Prioritizing the health problems of slum residents using social determinants of health: A case study in a developing country

Nekoei‐Moghadam, Mahmood; Heidari, Narges; Amiresmaeili, Mohammadreza; Heidarijamebozorgi, Majid

doi:10.1002/hpm.2800

Cited by 3 publications

(5 citation statements)

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“…Iran is based in the MENA region [ 8 ]. Geographically, due to its proximity to Afghanistan and Pakistan (about 1800 km of the common border), the world's largest producers of opium and heroin, Iran is located in the east–west transit route and has a critical position [ 9 ]. Traditional drug traffickers use Iran's shortest possible route to transport the drugs produced in neighboring eastern countries from east to west.…”

Section: Introductionmentioning

confidence: 99%

Setting the policy agenda for the treatment of substance use disorders in Iran

et al. 2022

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Background Drug use is one of the most common public health problems globally. This study was done to analyze the agenda-setting of policies related to substance use disorder treatment in Iran since 1979. Methods The current qualitative study was done through document review and interviews with policymakers and executives. Purposive sampling with snowball strategy was considered for sampling. Semi-structured interviews were done. A total of 22 documents were examined, and the data were saturated with 32 interviews. Kingdon's Multiple Streams Framework was used to analyze the data. Results The results indicated the intersection of problem stream, policy stream, political stream, and opening the opportunity window. In the problem stream, the rapid growth of AIDS among people who inject drugs (PWID), the decrease in the average age of first drug use, the increase in the prevalence of substance use disorder in women, the ineffectiveness of compulsive treatment, and criminological perspectives played key roles. The policy stream included criminological perspective and war on drugs, and harm reduction. The political stream included announcing general anti-narcotics policies by the Supreme Leader of Iran and understanding the need for treatment, rehabilitation, harm reduction, and social support for substance use disorder by officials and policymakers. Conclusions For a long time in Iran, policies based on the war on drugs were the dominant approach, and then, policies based on harm reduction and patient-centeredness were considered. The ideology and political parties influenced the executive apparatus's policy stream in this area. In countries with an ideological approach, the political stream plays a critical role in setting issues on the agenda. Therefore, policy entrepreneurs can put the points on the agenda by attracting the attention of political forces to the issue.

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Section: Introductionmentioning

confidence: 99%

Setting the policy agenda for the treatment of substance use disorders in Iran

et al. 2022

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“…People who live in slum areas are mostly rural villagers who, due to their economic and financial problems, are unable to enter city's economic system and have been forced to take refuge in the city slums. 22,29 In the 2008 World Food Security Plan, Iran was among high-risk areas. In the meantime, Kerman province is one of Iran's seven provinces that are in the FI zone.…”

Section: Introductionmentioning

confidence: 99%

“…30 People living in slum areas are unable to adequately access a balanced nutritional regimen because of lower socioeconomic status. 28,29 Therefore, it is necessary to pay more attention to the food security of people living in city slums, as one of the most vulnerable sectors of society. As per existing literature, there is little information on the prevalence of FI and related factors in households living in slum areas.…”

Section: Introductionmentioning

confidence: 99%

“…Living in slum areas is growing in Iran due to rapid urbanisation. People who live in slum areas are mostly rural villagers who, due to their economic and financial problems, are unable to enter city's economic system and have been forced to take refuge in the city slums 22,29 …”

Section: Introductionmentioning

confidence: 99%

“…People living in slum areas are unable to adequately access a balanced nutritional regimen because of lower socioeconomic status 28,29 . Therefore, it is necessary to pay more attention to the food security of people living in city slums, as one of the most vulnerable sectors of society.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of food insecurity and related factors among slum households in Kerman, south of Iran

Amiresmaeili

Yazdi‐Feyzabadi

Heidarijamebozorgi

2021

Health Planning & Management

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Introduction: Household food insecurity (FI) is defined as limited or uncertain access to nutritionally adequate and safe food or limited ability to obtain foods in socially acceptable ways has become a global issue in recent decades. Methods: This cross-sectional study was conducted in Kerman, southeast of Iran in 2019, covering 559 marginalised households. United States Department of Agriculture food security measure was used for data collection.Finally, data were analysed using t-test, χ 2 , Mann-Whitney tests and logistic regression. Results:The prevalence of FI was 82% among slums households. The most important experience of FI in households was reliance on low-cost foods. There was a significant relationship between slums FI and gender of head of household, household size, household income, household education level and marital status (p ˂ 0.05). According to the results of the multivariate regression the variables of education, household income level and household size significantly determined FI (p ˂ 0.05). Conclusion:The most important determinant of FI was low socioeconomic status (income, education, household size).Hence, public policies targeting socioeconomic factors should be made to improve the socioeconomic status of slum dwellers.

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