Suchergebnisse

To document the socioeconomic situation of street children in Iran and to ascertain the part played by this in becoming a street child, we classified and evaluated studies on this issue from the recent decade according to their strengths and weaknesses. The results will be helpful in policy‐making and planning for this group. The study employed a systematic review methodology, searching Iranian and international databases, and many universities and related organisations in Iran. After the quality of studies had been evaluated by three researchers, the findings of 40 research studies were classified, described and analysed. The research finds that street children in Iran come from crowded, low‐income families; many of them were rural–urban migrants and Afghans with families who immigrated to Iran; most of their parents had a lower than high school education and many of their fathers were unemployed or had low‐income jobs; the majority of these children were unskilled workers who would work many hours of the day for negligible incomes. We conclude that low socioeconomic status was prevalent among the street children's families in Iran and seems to be an important factor in the street‐connectedness of the children.

Abstract
Protecting children and developing their well-being have become a great concern in Iran. But policies and services for in-need or at-risk children often follow unintegrated and even incongruous approaches. To address this gap, this study aimed to develop a promoted approach to child welfare to integrate the practices and policies. The conventional qualitative content analysis was applied to in-depth interviews conducted with child welfare experts in Iran. Purposeful and theoretical sampling was used until data saturation was gained by fifty-six qualitative interviews. The interviews were analysed simultaneously using MAXQDA 2018 software. Findings of the study present an approach to reform and promote child welfare in Iran, including four main categories: (i) custodianship of government to child welfare issues; (ii) the holistic, universal and systemic approach to the child welfare system, (iii) child-centred approach; and (iv) family-centred approach. According to the experts' opinion, in the first place, it is necessary to accept the government's custodial and responsible role for children that allow authorities to intervene in families regarding children's best interests. Also, the child-centred approach should be addressed more profoundly and both family-centred and child-centred approaches should be developed concurrently and intently.

<b><i>Introduction:</i></b> Places where people deal and/or use drugs publicly are known as open drug scenes (ODSs). Drug-related community impacts (DRCIs) refer to drug-related issues that negatively influence public and individual health, communities, businesses, and recreational and public space enjoyment. There are no well-established criteria for identification of DRCIs. We therefore performed a scoping review of literature to determine DRCIs indicators associated with ODSs. <b><i>Methods:</i></b> The review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for scoping reviews (PRISMA-ScP). We searched English articles in PubMed, Scopus, Web of Science, and EMBASE databases from 1990 to 2021. The keywords were drug-related crime, drug-related offense, misconduct, social marginalization, homeless drug users, open drug scene, drug-related street disorder, public nuisance, and community impact. <b><i>Results:</i></b> Sixty-four studies were identified. Twenty-five studies were included. Two studies (8%) were about drug-related public nuisance, 1 (4%) considered drug-related social problems, 2 (8%) focused on drug-related social disorder, and 18 studies (72%) discussed indicators of community impacts such as crime, drug-related litter, safety, noise, and drug use in public. Two studies (8%) included the frequency of drug use in ODSs. <b><i>Discussion:</i></b> DRCI indicators are heterogenic, and various factors affect the indicators. The factors include social mores, political discourse, and historical approaches to dealing with and using drugs. Some societies do not tolerate the existence of ODSs. In contrast, many countries have adopted harm reduction programs to manage DRCIs. Identified DRCI indicators were drug using and dealing in public, drug-related litter, crime, drug-related loitering, street-based income generation activities, noise, and unsafety feelings in inhabitants. To solve the problems associated with DRCIs and to make a major change in ODSs, it is necessary to pay attention to the improvement of the economic conditions (e.g., employment opportunities), amendment (e.g., determine the limits of criminalization in drug use), and adoption of social policies (e.g., providing low-threshold and supportive services for homeless drug users).

BACKGROUND: Based on the World Health Organization definition, mental health is the absence of mental disorders and presence of positive mental health (PMH). As the social determinants of mental disorders and PMH are not the same in different cultures and in order to promote community mental health, social determinants of PMH should be identified, which is the aim of this study. METHODS: This was a qualitative study conducted in Tehran. Data were collected through eight focus group discussions with the general population aged between 30 and 60 years and ten semi-structured interviews with mental health professionals from Tehran. Data were analyzed through directional content analysis using Dedoose software. RESULTS: Fifty-one lay people and ten mental health professionals participated in this study. The process of content analysis resulted in two main themes: (a) structural determinants of PMH which consist of socioeconomic and political context and socioeconomic position and (b) intermediary determinants of PMH which consist of working condition, living condition, family factors, lifestyle, psychosocial factors, and health system. CONCLUSIONS: Improvement of living conditions, with emphasis on working conditions as one of the intermediary social determinants, will play an important role in promoting PMH.

AbstractDespite the efforts of formal and informal institutions to manage child labour, current policies have not led to the realization of goals in this area. This study aimed to design and validate a workplace abuse questionnaire among the child labourers (WAQCL). The sample for the study was 250 Iranian child labourers, living in Tehran. The WAQCL investigated four factors (neglect, psychological, physical and sexual abuse) and consisted of 23 items. The questionnaire was found to have good internal consistency (Cronbach's alpha ≥0.8) and good content validity (0.932). The instrument can help to assess workplace abuse in health care practice.