IntroductionThe uptake of Pap smear among Iranian women is low, resulting in a high rate of casualties from cervical cancer in Iran. The present study used the Health Belief Model (HBM) and the Stages of Change theory as theoretical frameworks for understanding the predictors of the behaviour of Iranian Women Health Volunteers (WHVs) with respect to cervical cancer screening.MethodsData from the 1,253 WHVs were analyzed using path analysis to assess the effects of cognitive factors (including knowledge, perceived susceptibility to cervical cancer, perceived severity of cervical cancer, Pap smear benefits, Pap smear barriers, and Pap smear self-efficacy) on the stages of change for Pap-smear behaviour.ResultsThe majority of the respondents (71.5%) reported that they had not taken previous Pap smear tests; only 3% had received a regular Pap test. The perceived benefits to cervical cancer screening, the perceived barriers to cervical cancer screening, and the perceived self-efficacy to perform cervical cancer screening emerged as the predictors of cervical cancer screening’s stages of change; perceived threat to cervical cancer, however, did not.DiscussionUptake of regular cervical screening for Iranian WHVs was very low. Different interventions, such as media campaigns and educational interventions could provide an opportunity to improve women's knowledge on cervical cancer and Pap test benefits, address any misconceptions or fears about the procedure of the Pap test, and finally increase the cervical screening uptake by Iranian women.

Background: The objectives of this study are to construct a cultural adopted questionnaire for evaluation of consumer's attitudes toward functional foods among Iranian's population according to Theory of Planned Behavior (TPB) and to investigate the attitudes toward vitamin enriched foods (VEF). Methods: Participants were students of Birjand University of Medical Sciences (BUMS). Exploratory factor analysis (EFA), Confirmatory Factor Analysis (CFA) and reliability assessment were performed. The construct validity of questionnaire determined by EFA and confirmed by CFA. Results: The overall Cronbach's alpha of questionnaire was 0.78. The three domains of TPB model were significantly associated with the total score of attitude toward functional foods questionnaire (AFFQ). Attitudes and subjective norms could successfully predict the consumption of VEF (p < 0.023 and p < 0.001, respectively), but perceived control construct could not perform the prediction (p < 0.219). Conclusion: AFFQ is a valid and reliable instrument to measure the attitudes of consumers toward consumption of functional foods in Iran.

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Context:Various studies have shown that quality of life in women after menopause undergoes radical changes. Several factors such as psycho-social factors are associated with the quality of life during menopausal period.Aims:The present study surveyed the factors associated with quality of life of postmenopausal women in Isfahan, based on Behavioral Analysis Phase of PRECEDE model.Settings and Design:This cross-sectional study was conducted through stratified random sampling among 200 healthy postmenopausal women in Isfahan in 2011.Subjects and Methods:Data were collected by two valid and reliable questionnaires (one to assess the quality of life and the other to survey the factors associated with the Behavioral Analysis Phase of PRECEDE model). Data analysis was performed using SPSS software (version 18) and analytical and descriptive statistics.Results:Pearson correlation indicated a positive and significant correlation between the quality of life and attitude toward menopause, perceived self-efficacy, and enabling and reinforcing factors, but there was no significant relationship between the quality of life and knowledge about menopause. Also, the quality of life in postmenopausal women had significant correlation with their age, education level, marital status, and employment status.Conclusion:Based on the present study, attitude, perceived self-efficacy, perceived social support, and enabling factors are associated with the quality of life in postmenopausal women. So, attention to these issues is essential for better health planning of women.

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