation using the modified version of the HOY tool. Data implementation was done in Excel, and data analysis was conducted using STATA version 12. Results: A total of 63 articles were included. About 62.2% of the studies had a low risk of bias. A meta-analysis was performed using the random-effects method to calculate the prevalence of job burnout, and the average score of burnout was calculated as ES: [95% Conf interval = 0.38 (0.30 - 0.46)]. The degree of heterogeneity was reported as I2 = 99.66%, which is significant (P = 0.000), indicating high heterogeneity among the studies. Subgroup analysis was conducted to reduce heterogeneity. The results showed that the average burnout score increases with the sample size increase in the study, which is statistically significant (P < 0.001). Conclusions: To minimize burnout, it is suggested that supportive approaches, including access to psychosocial support, web-based services, psychological first aid, psychological support hotlines, and self-care techniques, be considered for healthcare workers during their service years.

Iranian workers' elite in Baku 1858 - 1889

Iranian workers' elite in Baku 1858 - 1889

Perceptions of Relief Workers in Iran Regarding the Quality of Emergency Group Therapy Sessions for Post-traumatic Stress Disorder and the Related Factors

Perceptions of Relief Workers in Iran Regarding the Quality of Emergency Group Therapy Sessions for Post-traumatic Stress Disorder and the Related Factors

Substances use among a sample health care workers in Iran: prevalence, pattern of use and gender differences

ABSTRACT Background Substance use (SU) among HCWs leads to reduced productivity and overall health and, moreover, is a negative role to promote SU reduction. Aim This study aimed to estimate the prevalence of SU and assess its determinants among HCWs. Methods The study analyzed data related to the first phase of the SHAHWAR Cohort study which included 1177 university employees. Results The prevalence of current tobacco use is 11.6% (2.7% in women, and 24.5% in men), and the prevalence of lifetime tobacco use was 19.8 (6.3% in women, and 39.3% in men). The ratio of hookah: cigarette use in women is about seven times that of men. The self-reported current tobacco, alcohol and opium use were 11.6% (M: F ratio > 9), 2.6% (M: F ratio > 6) and 1.4% (M: F ratio > 7) of total subjects. There was a significant difference in substance or alcohol users based on gender, job position, working schedule, employment status, marital status and education levels. There was a negative correlation between job security and stability in terms of work status among workers with substance or alcohol use. Conclusion Since implementation of preventive interventions knowing the high-risk groups and occupational risk factors, the results of the present study may meet this need.

Health risk assessment of occupational exposure to heavy metals among green space workers in Iran.

Exposure to heavy metals can result in various adverse health effects. Tehran is rated as one of the world's most polluted cities. Green space workers are continuously exposed to such pollutants in this city. Thus, this study aimed to estimate the health risks caused by exposure to heavy metals among green space workers. Eighty-eight workers and office personnel in two regions with different air quality levels were chosen for sampling. Air samples were collected using the NIOSH-7300 method and analyzed using an Inductively Coupled Plasma Optical Emission Spectrometry (ICP-OES) instrument. The hazard quotient (HQ) and the lifetime cancer risk (LTCR) were calculated to assess carcinogenic and non-carcinogenic risk levels. The results revealed that the rank order of heavy metals was determined as Zn, Pb, Mn, Ni, Co, and Cd. Workers were subjected to higher concentrations of Ni, Pb, Zn, and Co than office personnel. Furthermore, the Cd, Co, and Zn exposure levels stood significantly higher in region 6 than in region 14. Non-carcinogenic risk levels for all participants fell within the acceptable range. Moreover, no employee had a carcinogenic risk level within the acceptable range when exposed to Cd. Also, 2.3% of individuals demonstrated Ni's acceptable carcinogenic risk level. Owing unacceptable risk levels, proper interventions are required to minimize occupational exposure to heavy metals. These interventions include optimizing shift schedules, using personal protective equipment, and conducting regular health assessments.

Design and Validation of a Health Literacy Assessment Tool for COVID-19 Among Iranian Workers.

The workforce is an organization's most important asset, and ensuring their health and safety is crucial for achieving the organization's mission and goals. The objective of this study was to design and validate a health literacy tool for COVID-19 among Iranian workers. This cross-sectional study involved a total of 201 participants. A personal information questionnaire was administered, and The Health Literacy Assessment (HLA) Tool was used to collect data specifically related to COVID-19. The HLA for COVID-19 was designed and developed, and the validity of the tool was evaluated through face, content, convergent, and construct validity analyses. To examine convergent validity, the Perceived Stress Scale was used. The reliability of the questionnaire was assessed using internal consistency measures, such as Cronbach's alpha coefficient. The mean content validity index was 0.93, indicating high content validity. Confirmatory factor analysis results supported the five-dimensional structure of the tool. Significant correlations were found between the HLA for COVID-19 and perceived stress levels. The Cronbach's alpha coefficient for all items was 0.84, indicating high internal consistency. The HLA for COVID-19 is a concise, reliable tool for measuring health literacy related to COVID-19 among Iranian workers. Assessing COVID-19 health literacy in this population can be useful in evaluating the effectiveness of government officials, the media, and the medical and scientific community in providing necessary information. [HLRP: Health Literacy Research and Practice. 2024;8(2):e62-e68.].

Occupational respiratory disorders in Iran: a review of prevalence and inducers.

The link between occupational respiratory diseases (ORD) and exposure to harmful factors that are present in the workplace has been well shown. Factors such as physical activity, age and duration of occupational exposure playing important roles in ORD severity, should be identified in the workplace, their effects on workers health should be studied, and ultimately, exposure to them must be minimized. We carried out a literature review by searching PubMed, Scopus, and Web of Science databases to retrieve studies published from 1999 until the end of April 2023 reporting the prevalence and inducers of ORD in Iran. In Iranian workers, several ORD such as interstitial lung disease, silicosis, occupational asthma, pulmonary inflammatory diseases, chronic obstructive pulmonary diseases, and lung cancers have been reported. It was indicated that ORD mainly occur due to repeated and prolonged exposure to noxious agents in the workplace. We also extracted the prevalence of ORD in different regions of Iran from the retrieved reports. Based on our literature review, the prevalence of ORD among Iranian workers highlights the importance of regular assessment of the risk of exposure to noxious agents in the workplace to develop measures for preventing potential adverse effects.

Shift working and risk of dyslipidemia: a cross-sectional study among health care workers in Iran

Shift working and risk of dyslipidemia: a cross-sectional study among health care workers in Iran

The influence of occupational heat stress on serum inflammatory cytokines among traditional bakery workers in Iran.

Heat exposure exceeding the ISO7243:1989 standard limit can contribute to health problems among employees in a variety of workplaces. Ignoring heat standard requirements in hot working conditions such as bakeries results in physiologic and health problems, as well as an elevated risk of later illnesses. In this analytical case-control study, the serum levels of four inflammatory factors (interleukin-1 beta, interleukin-6, tumor necrosis factor-α, and C-reactive protein) were assessed using an enzyme-linked immunosorbent assay. 105 male artisan bakers (in four job classifications in bakeries and staff) were compared based on demographic characteristics and inflammatory factors. The findings of the study showed correlations between serum interleukin-1β, interleukin-6, and C-reactive protein levels and thermal exposure in the occupational environment and employment type. Moreover, some differences in serum level of interleukin-1β and job type were observed. Heat overexposure affected the increase of interleukin-1β and C-reactive protein secretion. As a result of years of working in high-temperature conditions, inflammation can lead to subsequent diseases in workers. To protect their health from this occupational hazard, additional safeguards are needed. Our recommendations could also be applied to overly hot work environments that may cause heat stress in workers.

Lifetime and past-month alcohol use and related factors among female sex workers in Iran.

Alcohol use is more common among female sex workers (FSWs). This study assessed the prevalence of lifetime and past-month alcohol use and related factors among FSWs in Iran. We conducted a cross-sectional survey among 1464 women from 8 major cities in Iran. Behavioral data were collected by trained interviewers and conducted face-to-face in a private room. Weighted analysis was used to determine the lifetime and past-month alcohol use prevalence. Univariate and multivariate logistic regression was used to investigate the association between alcohol use and independent variables. The most alcohol used in lifetime and past-month (weekly, less than once a week, and daily) in FSWs was 52.7% (12.25%, 12.94%, and 1.83%), respectively. In the final model, factors that were independently associated with alcohol use included the 31-40 years (AOR=2.41, 95% CI: 1.13-5.15), education level of diploma (AOR=2.43, 95% CI: 1.31-4.51), history of lifetime drug use (AOR=2.79, 95% CI: 2.01-3.89), history of lifetime group sex (AOR=2.07, 95% CI: 1.41-3.03), history of intentional abortion (AOR=1.42, 95% CI: 1.06-1.92), six or more sexual clients in the last month (AOR=3.25, 95% CI: 1.80-5.87), history of lifetime anal sex (AOR=2.47, 95% CI: 1.82-3.35), and FSWs the married, temporarily married, and living with partner were positively associated with lifetime alcohol use. Alcohol use is prevalent among FSWs in Iran. Further prevention programs are needed to address and reduce harms associated with alcohol use among this vulnerable population in Iran. Designing intervention programs, it is suggested to consider other variables affecting alcohol use in FSWs.

Prevalence of needle stick and its related factors in Iranian health worker: an updated systematic review and meta-analysis.

Healthcare workers (HCWs) are at risk of acquiring blood-borne infections such as hepatitis B, hepatitis C, and human immunodeficiency virus through needlestick injuries (NSIs). We aimed to investigate the prevalence of needlestick injuries and other related indicators among HCWs in Iran through a systematic review and meta-analysis. We searched various databases until the end of May 2023 for studies reporting the prevalence of NSIs among healthcare workers in Iran. We used a random model with 95% confidence intervals (CIs) to analyse the data and the Joanna Briggs Institute (JBI) tool to evaluate the quality of included studies. We conducted and reported the study according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. We included 87 studies in the analysis and found that 47% (95% CI = 42-52, I2 = 98.9%) of Iranian HCWs experienced NSI. NSIs were most frequently related to syringe needles (58%; 95% CI = 52-65, I2 = 96.8%) and most often caused by recapping (30%; 95% CI = 22-38, I2 = 98.5%). In this study, 56% (95% CI = 45-67, I2 = 98.6%) of HCWs with NSIs did not report their injury. Moreover, the prevalence of NSIs the highest in the morning shift (0.44; 95% CI = 0.36-0.53, I2 = 97.2%), emergency unit (0.20; 95% CI = 0.16-0.24, I2 = 93.7%), and intensive care unit (0.20; 95% CI = 0.16-0.24, I2 = 94.3%). To reduce the high prevalence of NSIs, HCWs, especially those in emergency departments, should use safety equipment. Healthcare managers should provide a calm and stress-free environment for HCWs, educate them on safety principles and standards, and support experienced HCWs with NSIs.

Causal Analysis of Safety Risk Perception of Iranian Coal Mining Workers Using Fuzzy Delphi and DEMATEL

Underground coal mines, one of the most dangerous work environments, have experienced accidents and disasters. One of the main reasons for those unsafe events is the workers’ poor understanding of the hazards and risks of working in this work environment. Therefore, the present study aims to identify factors affecting the safety risk perception of underground coal mine workers in Iran and investigate their cause-and-effect relationships. By reviewing the literature, 40 variables were identified in five categories: individual, organizational, environmental, task, and external factors. The identified variables were ranked according to the expert group’s opinion in the form of a fuzzy Delphi study regarding their effects on risk perception. In the next step, 23 variables were selected to investigate the cause-and-effect relationships using the DEMATEL method. The study’s findings showed that organizational factors and some individual factors play a fundamental role in workers’ risk perception. The variables of safety culture, safety management style, and safety attitude had the most significant impact, and the variables of personal protective equipment and risk aversion had the smallest impact on workers’ risk perception. The present study’s findings can be used as a guideline to provide effective solutions for managers and workers in improving safety risk perception, subsequently reducing unsafe behaviors and increasing the safety status of underground coal mines.

Biomechanical and physiological responses to allowable load handling limits in Iranian female workers

AbstractIn 2017, load limit values for manual material handling (MMH) tasks were confirmed to protect workers from low back disorders without prior validity investigation for Iranian workers. The present study investigated the applicability and feasibility of the Washington State Department of Labor and Industries (WISHA) lifting method as an occupational exposure limit (OEL) for the MMH tasks in a sample of young Iranian female workers using biomechanical and physiological criteria. A laboratory study was conducted with 10 female participants performing lifting tasks as described in the Iranian OEL for the MMH tasks based on the WISHA checklist. Each participant completed 21 lifting task combinations that varied in height and reach with the maximal allowable load. To test the applicability of the WISHA method, the maximum aerobic capacity and the equivalent heart rate (EHR) were estimated for 10 young Iranian female workers using an ergometer and Astrand protocol. Moreover, spinal loads for each lifting task were calculated using a static biomechanical model. From a physiological point of view, approximately 38% of the lifting tasks resulted in an increase in the physical workload. For 33% of the lifting trials, the estimated compression loads exceeded 3400 N. The findings revealed that the weight and lift height of the loads affected the lifting capacity of the participants. It seems that the allowable weight limits for manual lifting are not matched to the biomechanical and physiological capacities of the Iranian women. Therefore, the Iranian guideline for manual lifting is recommended to be revised based on the physiological and biomechanical capacities of the Iranian women.

HIV testing and its associated factors among female sex workers in Iran in 2020: Finding from a respondent-driven sampling survey.

HIV testing uptake was around 70% among female sex workers (FSWs) in Iran in 2015. Due to the recognized importance of HIV testing in prevention, care, and treatment among FSWs, this study aimed to provide an update and also an improvement as it uses respondent-driven sampling (RDS) for the frequency and the correlates of HIV testing among FSWs in Iran. A total of 1,515 FSWs were recruited from eight cities in Iran between 2019-2020 using RDS. Data were collected using face-to-face interviews. Also, rapid diagnostic tests (RDT) were used to determine HIV and syphilis status as per national guidelines. We used multivariable logistic regression to explore correlates of HIV testing in the last 12 months. Of 1,399 FSWs who had data for HIV testing, 44.7% (95% Confidence Intervals (CI): 40.7; 48.7) reported HIV testing in the last 12 months. The odds of HIV testing in the last 12 months was higher among FSWs who used a condom at last sex with a non-paying partner (Adjusted OR = 1.78; 95% CI: 1.39; 2.27), never used alcohol (Adjusted OR = 1.72; 95% CI: 1.33; 2.23), ever used drug (Adjusted OR = 1.60; 95% CI: 1.22; 2.08). HIV testing among FSWs in Iran is considerably low. It is necessary to know the barriers to HIV testing to improve the cascade of HIV treatment in the country.

Drug use patterns and related factors among female sex workers in Iran in 2019–2020: results from Integrated Bio-Behavioral Surveillance-III (IBBS-III)

IntroductionDrug use is highly prevalent among female sex workers (FSWs). Some forms of drug use, such as injecting drug users (IDU), put them at greater risks for HIV and blood born disease (BBD). In this study, the pattern of drug use and its related factors among Iranian FSWs were investigated.Materials and methodsThis cross-sectional study was performed based on the data of the integrated bio-behavioral surveillance-III (IBBS-III) on FSWs in 8 cities of Iran using the respondent-driven sampling (RDS) method conducting in 2019–2020. Of the 1515 FSWs participating in the IBBS-III study, 1,480 answered questions about drug use. To calculate the prevalence of drug use lifetime and in the past month, weighted analysis was used. Univariate and multivariate logistic regression was used to investigate the factors related to drug use.ResultsThe prevalence of lifetime drug use and the prevalence of current drug use (single and poly drug use) among FSWs were estimated to be 29.3% and 18.86%, respectively. According to multivariate regression analysis, the odds ratio (odds) of lifetime drug use showed a statistically significant association with lower education (AOR = 1.18; 95% CI: 1.07–1.3), being a direct sex worker (AOR = 1.77; 95% CI: 1.21–2.61), working in team houses or hangouts (AOR = 1.51; 95% CI: 1.10–2.06), a history of intentional abortion (AOR = 1.41; 95% CI: 1.07–1.87), condom use in the last sex (AOR = 1.61; 95% CI: 1.19–2.17), a history of imprisonment (AOR = 3.05; 95% CI: 2.25–4.14), HIV positive tests (AOR = 8.24; 95% CI: 1.66–40.9), alcohol use (AOR = 1.69; 95% CI: 1.29–2.29), and finding sexual clients in places such as parties, shopping malls, streets, and hotels, or by friends (AOR = 1.46; 95% CI: 1.01–2.12).ConclusionGiven that drug use among FSWs is about 14 times higher than that of the Iranian general population, it is imperative that drug reduction programs be integrated into service packages. Specifically, prevention programs should be prioritized for occasional drug users within this population as they are at a greater risk of developing drug use issues compared to the general population.

Recruitment and selection of community health workers in Iran; a thematic analysis

BackgroundIn Iran, community health workers (CHWs) are selected and employed according to the instructions of the Ministry of Health (MOH). The present study aimed to investigate the views of different stakeholders regarding the selection criteria, as well as the competency of CHWs.MethodsThis study was conducted using a qualitative thematic analysis in Golestan Province, Iran. Data were collected using semi-structured interviews with managers, supervisors, CHWs, and common people in 2021. The interviews were recorded and then transcribed. To extract key themes, the six-step Brown model was used, which involved becoming acquainted with the data, meaningful organization of transcripts, extracting primary open codes, searching for themes in an iterative approach, theme extraction, defining themes, and preparing a report. The relationships between codes and sub-themes and themes were represented using ATLAS.ti version 8.ResultsData saturation was achieved after interviewing 22 people. The extracted data included 340 open codes, two main sub-themes of “CHW effectiveness” and “CHW sustainability”, and three main themes of “criteria for employing competent people”, “barriers to employing competent people”, and “identifying the barriers to employing competent people”, according to the MOH instructions.ConclusionIn the present study, local hiring was one of the major challenges in the competency-based selection of CHWs. One of the most repeated codes was expanding the local hiring concept and its requirements. Since different regions of Iran have different climatic, economic, cultural, and social conditions, the selection and hiring criteria for CHWs should be tailored to the needs of the community.

A survival analysis approach to determine factors associated with non-retention of newly hired health workers in Iran

Background and aimOne of the main tasks of the healthcare human resource management is to maintain and retain professional staff. The high level turnover of professional staff may reduce the quality of healthcare service delivery. Therefore, this study investigated the factors associated with the turnover of the newly recruited healthcare professionals using survival analysis method in Iran.Materials and methodsThis historical cohort analysis comprised 6811 employees who began working at Mashhad University of Medical Sciences between 2005 and 2020. Employees recruited at any of the university’s units between the years 2005 to 2019 were included. We used appropriate descriptive indices and Log-rank test and the Cox proportional-hazards model to assess the staff turnover. A significance level of 0.05 was used for all tests.ResultsThe findings of the survival analysis showed that the probability of turnover in one year, two years, and five years of employment were 0.12, 0.16, and 0.27. Based on the findings of the Log-rank test, the probability of turnover in entire of the study period was not statistically different between male and female (p = 0.573), and likewise between employees with healthcare occupations and non-healthcare occupations (p = 0.351). Employees whose current workplace and birthplace were not similar had a significantly higher probability of turnover (p < 0.001). Accordingly, the Cox regression result showed, the risk of turnover for the singles was 1.22 times higher than the married. For the Ph.D degree was 3.23 times higher compared to those with a diploma or an associate degree, and for a bachelor’s or master’s degree was 2.06 times more likely to change their workplace than those with a diploma or an associate degree.ConclusionPolicies promoting the recruitment of native-born professionals, given priority to the married candidates than single ones, and/or recurring candidates to pledge to stay in the locality of recruitment site can increase the staff retention and reduce the costs of staff turnover including re-hiring, initial and on-the-job training, accommodation, and other extra living consumptions away from home and family.

A study protocol in modeling the factors affecting unsafe behaviors with a case study on Iranian workers

A study protocol in modeling the factors affecting unsafe behaviors with a case study on Iranian workers