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INTRODUCTION: Brucellosis is one of the common diseases between humans and animals. The purpose of this study was to investigate behavioral determinants of brucellosis incidence among stockbreeders and their family members in a rural area based on the PRECEDE model. MATERIALS AND METHODS: This cross-sectional study was carried out among 540 stockbreeders and their family members in Northeastern Iran in 2019. Sampling was done in two stages including stratified sampling and random sampling method. Data collection was conducted by a valid and reliable questionnaire developed based on the PRECEDE model. Data were analyzed using SPSS16 through Pearson correlation coefficient, independent t -test, and ANOVA. Furthermore IBM SPSS AMOS version 20 was used for the path analysis. RESULTS: The mean age of the participants was 39.02 ± 16.41 years, of whom 53.1% and 46.9% were men and women, respectively. About 23.9% of the participants had a history of brucellosis in their families. Enabling factors were the most important determinant of self-efficacy and self-efficacy was the most important determinants of behavior. Evaluation of the chi-square indicators, chi-square ratio to degree of freedom, root mean square error of approximation, adjusted goodness of fit index, parsimony comparative fit index, comparative fit index, incremental fit index, and parsimonious normed fit index indices indicated that the model was well fitted and there was a positive and significant relationship between the predisposing, enabling, and reinforcing factors on the one hand and behavior on the other. chi-square indicators, chi-square ratio to degree of freedom, root mean square error of approximation, adjusted goodness of fit index, parsimony comparative fit index, comparative fit index, incremental fit index, and parsimonious normed fit index CONCLUSION: Designing and implementing health plans based on the PRECEDE model with more emphasis on self-efficacy as the most important behavioral determinants can bring about a positive effect on enhancing the brucellosis preventing behaviors.

Introduction: Brucellosis is one of the most prevalent diseases in Torbate Heidarieh, Iran; it is a common disease between human and animals. The present study aimed to review the psychometric properties of a questionnaire on brucellosis prevention behaviors based on the PRECEDE model among rural farmers and their family members (PRECEDE-QBPB). Materials and Methods:The study was a combination of qualitative and quantitative stages. In the qualitative stage, an 86-item questionnaire including interviews with 30 farmers, their family members and other effective people, as well as literature review, was designed. In the quantitative stage, psychometric properties of the PRECEDE-QBPB including the face, content, and constructs validities, as well as reliability measurement of the questionnaire were evaluated. Item impact, content validity ratio (CVR) and content validity index (CVI) for all items were calculated. Besides, confirmatory factor analysis (CFA) was done to evaluate the construct's validity; AMOS 20 was used for this purpose. In this stage, a cross-sectional study was conducted on 500 rural farmers and their family members. To estimate the internal consistency of this questionnaire, Cronbach's alpha was used for each variable. Further, descriptive statistics and Kaiser-Meyer-Olkin and Bartlett's test of sphericity were used to describe the characteristics of the participants and collect samples, respectively. Results: Based on the results of face validity and content validity (CVR, CVI and CFA 9), 19 and 22 items were removed, respectively, leaving the final questionnaire with 36 items and eight subscales including knowledge, attitude, self-efficacy, social support, enabling factors, environmental factors, behavioral factors, and reinforcing factors. The Cronbach's coefficient alpha was calculated for the total questionnaire (α= 0.92, 0.69-0.87 for subscales). The evaluation of model fit indices showed that all indices confirmed the suitability of the final model fit; therefore, the questionnaire has suitable construct validity. Conclusion: A questionnaire, as a valid tool, was designed in the present study. Healthcare providers, policymakers, planners, researchers may use this tool to find a comprehensive understanding of enabling, reinforcing, environmental and behavioral factors that affect brucellosis before implementing health education and health promotion programs.

Background: Despite the mass vaccination of people in countries, preventive health guidelines of coronavirus disease 2019 (COVID-19) are still one of the most critical factors for pandemic control. The objectives of this study were to assess the overall use of face masks and investigate the diverse kinds of face masks used among pedestrians in northeast Iran. Methods: This cross-sectional study was designed in Torbat Heydariyeh, northeastern Iran, from February 19 to May 13, 2020. A total of 223 848 pedestrians were selected from 25 points of the city, using a multistage sampling method in 10 stages. Descriptive statistics were presented with frequencies and percentages. Chi-square test and Fisher exact test were used to assess the association between two categorical variables. Results: The overall percent of face mask usage was 78.68%. Women used face masks considerably higher than men (88.32% vs. 69.02%, P<0.001). Among the male and female pedestrians who used the mask, 6.27% and 2.04% wore face mask incorrectly, respectively. Surgical masks (73.7%) were the most common face masks worn by pedestrians. Overall, the face mask usage was significantly lower during a.m. (88.34%) compared to p.m. (78.52%) (P<0.001). Also, the face mask usage was significantly higher in the center sections of the city (86.49%) compared to the outskirts (43.67%) (P<0.001). Conclusion: Women use face masks significantly more than men. Using educational programs and establishing laws and regulations to prevent pandemics in cities is considered as a key factor.

Objectives To determine the relationship between the COVID-19 anxiety and the quality of life among adolescent pregnant women in Dashtiari city, Iran. Methods In this cross-sectional study, 216 adolescent pregnant women in Dashtiari city, Iran in 2021 who met the inclusion criteria participated in a multi-stage sampling. Data collection tools included: demographic information, COVID-19 Anxiety Scale and a questionnaire of quality of life. Finally, the obtained data were analyzed in SPSS software version 21 using descriptive, Chi-square, Tukey and logistic regression tests. Results The results showed that 74 (34.3%) adolescent pregnant women had weak COVID-19 anxiety, 23 (10.6%) had moderate COVID-19 anxiety and 119 (55.1%) had severe COVID-19 anxiety. The results also showed that gestational age (OR=2.2, p=0.03), history of COVID-19 infection among adolescent pregnant women (OR=1.6, p=0.02), history of family and friends (OR=1.7) (p=0.04), quality of life (OR=4.3, p=0.001), increases the probability of COVID-19 anxiety. Conclusions Considering the psychological consequences of the post-COVID-19 era and the psychological events that occur in this period, by identifying and predicting these issues, strategies should be considered for optimal intervention and reduction of injuries in the post-crisis era.