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Soares, Joaquim, ProfessorORCID iD iconorcid.org/0000-0001-5221-9504
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Publications (10 of 156) Show all publications
Abbasi, S. H., Sundin, Ö., Jalali, A., Soares, J. & Macassa, G. (2018). Ethnic differences in the risk factors and severity of coronary artery disease: a patient-based study in Iran. Journal of Racial and Ethnic Health Disparities, 5(3), 623-631
Open this publication in new window or tab >>Ethnic differences in the risk factors and severity of coronary artery disease: a patient-based study in Iran
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2018 (English)In: Journal of Racial and Ethnic Health Disparities, ISSN 2197-3792, Vol. 5, no 3, p. 623-631Article in journal (Refereed) Published
Abstract [en]

Background Diverse ethnic groups may differ regarding the risk factors and severity of coronary artery disease (CAD). This study sought to assess the association between ethnicity and CAD risk and severity in six major Iranian ethnic groups.

Methods In this study, 20,165 documented coronary artery disease patients who underwent coronary angiography at a tertiary referral heart center were recruited. The demographic, laboratory, clinical, and risk factor data of all the patients were retrieved. The Gensini score (an indicator of CAD severity) was calculated for all, and the risk factors and severity of CAD were compared between the ethnical groups, using adjusted standardized residuals, Kruskal–Wallis test, and multivariable regression analysis.

Results The mean age of the participants (14,131 [70.1%] men and 6034 [29.9%] women) was 60.7 ± 10.8 years. The Fars (8.7%) and Gilak (8.6%) ethnic groups had the highest prevalence of ≥4 simultaneous risk factors. The mean Gensini score was the highest for the Gilaks (77.1 ± 55.9) and the lowest among the Lors (67.5 ± 52.8). The multivariable regression analysis showed that the Gilaks had the worst severity (β 0.056, 95% CI 0.009 to 0.102; P = 0.018), followed by the Torks (β 0.032, 95% CI 0.005 to 0.059; P = 0.020). Meanwhile, the Lors showed the lowest severity (β −0.087, 95% CI −0.146 to −0.027; P = 0.004).

Conclusions This study found that there was heterogeneity in CAD severity and a diverse distribution in its well-known traditional risk factors among major Iranian ethnic groups.

Place, publisher, year, edition, pages
Springer Berlin/Heidelberg, 2018
Keywords
Health status disparities, Ethnicity, Coronary heart disease, Iran
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-31406 (URN)10.1007/s40615-017-0408-3 (DOI)000439352900021 ()28776137 (PubMedID)
Available from: 2017-08-16 Created: 2017-08-16 Last updated: 2018-08-13Bibliographically approved
Hashemi, E., Zangi, M., Sadeghi-Bazargani, H., Soares, J., Viitasara, E. & Mohammadi, R. (2018). Population-based epidemiology of non-fatal injuries in Tehran, Iran. Health Promotion Perspectives, 8(2), 127-132
Open this publication in new window or tab >>Population-based epidemiology of non-fatal injuries in Tehran, Iran
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2018 (English)In: Health Promotion Perspectives, ISSN 2228-6497, Vol. 8, no 2, p. 127-132Article in journal (Refereed) Published
Abstract [en]

Background: Our aim in this survey was to explore descriptive epidemiology of injuries in Tehran in 2012 and to report the recalled estimates of injury incidence rates.

Methods: A population survey was conducted in Tehran during 2012, within which a total of 8626 participants were enrolled. The cluster sampling was used to draw samples in 100 clusters with a pre-specified cluster size of 25 households per cluster. Data were collected on demographic features, accident and injury characteristics based on the International Classification of Diseases (ICD10).

Results: A total of 618 injuries per 3 months were reported, within which 597 cases (96.6%)were unintentional injuries. More than 82% of all injuries were those caused by exposure to inanimate mechanical forces, traffic accidents, falls and burns. Above 80% of the traffic injuries happened among men (P<0.001). About 43% of the unintentional injuries were mild injuries.After the age of 40, women, unlike men, had higher risks for being injured. The estimated annual incidence rate for all types of injuries was 284.8 per 1000 (95% CI: 275.4-294.4) and for unintentional injuries was 275.2 per 1000.

Conclusion: Injuries are major health problems in Tehran with a highly reported incidence. The status is not substantially improved over the recent years which urges the need to be adequately and emergently addressed. As the incidence rate was estimated based on participant recalls, the real incidence rate may even be higher than those reported in the current study.

National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-34218 (URN)10.15171/hpp.2018.16 (DOI)000436136100005 ()29744308 (PubMedID)
Available from: 2018-08-10 Created: 2018-08-10 Last updated: 2018-08-10Bibliographically approved
Chaquisse, E., Fraga, S., Meireles, P., Macassa, G., Soares, J., Mbofana, F. & Barros, H. (2018). Sexual and physical intimate partner violence among women using antenatal care in Nampula, Mozambique. Journal of Public Health in Africa, 9(1), 1-6, Article ID 744.
Open this publication in new window or tab >>Sexual and physical intimate partner violence among women using antenatal care in Nampula, Mozambique
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2018 (English)In: Journal of Public Health in Africa, ISSN 2038-9922, E-ISSN 2038-9930, Vol. 9, no 1, p. 1-6, article id 744Article in journal (Refereed) Published
Abstract [en]

The aim was to estimate the prevalence of sexual and physical intimate partner violence (IPV) and its associated factors, in a sample of pregnant women using antenatal care (ANC) in Nampula province - Mozambique. This cross-sectional study was carried out in six health units in Nampula, from February 2013 to January 2014. Overall, 869 participants answered the Conflict Tactics Scale 2. The lifetime and past year prevalence of sexual abuse was 49% and 46%, and of physical abuse was 46% and 44%, respectively. Lifetime and past year sexual abuse was significantly associated with living as a couple, alcohol drinking and having a past diagnosis of gonorrhea. Lifetime and past year physical abuse increased significantly with age and was associated with living as a couple, alcohol drinking and history with syphilis. The prevalence of lifetime and previous year violence among women using ANC was high and similar showing that most women were constantly exposed to IPV. ANC provides a window of opportunity for identifying and acting on violence against women.

Keywords
intimate partner violence, prevalence, pregnant women, reproductive health, antenatal care, Mozambique
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-31484 (URN)10.1093/eurpub/ckv168.001 (DOI)000448698600001 ()30079164 (PubMedID)2-s2.0-85052132524 (Scopus ID)
Available from: 2017-08-26 Created: 2017-08-26 Last updated: 2018-11-19Bibliographically approved
Dias, N., Costa, D., Soares, J., Hatzidimitriadou, E., Ioannidi-Kapolou, E., Lindert, J., . . . Fraga, S. (2018). Social support and the intimate partner violence victimization among adults from six European countries.
Open this publication in new window or tab >>Social support and the intimate partner violence victimization among adults from six European countries
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2018 (English)In: Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background

Social support may buffer the negative effects of violence on physical and mental health. Family medicine providers play an essential role in identifying the available social support and intervening in intimate partner violence (IPV).

Objective

This study aimed at assessing the association between social support and the IPV victimization among adults from six European countries.

Methods

This is a cross-sectional multi-centre study that included individuals from Athens (Greece), Budapest (Hungary), London (UK), Östersund (Sweden), Porto (Portugal) and Stuttgart (Germany). Data collection was carried out between September 2010 and May 2011. The sample consisted of 3496 adults aged 18–64 years randomly selected from the general population in each city. The revised Conflict Tactics Scales was used to assess IPV victimization. Social support was assessed with the Multidimensional Scale of Perceived Social Support.

Results

Participants reporting physical assault victimization experienced lower social support (mean ± SD) than their counterparts, 66.1 ± 13.96 versus 71.7 ± 12.90, P< 0.001, for women; and 67.1 ± 13.69 versus 69.5 ± 13.52, P = 0.002 for men. Similar results were found regarding sexual coercion victimization, 69.1 ± 14.03 versus 71.3 ± 12.97, P = 0.005 for women and 68.0 ± 13.29 versus 69.3 ± 13.62, P= 0.021 for men. This study revealed lower levels of social support among participants reporting lifetime and past year victimization, independent of demographic, social and health-related factors.

Conclusion

Results showed a statistically significant association between low social support and IPV victimization. Although the specific mechanisms linking social support with experiences of violence need further investigation, it seems that both informal and formal networks may be associated with lower levels of abusive situations.

Keywords
Adult, cross-sectional studies, Europe, intimate partner violence, social networking, social support
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-34349 (URN)10.1093/fampra/cmy042 (DOI)
Available from: 2018-09-07 Created: 2018-09-07 Last updated: 2018-09-19Bibliographically approved
Costa, D., Hatzidimitriadou, E., Ioannidi-Kapolo, E., Lindert, J., Soares, J., Sundin, Ö., . . . Barros, H. (2018). The impact of intimate partner violence on forgone healthcare: a population-based, multicentre European study. European Journal of Public Health
Open this publication in new window or tab >>The impact of intimate partner violence on forgone healthcare: a population-based, multicentre European study
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2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND:

To examine the relationship between forgone healthcare and involvement in intimate partner violence (IPV) as victims, perpetrators or both.

METHODS:

This cross-sectional multicentre study assessed community non-institutionalized residents (n = 3496, aged 18-64) randomly selected from six European cities: Athens, Budapest, London, Östersund, Porto, Stuttgart. A common questionnaire was used, including self-reports of IPV and forgone healthcare ('Have you been in need of a certain care service in the past year, but did not seek any help?'). Odds ratios (ORs), 95% confidence intervals (CIs) were computed fitting logistic regression models adjusted for city, chronic disease, self-assessed health status and financial strain.

RESULTS:

Participants experiencing past year IPV (vs. no violence) reported more often to forgone healthcare (n = 3279, 18.6% vs. 15.3%, P = 0.016). IPV experienced as both a victim and perpetrator was associated with forgone healthcare (adjusted OR, 95%CI: 1.32, 1.02-1.70).

CONCLUSION:

IPV was associated with forgone healthcare, particularly for those experiencing violence as both victims and perpetrators. Results suggest that preventing IPV among adults may improve timely healthcare uptake.

Keywords
domestic violence, adult, chronic disease, health status, internship and residency, multicenter studies, violence, medical residencies, community, perpetrator of child and adult abuse
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-34350 (URN)10.1093/eurpub/cky167 (DOI)
Available from: 2018-09-07 Created: 2018-09-07 Last updated: 2018-10-04Bibliographically approved
Sotoudeh, G. R., Reza, M., Zahra, M., Viitasara, E. & Soares, J. J. .. (2018). The prevalence, circumstances and consequences of unintentional falls among elderly Iranians: A population study. Archives of gerontology and geriatrics (Print), 79, 123-130
Open this publication in new window or tab >>The prevalence, circumstances and consequences of unintentional falls among elderly Iranians: A population study
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2018 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 79, p. 123-130Article in journal (Refereed) Published
Abstract [en]

Background and aim

Falling threatens the health, independence and quality of life of older adults. Information about characteristics and predisposing factors of falls is essential to develop and implement effective preventing measure. The aim of this study was to examine the prevalence, circumstances and consequences of falls among community-dwelling older adults in Tehran, Iran, and scrutinize factors (e.g. demographics) associated with falls.

Methods

A cross-sectional study was conducted in Tehran. A total of 653 individuals aged 65 years and over were selected by a stratified random sampling as representing older adults in Tehran. All required data were collected through face-to-face interviews using questionnaires.

Results

The prevalence of falls was 39.7% and higher in women than in men. For both sexes, most of the falls occurred in the afternoon (n = 135, 52.1%) and at home (n = 209, 80.7%). One-fourth of the falls (23.2%) occurred in a forward direction, mostly among women (60%). For both sexes, one-third of the causes of falls were loss of balance, mostly among women and the oldest persons. Two-hundred and twelve of the fallers reported injuries. The logistic regression showed that female gender, low education and constant worries about living expenses were significantly associated with falls.

Conclusions

This study may have provided new insights into the characteristics/ circumstances/ consequences of injurious falls and their relation with age, gender and injury severity in Iran. It may be useful for health policy makers and health providers when designing falls intervention and prevention programs at the community level.

Keywords
Falls, Prevalence, Older adults, Circumstances, Consequences
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-34471 (URN)10.1016/j.archger.2018.08.001 (DOI)000447149300020 ()30205318 (PubMedID)2-s2.0-85053056987 (Scopus ID)
Available from: 2018-09-21 Created: 2018-09-21 Last updated: 2018-12-13Bibliographically approved
Arab-Zozani, M., Mostafazadehb, N., Arab-Zozani, Z., Ghoddoosi-Nejadd, D., Hassanipour Azgomie, S. & Soares, J. J. .. (2018). The prevalence of elder abuse and neglect in Iran: A systematic review and meta-analysis. Journal of Elder Abuse & Neglect, 30(5), 408-423
Open this publication in new window or tab >>The prevalence of elder abuse and neglect in Iran: A systematic review and meta-analysis
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2018 (English)In: Journal of Elder Abuse & Neglect, ISSN 0894-6566, E-ISSN 1540-4129, Vol. 30, no 5, p. 408-423Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to estimate the prevalence of elder abuse and neglect in Iran.

Methods: We searched PubMed, Embase, Scopus, and PsycINFO by the end of 2017. The prevalence was calculated based on the percentage or the amount reported in the studies. Heterogeneity was assessed by the I2 statistic, and the data were combined using random effects model. The results were reported as the pooled estimates and the 95% confidence intervals (CIs). The review protocol was registered in PROSPERO (CRD42017070744).

Results: A total of 16 studies involving 6,461 participants aged 60 years and over were included. The pooled prevalence for overall elder abuse was 45.7% (95% CI: 27.3–64.1, p < .001).

Discussion: The prevalence of elder abuse and neglect is substantial in the Iranian population aged 60 years and over. More research is needed to investigate the actual prevalence of elder abuse at the national level.

Keywords
Elder abuse, Iran, meta-analysis, neglect, prevalence, systematic review
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-34473 (URN)10.1080/08946566.2018.1523765 (DOI)2-s2.0-85056529394 (Scopus ID)
Available from: 2018-09-21 Created: 2018-09-21 Last updated: 2018-12-10Bibliographically approved
Hiswåls, A.-S., Walander, A., Soares, J. & Macassa, G. (2017). Employment Status, Anxiety and Depression in a Municipal Context. Research in Health Science, 2(1)
Open this publication in new window or tab >>Employment Status, Anxiety and Depression in a Municipal Context
2017 (English)In: Research in Health Science, ISSN 2470-6213, Vol. 2, no 1Article in journal (Refereed) Published
Abstract [en]

Objectives: This  study  aimed  to  investigate  the  prevalence  of  anxiety  and  depression  by  employment status among a sample of the working age population residing in Gävle Municipality in Sweden.

Methods:  A  total  of  241  persons  completed  a  self-administered  postal  questionnaire  in  the  baseline survey  of  the  Gävle  Household,  Labour  Market  and  Health  Outcomes  (GHOLDH)  survey,  which collected  information  on  the  employment  status  and  psychological  health  (anxiety  and  depression) among persons aged 18-65 years. Descriptive and multivariate analyses were performed.

Results:  The  prevalence  and  risk  of  anxiety  and  depression  were  high  among  people  who  were  out  of work. In the multiple regression analysis, compared to employed people, those who were not employed had a risk of anxiety of 7.76 (5.97-9.75) and 4.67 (3.60-5.74) for depression.

Conclusion: The prevalence of anxiety and depression was higher among those who were out of labour marketas compared to those employed. Furthermore, people who were out of work had a higher risk of anxiety and depression. The odds were slightly higher for anxiety than for depression.

Keywords
Gävle, employment status, anxiety, depression
National Category
Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-30394 (URN)10.22158/rhs.v2n1p12 (DOI)
Available from: 2017-03-06 Created: 2017-03-06 Last updated: 2017-12-15Bibliographically approved
Macassa, G., Bergström, H., Malstam, E., Hiswåls, A.-S., Soares, J., Ahmadi, N. & Marttila, A. (2017). Experiences of employment precariousness and psychological well-being in east central Sweden. Health Science Journal, 11(2)
Open this publication in new window or tab >>Experiences of employment precariousness and psychological well-being in east central Sweden
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2017 (English)In: Health Science Journal, ISSN 1108-7366, Vol. 11, no 2Article in journal (Refereed) Published
Abstract [en]

Background: In the past decade, temporary employment arrangements, including fixed-term and sub-contracted jobs, as well as project work, on-call work and work via temporary-help agencies have increased in developed countries, including Sweden. The objective of this study was to explore precariously employed individuals’experiences and perceptions of employment strain and its effect on their psychological well-being in Gävleborg County, Sweden.

Methods: Semi-structured interviews were conducted with 16 respondents residing in Gävleborg County about their experiences of precarious employment and their perceptions of the relationship between their precarious employment and psychological well-being. Thematic analysis was conducted to relate the results to the employment strain framework.

Results: The main theme to emerge in the data was managing stress. Respondent’s perceived significant stress related to keeping employment as well as having future work. In addition, they had difficulties in coping with everyday life because of economic strain, lack of work opportunities and isolation.

Conclusions: The results of this study highlight how precariously employed individuals are unable to cope with the stress related to uncertainty in maintaining their current work or having control of their working hours. In addition, the results indicate that precariously employed workers experience economic strain related to income uncertainty, which affects their ability to cope with dailylife.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-30643 (URN)10.21767/1791-809X.1000491 (DOI)
Available from: 2017-04-21 Created: 2017-04-21 Last updated: 2018-03-23Bibliographically approved
Macassa, G., Winersjö, R., Wijik, K., Magrath, C., Ahmadi, N. & Soares, J. (2017). Fear of crime and its relationship with self-reported health and stress among men. Journal of Public Health Research, 6(3), 169-174
Open this publication in new window or tab >>Fear of crime and its relationship with self-reported health and stress among men
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2017 (English)In: Journal of Public Health Research, ISSN 2279-9028, E-ISSN 2279-9036, Vol. 6, no 3, p. 169-174Article in journal (Refereed) Published
Abstract [en]

Background: Fear of crime is a growing social and public health problem globally, including in developed countries such as Sweden. This study investigated the impact of fear of crime on self-reported health and stress among men living in Gävleborg County.Design and Methods: The study used data collected from 2993 men through a cross sectional survey in the 2014 Health in Equal Terms survey. Descriptive and logistic regression analyses were carried out to study the relationship between fear of crime and self-reported health and stress. Results: There was a statistically significant association between fear of crime and self-reported poor health and stress among men residing in Gävleborg County. In the bivariate analysis, men who reported fear of crime had odds of 1.98 (CI 1.47- 2.66) and 2.23 (CI 1.45-3.41) respectively. Adjusting for demographic, social and economic variables in the multivariate analysis only reduced the odds ratio for self-reported poor health to 1.52 (CI 1.05-2.21) but not for self-reported stress with odds of 2.22 (1.27-3.86). Conclusions: Fear of crime among men was statistically significantly associated with self-reported poor health and stress in Gävleborg County. However, the statistically significant relationship remained even after accounting for demographic, social and economic factors, which warrants further research to better understand the role played by other variables.

Keywords
Fear of crime, men, self-reported health and stress, Gävleborg County
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-32093 (URN)10.4081/jphr.2017.1010 (DOI)000440723600007 ()2-s2.0-85052228321 (Scopus ID)
Available from: 2017-11-17 Created: 2017-11-17 Last updated: 2018-10-03Bibliographically approved
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