Journal of Health And Care
Volume 21, Issue 4 (winter 2019)
JHC 2019, 21(4): 293-307 |
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Ghirbanizad Shiran H, Abedini S, Rasulzadeh Aghdam S. The Sociological Explanation for Prevention Model of Lifestyle Diseases; a Grounded Theory Study. JHC 2019; 21 (4) :293-307
URL: http://hcjournal.arums.ac.ir/article-1-1130-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1130-en.html
Department of Sociology, Khalkhal Branch, Islamic Azad University, Khalkhal, Iran
Abstract: (3263 Views)
Background & aim: Lifestyle diseases kill 41 million people yearly, equivalent to 71% of all deaths globally. Studies have shown that increasing level of inappropriate nutrition, substance abuse, physical inactivity and stress in lifestyles underlies these diseases; This study aimed to identify the effective factors on increasing level of risk factors and unhealthily of Iranian lifestyles and then to provide a strategic model to prevent their occurrence and prevalence.
Methods: The research method was qualitative grounded theory which conducted with participation of 14 experts from different disciplines who were purposefully selected. The data were collected based on theoretical sampling by in-depth interview and were analyzed by continuous comparison method and theoretical coding in strauss and corbin's systematic paradigm (1998). Its validity and reliability were obtained by referring the findings to data and the results to specialists.
Results: Socio-pathology of Iranian lifestyles from the experts' point of view provided 216 concepts and 37 sub-categories, and finally the following 10 main categories, explaining the weaknesses of society in establishing healthy lifestyles were obtained: Education, Upbringing, Propagation, Financing, Facilitation, Prescription, Gathering, Obedience, and Assurance dimensions. The "unhealthily of lifestyles" was selected as the central phenomenon and ten categories were related to it in two groups of contextual and interferer conditions, and finally decuple strategic model was presented.
Conclusion: Prevention of lifestyle diseases requires attention to structural and individual aspects of lifestyle. The first seven strategies focused in the macrolevel on social structures, the eighth strategy in the Intermediate level on family, and the ninth strategy in the microlevel on human factors. The tenth strategy represents a research proposal to establish an organization between structure and agency to measure and monitor the health status of Iranian lifestyles toward healthy lifestyle.
Methods: The research method was qualitative grounded theory which conducted with participation of 14 experts from different disciplines who were purposefully selected. The data were collected based on theoretical sampling by in-depth interview and were analyzed by continuous comparison method and theoretical coding in strauss and corbin's systematic paradigm (1998). Its validity and reliability were obtained by referring the findings to data and the results to specialists.
Results: Socio-pathology of Iranian lifestyles from the experts' point of view provided 216 concepts and 37 sub-categories, and finally the following 10 main categories, explaining the weaknesses of society in establishing healthy lifestyles were obtained: Education, Upbringing, Propagation, Financing, Facilitation, Prescription, Gathering, Obedience, and Assurance dimensions. The "unhealthily of lifestyles" was selected as the central phenomenon and ten categories were related to it in two groups of contextual and interferer conditions, and finally decuple strategic model was presented.
Conclusion: Prevention of lifestyle diseases requires attention to structural and individual aspects of lifestyle. The first seven strategies focused in the macrolevel on social structures, the eighth strategy in the Intermediate level on family, and the ninth strategy in the microlevel on human factors. The tenth strategy represents a research proposal to establish an organization between structure and agency to measure and monitor the health status of Iranian lifestyles toward healthy lifestyle.
Type of Study: article |
Subject:
Nursing policy
Received: 2019/11/6 | Accepted: 2020/02/17 | Published: 2020/06/28
Received: 2019/11/6 | Accepted: 2020/02/17 | Published: 2020/06/28
References
1. Jabbaran MR. Conceptual analysis of lifestyle. Qabasat. 2015; 20 :173-87 [Persian].
2. Veal AJ. The concept of lifestyle: a review. Leisure Studies. 2013; 12(4): 233-52. [DOI:10.1080/02614369300390231]
3. World Health Organization. Noncommunicable Diseases; Global Survey. Geneva, Switzerland: Document Production Services; 2016.
4. Cumin MB. Reduction of risk for lifestyle diseases: group diet and physical activity intervention in the workplace. Auckland University of Technology; 2004.
5. Bansal P. Problematic lifestyle of today's generation: lifestyle diseases. Research and Reviews: Journal of Medical and Health Sciences. 2015; 4(1): 1-11.
6. Joanne K. Community health promotion; challenges for practice. 1ed. London: Bailliere Tindhall; 2000.
7. International Federation of Medical Students' Associations. Noncommunicable diseases and the 4 most common shared risk factors. Amsterdam, The Netherlands: Medical Students Worldwide. 2018.
8. Taheri M, Hasani J, Mohammadkhani S, Moudi M. Explaining psychological components of the health-oriented lifestyle: A qualitative study. Journal of Health System Researches. 2018;13(4):491-6 [Persian].
9. Tabish SA. Lifestyle diseases: consequences, characteristics, causes and control. Journal of Cardiology & Current Research. 2017; 9(3): 1-4. [DOI:10.15406/jccr.2017.09.00326]
10. Anand T, Phalguna K, Kishore J, Ingle GK. Awareness about lifestyle diseases associated risk factors in school going children in Delhi. Journal of Nursing Science & Practice. 2011; 1(1): 1-9.
11. World Health Organization. Noncommunicable diseases. Available from: https://www.who.int/ news-room/fact-sheets/detail/noncommunicable-diseases . Accessed: 1 June, 2018.
12. Noncommunicable diseases country profiles 2018. Geneva: World Health Organization; 2018.
13. Sarrafzadegan N, Mohammadifard, N. Cardiovascular disease in Iran in the last 40 years: prevalence, mortality, morbidity, challenges and strategies for Cardiovascular Prevention. Archives of Iranian Medicine. 2019; 22(4): 204-10.
14. MohammadiZeydi I, Heydarnia AR, Hajizade E. The study of lifestyle of cardiovascular patients. Daneshvar Pezeshki. 2006; 13(61): 49-5 [Persian].
15. Butler JT. Principle of health education and health promotion. 3ed. Wads Worth Press; 2001.
16. Lear SA, Ignaszewskib A, Lindenc W, Brozicd A. The extensive lifestyle management intervention (ELMI) following cardiac rehabilitation trial. European Heart Journal. 2003; 24: 1920-27. [DOI:10.1016/j.ehj.2003.08.015] [PMID]
17. Entezari Meybodi MR, Afkhami I, Nasirian M. The effectiveness of treatment based on "Choice Theory" on improving the lifestyle of women suffered from obesity. Health Promotion Management. 2015; 4(2): 1-6 [Persian].
18. Karimy T, Saffari M, Sanaeinasab H, Khalagi K, Hassan-Abadi M. The impact of educational intervention based on the theory of planned behavior on lifestyle change of patients with myocardial infarction. Iranian Journal of Health Education & Promotion. 2016; 3(4): 370-80 [Persian].
19. Abdi J, Eftekhar H, Mahmoodi M, Davood Shojayzadeh D, Sadeghi R. Effect of the intervention based on new communication technologies and the social-cognitive theory on the lifestyle of the employees with overweight and obesity. Scientific Journal of School of Public Health and Institute of Public Health Research. 2016; 14(1): 1-14 [Persian].
20. Cockerham WC. Health lifestyle theory and the convergence of agency and structure. Journal of Health and Social Behavior. 2005; 46: 51-67. [DOI:10.1177/002214650504600105] [PMID]
21. ICLDM (International Conference on Lifestyle Disease & Medicine). Changing lifestyle to be healthy. Available from: https://www.meetingsint.com/conferences/lifestylediseases. Accessed January 27, 2020.
22. Sarayi H. The second demographic transition: a glance at Iran. Iranian Demographic Association. 2009; 3(6): 118-40 [Persian].
23. Glaser B, Strauss A. The discovery of grounded theory; strategies for qualitative research. Aldin Transactionm; 2006.
24. Sheldon L. Grounded theory: issues for research in nursing. Nursing Standard. 1998; 12(52): 47-50. [DOI:10.7748/ns1998.09.12.52.47.c2524] [PMID]
25. Strauss A, Corbin J. Basics of qualitative research: grounded theory procedures and techniques. 3ed. California: Sage Publication; 1998.
26. Creswell JW. Educational research: planning, conducting, and evaluating quantitative and qualitative research. 4ed. Boston (USA): Pearson Education; 2012.
27. Miles M, Huberman A. Qualitative data analysis: a sourcebook of new methods. Sage London; Beverly Hills; 2002.
28. Lee J. A grounded theory: integration and internalization in ERP adoption and use [Unpublished PhD Thesis]. Lincoln: University of Nebraska; 2001.
29. Principles of holistic medicine. Available from: https://ahha.org/selfhelp-articles/principles-of-holistic-medicine. Accessed January 27, 2020.
30. World Health Organization. Social determinants of mental health. Switzerland: Geneva; 2014.
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