پزشکی و سلامت

نیم رخ شاخص های کلان سلامت در ایران و منطقه

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‎rarer‏ را ‎ ‏نیم رخ شاخصهای کلان سلامت در ایران و منطقه ‎2000

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ad aed eT a Dae ha Figure SI: Total DALY rates in 100,000 by age, Iran 2003 and EMR-B 2002 20000 ‎Allecasue DALY 8‏ ع ‎g z‏ مرچ | 2 0000 مه 5 8 0000« 3 ‏:2 4 ة 30000 ‎af 8 20000 Em ۲ +0000 1 ‎ ‎04 5:44 1529 304 45.59 6049 7079 BOF Age ‎Source: Iran’s NBD study for 2003 and WHO's GBD study for 2002 [1]

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1 Figure $3: YLD tates in 100000 by age, Iran 2003 and EMR-B 2002 Alecasue YLD iran, Both sexes EMRG, Goth sexes Total YLD rato in 100,000 ‎Age‏ 804 70:79 6069 4540 30-44 1829 614 مو ‎Source: ran's NBD study for 2003 and WHO's GBD study for 2002 [1]

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4600 5 YLD rate difference 4000 males m Females ‘3600 3000 | 2500 | 2000 | 1.845 1600 | Difference of YLD rate in 100,000 1000} eso نه ~ Cluster! clustert Cluster -s00 Cluster I: Communicable, maternal, perinatal, and nutritional conditions: Cluster IT: Noncommunicable diseases: Cluster IIT: Injuries Source: Iran's NBD study for 2003 and WHO's GBD study for 2002 [1]

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Figure $8: YLD rates in 100000 for noncommunicable diseases N03 and EMR-B 2002 Noncommunicable diseases in both sexes EMRE, Both cexes ot ‏موه همود ميم‎ 45.59 088 TOT OF Ape Iran, Both sexes Source: Iran's NBD study for 2003 and WHO"s GBD study for 2002 [1]

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ig use disorders by age, Iran 2003 and EMR-B 2002 Drug use disordes YLD rate 1400 1,380 1200 | man mEMRE 1000 00 3۹ 0 موه مود 400 و م ‎L.‏ 200 ۰ و ۰ ‎oat‏ وه ‎a 8 =‏ = ع« مره 7079 6069 4559 3044 15.29 مب 04 Source: Incidence/prevalence in Iran [8,13] and YLD in EMR-B [1] Figure $10: YLD rates in 100000 for di YLD rate in 100,000

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Figure S17: YLD rates in 100000 for ischemic heart diseases by age, Iran 2003 and EMR-B 2002 Ischemic heart diseases YLD rate 1600 | Ah. ‎BOF Age‏ فقو وموم وموم مود 15.29 ميو امه ‎ ‎ ‎Source: Incidence/prevalence in Iran [14,15] and YLD in EMR-B [1]

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Figure 518: YLD rates in 100000 fon ran 2003 and EMR-B jebrovascular diseases by 2002 3 Cerebrovascular disease YLD rate 4 3 | ۳ © ano) ton wena = £100 | 5 8 ۳ ۰ 1 1 ‎BO Age‏ 72079 60.89 وهم 3044 15.28 ‎S14‏ هم ‎Source: Incidence/prevalence in Iran [14,15] and YLD in EMR-B [1]

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002 Figure $19: YLD rates in 100000 for knee ostecartiaitis by age, Iran 2003 and EMR-B Osteoarthritis YLD rate 1206 siren ‏سم‎ 8 YED rate in 100,000 YLD ratein 100,000 04 ‏یو‎ 15.29 S044 45.59 60.60 70.79 Be age Source: Incidence/prevalenee in Iran [10] and YLD in EMR-B [1]

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Figure $21: YLD rates in 100000 for unintentional injuries by sex, Iran 2003 and EMR-B 2002 3 ‏تنب‎ ] Unintentional injuries YLD rate = ol 3 - ‘010 ۰ ate Female Both Sexes lence/prevalence in Tran [16-18] and YLD in EMR-B [1] ‘Source: I

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11 B 2002 ‘YLD sates in 100000 for unintentional injuries by age. Iran 2003 and EM! 5000 Unintentional injuries YLD rate 25908 + 2500 rn, oth seen EMRE, Bot exes / 3 ءِ / ۳ / وم 3 ۱ ۳ sooo | sor +500 : ee ee ae ‏ميم مه‎ | 1528 soe 4559 ‏وهم‎ 7079 80+ age Source: Incidence/prevalence in Iran [16-18] and YLD in EMR-B [1] ۱ 100,000 Figure 5

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Figure $23: YLD rates in 100000 for road traffie accidents لا ‎age‏ +80 هنود ‎-e: Incidence prevalence in Iran [16] and YLD in EMR-B [1] ‎12 ‎and EMR-B 2002 ‎=a Md ۱ ۱ ۱ ۱ ۱ ۱ ‎ ‎b ‎ ‎¢ and sex, Iran 2003 ‎ ‎Road traffic accidents YLD rate ‎2000 ‎| tn ae ‎1100 Cena ais ‎1800 | an Fert ‎tase | TEED, Pomel ‏مه ‎32 ‎wo ‎ ‎400 ‎ ‏موه 69م مدو یو هده 44 ‎Sou ‎ ‎100,000 ‎ ‎no

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The burden of disease and injury In Iran 2003 Mohsen Naghavi!2, Farid Abolhassani?, Parshad Pourmalek*#5, Maziar Sanaz Vaseghi!, Niloufar Mahdavi Hezaveh78 ‘Thousand DALYs (YLL + YLD) 800 1000 1200 1400 200 400 0 ۷ ۵ ۵ ° Moradi Lakeh®, Nahid Jafari', and Hossein Kazemeini! Transport accidents Natural disasters (1) Ischemic heart diseases Major depressive disorder ‘Addiction Falls i ase and injury causes of ICD-10 with the highest burden, all ages and both sexes, Iran 2003. (I) Nat- 14 Corebrovascular diseases Low back pain Knee osteoarthrosis lion deficiency and other anemias Bipolar disorders (2) ‏ص‎ COPD plus Gore Pulmonale (3) Burns Exposure to mechanical forces (4) Prematurity with normal birth weight Diabetes mellitus Calculus of kidney and ureter Upper Respiratory Tract intections (5) Acne vulgaris Parinatal respiratory and cardiovascular (6) Schizophrenia and schizo-alfective disorder Figure 2 Top 21

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causes of YLD in Iran, 2003 YLD rate in 100,000 852 735.3 703.6 538.5 486.8 462.7 437.9 403.3 366.8 305.9 ICD entities ranked by YLD rate Depression Addiction ‘Transport accidents Ischemic heart disease Falls Low back pain Knee osteoarthrosis ‘Anemia (iron deficiency & others) Bipolar disorder COPDt + Cor pulmonale ‎for | fw fv fe‏ وا ید ‎10 ‎[Rank| ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎

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Epidemiology and Heterogeneity of Hypertension in Iran: A Systematic Review Ali-Akbar Haghdoost MD PhD*, Behnam 4 Mohammad Rezazadehkermani MD* 7 Pereant <15 15.28 30.55 285 ‘Age group Figure 1. The prevalences of hypertension in different age groups and their 95% confidence intervals; the numbers, were weighted based on the sample size of the studies. 5 16

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The Prevalence of Obesity in Iran in Recent Decade; a System- atic Review and Meta-Analysis Study ’, B Sadeghirad', AA Haghdoosr, F Bahreini', M Rezazadeh Kerman?* 35 | Male mFemale Obesity % (C195%) ‏بر‎ 5 Under 18y over 18y Age Groups (Years) Fig. 1; The prevalence of obesity by sex and age groups. The estimates were calculated by Random effect model

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Prevalence of type 2 diabetes in the Islamic Republic of Iran: systematic review and meta-analysis AA Haghdoost,"? M. Rezazadeh-Kermani,’ B. Sadghirad? and H.R. Baradaran* = 5 >15 15-25 2640340. ۳5 + ‘Age group (years) Figure! Prevalence of type 2 diabetes in different age groups and their 95% confidence intervals (numbers weighted based on sample sizes of the studies)

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Related factors to disparity of diabetes care in Iran Ali Mirzazadeh*™, Hamid R. Baradaran?™, Ali A. Haghdoost?™™, Pooria Salari*™ Controlled ——Un-Controlled Crude OR Adjusted OF DM DM Ter 95% TCT 95%] (n=1419) (021504) Gondor 7 Male ¥ 449 (41.12) 643 (58.88) 1 1 Female 808 (44.18) 1021 (55.82) _ 1.13 [.97-1.32) 1.06 [0.90-1.27), ge group ¢ 25-34 ¥ 102 (76.69) 3123.31) 1 1 35-44 211 (49.76) 213(50.24) 3.32 ]2.13-5.18/* 3.21 [2.04.5.06)* 391 (40.23) 581(59.77) 4.89 (321-746) 4.98 [3.22-7.69)* 554 (39.74) 240 )6026( 4.99 13.29-7.56)" _ 5.29 13.42-8.181 ‘Marital statues (%) Married ¥ 1098 (42.71) 1473 (57.29) 1 1 Single 40 (50.00) 40 (50.00) .75[ 48-1.16] 0.94 [0.59-1.51] Other 119 43.91) 152(56.09) 95 [.74.1.23) 0.88 [0.67-1.15] Tiving Area (2) Rural ¥ 381 (51.42) 360 (48.58) 1 1 Urban 877 (40.19) 1305 (59.81) _1.57(1.33-1.86)" 1.39 ]1.16-1.671* Educational Level (=) literate ¥ 573 (43.67) 739(56.33) 1 1 Literate 682 (42.44) 925 (57.56) 1.05 [.91-1.22] 1.11 [0.93-1.32] DM in Family (oy No¥ 758 (47.94) 823 (52.06) 1 1 Yos 493 (37.01), 839 (62.99) 1.57 (1.35-1.82)" 1.55 [1.33-1.811" ‘Obesity 7 Healthy Weight ¥ 307 (44.17) 388 (55.83) 1 1 Over-weight 532 (42.80) 711 (57.20) 1.06 [0.88-1.28) 1.02 [0.84.1.24) Obesity I 314 (43.43) 409 (56.57) 1.03 [0.84-1.27] 0.98 [0.79-1.23] Obesity 1 84 (41.79) 117(5821) 1.10 0.80-1.51] 1.09 (0.78-1.52] Obesity IIT 17 (30.36) 39 (69.64) 1.82 [1.01-3.27" 1.74 [0.95.3.18] Uncontrolled DM: FPGS130 with positive history of DN; ¥ Control Groups "PF valve=0.0007 13

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مدل اپیدمیو لوژی بیماری ایسکمیک قلبی دو ایوات ‏ . فملنای با سال هشتم شماره دوم بهار ۱۳۸۸ صص ۱۶۳-۱۷۰ اریخ بذبرش مفاله: ۱۳۸۶/۶/۴ آنشر لکرویک پیش از فتتار-۲۷ اردیبهشت 1۸۸ نوشین طالبی زاده:" پزشک عمومی, محقق. مرکز تحقیقات فیزیولوژی کرمان على اكبر حقدوست: ایدمیولوزیست. مركز تحقيقات فيزيولوزى كرمان على ميرؤازاده؛ يزشك عمومى. محقق. مركز تحقيقات فيزيولوزي كرمان جدول شماره ۲- نایج حاصل از برآوردهاى مدل براى شهر كرمان و كل كشور در خصوص منفيرهاى مر نبط با بيعارى ايسكميك قلبی ع اه در بخش فراقیتهای ویژه لبی 3 يخش هاي مراقيتهاى ويزه فلب براي اراد ۲ در نظركوفتن ميائكين مدت بسترى 3 روز وشريب اشفال ‎1١١‏ ‏تعادمعاخلات جراحي (جراحیباز و ‎(haa‏ نظرگرفتن ۲۵ روز کاری در ماه ۰ تعاد مرک‌های حاصل از پیمریهایایسکمیک قلبی در سا ‎ae‏ تعناد نختهلى لازم يخشرهاى مراقبتهاى ويزه قلبى براى ارائه سرويس به بيماران بعد از مداخلات جراحى با درنظركرفتن حدود يك هفته بسترى برل ‎fae‏ ‎Dhl‏ تياز يه ييكيرى سرب بى بعد از حمله قلبى يا مداخلات جراحى دارند اتعداد بزشكان متخصص قلب براى ارائه خدمت بد بيماران سر يابى ما در نظر كرفتن ابن که تربار كارى +" بيمار واقعى ‎wis‏ ‏بیان ای پوشکا رای اندیکاسیون توسط هر پزتک متخصصص بررسی شو بل با یسمیک قلبی بش 20 بای کنو 1 vat wer vr ۱۳ ve verre كمد vere. re

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Progress towards Health Equity in LR. of Iran through Last Three Decades A Olyaee Manesh ', *AA Haghdoost ’, M Beheshtian ', A Tehrani Banihashemi*, M Motlagh ' Table 1: Literacy rate in different groups of population in Iran 1986 2006 Sex Male 714 887 Female 519 80.3 Living area Rural 482 75.09 Urban 731 88.93 Province Province with the highest literacy 5 rate (Tehran) ۲89 ۰۰ 8 Province with the lowest literacy 5 i rate (Sistan-Baouchestan) Standard deviation between provinces. 9.7 21

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Temporal variations of health indicators in Iran comparing with other Eastern Mediterranean Region countries in the last two decades Mohammad Movahedi'3, Ali A. Haghdoost?3, Omid Pournik?, Behzad Hajarizadeh?4, )لم 22 wo مد ‎os?‏ ‏مه ‎on‏ ss 386 576 7 a3 658 ea 66 Der 6%) ost 201 050 ~oa0 105 877 939 939 968 ne 968 986 ewes) هه 0و 933 71 وم 30 227 850 380 a7 7 020 كمه ال 015- 520 6.96 498 433 2.00 620 a2 195 str er 1000) 3 252 ow “2.67 9 166 و9 237 334 168 وود 310 Mohammad S. Fallah® Inox source of data ‘Annual variation f index (changed rte per year) Countries with low HO Counties with medium HD! Counties with high HOI tnd value in baseline year (1990) (the rated Counties with low HDL ‘Counties with medium HO! Counties with high HOI Index value in ast year 2008) (the ate) ‏رومع‎ with low HDL Counties with medium HD! ‏كع ومع‎ with high HOI Bold indeates P< 0.06.

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Trends and geographical inequalities of the main health indicators for rural Iran‘ Mohammad Movahedi,' Behzad Hajarizadeh,? Azamdokht Rahimi,’ Masoumeh Arshinchi,* Khadijeh Amirhosseini* and Ali Akbar Haghdoost** |. Crude birth rate 1. Total fertiity rate ML Modern family planning coverage 23

بنام او كه آگاه بر هر نهان است و دانا بر هر حقيقت دانشگاه علوم پزشكي كرمان نیم رخ شاخصهای کالن سالمت در ایران و منطقه علي اكبر حقدوست ،اپيدميولوژيست مقایسه بار بیماریهای ایران و سایر کشورهای منطقه مدیترانه شرقی 2 علي اكبر حقدوست مقایسه بار ناتوانیهای ایران و سایر کشورهای منطقه مدیترانه شرقی 3 علي اكبر حقدوست 4 علي اكبر حقدوست 5 علي اكبر حقدوست 6 علي اكبر حقدوست 7 علي اكبر حقدوست 8 علي اكبر حقدوست 9 علي اكبر حقدوست 10 علي اكبر حقدوست 11 علي اكبر حقدوست 12 علي اكبر حقدوست 2045-2050' مردان 2040-2045' 2035-2040' 2030-2035' دو جنس 2025-2030' 2020-2025' 2015-2020' 2050 تا1950امید زندگی در بدو تولد در ایران 2010-2015' 70 2005-2010' 75 2000-2005' 55 1995-2000' 1990-1995' 1985-1990' 1980-1985' 1975-1980' 1970-1975' 1965-1970' 1960-1965' 1955-1960' 1950-1955' Life expectancy estimation in Iran 1950 - 2050 زنان 85 80 71.70 68.80 65 60 70.20 50 45 40 World Population Prospects (UN, 2005) 14 علي اكبر حقدوست Rank Top ten causes of YLD in Iran, 2003 ICD entities ranked by YLD rate YLD rate in 100,000 1 Depression 852 2 Addiction 735.3 3 Transport accidents 703.6 4 Ischemic heart disease 538.5 5 Falls 486.8 6 Low back pain 462.7 7 437.9 8 Knee osteoarthrosis Anemia (iron deficiency & others) 9 Bipolar disorder 366.8 10 COPD† + Cor pulmonale 305.9 403.3 16 علي اكبر حقدوست 17 علي اكبر حقدوست 18 علي اكبر حقدوست Controlled DM (n=1419) Un-Controlled DM (n=1504) 449 (41.12) 808 (44.18) 643 (58.88) 1021 (55.82) Crude OR [CI 95%] Adjusted OR [CI 95%] Gender (%) Male ¥ Female Age group (%) 25-34 ¥ 35-44 45-54 55-64 Marital statues (%) Married ¥ Single Other Living Area (%) Rural ¥ Urban Educational Level (%) Illiterate ¥ Literate DM in Family (%) No ¥ Yes Obesity (%) Healthy Weight ¥ Over-weight Obesity I Obesity II Obesity III 102 211 391 554 (76.69) (49.76) (40.23) (39.74) 31 (23.31) 213 (50.24) 581 (59.77) 840 (60.26) 1 1.13 [.97-1.32] 1 1.06 [0.90-1.27] 1 3.32 [2.13-5.18]* 4.89 [3.21-7.46]* 4.99 [3.29-7.56]* 1 3.21 [2.04-5.06]* 4.98 [3.22-7.69]* 5.29 [3.42-8.18]* 1098 (42.71) 40 (50.00) 119 (43.91) 1473 (57.29) 40 (50.00) 152(56.09) 1 .75 [.48-1.16] .95 [.74-1.23] 1 0.94 [0.59-1.51] 0.88 [0.67-1.15] 381 (51.42) 877 (40.19) 360 (48.58) 1305 (59.81) 1 1.57 [1.33-1.86]* 1 1.39 [1.16-1.67]* 573 (43.67) 682 (42.44) 739 (56.33) 925 (57.56) 1 1.05 [.91-1.22] 1 1.11 [0.93-1.32] 758 (47.94) 493 (37.01) 823 (52.06) 839 (62.99) 1 1.57 [1.35-1.82]* 1 1.55 [1.33-1.81]* 307 (44.17) 532 (42.80) 314 (43.43) 84 (41.79) 17 (30.36) 388 (55.83) 711 (57.20) 409 (56.57) 117 (58.21) 39 (69.64) 1 1.06 1.03 1.10 1.82 1 1.02 0.98 1.09 1.74 [0.88-1.28] [0.84-1.27] [0.80-1.51] [1.01-3.27]* علي Uncontrolled DM : FPG>130 with positive history of DM ; ¥ Control حقدوست Group ; *اكبر P value<0.0001 [0.84-1.24] [0.79-1.23] [0.78-1.52] [0.95-3.18] 19 20 علي اكبر حقدوست 21 علي اكبر حقدوست 22 علي اكبر حقدوست 23 علي اكبر حقدوست

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