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Background and Objective: The pregnancy period has been conceptualized as a time of vulnerability for the women who should adjust to new difficulties and concerns.The present study aimed at determining the mental health status of pregnant women. Material and Methods: In this descriptive study, 315 pregnant women covered by Shahinshahr health care centers were assessed. We used stratified sampling method for choosing health care centers and allocated the participants by using a sampling fraction in each of the centers. The instrument was standard questionnaire of GHQ.Then the data were analyzed by Chi Square (SPSS soft ware). Results: the findings show that 44.8% of pregnant women are suspected to have mental disorders, including social dysfunction (26%), anxiety disorder (18.26%), somatization disorder (17.5%) and depressive disorder (16%).There is no significant difference between mental health of pregnant women and their demogeraghic findings (P>0.05). Conclusion: Based on the results, the mental health in pregnant women is not satisfactory, therefore it is important for primary care providers to be aware of changes in mental health status of pregnant women to help them promote their mental health.

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  Background and Objective : Spouse abuse, which has physical and psychological consequences on victims, is one of the most important health problems in many countries. The purpose of the present study was to investigate wife abuse among the women referred to health care centers of Gorgan, 2008.

  Material and Methods : The subjects of this descriptive analytical study were 300 married women selected by easy sampling. Data collection was performed by using "Spouse Abuse" questionnaire, consisting of 27 items which are related to emotional, physical and sexual domains. The validity was confirmed by faculty members and reliability by alpha cronbach (=0.86).

  Results : The results show that wife Abuse is severe (6.5%), no report of Spouse Abuse (16.5%), sexual abuse (23%), physical punishment (54.5%), and psychological abuse (82.5%). The rate of Spouse Abuse is lower in younger couples. There is significant relationship between wife Abuse and the age of women, smoking and drug abuse of their husbands (P=0.000).

  Conclusion : All kind of wife abuse has devastating health effects on women
well-being. Regarding the high rate of psychological abuse in relationships, it is necessary to consider marital counseling as a priority for mental health of families.

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  Background and Objective: Type 2 diabetes is a major public health problem with increasing morbidity and mortality. Complementary therapies are widely used by the people with diabetes. Massage therapy (MT) is an increasingly popular complementary therapy. Since few studies have been conducted on the effect of MT on people with diabetes, we aimed to investigate the effect of massage therapy on glycemic control (FBS, HBA1C) in women with diabetes.

  

  Material and Methods: this clinical trial was conducted on fifty women with type 2 diabetes selected by convenience sampling and placed randomly in treatment and control groups. The test group received 30 mins-long massage therapies in a week (10 sessions) and the control group received just standard care. Glycemic control indices including HbA1C, FBS were measured at baseline, after 10 weeks of therapy and then analyzed by paired-t test and MANOVA (p≤ 0.05) .

  

  Results: the mean and standard deviation of HBA1C of massage group (7.18±0.14) was significantly (P < 0.01) different from control (8.06±0.22) and the difference of FBS in massage group (1.46±5.28) from control (1.6±4.87) was meaningful statistically (P < 0.05).

  

  Conclusion: accordingly, massage therapy can be useful for glycemic control (FBS, HBA1C) in women with type 2 diabetes.

 

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Background and objective:­ In accordance with­ general studies, the prevalence of psychological disorders is increasing worldwide in that it is the cause of one percent of mortality  rate in the world esp. Iran. Because of susceptibility of women to psychological disorders and fewer studies in this field, this study aimed at evaluating ­mental health status of over- fifteen- year- old women in urban population of Gorgan, Iran. 

Material and Methods: In this study, 1088 women aged over 15 were selected by randomized cluster sampling. The data was collected by demographic data sheet and General Health Questionnaire (GHQ-28), and analyzed by Chi Square and Fisher Exact test.   

Results: Based on our findings, the prevalence of psychiatric disorders is 17.5%.­ ­Based on cut-off score of 6 for each of the four disorders, Anxiety disorder and insomnia are with the highest prevalence (5.5%) and depression is with the lowest (3.1%). The Prevalence of disorders has positive significant relationship with variables like age,­ ­marital status and family history of addiction.

Conclusion: The prevalence of present study is average compared to similar reports. Nevertheless it is a necessity to have further attention to the mental health of women and it is essential to train efficient workforce and provide appropriate facilities in order to give mental health services to both rural and urban population. 

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  Background and Objective: Cesarean section has some adverse effects on maternal and neonatal health . The knowledge of pregnant women about disadvantages of cesarean can affect on the use of cesarean delivery. The aim of this study is to determine the knowledge of pregnant women about disadvantages of cesarean section.

  Material and Methods: In this descriptive study, we studied 360 pregnant women referring to obstetric and gynecology clinics, via convenience sampling. ­The women who were physicians or midwives were not assessed. We used a questionnaire including demographic part and eighteen questions about knowledge. ­­The data were recorded by SPSS version 11.5 then analyzed by use of t- test and Chi square.

  Results: The mean of knowledge is (12.23­­±4.0).­ There is a significant relation between knowledge and education level (p=0.008). But it is not significant for other variables (p>­0.05).

  Conclusion: In terms of our findings, the knowledge of pregnant women is not very good about cesarean disadvantages that it can affect on the selection of delivery type. Therefore, it is a necessity for health officials to perform appropriate programs to increase the knowledge about disadvantages of cesarean section.

 

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  Background and Objective: Self-medication is one of the health predicaments, especially among pregnant women due to the risk of fetal abnormalities caused by drugs. we consider it necessary to study self - medication status in pregnant women referring to health centers in Saghez city, Iran.

  Material and Methods: This cross- sectional study was carried out in 2011. The subjects (N= 116) selected via convenience sampling were the pregnant women referring to health centers in Saghez city. The data collected by a questionnaire and interview was analyzed by using descriptive and inferential statistics.

  Results: The results indicate that 27.6% have the behavior of self- medication. The most common reason for self- medication mentioned by 47.4% is “it (medical problem) is so little considering” . Using Chi-square, there is no significant correlation between self-medication and variables such as insurance status , educational level and career status .

  Conclusion : Due to the high expenses of drugs and the side effects of over the counter­, esp. for pregnant period, which may cause abnormality, measures should be taken to educate mothers and prevent from this unsafe behavior.

 

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Background and objective: Multiple sclerosis (MS) is a chronic, autoimmune, inflammatory nervous system disease. ‌It leads to the loss of myelin in the white matter of brain, spinal cord and optic nerves, and causes tiredness, muscle cramp, tremor, unsteady gait and some inability to move. The aim of this study was to investigate the effect of Pilates exercises and aquatic training on walking speed of women with MS.
Material and Methods: This clinical trial was conducted in 2012 on 45 women,‌ referring to MS clinic of Kashani Hospital in Isfahan. The subjects with the age of 20-40, physical disablement of 4.5 and disease duration of 8±2 years were randomly allocated to one of the three groups of Pilates exercises, aquatic training and control.‌ Training program for pilates and aquatic group was carried out in 12 weeks, three sessions per week, and each session lasted about one hour. Patients' walking speed was measured, using 25-foot walk test, before and after exercise. ‌The data was analyzed by descriptive statistics, covariance and paired comparisons of adjusted means.
Results: The adjusted mean of walking speed scores of the experimental groups are significantly different (P‌<‌0.05). ‌While, the comparison of paired means between the two groups was not significant.
Conclusion: Because of increased effect on walking speed, we recommend Pilates exercises and aquatic training as a complementary treatment alongside medicinal treatments for MS patients.

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Background and Objective: It is imperative that the application of appropriate educational methods is of paramount importance to nutrition knowledge and health of pregnant women. Hence, this study aimed at investigating the effect of lecture and group discussion on improving pregnant women's awareness. 

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Background and Objective: Pregnancy is often introduced as a stressful experience that may be increased, and leads to some cognitive and behavioral responses called stress. By managing stress in pregnancy period, we can reduce anxiety and prevent from much of obstetric and physical complications. This study aimed to determine the effect of cognitive-behavioral based stress management on anxiety reduction of pregnant women.

Material and Methods: This pretest-posttest quasi-experimental study was conducted on pregnant women referring to health centers in Gorgan city in 2012. Twenty-four patients with eligible criteria were divided randomly into two equal groups of experimental and control. Pre-test was performed by State- trait anxiety inventory and the intervention was administered to experimental group. After that, posttest was taken for both groups. Statistical analysis was performed by covariance.

Results: Analysis of the data shows that pregnant women experience Anxiety. Stress management training in cognitive-behavioral style significantly decrease state- trait anxiety of pregnant women.

Conclusion: Stress management training in cognitive-behavioral style has an effect on state- trait anxiety reduction of pregnant women.

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Background and Objective: Sexual self-concept (SSC) is considered as an important factor in human sexual performance. This study aimed at assessing the relationship between SSC and sexual performance in a group of Iranian married women.

Material and Methods: This correlational study was conducted on 374 married women selected via cluster random sampling in health centers of Mobarakeh, 2013. The data was collected by Multidimensional Sexual Self-concept Questionnaire (MSSCQ) and female sexual function index (FSFI), and analyzed by pearson correlation and multiple regressions.

Results: In accordance with the mean scores of positive SSC (106.32±35.03), negative SSC (36.64±5.16) and sexual performance (22.30±2.68), there was a significant correlation between positive SSC and sexual performance(r= 0.23, p<0.001), and between negative SSC and sexual performance (r= 0.38, p<0.001). Furthermore, positive SSC directly and negative SSC inversely was the predictor of sexual performance of married women.

Conclusion: Given the results, the women with higher positive SCC may have better sexual function. It seems that SCC score can be a significant predictor of women's sexual functioning.

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Background: Recent studies have shown that physical activity is an effective factor in improving sleep quality. Therefore, this study aimed to compare the sleep quality of athlete and non-athlete pregnant women.

Methods: This cross-sectional descriptive analytical study was performed on 300 pregnant women in the last trimester of pregnancy, referred to prenatal care unit of Amiralmomenin Hospital in city of Zabol. After selection via convenience sampling, participants were divided into two groups of athletes and non-athletes based on their level of physical activity. Data were collected via a demographic form and Pittsburgh sleep quality and Baek physical activity questionnaires. Data was analyzed using descriptive statistics and t-test.

Results: The mean score of sleep quality in pregnant women was 8.51 ± 2.09. Overall, 81.2% of the subjects had poor sleep quality. The sleep quality of athlete (7.19 ± 1.68) and that of non-athlete (10.18 ± 2.28) pregnant women were undesirable. However, athlete pregnant women had significantly better sleep quality compared to non-athletes (P=0.003).

Conclusion: Based on the results and the high prevalence of sleep disorders in pregnant women, as well as the positive impact of physical activity on sleep quality, daily physical activity seems essential for improvement of sleep quality in pregnant women.

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 Introduction: High quality of life during the pregnancy is of great importance for both mother and the fetus. In order to identify factors affecting the quality of life of pregnant women, this study was conducted to show the role of health promoting behaviors in predicting the quality of life of pregnant women.

Methods: This was a cross sectional study. Statistical population consisted of all pregnant women who had referred to the Health Centers of Gilan-e Gharb City for receiving the prenatal care from March 2013 to September 2013, of whom, 90 people were selected by purposive non-random sampling method and data were collected by questionnaires of Health Promoting and Short Form 36 Quality of Life Questionnaire (SF-36). The data were analyzed by Pearson correlation coefficient and multiple regression analysis.

 Results: The mean and standard deviation age (SD) of the pregnant women was 26.72 ± 4.45. There was a positive relationship between quality of life of pregnant women and an overall score of health promoting behaviors and variables of heath responsibility, good nutrition, spiritual growth, interpersonal relationships and stress management (P<0.005). Regression analysis also showed that 37% of the total variance in the quality of life of pregnant women is explained by interpersonal behaviors.

Conclusion: Results of this study show that health responsibility, good nutrition, spiritual growth, interpersonal relationships and stress management improve quality of life of pregnant women. Of these styles, interpersonal relationships play an important role in predicting quality of life. These results highlight the importance of training the health promoting behaviors notably effective interpersonal relationships during pregnancy.

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Background: Pregnancy and postnatal period are associated with significant psychological and physiological changes, which might sometimes induce pathological variations, as well. This study aimed to evaluate the effect of physiologic delivery education on mental health of pregnant women.
Methods: This clinical trial was conducted on 50 pregnant women, who were referred to three healthcare centers and Motazedi Hospital of Kermanshah, Iran, in 2015. The samples were  selected through simple random sampling and divided into two groups of intervention and control. The intervention group received eight 90-minute sessions, whereas no intervention was administered to the control group. The data collection tools consisted of a demographics form and Goldberg’s General Health Questionnaire (GHQ-28), which were filled out by the participants in a pretest-posttest design. Data analysis was performed in SPSS, version 20, using analysis of covariance.
Results: Given the difference in mean scores of the intervention and control groups before (23.6) and after (20.55) the intervention, it could be concluded that reduction of three scores after the training sessions was indicative of improved mental health of the participants. Thus, physiologic delivery education could enhance mental health of pregnant women (P<0.01).
Conclusion: Physiologic delivery education improved mental health in pregnant women.

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Background and objectives: Diabetes is the most common metabolic disease in developing countries. Because the cause of many chronic diseases lies in the human's lifestyle, performing health promotion behaviors is the best way to maintain and improve the health. Hence, this study aimed to compare the health promoting behaviors based on the Pender model in at risk groups of type 2 diabetes in women referred to health centers of Rasht city 2017.
Methods: This cross-sectional and analytical-descriptive study was performed on 300 women referring to community health centers of Rasht city and was conducted by stratified random sampling method. Data was collected by Health-Promoting Lifestyle Profile-II (HPLP-II) Questionnaire and the questionnaire evaluating the risk of type 2 diabetes using the FINDRISK tool .Data analysis  was performed by SPSS version 21 using ANOVA test, Tukey test and independent T-test.
Results: The mean score and standard deviation of health promotion behaviors in this study have been varied from 144.18 ± 19.56 in the low risk group and 129.27±17.86 in the very high-risk group of type 2 diabetes. The difference in score of health promotion behaviors dimensions in the five groups according to the risk of type 2 diabetes, except the interpersonal relationships dimension, was statistically significant (P< 0.05).
Conclusion: The high risk and very high risk groups than low risk and very low risk of type 2 diabetes had less scores of health promoting behaviors. In other words, people with a healthier lifestyle were less likely to develop type 2 diabetes .

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Background: Domestic violence (DV) against women is a global public health concern. The study was conducted to determine the associated factors of domestic violence against infertile women.
Methods: This cross-sectional study was done on 379 infertile women referred to the infertility clinic in Sari, between October 2015 and March 2016. The convenience sampling was used considering inclusion criteria. Data was collected using Revised Conflict Tactics Scale (CTS2). Data was presented with descriptive statistics and Logistic regression to determine associated factors with DV in SPSS-16 software. The significant level was considered P<0.05.
Results: Finding showed that majority of infertile women (88.9%) experienced domestic violence. The age (OR=0.91 95% CI: 0.85-0.99) and smoking (OR=8.12 95% CI: 1.87-35.21) with domestic violence.
Conclusions: Regarding the high prevalence of domestic violence and its consequence on society, screening violence in health centers and support at-risk family via counseling are recommended.

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Background: Sexuality is a complex aspect of the human being’s life and is more than of only the sexual act. Normal sexual functioning consists of sexual activity with transition through the phases from arousal to relaxation with no problems, and with a feeling of pleasure, fulfillment and satisfaction. Rheumatic diseases may affect all aspects of life including sexual functioning. The reasons for disturbing sexual functioning are multifactorial and comprise disease-related factors as well as therapy.
Methods: Searching performed in some databases like PubMed, google scholar, Scopus, Springer and Science Direct. 22 full text articles in English from 2000 until 2019 were found
Which their topic was similar to our topicThe presence of sexual dysfunction was assessed with the questionnaire ‘Female Sexual Function Index (FSFI)’. The FSFI was self-administered and consisted of 19 questions covering six domains; desire, subjective arousal, lubrication, satisfaction, orgasm and pain. The patients’ answers were based on the 4 weeks prior to completing the questionnaire. A total score of ≤ 26 indicated sexual dysfunction.
Results: In rheumatoid arthritis and ankylosing spondylitis patients, pain and depression could be the principal factors contributing to sexual dysfunction. On the other hand, in women with Sjögren’s syndrome, systemic lupus erythematosus and systemic sclerosis sexual dysfunction is apparently most associated to vaginal discomfort or pain during intercourse. Finally, sexual dysfunction in patients with fibromyalgia could be principally associated with depression, but the characteristic symptoms of fibromyalgia (generalized pain, stiffness, fatigue and poor sleep) may contribute to the occurrence of sexual dysfunction.
Rheumatic diseases affects sexual health as a result of pain, reduced joint mobility, fatigue, depression and body image alterations. Sexual function is closely related to satisfactory quality of life. The treatment of sexual dysfunction will depend on the specific patient’s symptoms, however, there are some general recommendations including: exploring different positions, using analgesics drug, heat and muscle relaxants before sexual activity and exploring alternative methods of sexual expression.
 Conclusions: Sexual dysfunction in females with rheumatic diseases is multifactorial due to chronic disease aspects, disease activity and drugs. A multidisciplinary approach is essential in order to offer preventive measures for these patients.
The investigated material provides few solutions to sexual health problems of female patients. The most commonly mentioned solution is increased information and communication between health professionals and patients. Further research is needed to understand which types of intervention can help women with rheumatic disease to improve their sexual health
The results of this studies indicated that more attention should be paid to the sexual health of women suffering from rheumatic diseases as a neglected aspect of their treatment, which requires an interdisciplinary approach to shift the care of these patients from a biomedical model to a biopsychosocial model.

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Background: General self-concept refers to the set of emotions and perceptions of one's self, while sexual self-concept refers to the perception of each individual as a sexual being. General and sexual self-concepts are affected by various life problems including infertility. Infertility can affect people's self-concept by affecting their personal and sexual life. Lack of negative mood management can also affect people's self-concept by creating psychological problems such as anxiety and depression. Mood regulation skill as a protective factor for people experiencing psychological problems in their relationships, will modify emotional responses which in turn leads to improve their physical and psychological health through positive and adapted behaviors. The purpose of this study is to determine the effect of mood regulation education on general and sexual self-concept in infertile women.
Methods: This clinical trial study conducted in 1397, 34 infertile women referred to the only infertility center in Gorgan who were included in the study and were selected by available sampling method, (n=17) in the intervention group and (n=17) in the control group. Education program of mood regulation was performed in four, 90- minute-long sessions of a one-time workshop for individuals in the intervention group. Inclusion criteria were: Iranian nationality, high school education, not having any stepchild, primary infertility, absence of known physical and psychological illnesses (according to their own declaration), not taking psychiatric medication, non-drug addiction of both the woman and the spouse and not having any life skills training. Exclusion criteria were: not attending in educational sessions more than once and unwillingness to continue this study. Both groups completed Rogers' Persian self-concept questionnaire and Snell's self-concept questionnaire before, immediately and one month after the intervention. Data analysis was performed using SPSS software (version 16), repeated measures analysis of variance, and adjusted Bonferroni test (P <0.05).
Results: In this study, the mean age of the samples in the intervention group was 33.18 ± 6.07 and 30.41 ± 4.54 in the control group. Results showed that before intervention, general self-concept in intervention group was 9.41, positive sexual self-concept 123.76, negative 12.17, and situational was 43.17. One month after intervention, general self-concept was 6.21, positive sexual self-concept 139.29, negative 5.70 and situational was 54.23. The results of repeated analysis of variance showed that mood regulation education had a positive effect on promotion of general self-concept and sexual self-concept of infertile women one month after intervention, therefore this effect was statistically significant.
 Conclusions: Mood regulation education improves the general and sexual self-concept of infertile women and can be used in health care, infertility and midwifery centers.

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Background: Sexual self-concept is a cognitive evaluation which refers to a person's perception of tendencies and self-sexuality and may be affected by factors such as chronic illnesses. Therefore, this study was conducted to compare sexual self-concept in married diabetic women with married non-diabetic women.
Methods: This Analytical cross-sectional study was performed on 200 married diabetic women and 200 non-diabetic women referred to healthcare centers of Gorgan. Inclusion criteria were: high school education or more, Iranian nationality, living with their spouses for the past 4 weeks, and getting married once. Exclusion criteria were: history of adverse events in the past three months, identified physical, psychological and sexual problems, having psychiatric disorders diagnosis by a psychiatrist, current couple's drug and alcohol addiction, pregnancy, menopause, infertility, and lactation. Samples were selected by systematic random sampling. Data were collected using Farsi Multidimensional Sexual Self-Concept Questionnaire and were analyzed by SPSS16 software using Mann-Whitney nonparametric test.
Results: The results showed that the mean of positive sexual self-concept (103/2 ± 25/59) and the mean score of situational sexual self-concept (33/6± 11/3) in diabetic women were significantly lower than the mean scores of similar areas in non-diabetic women who showed positive sexual self-concept as 111.41 ±24/59 and situational sexual self-concept as 38/2 ± 11/04. Furthermore, the mean score of negative sexual self-concept (27/9 ± 8/5) in diabetic women was significantly higher than the mean scores of similar areas in non-diabetic women (24/9 ± 7/09).
 Conclusions: Diabetes is known as an effective factor on women's sexual issues such as sexual self-concept. According to the results of this study, it seems that some interventions must be designed to improve the positive and situational sexual self-concept and to reduce negative sexual self-concept.

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Background: Infertility, having the conditions of a crisis incident, creates a comprehensive crisis in the lives of infertile couples. Infertility is not only influenced by physiological factors and in the field of medical sciences, but also involves many psychological and social aspects. The purpose of this study is to review the psychological and social outcome of infertility in Iranian women, and review the findings of relevant articles.
Methods: In this review study, related English and Persian articles were collected by using of keywords infertility, psychological outcome, social outcome of infertility from reliable scientific databases such as IranMedex, Irandoc, Google scholar, SID, Magiran, Pubmed, Science Direct, MedLib from 2000 to 2018. Of the 47 related articles, 32 articles (quantitative and qualitative study) were in the main objectives of the study, which were examined.
Results: The psychological and social outcome of infertility in women with infertility in Iran can be described as the consequences of cognitive, emotional (internal and family conflicts) and socio-cultural aspects of infertility (social isolation and social stigma). Fear, anxiety, depression, loneliness, sin, lack of self-esteem, regret and aggression are as internal conflicts and friendship disturbances, Sexual dysfunction and loss of life satisfaction, including family conflicts among infertile women. Infertility is also considered as a social stigma, which can lead to social isolation and loss of social status of infertile women.
 Conclusions: Considering the psychological and social outcome of infertility should be taken at individual, interpersonal and social proceedings in order to empower couples with infertility to promote mental health and their active participation in society.

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Background: Today, one of the key ways to promote Sexual and Reproductive Health of women is to attract men's participation in this field. Since there are challenges in our information about men's knowledge of their role in this field, the present study was designed to determine men's knowledge of their participation in women's sexual and reproductive health and its predictive factors in Iranian men.
Methods: The present study was designed and psychometrically analyzed the men's knowledge about their participation in sexual and reproductive health and then their knowledge was evaluated and described. In order to design the tool, the basics were prepared by interviewing and reviewing the texts.
 Then, face (qualitative and quantitative), content (qualitative and quantitative), structure (convergent and discriminant) validity, and reliability of the scale were assessed. Then, in a descriptive-analytic study, 449 men were selected by convenience method from health centers, Nowshahr and Chalus cities in Mazandaran province.
 Inclusion criteria included married men over 15 years of age with at least a fifth grade literacy in Farsi who came to health centers and who volunteered to participate in the study. Data were collected using a questionnaire (designed by the research team). The minimum knowledge score was 39 and the maximum was 195.
Results: Face (qualitative and quantitative (impact score>1.5)), content (qualitative and quantitative (CVR>0.62 and CVI>0.70)), structure (convergent and discriminant) validity, and reliability of the scale (Cronbach’s alpha > 0.7) were acceptable for all factors as well as internal consistency and structural reliability based on standard indices.
Confirmatory and exploratory factor analysis extracted six items of 28 items: "emotional and gender attention", "support for girls", "attention and supply of sexual and reproductive health needs", "violence avoidance", "responsibility" and "reproductive rights" with 28 items. The six-factor fitting of men's knowledge tool was confirmed by standard indices.
14.5% of the participants had a under school diploma. Most of them (76.4%) reported average household income. The maximum age of 72 was at least 23 and their mean age was 42.6. The results showed that the mean score of men's knowledge was 127.45 ± 8.33 and the maximum was 140, at least 86. Significant predictors in the regression analysis were forced marriage (B = -10.676), economic violence (B = -1.381), and having a history of abortion (B = -2.022).
Conclusions: The findings of the study showed that men's knowledge is inversely correlated with men's economic violence against women and forcing young people to choose a partner against their own inner desires and also with unwanted pregnancy and abortion. Therefore, policymakers and managers are recommended to pay close attention to increasing men's knowledge and it’s predictive to prevent these three inappropriate social phenomena.