13.تحلیل تأثیر عوامل اقتصادی- اجتماعی مؤثر بر سلامت روانی بیماران مغز و اعصاب و روان در شهر اردبیل

نوع مقاله : مقاله مستخرج از رساله دکتری

نویسندگان

1 دکتری جغرافیا و برنامه ریزی شهری، دانشکده علوم اجتماعی، دانشگاه محقق اردبیلی. اردبیل، ایران

2 استاد، جغرافیا و برنامه ریزی شهری، دانشکده علوم اجتماعی ، دانشگاه محقق اردبیلی، اردبیل، ایران

3 دانشیار مغز و اعصاب دانشگاه علوم پزشکی اردبیل، اردبیل، ایران

چکیده
زمینه و هدف: مطالعات نشان می‌دهند طی سال‌(های) اخیر اختلالات روانی در جوامع مختلف افزایش یافته است. با توجه به پیوستگی علوم انسانی، بررسی توأم عوامل اقتصادی- اجتماعی می‌تواند توصیه(های) سیاستی مهمی در بر داشته باشد. از این رو این پژوهش با هدف تعیین تاثیر عوامل اجتماعی- اقتصادی بر سلامت روان بیماران مغز و اعصاب و روان در شهر اردبیل دارد.
روش‌شناسی: پژوهش حاضر به لحاظ هدف کاربردی و به لحاظ روش توصیفی-تحلیلی می‌باشد. اطلاعات مورد نیاز در این بررسی از طریق روش(های) میدانی و اسنادی گردآوری شده‌اند. جامعه آماری پژوهش منطبق بر بیماران مغز و اعصاب و روان در شهر اردبیل است. برای تجزیه و تحلیل داده(ها) از نرم افزارSPSS وSMART  PLS3  و آزمون‌های آماریTتک نمونه ای و ضریب تاییدی مسیر در نرم افزار  SMART PLS  استفاده شده است.
یافته‌ها و نتایج: با توجه به یافته‌های پژوهش براساس مدل ساختاری، آماره T-Value برای تمامی متغیر(ها) بیشتر از (96/1) می‌باشد و در سطح اطمینان95/. معنادار است. و میزان واریانس تعدیل شده (AVE ) ) برای متغیر اقتصادی(331/.) و متغیر اجتماعی(428/.) می‌باشد و ارتباط معناداری بین عوامل اقتصادی – اجتماعی با سلامت روان بیماران دارد که بیشترین تاثیر مثبتی که عوامل بر سلامت روحی و روانی بیماران مغز و اعصاب و روان در شهر اردبیل گذاشته است مربوط به عوامل اجتماعی می‌باشد و در ارتباط با عوامل اقتصادی نیز با اینکه این ارتباط معنادار است به صورتی که هرچقدر عوامل اقتصادی و شرایط رفاهی بیماران بهتر باشد از سلامت روان بیشتر و در بیمارانی که از قشر پایین جامعه مورد مطالعه قرار گرفته‌اند این تاثیر به صورت منفی بوده است و باعث افزایش بیماری روحی و روانی در افراد گردیده است. براساس یافته (های) پژوهش و نظرات پاسخگویان میانگین تمامی گویه‌(های) عوامل اقتصادی - اجتماعی کمتر از میانگین تجربی(3) بوده است که نشان دهنده عدم رضایت از زندگی و شرایط اقتصادی و اجتماعی بیماران مغز و اعصاب و روان می‌باشد و این عوامل در نهایت باعث افزایش استرس و پرخاشگری  و کاهش سلامت روان در بین شهروندان و افزایش چند برابری بیماران مغز و اعصاب و روان در شهر اردبیل گردیده است.

کلیدواژه‌ها

موضوعات


عنوان مقاله English

Analysis of the impact of socio-economic factors on the mental health of neuropsychiatric patients in Ardabil city

نویسندگان English

Samira Saeidi Zaranji 1
Mohammad Hassan Yazdani 2
Ghasem Fattahzade 3
1 PhD in Geography and Urban Planning, Faculty of Social Sciences, University of Mohaghegh Ardabili. Ardabil, Iran
2 Prof. Geography and Urban Planning, Faculty of Social Sciences and University of Mohaghegh Ardabili, Ardabil, Iran
3 Associate Professor of Neurology, Ardabil University of Medical Sciences, Ardabil, Iran
چکیده English

Background and Objective: Studies show that mental disorders have increased in different societies in recent years. Considering the continuity of human sciences, the combined examination of economic-social factors can contain important policy recommendations. Therefore, this research aims to determine the impact of socio-economic factors on the mental health of neuropsychiatric patients in Ardabil city
Methodology: The current research is applied in terms of purpose and in terms of descriptive-analytical method. The information required in this study has been collected through field and documentary methods. The statistical population of the research corresponds to neuropsychiatric patients in Ardabil city. For data analysis, SPSS and SMART PLS3 software and one-sample t-tests and path confirmation coefficient were used in SMART PLS software.
Findings and Results: According to the research findings based on the structural model, the T-Value statistic for all variables is greater than (1.96) and the confidence level is 95. It is meaningful. and the amount of adjusted variance (AVE) for the economic variable (.331) and the social variable (.428) and there is a significant relationship between economic-social factors with the mental health of the patients, which has the most positive effect that the factors have on the mental health and The mental health of neuropsychiatric patients in Ardabil city is related to social factors and in relation to economic factors, even though this relationship is significant, the better the economic factors and welfare conditions of the patients, the better the mental health, and in patients who They have been studied from the lower strata of the society, this effect has been negative and has caused an increase in mental illness in people. Based on the findings of the research and the opinions of the respondents, the average of all items of socio-economic factors was lower than the experimental average (3), which shows the lack of satisfaction with the life and economic and social conditions of neuropsychiatric patients and these factors ultimately It has caused an increase in stress and aggression and a decrease in mental health among the citizens and a multiple increase in the number of mental and neurological patients in Ardabil city.

کلیدواژه‌ها English

neurological and mental patients
mental health
socio-economic factors
Ardabil city
Armstrong D. Medical Sociology. Tehran: Hooghooghi 2008: 362. DOI:10.22054/qjss.2023.74502.2660
Annandale E. The Sociology of Health and Medicine: A Critical Introduction Author: Ellen Annandale, Publisher: Polity Pages: 352 Publi.1998. https://www.amazon.com/Sociology-Health-Medicine-Critical-Introduct.
Albo, C., E. P. Uphoff, M. Stafford, D. Ballas, R. G. Wilkinson and K. E.Pickett (2014). "The Effects of Socioeconomic Incongruity in the Neighbourhood on Social Support, Self-Esteem and Mental Health in England", Social Science and Medicine 111. https://doi.org/10.1016/j.socscimed.2014.04.002.
Abedi M, Musai M, Baghaei Sarabi A, Ghadimi B. (2020). Investigating economic and social factors affecting women›s social health with emphasis on povertyAbstract. Islamic Economics & Banking, 9(30), 219-243. https://mieaoi.ir/browse.php?a_id=993&sid=1&slc_lang=en [inPersian].
Babakhani M. Economic development, income inequality and health in Iran: 1976-2006. SocialWelfare. 2008; 7(28):59-239. http://refahj.uswr.ac.ir/article-1-2038-en.html
Blue I, and Harpham T. Urbanization and mental health in developing countries. Current Issues in Public Health1996:2; 181-5. https://pubmed.ncbi.nlm.nih.gov/12291948/
Cohen, A. (2004). Effects of stress and social sup- port or recurrence in bipolar disorder. Journal of Affective Disorders, 85, 620-631. https://doi.org/10.1016/j.jad.2003.10.008
Costa-Font, J., Hernandez-Quevedo, C., Sato, A. (2013). "Health Kuznets Curve? Cross-Country and Longitudinal Evidence". CESIFO WORKING PAPER NO. 4446. https://hdl.handle.net/10419/89643
Cockerham WC. Medical Sociology. In: Cockerham WC, editor. MEDICAL SOCIOLOGY. New York (NY): Taylor and Francis. 2017; 41-59 https://doi.org/10.4324/9781315618692
Davidson, R., & Hunt, K. (2006). The wealthy get health. The poor get poorly? Lay perceptions of health inequalities. Social Science & Medicine, 6. 2171-2182. https://doi.org/10.1016/j.socscimed.2005.10.010
Gangadharan, Lata, Valenzuela M, Rebecca (2001). "Interrelationships between Income, Health and the Environment: Extending the Environmental Kuznets Curve". Ecological Economics 36: 513–531. https://ideas.repec.org/a/eee/ecolec/v36y2001i3p513-531.html
Moghadam MN, Banshi M, Javar MA, Amiresmaili M, Ganjavi S.Iranian Household Financial Protection against Catastrophic Health Care Expenditures. Iranian Journal of Public Health.2012; 41(9):62-70. https://ijph.tums.ac.ir/index.php/ijph/article/view/2519/0
Matthews, R. J., Jagger, C., & Hancock, R. M. (2006). Does socio-economic advantage lead to a longer, healthier old age? Social Science and Me- dicine. 62, 2489-2499. doi:10.1016/j.socscimed.2005.11.019.
Marmot M, Wilkinson R. Social determinants of health: Oxford University Press; 2005. https://doi.org/10.1093/acprof:oso/9780198565895.001.0001
Mehrgan, rare. Musa, Maitham. and Kihani Hekmat, Reza (2007). "Economic growth and income distribution in Iran". Social Welfare Research Quarterly 7(28): 57-76. https://dor.isc.ac/dor/20.1001.1.26453967.1395.8.15.5.7 [inPersian].
Marcus, J. (2013). "The Effect of Unemployment on the Mental Health of Spouses-Evidence from Plant Closures in Germany", Journal of Health Economics, 32. https://doi.org/10.1016/j.jhealeco.2013.02.004
Mohseni-Cheraghlou, A. (2013). "Labor Markets and Mental Wellbeing: Labor Market Conditions and Suicides in The United States (1979–2004)", The Journal of Socio-Economics 45. dx.doi.org/10.1016/j.socec.2013.05.003 [inPersian].
Naidoo J, Wills J. Health promotion: foundations for practice. 2 ed: Baillière Tindall London; 2000. https://books.google.com/books/about/Health_Promotion.html?id
Nasiri, Paria, Hakimi, Hadi, Mohammadi, Alireza and Rahmati, Mansour. (1405). Analyzing the effect of access to urban public spaces on women's mental health: A study in Ardabil city. (e219600). Quarterly Journal of Sustainable Urban and Regional Development Studies, (), e219600. https://www.srds.ir/article_219600.html[inPersian]
Organization WH. Declaration of Alma-Ata, 1978: World Health Organization; 2005. https://www.who.int/teams/social-determinants-of-health/declaration-o
Organization WH. WHO Constitution; 1948. Official Records of the World Health Organization.1948; 2:100. https://www.who.int/about/governance/constitution
Phillips, J. A. and C. N. Nugent (2014). "Suicide and the Great Recession of 2007-2009: The Role of Economic Factors in the 50 U.S.", States Social Science and Medicine 116. http://dx.doi.org/10.1016/j.socscimed.2014.06.015
Park K, Park J. Textbook of preventive and community medicine. 1 ed. Tehran: Ilya; 2007. https://www.scirp.org/reference/referencespapers?referenceid=1836078
Santrock JW, Johnson C, Patterson C. A topical approach to life-span development: McGraw-Hill New York; 2012. https://books.google.com/books/about/A_Topical_Approach_to
Roy, J. P. (2004). Socioeconomic status and health: A neurobiological perspective. Medical Hypotheses, 62, 222-227. https://doi.org/10.1016/s0306-9877 (03)00315-3
Solomon, Z. (2005). Combat stress reactions. posttraumatic stress disorder, cu- mulative life stress, and physical health. Social Science & Medicine, 61.1267 1277. Blair, S. N. (1993). Physical activity, physical fit ness and health practices. Preventive Medicine. 2. 623-637. http://dx.doi.org/10.1016/j.socscimed.2005.01.023
Regidor E. Social determinants of health: a veil that hides socioeconomic position and its relation with health. Journal of Epidemiology and Community Health. 2006; 60(10):896-901. https://doi.org/10.1136/jech.2005.044859
Taghipour, Maleeha (2018). Investigating the effect of social support on the social health of female heads of households in Tehran, Master's thesis in Women's Studies, Islamic Azad University, Roudhen branch. http://jdisabilstud.org/article-1-2422-en.html  [inPersian].
Wen, M., Hawkley, L. C., & Cacioppo, J. T. (2006). Objective and perceived neighbourhood environ- ment, individual SES and psychosocial factors. And self rated health: An analysis of older adults in cook country, Illinois. Social Science and Medi- rine, 63. 2575-2590. https://doi.org/10.1016/j.socscimed.2006.06.025
Whitehead M. The concepts and principles of equity and health. International journal of health services: planning, administration, evaluation. 1992; 22(3):429-45 https://doi.org/10.2190/986l-lhq6-2vte-yrrn.
Yazdani, Mohammad Hassan and Saeedi Zaranjhi, Samira. (1404). 9. Explanation and evaluation of the quality of citizens' public spaces (case study: mental health status of the elderly in Region 2 of Ardabil Municipality). Quarterly Journal of Sustainable Urban and Regional Development Studies, 6(3), 107-120. https://www.srds.ir/article_216977.html[inPersian].
Zahedi Asl, Mohammad and Darvishi Fard, Ali Asghar (2016), social factors affecting the level of social health of the elderly (a case study of the elderly in Kohdasht city), Social Development and Welfare Planning Quarterly, 7th year, number 26, Spring. https://doi.org/10.22054/qjsd.2016.4880[inPersian].

  • تاریخ دریافت 18 اسفند 1403
  • تاریخ بازنگری 23 فروردین 1404
  • تاریخ پذیرش 04 خرداد 1404
  • تاریخ اولین انتشار 04 خرداد 1404
  • تاریخ انتشار 01 اسفند 1404