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مجله پژوهش در بهداشت محیط

مجله پژوهش در بهداشت محیط

بررسی نقش سبک زندگی در مواجهه با آلاینده‌های محیطی و بروز ناباروری ایدیوپاتیک: یک مطالعه مورد-شاهدی

نوع مقاله : مقالات پژوهشی

نویسندگان
افسانه نقیبی 1
ثمر مرتضوی 2
شمیم پیله وری 3
1 دانشجوی دکتری علوم و مهندسی محیط زیست، گروه محیط زیست، دانشکده منابع طبیعی و محیط زیست، دانشگاه ملایر، ملایر، ایران.
2 دانشیار گروه محیط زیست، دانشکده منابع طبیعی و محیط زیست، دانشگاه ملایر، ملایر، ایران.
3 استادیار مرکز تحقیقات باروری و ناباروری، دانشگاه علوم پزشکی و خدمات بهداشتی درمانی همدان، همدان، ایران.
10.22038/jreh.2026.96770.1758
چکیده
زمینه و هدف: گسترش صنایع و فناوری، نگرانی در مورد افزایش مواجهات جامعه انسانی با آلاینده‌های محیطی به‌ویژه عناصر بالقوه سمی را افزایش داده و سلامت باروری انسان را تهدید نموده است. از آن‌جا که سبک زندگی افراد، نقش مهمی در شدت مواجهه مردان و زنان با این سموم دارد، هدف از پژوهش حاضر بررسی تاثیر مواجهه با آلاینده‌های محیطی ناشی از سبک زندگی در علت شناسی ناباروری ایدیوپاتیک است.

مواد و روش‌ها: در این مطالعه مورد-شاهدی با حضور ۶۳ شرکت‌کننده شامل بیماران مبتلا به ناباروری ایدیوپاتیک و افراد بارور سالم، عوامل سبک زندگی مرتبط با قرار گرفتن افراد در معرض سموم با استفاده از پرسشنامه تخصصی در چهار بخش اطلاعات دموگرافیک، عادات سبک زندگی، مواجهه محیطی و تاریخچه سلامت، بررسی شد. داده‌های جمع‌آوری شده بر مبنای آزمون کای اسکوئر، برای ارزیابی ارتباطات و تحلیل‌های همبستگی پیرسون و اسپیرمن برای بررسی روابط بین مواجهه با آلاینده‌های مرتبط با سبک زندگی و پیامدهای ناباروری ایدیوپاتیک مورد استفاده قرار گرفت. هم‌چنین به‌منظور بررسی اثر مستقل متغیرهای مورد مطالعه بر احتمال ناباروری، از مدل رگرسیون لجستیک استفاده شد و نسبت شانس به همراه فاصله اطمینان 95 درصد (CI %95) محاسبه گردید.

یافته‌ها: نتایج حاصل نشان‌دهنده نقش معنادار زندگی در مناطق شهری، مجاورت محل سکونت با منابع آلاینده و شغل زنان (05/0P<) در افزایش مواجهه با آلاینده‌ها و تأثیر آن‌ها بر سلامت تولیدمثل بود. از سویی دیگر رابطه معناداری بین استفاده از ظروف خراشیده و قدیمی در طبخ غذا (05/0P<) و هم‌چنین آنمی فقرآهن در مردان و زنان (05/0P<) با ناباروری ایدیوپاتیک به‌دست آمد.

نتیجه‌گیری: یافته‌ها بر ضرورت ارتقاء آگاهی عمومی در راستای اصلاح سبک زندگی و توسعه مداخلات پیشگیرانه به‌منظور کاهش مواجهه با آلاینده‌های زیست‌محیطی و بهبود سلامت باروری تأکید دارند.
کلیدواژه‌ها
آلاینده‌های محیطی
سبک زندگی
ناباروری ایدیوپاتیک
عناصر بالقوه سمی
مطالعه مورد-شاهدی

عنوان مقاله English

Investigating the Role of Lifestyle in Exposure to Environmental Pollutants and the Occurrence of Idiopathic Infertility: A Case–Control Study

نویسندگان English

Afsaneh Naghibi 1
Samar Mortazavi 2
Shamim Pilevari 3
1 Ph.D Student in Environmental Science and Engineering, Department of Environmental Science, Faculty of Natural Resources, Malayer University,Iran.
2 Associate Professor, Department of Environmental Science, Faculty of Natural Resources, Malayer University, Iran
3 Assistant Professor, Fertility and Infertility Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
چکیده English

Background and Objective: The expansion of industries and technology has increased concerns about the rising exposure of human populations to environmental pollutants, particularly potentially toxic elements, thereby threatening human reproductive health. Since individuals’ lifestyles play an important role in the level of exposure of men and women to these toxins, the aim of the present study was to investigate the effect of lifestyle‑related exposure to environmental pollutants in the etiology of idiopathic infertility.

Materials and Methods: In this case–control study involving 63 participants, including patients with idiopathic infertility and healthy fertile individuals, lifestyle factors related to individuals’ exposure to toxins were assessed using a specialized questionnaire in four sections: demographic information, lifestyle habits, environmental exposure, and health history. The collected data were analyzed using the Chi‑square test to evaluate associations, and Pearson and Spearman correlation analyses were used to examine relationships between lifestyle‑related pollutant exposures and idiopathic infertility outcomes. In addition, logistic regression analysis was performed to evaluate the independent effect of the studied variables on the likelihood of infertility, and odds ratios along with 95% confidence intervals (95% CI) were calculated.

Results: The results indicated a significant role of living in urban areas, proximity of residence to pollution sources, and women’s occupation (P<0.05) in increasing exposure to pollutants and their effects on reproductive health. Moreover, a significant relationship was observed between the use of old and scratched cookware in food preparation (P<0.05) and iron‑deficiency anemia in both men and women (P<0.005) with idiopathic infertility.

Conclusion: The findings emphasize the necessity of increasing public awareness regarding lifestyle modification and developing preventive interventions aimed at reducing exposure to environmental pollutants and improving reproductive health.

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

کلیدواژه‌ها English

Environmental Pollutants
Lifestyle
Idiopathic Infertility
Potentially Toxic Elements
Case-Control Study
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