Ghaedamini Harouni Gholamreza, Sajjadi Homeira, Rafiey Hassan, Mirabzadeh Arash, Vaez-Mahdavi Mohammadreza, Mohaqeqi Kamal Seyed Hossein
Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Social Determinant of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2017 Jun 1;31:29. doi: 10.18869/mjiri.31.29. eCollection 2017.
Health is an essential component of human rights and the rights are interdependent, indivisible, and correlated. The present study aimed at codifying a multidimensional health index according to multistage index development and describing the status of this index in 22 municipal districts of Tehran. This study was conducted using the data collected in the second round of Urban HEART Project of Tehran (2012-2013). The sample size was 34 700. To develop a multidimensional health index (MDHI), the nine steps of the Organization for Economic Cooperation and Development (OECD) were followed, from codifying theoretical framework to introducing the index. According to the constructed MDHI, the districts no. 13, 10, 17, 1, 3, 4, and 22 had the best status and the district no. 8 the worst status. With respect to physical health, the districts no. 13, 17, 1, 3, 10, and 18 had the best status and the district no. 8 the worst. Concerning mental health, the districts no. 3, 6, 1, and 10 had the best status and the districts no. 8 and 12 the worst status. With respect to social health, the districts no. 10, 22, and 21 had the best status and the districts no. 6, 7, 12, and 14 the worst status. The analysis of sensitivity indicated that the MDHI was more sensitive towards physical health. Based on the mean, minimum, and maximum scores on each indicator of the questionnaires, the physical, mental, social, and MDHI status of Tehran residents (2012-2013) was high-medium, medium, low-medium, and high-medium, respectively. The right to health should be widely investigated, as it is a primary principle needed for sustainable development, which can be accomplished when the attitudes of different organizations towards the health construct are multidimensional rather than unidimensional.
健康是人权的重要组成部分，而各项权利相互依存、不可分割且相互关联。本研究旨在根据多阶段指标发展方法编制一个多维健康指数，并描述该指数在德黑兰22个市辖区的状况。本研究使用了德黑兰城市健康与环境研究项目第二轮（2012 - 2013年）收集的数据。样本量为34700。为编制多维健康指数（MDHI），遵循了经济合作与发展组织（OECD）的九个步骤，从构建理论框架到推出该指数。根据构建的MDHI，第13、10、17、1、3、4和22区的状况最佳，第8区的状况最差。在身体健康方面，第13、17、1、3、10和18区的状况最佳，第8区的状况最差。在心理健康方面，第3、6、1和10区的状况最佳，第8和12区的状况最差。在社会健康方面，第10、22和21区的状况最佳，第6、7、12和14区的状况最差。敏感性分析表明，MDHI对身体健康更为敏感。根据问卷各指标的平均分、最低分和最高分，德黑兰居民（2012 - 2013年）的身体、心理、社会和MDHI状况分别为中高、中等、低中、中高。健康权应得到广泛研究，因为它是可持续发展所需的一项首要原则，只有当不同组织对健康构建的态度是多维而非单维时，这一原则才能实现。
