ارتباط وضعیت سلامت عمومی (روش گلدبرگ) با موقعیت اقتصادی-اجتماعی و مشخصات دموگرافیک در مجروحین شیمیایی سردشت

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه زیست شناسی، دانشکده علوم پایه، دانشگاه شاهد، تهران، ایران

2 گروه فیزیولوژی، دانشکده پزشکی، دانشگاه شاهد، تهران، ایران

3 مرکز تحقیقات ایمونولوژی، دانشگاه شاهد، تهران، ایران

4 گروه ایمونولوژی، موسسه بیوشیمی و بیوفیزیک، دانشگاه تهران، تهران، ایران

5 گروه سلول‌های جنسی و شبیه سازی، پژوهشکده تحقیقاتی فناوری جنین دام، دانشگاه شهرکرد، شهرکرد، ایران

چکیده

مقدمه و هدف: جمهوری اسلامی ایران در زمان جنگ تحمیلی به مدت پنج سال بوسیله رژیم صدام حسین مورد یورش شیمیایی قرار گرفت که این مسئله آسیب های جسمی و روانی بسیاری را به همراه داشت. هدف از این مطالعه بررسی وضعیت سلامت عمومی و ارتباط آن با موقعیت اقتصادی اجتماعی غیرنظامیان سردشت بود.
مواد و روش ها: این مطالعه بخشی از پژوهش غضنفری، واعظ مهدوی و همکاران از سال 1387 است. جامعه مورد مطالعه 28 نفر از جانبازان شیمیایی سردشت بود که با استفاده از پرسشنامه سلامت عمومی (GHQ) گلدبرگ ارزیابی شدند که با نمرات از 0 (برای بهترین) تا 84 ارزش گذاری شدند. همچنین ارتباط سطح سلامت عمومی آنان با موقعیت اقتصادی اجتماعی در نظر گرفته شد. همچنین، سطح تحصیلات، شدت مواجهه، درصد جانبازی و کیفیت زندگی مورد ارزیابی قرار گرفت.  جهت آنالیز داده‌ها از تحلیل واریانس و رگرسیون غیر خطی استفاده شد. نتایج: میانگین سلامت عمومی در گروه نرمال، خفیف و شدید (بر اساس شدت جراحت) به ترتیب 0/50، 5/51 و 8/29 به دست آمد که بیانگر اختلاف در سلامت عمومی گروه شدید با دو گروه خفیف و نرمال (05/0>P) بود. همچنین بین متغیرهای موقعیت اقتصادی اجتماعی، سطح تحصیلات، کیفیت زندگی، شدت مواجهه و درصد جانبازی مجروحین با سلامت عمومی ارتباط معنی داری در بیشتر گروه‌ها وجود داشت.
نتیجه گیری: نتایج نشان دادند که بهبود موقعیت اقتصادی اجتماعی نقش بسزایی در سلامت عمومی و روانی افراد دارد. به طوری که موقعیت اقتصادی اجتماعی پیش‌بینی کننده مهم اثرات مخرب گاز خردل بر سلامت عمومی و روانی بوده و بر وضعیت بهداشتی واقعی تاثیرگذار است.

کلیدواژه‌ها

عنوان مقاله [English]

Relationship of general health status (Goldberg method) with socioeconomic position and demographic features in Sardasht chemical veterans

نویسندگان [English]

  • Leila Nasiri 1
  • Mohammadreza Vaezmahdavi 2
  • Tooba Ghazanfari 3
  • Sussan Kaboudanian Ardestani 4
  • Hossein Hassanpour 5
1 Department of Biology, Faculty of Basic Sciences, Shahed University, Tehran, Iran
2 Department of Physiology, Faculty of Medicine, Shahed University, Tehran, Iran
3 Immunoregulation Research Center, Shahed University, Tehran, Iran
4 Department of Immunology, Institute of Biochemistry and Biophysics, University of Tehran, Tehran , Iran
5 Department of Gametes and Cloning, Research Institute of Animal Embryo Technology, Shahrekord University, Shahrekord, Iran
چکیده [English]

Background and Objective: The Islamic Republic of Iran was chemically attacked by the Saddam Hossein’s enemy for five years during the imposed war and this issue caused many physical and psychological injuries. The aim of this study was to investigate the general health status and its relationship with the socio-economic status of non-army citizens of Sardasht.
Materials and Methods: This study was part of the research of Ghazanfari, Vaezmahdavi, et al since 2008. The study population was 28 chemical warfare veterans in Sardasht who were evaluated using the Goldberg General Health Questionnaire (GHQ), rating from 0 for best to 84 the worth health situation. Also, the relationship between the general health situation and socio-economic status were considered. In addition, the level of education, severity of exposure, injury rate and quality of life were evaluated.
Results: The mean of general health in normal, mild and severe exposure groups was 50.0, 51.5 and 29.8, respectively, which indicates difference in general health of between group severe with group mild and normal (P<0.05). Also, there was a significant relationship between the variables of socio-economic status, level of education, quality of life, intensity of exposure and the percentage of casualties with general health in most groups. Data were analyzed by one-way analysis of variance and nonlinear regression.
Conclusion: The results showed that improving socio-economic status plays an important role in public and mental health. So, the socio economic status is a significant predictor contributing destructive effects of mustard gas on general and mental health and influences actual health situation.

کلیدواژه‌ها [English]

  • Socio-economic status
  • General Health Questionnaire (G.H.Q)
  • Sardasht chemical veterans

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دانشور پزشکی
دوره 29، شماره 6 - شماره پیاپی 157
بهمن و اسفند 1400
صفحه 1-13

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