Background: Psychological hardiness is a protective personality characteristic against life stresses that plays a major role in improving one's ability to cope with environmental pressures. Objectives: Thus, the present study aimed to evaluate the mental health status, psychological hardiness, and the correlation between the two in workers of the Pars special economic energy zone in 2010 with a special emphasis on demographic factors, such as age, sex, marital status, job status, field of action, and job experience. Materials and Methods:This was an analytical cross-sectional study conducted amongst 743 workers of the Pars special economic energy zone. Stratified sampling was carried out. Data were collected using a general health questionnaire, a psychological hardiness scale, and a demographic characteristics questionnaire. Frequency distribution, means and standard deviations (SD) were calculated; Spearman's ρ test, Kruskal-Wallis, and Mann-Whitney U-test for evaluating the correlation between the variables were also used. The cut-off value for statistical significance was set at 0.05 or lower. Results: Findings showed that the mental health score had significant but reverse correlation with psychological hardiness (P = 0.002, r = -0.50). In 44% of the workers, the general health questionnaire score was higher than the cut-off point; the psychological hardiness score in this group of workers was also significantly lower than those with a mental health score below the cut-off point. This study also demonstrated that female gender, a younger age, being single or widowed, being a non-rotational shift worker, and working in the operational units were associated with poorer mental health and a lower psychological hardiness score. Conclusions: Findings of this study showed the importance of psychological hardiness in maintaining mental health. Special attention should be paid to maintaining and improving the mental health of workers in the Pars special economic energy zone. One of the main principles involved in the sustainable and integrated development of a company is healthy human resources in all aspects, including physical, mental, and social health. Therefore, the current situation necessitates designing evidence-based interventions focusing on vulnerable subgroups.
Summary Background The type of health insurance may affect the likelihood of mortality of insured people. We conducted this study to determine if accessing free quality health care services could decrease the premature mortality of people in a developing country. Methods In a multicenter cross sectional study, “years‐life‐lost” (YLL) due to premature death was evaluated in 202 671 insured people residing in six large regions in Iran. The participants had access to free quality health care services. The number of insured people that died in the six regions during March 20, 2014, to March 20, 2015, as well as their sex, age, and cause of the death, were collected, and the YLL was calculated based on assumptions made in Global Burden of Disease Study 2010 (GBD2010). Results The crude mortality rate was 2.3 per 1000, significantly lower than the overall rate of 4.6 per 1000 people in general population of Iran. The average YLL was 47 years per 1000 persons, significantly lower than that in general population of Iran and many industrialized countries. The most common causes of death (and YLL) were cardiovascular diseases and malignancies. Conclusion Having access to free quality health care services is associated with a significant decrease in premature death.
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