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Jorjoran Shushtari, Zahra, Shirazikhah, Marzieh, Ahmadi, Sina, Salimi, Yahya, Biglarian, Akbar, Almasi, Ali, Paykani, Toktam. (1401). Upstream Determinants and Downstream Risk Factors of COVID-19 Infection in Iran: A Qualitative Study of Health Professionals’ Views. سامانه مدیریت نشریات علمی, 10(3), 365-375. doi: 10.30476/jhsss.2021.92017.1290
Zahra Jorjoran Shushtari; Marzieh Shirazikhah; Sina Ahmadi; Yahya Salimi; Akbar Biglarian; Ali Almasi; Toktam Paykani. "Upstream Determinants and Downstream Risk Factors of COVID-19 Infection in Iran: A Qualitative Study of Health Professionals’ Views". سامانه مدیریت نشریات علمی, 10, 3, 1401, 365-375. doi: 10.30476/jhsss.2021.92017.1290
Jorjoran Shushtari, Zahra, Shirazikhah, Marzieh, Ahmadi, Sina, Salimi, Yahya, Biglarian, Akbar, Almasi, Ali, Paykani, Toktam. (1401). 'Upstream Determinants and Downstream Risk Factors of COVID-19 Infection in Iran: A Qualitative Study of Health Professionals’ Views', سامانه مدیریت نشریات علمی, 10(3), pp. 365-375. doi: 10.30476/jhsss.2021.92017.1290
Jorjoran Shushtari, Zahra, Shirazikhah, Marzieh, Ahmadi, Sina, Salimi, Yahya, Biglarian, Akbar, Almasi, Ali, Paykani, Toktam. Upstream Determinants and Downstream Risk Factors of COVID-19 Infection in Iran: A Qualitative Study of Health Professionals’ Views. سامانه مدیریت نشریات علمی, 1401; 10(3): 365-375. doi: 10.30476/jhsss.2021.92017.1290

Upstream Determinants and Downstream Risk Factors of COVID-19 Infection in Iran: A Qualitative Study of Health Professionals’ Views

Journal of Health Sciences & Surveillance System
دوره 10، شماره 3، مهر 2022، صفحه 365-375    اصل مقاله (1.11 M)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.30476/jhsss.2021.92017.1290
نویسندگان
Zahra Jorjoran Shushtari1؛ Marzieh Shirazikhah1؛ Sina Ahmadi1، 2؛ Yahya Salimi3؛ Akbar Biglarian1، 4؛ Ali Almasi3؛ Toktam Paykani* 5
1Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
3Social Development & Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
4Department of Biostatistics and Epidemiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
5Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
چکیده
Background: Iran, after China, emerged as one of the first COVID-19 epidemic countries. Despite all efforts to interrupt new transmission chains, the virus continued to quickly spread across the country. WHO has highlighted a crucial role for social factors and intersectoral collaboration to tackle COVID-19. This study aimed to identify challenges related to the upstream determinants and downstream risk factors of COVID-19 infection in Iran as perceived by health professionals at different levels of service administration. Methods: We conducted a qualitative study in October 2020. A directed qualitative content analysis was done to explore the views of health professionals and administrators toward determinants of COVID-19 infection in Iran. Using a deductive approach, we tested the implications of the WHO Commission on the Social Determinants of Health (CSDH) framework regarding COVID-19. Results: The determinants of COVID-19 infection in Iran are referred to as: 1) upstream social determinants, including political considerations in dealing with COVID-19, conflicting authority structures between and within organizations and sectors, poor intersectoral collaboration, unstable macroeconomic environment, pandemic crisis management, poor governance in the health system, cultural and societal values, trust and social capital, and individuals’ socioeconomic status; and 2) downstream risk factors, including poor health literacy, poor compliance with COVID-19 prevention guidelines, secrecy related to the infection, individual’s health status, lifestyle, and virus characteristics. Conclusion: It is essential to motivate people to practice preventive COVID-19 infection behaviors. To change the behavior at the population level, a complex fusion of policy and practice, and dealing with the complexity of structural determinants and downstream risk factors are needed.
کلیدواژه‌ها
COVID-19؛ Iran؛ Intersectoral collaboration؛ Social determinants of health؛ Health professionals
مراجع
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