Osong Public Health and Research Perspectives

Original Article

Enrolment Phase Results of the Tabari Cohort Study: Comparing Family History, Lipids and Anthropometric Profiles Among Diabetic Patients: Mahmood Moosazadeh, Mahdi Afshari, Kaveh Jafari, Motahareh Kheradmand, Zahra Kashi, Mohsen Aarabi, Adeleh Bahar, Mohammad Khademloo; Osong Public Health Res Perspect. 2019;10(5):289-294. Published online October 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.5.05

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Objectives

Different factors are responsible for the silent epidemic of diabetes mellitus in developing and developed countries. This study aimed to determine the role of demographic factors, lipid profile, family history (the estimation of genetic association) and anthropometric factors on diabetes onset.

Methods

Data from the enrolment phase of the Tabari Cohort study was applied for this study and included 10,255 participants aged between 35–70 years. Anthropometric variables were measured by trained staff using standard tools. Blood specimens were collected for lipid profile and blood glucose measurements. Data analyses were performed using SPSS version 24, with univariate and multivariate logistic regression.

Results

The prevalence of diabetes mellitus was estimated to be 17.2% in the cohort population, 15.6% in men, and 18.3% in women. The adjusted odds ratios (95% confidence intervals) for age groups 40–49, 50–59 and over 60 were 2.58 (2.20–3.69), 5.80 (4.51–7.48) and 8.72 (6.67–11.39), respectively. In addition, the odds ratios (95% confidence intervals) for 2 (or more), and 1 affected family member were 4.12 (3.55–4.90) and 2.34 (2.07–2.65), respectively. Triglyceride concentrations more than 500, and abnormal high-density lipoprotein levels increased the odds of diabetes mellitus by 3.29- and 1.18-fold, respectively.

Conclusion

The current study showed that old age and a family history were strong predictors for diabetes mellitus.

Citations

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The prevalence and determinants of diabetes mellitus and thyroid disorder comorbidity in Tabari cohort population
Mahmood Moosazadeh, Saeedeh Khakhki, Adele Bahar, Akbar Hedayatizadeh-Omran, Motahareh Kheradmand, Reza Alizadeh-Navaei, Erfan Ghadirzadeh
Scientific Reports.2024;[Epub] CrossRef
Free-fatty acid receptor-4 gene polymorphism (rs61866610) and colorectal cancer risk
Ramin Shekarriz, Maryam Hasanian, Mohadeseh Ahmadi, Versa Omrani-Nava, Reza Alizadeh-Navaei
Nucleosides, Nucleotides & Nucleic Acids.2024; : 1. CrossRef
The relationship between spiritual intelligence and self-management in patients with diabetes type 1
Sima Rafiei, Saber Souri, Zahra Nejatifar, Mohammad Amerzadeh
BMC Endocrine Disorders.2023;[Epub] CrossRef
Prevalence and determinants of diabetes and prediabetes in southwestern Iran: the Khuzestan comprehensive health study (KCHS)
Sanam Hariri, Zahra Rahimi, Nahid Hashemi-Madani, Seyyed Ali Mard, Farnaz Hashemi, Zahra Mohammadi, Leila Danehchin, Farhad Abolnezhadian, Aliasghar Valipour, Yousef Paridar, Mohammad Mahdi Mir-Nasseri, Alireza Khajavi, Sahar Masoudi, Saba Alvand, Bahman
BMC Endocrine Disorders.2021;[Epub] CrossRef

Review Article

Prevalence of Enterobius vermicularis among Children in Iran: A Systematic Review and Meta-analysis: Mahmood Moosazadeh, Ghasem Abedi, Mahdi Afshari, Seif Ali Mahdavi, Fereshteh Farshidi, Elham Kheradmand; Osong Public Health Res Perspect. 2017;8(2):108-115. Published online April 30, 2017; DOI: https://doi.org/10.24171/j.phrp.2017.8.2.02

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Abstract PDF

Objectives

Enterobius vermicularis is a parasitic disease that is common in crowded areas such as schools and kindergartens. Primary investigations of electronic evidence have reported different prevalences of E. vermicularis in Iran. Therefore, we aimed to estimate the total prevalence of this infection among Iranian children using a meta-analysis.

Methods

Relevant studies were identified in national and international databases. We selected eligible papers for meta-analysis after investigating titles, abstracts, and full texts; assessing study quality; and applying inclusion/exclusion criteria. Data were extracted by two independent researchers. The results were combined using a random effects model in Stata v. 11 software.

Results

Among 19 eligible articles including 11,676 participants, the prevalences of E. vermicularis among all children, boys, and girls were 1.2%–66.1%, 2.3%–65.5%, and 1.7%–65.5%, respectively. Pooled prevalences (95% confidence interval) of E. vermicularis among all children, boys, and girls were 17.2% (12.6%–21.8%), 17.2% (12.6%–21.8%), and 16.9% (9.03%–24.8%), respectively.

Conclusion

This meta-analysis showed that a great majority of Iranian children are infected with E. vermicularis, possibly due to poor public health.

Citations

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Enterobius vermicularis (pinworm) infestation mimicking acute appendicitis in two children from Palestine: a case report
Issam Jawabreh, Ahmad Amro, Kifaya Azmi, Hamza Batran, Ziad Abdeen, Omar Hamarsheh
Journal of Medical Case Reports.2024;[Epub] CrossRef
Factors related to the mortality risk of severe hand, foot, and mouth diseases (HFMD): a 5-year hospital-based survey in Guangxi, Southern China
Yuanjun Peng, Weitao He, Zhigang Zheng, Peijiang Pan, Yu Ju, Zhenwei Lu, Yanyan Liao, Hailong Wang, Chao Zhang, Jing Wang, Lina Jiang, Hao Liang, Minmei Chen, Li Ye
BMC Infectious Diseases.2023;[Epub] CrossRef
Prevalence of Enterobius vermicularis among children in Iran: A comprehensive systematic review and meta-analysis
Elnaz Moussavi, Mohammad Houssaini, Nader Salari, Mahvan Hemmati, Ahmad Abdullahi, Ali Asghar Khaleghi, Shamarina Shohaimi, Masoud Mohammadi
Parasite Epidemiology and Control.2023; 22: e00315. CrossRef
Global prevalence of enterobiasis in young children over the past 20 years: a systematic review and meta-analysis
Elham Kia Lashaki, Azadeh Mizani, Seyed Abdollah Hosseini, Bentolhoda Habibi, Khadijeh Taherkhani, Amir Javadi, AliReza Taremiha, Samira Dodangeh
Osong Public Health and Research Perspectives.2023; 14(6): 441. CrossRef
Assessment of the Serum Level of IL-1B, IL-2, and IL-10 in Children Infected with Enterobius vermicularis in Babylon Province
Aseel Sekar Naji AL-Bairmani, Hayam Khalis Al-Masoudi
Medical Journal of Babylon.2023; 20(1): 59. CrossRef
Enterobiasis and its risk factors in urban, rural and indigenous children of subtropical Argentina
Maria Romina Rivero, Carlos De Angelo, Constanza Feliziani, Song Liang, Karina Tiranti, Martin Miguel Salas, Oscar Daniel Salomon
Parasitology.2022; 149(3): 396. CrossRef
Investigation of the Prevalence of Enterobius Vermicularis Infection and Risk Factors among Kindergartens in Hamadan, West of Iran, in 2019
Mohammad Fallah, Mahdi Parsaei, Eissa Soleymani, Ali Jamshidizad, Afshin Azimi
Avicenna Journal of Clinical Medicine.2022; 28(4): 253. CrossRef
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Chia-Kwung Fan, Pasaikou Sonko, Yueh-Lun Lee, Ai-Wen Yin, Ting-Wu Chuang, Ramson Kios, Ying-Ting Wang, Chia-Mei Chou, Shao-Lun Hsu, Mai-Szu Wu, Jia-Wei Lin, Chia-Ying Tu, Pedro P. Chieffi
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The neglected role of Enterobius vermicularis in appendicitis: A systematic review and meta-analysis
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Antonia Ceccarelli, Victoria Ann Mifsud, Amna Dogar
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Halk Sağlığı Uygulamalarının Enterobius Vermicularis’in Korunma ve Kontrolündeki Önemi
Kamuran ÖZDİL, Nimet KARATAŞ, Handan ZİNCİR
Nevşehir Bilim ve Teknoloji Dergisi.2020; 9(2): 154. CrossRef
Prevalence and genotype distribution of Enterobius vermicularis among kindergarteners in Shiraz and Khorramabad cities, Iran
Atefeh Tavan, Fattaneh Mikaeili, SeyedMahmoud Sadjjadi, Sara Bajelan, Hossein Mahmoudvand, Meysam Sharifdini
Asian Pacific Journal of Tropical Medicine.2020; 13(7): 308. CrossRef
Prevalence of Enterobius vermicularis in Prima-ry School Children of Bushehr, Iran in 2011
Morad Ali Fouladvand, Ali Heydari, Afshin Barazesh
Iranian South Medical Journal.2018; 21(2): 125. CrossRef

Original Articles

Estimating Tuberculin Skin Test Reactions among Children and Teenagers Who Received the Bacillus Calmette-Guerin Vaccination at Birth: A Meta-analysis: Mohammad Sadegh Rezai, Siavosh Abedi, Mahdi Afshari, Mahmood Moosazadeh; Osong Public Health Res Perspect. 2017;8(1):3-10. Published online February 28, 2017; DOI: https://doi.org/10.24171/j.phrp.2017.8.1.02

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Abstract PDF

Objectives

Tuberculin skin reaction size is one indicator of bacillus Calmette-Guérin (BCG) vaccine efficacy and a way to diagnose latent infection. Several primary studies have examined this issue. Combining the results of these studies using a meta-analysis will provide reliable evidence regarding this indicator for policymakers. This study aimed to estimate the total frequency of different tuberculin skin test reactions among Iranian children and teenagers who received the BCG vaccination at birth.

Methods

National and international databanks were searched using relevant keywords. After the search strategy was restricted and duplicates were excluded, the titles and abstracts of the remaining papers were screened. All included studies included healthy children who received the BCG vaccine without confirmed tuberculosis exposure. Heterogeneity of the results was assessed using the Cochrane test and I² index showed the random effects model as the best model for estimating the pooled results.

Results

We combined the results of 14 primary studies including purified protein derivative reaction test measures of 26,281 Iranian children. The frequencies (95% confidence intervals) of the reactions were 8.5% (6.2–10.8) for patients with a reaction size ≥ 10 mm, 29.9% (22.3–37.4) for a reaction size of 5–9 mm, and 60% (48.9–71.1) for a reaction size < 5 mm.

Conclusion

Our study showed that large numbers of Iranian children and teens have no positive BCG vaccine reaction and a considerable number of children have been exposed to Mycobacterium tuberculosis.

Citations

Citations to this article as recorded by

Comparison of Serum Immunoglobulin Levels and Lymphocyte Counts in Children with Lymphadenitis Following BCG Vaccination
Leila Barati, Arash Kalantari, Jalaladdin Sheikh, Fateme-Sadat Tabatabaee, Farshid Kompani, Maryam Najafinejad, Ahmad Sohrabi, Fatemeh Cheraghali
Iranian Journal of Pediatrics.2022;[Epub] CrossRef
Is latent tuberculosis infection challenging in Iranian health care workers? A systematic review and meta-analysis
Mohammad Hossein YektaKooshali, Farahnaz Movahedzadeh, Ali Alavi Foumani, Hoda Sabati, Alireza Jafari, HASNAIN SEYED EHTESHAM
PLOS ONE.2019; 14(10): e0223335. CrossRef

Comparing Seasonal Pattern of Laboratory Confirmed Cases of Pertussis with Clinically Suspected Cases: Golam Reza Ghorbani, Seyed Mohsen Zahraei, Mahmood Moosazadeh, Mahdi Afshari, Fahimeh Doosti; Osong Public Health Res Perspect. 2016;7(2):131-137. Published online April 30, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.02.004

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25 Download
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Abstract PDF

Objectives
During recent decades, there has been limited attention on the seasonal pattern of pertussis within a high vaccine coverage population. This study aimed to compare the seasonal patterns of clinical suspected pertussis cases with those of laboratory confirmed cases in Iran.
Methods
The current study was conducted using time series methods. Time variables included months and seasons during 2011–2013. The effects of seasons and months on the incidence of pertussis were estimated using analysis of variance or Kruskal–Wallis.
Results
The maximum average incidence of clinically confirmed pertussis was 23.3 in July (p = 0.04), but the maximum incidence of clinical suspected pertussis was 115.7 in May (p = 0.6). The maximum seasonal incidences of confirmed and clinical pertussis cases were reported in summer (average: 12, p = 0.004), and winter (average: 108.1; p = 0.4), respectively.
Conclusion
The present study showed that the seasonal pattern of laboratory confirmed pertussis cases is highly definite and different from the pattern of clinical suspected cases.

Citations

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Pertussis seasonal variation in Northern Vietnam: the evidence from a tertiary hospital
Nhung TH Pham, Quyen TT Bui, Dien M Tran, Mattias Larsson, Mai P Pham, Linus Olson
BMC Public Health.2024;[Epub] CrossRef
Population-Based Study of Pertussis Incidence and Risk Factors among Persons >50 Years of Age, Australia
Rodney Pearce, Jing Chen, Ken L. Chin, Adrienne Guignard, Leah-Anne Latorre, C. Raina MacIntyre, Brittany Schoeninger, Sumitra Shantakumar
Emerging Infectious Diseases.2024;[Epub] CrossRef
Bordetella pertussis in School-Age Children, Adolescents, and Adults: A Systematic Review of Epidemiology, Burden, and Mortality in the Middle East
Denis Macina, Keith E. Evans
Infectious Diseases and Therapy.2021; 10(2): 719. CrossRef
Pertussis epidemiology and effect of vaccination among diagnosed children at Vietnam, 2015‐2018
Nhung T. H. Pham, Nhan D. T. Le, Ngai K. Le, Khoa D. Nguyen, Mattias Larsson, Linus Olson, Dien M. Tran
Acta Paediatrica.2020; 109(12): 2685. CrossRef
Spatial distribution of vaccine-preventable diseases in central Iran in 2015–2018: A GIS-based study
Abolfazl Mohammadbeigi, Abedin Saghafipour, Nahid Jesri, Fatemeh Zahra Tarkhan, Moharram Karami Jooshin
Heliyon.2020; 6(9): e05102. CrossRef
The comparative performance of wavelet‐based outbreak detector, exponential weighted moving average, and Poisson regression‐based methods in detection of pertussis outbreaks in Iranian infants: A simulation‐based study
Yousef Alimohamadi, Seyed Mohsen Zahraei, Manoochehr Karami, Mehdi Yaseri, Mojtaba Lotfizad, Kourosh Holakouie‐Naieni
Pediatric Pulmonology.2020; 55(12): 3497. CrossRef
Alarm Thresholds for Pertussis Outbreaks in Iran: National Data Analysis
Yousef Alimohamadi, Seyed Mohsen Zahraei, Manoochehr Karami, Mehdi Yaseri, Mojtaba Lotfizad, Kourosh Holakouie-Naieni
Osong Public Health and Research Perspectives.2020; 11(5): 309. CrossRef
The burden of laboratory-confirmed pertussis in low- and middle-income countries since the inception of the Expanded Programme on Immunisation (EPI) in 1974: a systematic review and meta-analysis
Rudzani Muloiwa, Benjamin M. Kagina, Mark E. Engel, Gregory D. Hussey
BMC Medicine.2020;[Epub] CrossRef
Sommergrippe: Mehr als ein Mythos!
Johannes Bogner
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R. N. F. Leong, J. G. Wood, R. M. Turner, A. T. Newall
Epidemiology and Infection.2019;[Epub] CrossRef
Time series modeling of pertussis incidence in China from 2004 to 2018 with a novel wavelet based SARIMA-NAR hybrid model
Yongbin Wang, Chunjie Xu, Zhende Wang, Shengkui Zhang, Ying Zhu, Juxiang Yuan, Lei Lin
PLOS ONE.2018; 13(12): e0208404. CrossRef
Identification of Etiologic Agents of the Pertussis-like Syndrome in Children by Real-time PCR Method
Shima Mahmoudi, Maryam Banar, Babak Pourakbari, Hediyeh Sadat Alavi, Hamid Eshaghi, Alireza Aziz Ahari, Setareh Mamishi
Prague Medical Report.2018; 119(1): 61. CrossRef

Prevalence of Head Lice Infestation and Its Associated Factors among Primary School Students in Iran: A Systematic Review and Meta-analysis: Mahmood Moosazadeh, Mahdi Afshari, Hormoz Keianian, Asghar Nezammahalleh, Ahmad Ali Enayati; Osong Public Health Res Perspect. 2015;6(6):346-356. Published online December 31, 2015; DOI: https://doi.org/10.1016/j.phrp.2015.10.011

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Abstract PDF

Objectives
Head lice infestation is one of the most important health problems, generally involving children aged 5–13 years. This study aims to estimate the prevalence of head lice infestation and its associated factors among primary school children using systematic review and meta-analysis methods.
Methods
Different national and international databases were searched for selecting the relevant studies using appropriate keywords, Medical Subject Heading terms, and references. Relevant studies with acceptable quality for meta-analysis were selected having excluded duplicate and irrelevant articles, quality assessment, and application of inclusion/exclusion criteria. With calculating standard errors according to binomial distribution and also considering the Cochrane's Q test as well as I-squared index for heterogeneity, pediculosis prevalence rate was estimated using Stata SE V.11 software.
Results
Forty studies met the inclusion criteria of this review and entered into the meta-analysis including 200,306 individuals. Using a random effect model, the prevalence (95% confidence interval) of head lice infestation among primary school children was estimated as 1.6% (1.2–2.05), 8.8% (7.6–9.9), and 7.4% (6.6–8.2) for boys, girls, and all the students, respectively. The infestation rate was found to be associated with low educational level of parents, long hair, family size, mother's job (housewife), father's job (worker/unemployed), using a common comb, lack of bathrooms in the house, and a low frequency of bathing.
Conclusion
This meta-analysis revealed that the prevalence of head lice infestation among Iranian primary school children is relatively high with more prevalence among girls. We also found that economic, social, cultural, behavioral, and hygienic factors are associated with this infestation.

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