Women In Sabzevar Research Articles

The Effect of Resiliency Training on Mental Health and Resilience of Pregnant Women with Unwanted Pregnancy: A Randomized Clinical Trial.

Unwanted pregnancy has many negative consequences in terms of women's physical and mental health. Resilience is a process of utilizing important resources to maintain mental health in the face of stress. In addition, resilience can be promoted through. This study was performed to evaluate the effect of resiliency training on the mental health and resilience of pregnant women with an unwanted pregnancy. This randomized clinical trial was conducted on 66 women in Sabzevar, Iran, in 2020 with unwanted pregnancies, mild or moderate mental health problems, and low resilience. The participants were randomly divided into two groups through a simple lottery. In the intervention group, resilience training was performed once a week in groups of 10-15 people in six training sessions, each lasting 60 to 90 minutes. Mental health and tolerability were measured using the 28-item General Health Questionnaire and the Connor-Davidson Resilience scale before the intervention, and immediately after and 1 month after the intervention. The mean (SD) of mental health immediately 35.46 (5.59) and 1 month after the intervention 33.73 (3.85) in the intervention group (F = 91.23; p < 0.001) was reduced significantly compared to the control group (F = 94.02; p < 0.001). The results of the mean (SD) showed that the resilience training intervention significantly increased the resilience score in the intervention group 84.36 (8.49)(compared to the control group (49.13) 6.67)((p < 0.001). Resilience training was effective in promoting the mental health and resilience of pregnant women with unwanted pregnancies.

Preconception air pollution exposure and glucose tolerance in healthy pregnant women in a middle-income country

BackgroundPreconception exposure to air pollution has been associated with glucose tolerance during pregnancy. However, the evidence in low and middle-income countries (LMICs) is under debate yet. Therefore, this study aimed to assess the relationship between exposure to ambient particulate matter (PM) and traffic indicators with glucose tolerance in healthy pregnant women in Sabzevar, Iran (2019).MethodsTwo-hundred and fifty healthy pregnant women with singleton pregnancies and 24–26 weeks of gestations participated in our study. Land use regression (LUR) models were applied to estimate the annual mean of PM1, PM2.5 and PM10 at the residential address. Traffic indicators, including proximity of women to major roads as well as total streets length in 100, 300 and 500 m buffers around the home were calculated using the street map of Sabzevar. The oral glucose tolerance test (OGTT) was used to assess glucose tolerance during pregnancy. Multiple linear regression adjusted for relevant covariates was used to estimate the association of fasting blood glucose (FBG), 1-h and 2-h post-load glucose with PMs and traffic indicators.ResultsExposure to PM1, PM2.5 and PM10 was significantly associated with higher FBG concentration. Higher total streets length in a 100 m buffer was associated with higher FBG and 1-h glucose concentrations. An interquartile range (IQR) increase in proximity to major roads was associated with a decrease of − 3.29 mg/dL (95% confidence interval (CI): − 4.35, − 2.23, P-value < 0.01) in FBG level and − 3.65 mg/dL (95% CI, − 7.01, − 0.28, P-value = 0.03) decrease in 1-h post-load glucose.ConclusionWe found that higher preconception exposure to air pollution was associated with higher FBG and 1-h glucose concentrations during pregnancy.

Prenatal greenspace exposure and cord blood cortisol levels: A cross-sectional study in a middle-income country

Exposure to greenspace has been associated with reduced stress; however, the available evidence on such an association for the fetus is still very scarce. We, for the first time, investigated the association between maternal greenspace exposure and the level of cortisol, a stress hormone, in the cord blood. Our study was based on a cohort of 150 pregnant women in Sabzevar, Iran (2018). We comprehensively assessed greenspace exposure for each participant through (i) residential surrounding greenspace (using two satellite-derived vegetation indices), (ii) residential proximity to green spaces, (iii) maternal visual access to greenspace, (iv) use of public and private green spaces, (v) having a private garden, and (vi) the number of plant pots at home. Linear regression models were developed to assess the association of each indicator of greenspace exposure with cord blood cortisol levels, controlled for the relevant covariates. We observed that a higher residential surrounding greenspace (100 m buffer), having a window with greenspace view, window greenspace coverage of more than 50%, frequently looking at greenspace through window, residential proximity to large green spaces, and more time spent in green spaces were associated with lower cortisol levels in the cord blood. The findings for residential surrounding greenspace at 300 m and 500 m buffers, residential proximity to any green space regardless of its size, having a private garden, and number of plant pots at home were not conclusive. While about one-third of the association between residential surrounding greenspace (100 m buffer) could be mediated through reduction in exposure to air pollution, we did not observe any strong evidence for such a mediatory role for the visual access to greenspace. The findings stratified for parental education and housing type showed mixed patterns. Our findings suggest that more greenspace exposure might reduce cortisol level in the cord blood.

Surveying the Degree of Domestic Violence against Women and its effective factors in Married Women in Sabzevar

Background&#x0D; Violence against women is a global phenomenon experienced in the private and public areas of life. The aim of this study was to investigating the degree of violence and identifying the relevant factors for recognition, prevention and control of this phenomenon is essential. This study was conducted to determine the degree of domestic violence and its related factors in married women in Sabzevar in 2018.&#x0D; Methods In this descriptive-analytical study; 360 married women in Sabzevar were selected by cluster sampling method (10 × 40) and examined. A questionnaire was used to collect data,Its validity was determined by the panel of experts and its reliability was determined by Cronbach's alpha(0.65-0.83)and self-report completed for data analysis, descriptive tests and regression-based path analysis were used.&#x0D; Results According to the results, the average rate of violence against women was reported by 85.40 ± 39.55 out of a total of 290 grades. Social factors (β = 0.072), family factors (β = 0.075), and related factors of couples (β = 0.640) which explained 39% of total variance of violence. Among these factors, the effect of factors related to couples was more than other factors. Violence rate against women includes legal violence (19%), verbal violence (18%) and emotional violence (15%) were the most significant type of violence in the community.&#x0D; Conclusion The degree of violence in the investigated society was significant. Due to its consequences, the degree of violence in the population should be reduced. Considering the most important factors affecting the occurrence of violence related to couples, such as the lack of training of couples and the lack of ability of couples to control anger and some of the strategies of women to deal with violence. Therefore, it is necessary for the relevant authorities to intervene in empowering couples to deal with this problems. The amount of referral to the counselor for solving very few issues should be increased by taking appropriate measures from the relevant authorities. Considering couples' suggestions such as reducing unemployment and economic problems, and also the government can help reduce the risk of violence between couples.&#x0D;

Surveying the Degree of Domestic Violence against Women and its effective factors in Married Women in Sabzevar

Background&#x0D; Violence against women is a global phenomenon experienced in the private and public areas of life. The aim of this study was to investigating the degree of violence and identifying the relevant factors for recognition, prevention and control of this phenomenon is essential. This study was conducted to determine the degree of domestic violence and its related factors in married women in Sabzevar in 2018.&#x0D; Methods In this descriptive-analytical study; 360 married women in Sabzevar were selected by cluster sampling method (10 × 40) and examined. A questionnaire was used to collect data,Its validity was determined by the panel of experts and its reliability was determined by Cronbach's alpha(0.65-0.83)and self-report completed for data analysis, descriptive tests and regression-based path analysis were used.&#x0D; Results According to the results, the average rate of violence against women was reported by 85.40 ± 39.55 out of a total of 290 grades. Social factors (β = 0.072), family factors (β = 0.075), and related factors of couples (β = 0.640) which explained 39% of total variance of violence. Among these factors, the effect of factors related to couples was more than other factors. Violence rate against women includes legal violence (19%), verbal violence (18%) and emotional violence (15%) were the most significant type of violence in the community.&#x0D; Conclusion The degree of violence in the investigated society was significant. Due to its consequences, the degree of violence in the population should be reduced. Considering the most important factors affecting the occurrence of violence related to couples, such as the lack of training of couples and the lack of ability of couples to control anger and some of the strategies of women to deal with violence. Therefore, it is necessary for the relevant authorities to intervene in empowering couples to deal with this problems. The amount of referral to the counselor for solving very few issues should be increased by taking appropriate measures from the relevant authorities. Considering couples' suggestions such as reducing unemployment and economic problems, and also the government can help reduce the risk of violence between couples.&#x0D;

Childbirth Fear and Associated Factors in a Sample of Pregnant Iranian Women.

Fear of childbirth is common during pregnancy and may contribute to several adverse outcomes. We aimed to investigate childbirth fear and associated factors in a sample of pregnant Iranian women. This cross-sectional study was conducted on 525 pregnant women in Sabzevar, Iran from December 2016 to March 2017. The Wijma Delivery Expectancy/Experience Questionnaires (W-DEQ) was used to investigate fear of childbirth. The mean W-DEQ score was 67.6±23.5. Of 525 women, 19.6% and 6.1% experienced moderate (mean W-DEQ score ≥ 85) and severe (mean W-DEQ score ≥ 100) fear of childbirth, respectively. W-DEQ scores were not different in the categories of gestational age, parity, maternal age, educational level, body mass index, and employment status (p > 0.050). The mean score of childbirth fear was significantly higher in multiparas who preferred cesarean in comparison to those who preferred vaginal delivery (p < 0.032). The mean score of childbirth fear was significantly higher in nulliparas with a lower family income compared to those with a higher family income (p < 0.011). In nulliparas, predictors of moderate and severe childbirth fear were women's description of their present pregnancy (odds ratio (OR) = 2.600; 95% confidence interval (CI): 1.323-5.112), and receiving a low level of emotional support from their husband (OR = 4.450; 95% CI: 1.349-14.674), respectively. In multiparas, predictors of childbirth fear were unwanted pregnancy (OR = 2.930; 95% CI: 1.549-3.541), experiencing moderate to severe dyspareunia in the first intercourse (OR = 2.829; 95% CI: 1.479-5.414), having a low level of physical activity (OR = 1.942; 95% CI: 1.014-3.716), and perceived a low level of health (OR = 3.415; 95% CI: 1.172-9.950). We observed a relatively high prevalence of childbirth fear in pregnant women in Iran. Interventions should be implemented in high-risk women considering psychological variables.

Education Based on Theory of Planned Behavior over Sexual Function of Menopausal Women in Iran.

Background:More than half of the sexual problems in menopausal women are due to insufficient knowledge or false beliefs about sexual function. Theory of planned behavior (TPB) is one of the important theories that explain the main process of adopting healthy behaviors. This study investigates the effect of education based on TPB over sexual function of menopausal women in Sabzevar, Iran.Materials and Methods:In this quasi-experimental study, the data were collected through a survey. This study included 180 Iranian menopausal women from five health center of Sabzevar city in Iran from 2016 to 2017. Using a questionnaire, demographic, anthropometric, and TPB by SPSS version 22 software were measured and analyzed.Results:After educational intervention, the average rates of knowledge, attitude, perceived behavioral control, and intention to sexual function in education group were increased meaningfully (sig <0.05); these changes were not meaningful in control group. Furthermore, there was no statistically meaningful difference in subjective norms between two groups after intervention.Conclusion:According to the findings, it is proposed that TPB be used to improve sexual function in Iranian menopausal women.

Phylogenetic Grouping and Assessment of Virulence Genotypes, With Antibiotic Resistance Patterns, of Escherichia Coli Strains Implicated in Female Urinary Tract Infections

Background: Escherichia coli strains are common pathogens that can cause urinary tract infections (UTIs). They are classified into phylogroups based on three genetic markers: chuA, yjaA, and TspE4.C2. The E. coli strains that cause UTIs possess several genes that encode urovirulent factors and antimicrobial-resistance phenotypes. We determined the phylogenetic groups of E. coli isolates from UTI cases in Sabzevar, Iran, the prevalence of certain virulence genes, and the antibiotic-resistance phenotypes in these strains. Objectives: The aim of this study was to assess the correlation of detected E. coli phylogroups in female UTI patients with the antibioticresistance pattern and the distribution of certain virulence factors among the phylogroups. Materials and Methods: Ninety-three E. coli isolates from 150 women with UTI were studied. Three genetic markers were detected for phylogenetic grouping of strains, and four virulence determinants were analyzed with multiplex-PCR, including the genes for hemolysin (hly), aerobactin (iucD), P fimbriae (pap), and S/F1C fimbriae (sfa/focDE). The antibiotic-resistance phenotypes were also determined. Results: The isolates from UTI cases were distributed within phylogroups A (31%), B1 (10%), B2 (28%), and D (31%). The prevalence of iucD, hly, pap, and sfa/focDE virulence genes was significantly associated with groups B2 and D. The most-resisted antibiotics were cefazolin (93%) and co-trimoxazole (68%), while the isolates were most sensitive to nitrofurantoin (1%) and imipenem (2%). Conclusions: The phylogroups of E. coli isolates from UTI cases showed that groups D, B2, and A are prevalent in women in Sabzevar, as the dominant pathogenic phylogroups. The comparison showed that there was no significant difference in the occurrence of virulence factors or in the distribution of antibiotic resistance between urinary E. coli isolates, but the virulence genes were distributed more into groups B2 and D, respectively. Our study showed that the highest sensitivity was to nitrofurantoin and imipenem, but the decision on a treatment strategy remains based on the physician’s diagnosis and the antimicrobial-resistance tests.

P3.272 Prevalence of Chlamydia Trachomatis, Neisseria Gonorrhoeae and Ureaplasma Urealyticum in Pregnant Women of Sabzevar - Iran

BackgroundOne approach to eliminating sexually transmitted Infections (STIs) in a community is to screen high-risk persons, followed by the treatment and education of people who test positive. We examined a...