Associations between a health-promoting lifestyle and quality of life among adults with beta-thalassemia major

Maheri, Mina; Sadeghi, Roya; Shojaeizadeh, Davoud; Tol, Azar; Yaseri, Mehdi; Ebrahimi, Mojtaba

doi:10.4178/epih.e2016050

Cited by 25 publications

(17 citation statements)

References 21 publications

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“…1) About 3 million among the Iranian population are thalassemia gene carriers and about 26,000 people have thalassemia major; every year, 800 people are being added to this number. 6) In Iran, the prevalence of beta-thalassemia is more than that of alpha-thalassemia. 7)…”

Section: Introductionmentioning

confidence: 99%

Depression, Anxiety, and Perceived Social Support among Adults with Beta-Thalassemia Major: Cross-Sectional Study

et al. 2018

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BackgroundConsidering the high prevalence of depression and anxiety among thalassemia patients and the role of social support in preventing mental disorders, this study aimed to determine prevalence of depression, anxiety, and perceived social support (PSS) among adults with beta-thalassemia major.MethodsThis cross-sectional study was performed with 389 adults with beta-thalassemia major. Data were collected via a questionnaire consisting of three parts: demographic and medical information, the Persian version of the hospital anxiety and depression scale, and the Persian version of the Multidimensional Scale of Perceived Social Support. Data were analyzed using IBM SPSS ver. 23.0 (IBM Corp., Armonk, NY, USA) through analytical statistics (independent-samples t-test, one-way analysis of variance, Pearson correlation coefficient, and multilevel linear regression), and the results less than 0.05 were considered to be significant.ResultsThe mean scores of depression, anxiety, and PSS of patients were 7.42±3.17, 7.47±4.35, and 41.8±8.64, respectively. Of 389 patients, 19.8% had depression and 23.7% had an anxiety disorder. Relationships of depression and anxiety with age, the level of education, job, and family income were statistically significant, as were those of PSS with age, thalassemia center, family income, job, and the level of education. PSS from family, friends, and significant others were the significant predictive factors of depression and anxiety among adult patients with beta-thalassemia major.ConclusionConsidering the PSS as a factor influencing the reduction in depression and anxiety in thalassemia patients, social support from the social networks (spouse, family members, friends, and healthcare workers) should be integrated with interventions that are designed to improve the mental and physical health of thalassemia patients.

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Section: Introductionmentioning

confidence: 99%

Depression, Anxiety, and Perceived Social Support among Adults with Beta-Thalassemia Major: Cross-Sectional Study

et al. 2018

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“…Other studies have investigated HRQoL in the elderly in different regions of Iran [ 9 , 10 ]. Some studies have also focused on QoL in specific patient groups, such as patients with multiple sclerosis [ 11 ], diabetes [ 12 , 13 ], thalassemia [ 14 ], coronary artery disease [ 15 ], and tuberculosis [ 16 ]. Another study by Karyani et al [ 17 ] examined HRQoL and it determinants among individuals with health insurance coverage in Tehran, Iran.…”

Section: Introductionmentioning

confidence: 99%

Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional study

Rezaei¹,

Hajizadeh²,

Kazemi³

et al. 2017

Epidemiol Health

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OBJECTIVESThis study aimed to measure the level and determinants of health-related quality of life (HRQoL) in adults in Kermanshah, a city in the western region of Iran.METHODSConvenience sampling was employed to obtain a sample of 998 adults aged 18 years and older (646 males and 352 females) in the city of Kermanshah. A 2-part self-administered questionnaire was used to collect data over the period between March 1 and May 30, 2017. The first part was designed to collect information on socio-demographic characteristics, socioeconomic status, and lifestyle factors (10 items). The second part consisted of the EuroQoL 5-dimensions (EQ-5D) EuroQoL-3-level and the EuroQoL visual analog scale (EQ-VAS) questions. A multiple linear regression model was used to determine the factors associated with the EQ-5D index and EQ-VAS score among study participants.RESULTSThe mean values for the EQ-5D index and the EQ-VAS score were 0.74 (standard deviation [SD], 0.19) and 80.9 (SD, 16.5), respectively. The highest percentage of self-reported problems (‘some’ and ‘severe’ problems) across the 5 dimensions of the EQ-5D index were associated with the dimensions of anxiety/depression (35.3%) and pain/discomfort (32.9%). The percentage of self-reported problems for the dimensions of usual activities, mobility, and self-care were 19.0, 12.8, and 8.9%, respectively. Our regression analyses indicated that there were statistically significant positive associations between being physically active, monthly household income per capita, and post-secondary education and the EQ-5D index and EQ-VAS score. In contrast, negative associations were found between older age, being married, having a chronic disease, and smoking and the EQ-5D index and EQ-VAS score. A negative association was also found between being uninsured and the EQ-5D index.CONCLUSIONSOur findings suggest that interventions aiming to improve physical activity, to prevent chronic diseases, and to reduce the smoking rate among adults living in the city of Kermanshah may improve their HRQoL.

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“…[ 12 ] Health-promoting lifestyle has various dimensions, including interpersonal relationships, responsibility for health, spiritual growth and self-actualization, stress management, nutrition, and physical activity. [ 13 14 ] The importance of these health-promoting behaviors and lifestyles is largely due to their effect on the quality of life and disease prevention[ 15 ] and that promoting community health is one of the most important principles of community development. [ 14 ]…”

Section: Introductionmentioning

confidence: 99%

“…[ 9 19 ] Studies conducted on the health-promoting lifestyle of students in Iran and the world show that they are not under a good condition[ 9 14 16 20 21 ] and experience a range of inappropriate health behaviors, including unhealthy eating habits, physical inactivity, irregular sleep, unhealthy sexual behaviors, cigarette smoking, alcohol abuse, and etc. [ 9 15 19 ]…”

Section: Introductionmentioning

confidence: 99%

The effect of educational intervention on health-promoting lifestyle: Intervention mapping approach

Solhi

Azar

Abolghasemi

et al. 2020

J Edu Health Promot

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BACKGROUND: The health-promoting lifestyle by empowering individuals will increase control over their health, improve quality of life, and prevent diseases. The purpose of the present study was to determine the effect of the educational intervention based on the intervention mapping approach on health-promoting lifestyle in Iranian college students. METHODS: This study is a quasi-experimental control study that was conducted in two groups of 65 students of Iran University of Medical Sciences in 2018–2019. The data were collected using the Health-Promoting Lifestyle Standard Profile II questionnaire and a researcher-made questionnaire based on the mapping approach, whose validity and reliability were confirmed. The educational intervention was designed according to the pretest results, including five training sessions and performed for the intervention group. The two groups were evaluated with the same questionnaires 1 month and 3 months later, and the data were analyzed using independent t -test, Spearman, ANCOVA, ANOVA test, and covariance. Results: Before the intervention, no significant difference was observed between the mean scores of health-promoting behaviors in the two groups, but after the intervention, the mean scores of attitude, subjective norms, enabling factors, and perceived self-efficacy and mean scores of health-promoting lifestyle and its dimensions increased significantly in the intervention group ( P < 0.001) compared to the control group. Conclusion: The educational intervention is effective in improving behaviors related to health-promoting lifestyle and its dimensions. Therefore, performing educational interventions are suggested to adopt and adhere to behaviors related to health-promoting lifestyle by utilizing and reinforcing perceived self-efficacy, subjective norms, enabling factors, and attitudinal change.

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Associations between a health-promoting lifestyle and quality of life among adults with beta-thalassemia major

Cited by 25 publications

References 21 publications

Depression, Anxiety, and Perceived Social Support among Adults with Beta-Thalassemia Major: Cross-Sectional Study

Depression, Anxiety, and Perceived Social Support among Adults with Beta-Thalassemia Major: Cross-Sectional Study

Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional study

The effect of educational intervention on health-promoting lifestyle: Intervention mapping approach

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