The Journal of

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Introduction: During the recent years, significant demographic changes have occurred in the world. One of the most important changes has been an unprecedented decline in fertility in all regions of the world. Parallel to these changes, the Islamic Republic of Iran has experienced extensive changes, So that during the last three decades, the fertility rate in Iran has fallen astonishingly. The aim of this study was to interpret the views of Khuzestani men and women with one child about childbearing. This study tries to answer the question concerned with factors influencing the tendency to childbearing in Khuzestan province. Methodology: Participants in the study included 35 male and female people aged from 45 to 15 years old. They were purposefully selected from health centers in East and West of Ahvaz in 1393-94. The obtained data were analyzed using Thematic Analysis. Results: Two main classes of factors that drive the couples to childbearing (ethnicity, parents' self-esteem, a sense of being productive) and the ones that prevent couples from childbearing (economic, parental occupation, parental responsibility and diseases) are presented. Conclusion: The results of this research show the experiences of couples about childbearing. Strengthening the factors that drive the couples to childbearing and also removing barriers to this phenomenon provide the basis for education and a way to step in line with the new policy to encourage population and couples in their childbearing.

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Introduction: Kidney transplant recipients, as chronic patients, need lifelong self-management. Therefore, identification of the effective factors is helpful in strengthening the individuals' adherence and planning self-management in the post-transplant period. However, the empirical research on this area is limited. The purpose of this study was "Explaining self-management determinants in kidney transplant recipients according to the health belief model".
Methods: This qualitative content analysis was conducted in Kohgiluyeh and Boyer Ahmad province. The participants were included in the study by purposive and theoretical sampling methods until theoretical and classical saturations were achieved. The data were collected and analysed using 24 semi-structured interviews by 19 participants (14 transplant recipients, 4 family members, and a patient with a history of transplant rejection). The MAXQDA10 software was used to organize and manage the data.
Results. After analysing the data, 264 primary conceptual codes were extracted. The findings were reported in 20 sub- categories and in accordance with six categories of the health belief model (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to actions).
Conclusion. The findings of this qualitative study provided a profound understanding over the experiences of kidney transplant recipients and their family members about self-management determinants. The findings confirmed the health belief model constructs and its application in predicting these patients' self-management. In addition, the findings can be  a guide for health planners and policy makers to select the suitable interventions and strategies to improve the adherence to recipients' self-management.
 

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Introduction: The prevalence of HIV/AIDS is alarmingly increasing. Considering the experiences of HIV/AIDS-positive patients, experiences of the women who took HIV/AIDS from their husbands –marital relationships- can be different. The purpose of this study was to describe the challenges of these women.
Methods: This qualitative study was conducted using focus group discussions with 10 women who took HIV/AIDS from their husbands. All interviews were recorded, transcribed verbatim, and analyzed by thematic analysis.
Results: Data analysis showed that participants experienced a kind of compulsive social isolation. They could not interact with anyone except their parents. They suffered from social stigma because the disease is associated with the illicit sex label. From data analysis, three main themes of fear, marital despondency, and stigma emerged.
Conclusion: The concerns and challenges of women who took HIV/AIDS from their marital relationships revealed that these women were exposed to the social strains because of having HIV / AIDS and stigma of illegitimate sexual relationships. In this regard, public awareness should be raised about this disadvantaged group of the community. To hit this target, individuals should be provided with the required information through schools as well as broadcasting and social media. Implementation of the counseling visits can create  psychological and social support for these traumatized group and their families.
 

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• Family consolidation leads the society towards its desirable ideals. Therefore, the youth should be encouraged to marry and provided with the necessary trainings on family consolidation. The present qualitative research aimed to develop a family consolidation model based on the Lazarus Multifaceted Model in order to consolidate the family foundation.
• To collect the study information, 19 family therapists and experts were selected by purposive sampling method and interviewed in Yazd province, Iran.  The guided qualitative content analysis was used to analyze the data.   The interview questions were semi-structured based on the Lazarus theory including components such as behavior, emotion, cognition, senses, relationship, mental imagery, and physical senses. The interviews continued up to the data saturation where no new code was created. Later, the recorded interviews were transcribed, typewritten, and coded. After coding, the qualitative research experts’ opinions were asked to determine the content validity of the extracted codes based on the extracted results of the native model.
• Data analysis ultimately led to the formation of 14 sub-themes and 7 main themes (behavior, emotion, cognition, senses, relationship, mental imagery, and physical senses). The sub-themes consisted of adherence to the family, intimacy, effective communication, importance of counseling, forgiveness, introversion / extraversion, timing, sensory improvement, family visiting, family ceremony, self-confidence, media impact, diversity in nutrition, exercises, and recreation.
• Since family is the best emotional, social, and emotional basis for its members, this research presented a model to educate family consolidation to indvudlas with different problems. This model can also be valuable for therapists and family experts dealing with family members.

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Seyed Saeed Mazloomy Mahmoudabad(Ph.D.)¹, Mohammad Hassan Ehrampoush(Ph.D.)² , Salime Zare Abdollahi(Ph.D.)³, 
Introduction: The present research was conducted with the aim of explaining the views of teenagers-the adults and their parents regarding the prevention of drug addiction based on the mixed elements of the marketing model (audience needs, access to services, cost, and communication).
Methods: This research was conducted based on a qualitative research method using an exploratory method. 14 teenagers-adults and 10 parents, 24 participants were selected through targeted sampling, from the marginal neighborhoods of Yazd in 2019; the neighborhoods included Maryam Abad, Hassan Abad, and Skan. In  total, 2 semi-structured in-depth interviews with parents and 3 focused group discussions were conducted with the presence of teenagers and young people in the neighborhood. In this study, the information, including demographic characteristics, and the results of market analysis were obtained with elements of Communication for Behavioral Impact (COMBI) social marketing model; they were investigated using focus group discussions (FGD) and semi-structured face-to-face interviews. Data were analyzed based on the content analysis method.
Results: The qualitative study resulted in 63 codes, 26 subcategories, 4 categories, product, location, cost, and promotion according to the COMBI model structures. Product category or behavioral characteristics, having peace of mind, and seeking independence were mentioned by both groups of parents and the youth as the factors of addiction tendency. But, regarding the cost of addiction, while teenagers and the young people considered the social side effects of drug use, such as losing friends, more important, parents were more concerned about the physical side effects of drugs. Location or environmental and social conditions were important for both groups of parents and the youth.
Conclusion: The results showed that although both groups of teenagers-the youth and their parents pointed to the social, environmental, and individual factors of addiction, their intended examples were different in many areas. Parents considered the most important factor in the tendency to drugs addiction to be the structure of the audience's need, having peace of mind, compensating for the sense of deficiencies and the need for independence, and the youth suggested the use of virtual space and creating motivation and awareness campaign to prevent addiction as a suitable method. Perceived costs according to the young people were loss of friends, feeling of rejection, loss of self-confidence, and negative view of others towards addiction. One of the reasons for the tendency towards addiction was mentioned by the young people as the location and easy access to drugs, and the parents said that the suitable place for the tendency towards addiction was having a risky and inappropriate family.