Interrelationship between underprivileged neighborhoods and health promotion lifestyles: insights from Kermanshah, Iran

  • Sohyla Reshadat
  • Mohamadreza Tohidi
  • Mahmoud Ghasemi
  • Alireza Zangeneh
  • Shahram Saeidi
  • Raziyeh Teimouri
  • Tan Yigitcanlar
Original Article



Iran is facing the consequences of the hubristic period and the level of mortalities is affected by lifestyles. Residents of underprivileged neighborhoods of the Iranian Kermanshah Metropolis encounter numerous socioeconomic, physical, and cultural challenges. Hence, this study aims to investigate the ecocultural and physical conditions of underprivileged neighborhoods and their effects on the residents’ health promotion lifestyles in the neighborhoods in Kermanshah Metropolis, Western Iran.

Subjects and methods

In this cross-sectional study, the statistical population included the underprivileged neighborhoods of the Kermanshah Metropolis. The ecocultural and physical conditions of these neighborhoods were assessed using the population and housing census data, and lifestyle was measured using the Health Promoting Lifestyle Profile II (HPLP II). As for data analysis, the descriptive statistics analysis of variance (ANOVA) and the Pearson correlation coefficient were employed in SPSS v.21.


The results of the present study revealed that the total mean score of lifestyles in underprivileged neighborhoods was low (111.67 ± 23.59). It was shown that females had a better quality of life than males, and the highest and lowest mean scores belonged to interpersonal relations and physical activity, respectively. Comparison of the findings also indicated that the underprivileged neighborhoods were significantly different in terms of health promotion lifestyles. As for the economic, physical, and cultural indexes, it was demonstrated that only cultural indices were significantly correlated with health promotion lifestyles, with a correlation coefficient of 0.716. The negative correlation coefficient of the young population was indicative of the inverse relationship between the growth of the young population and health promotion lifestyles. A negative relationship was also observed between nutrition and the young population. It was also shown that interpersonal relations negatively and positively correlated with the young population and migration rate, respectively.


The findings of this study revealed the urgent need for attention and emphasis to be given to the planning of activities to improve residents’ conditions of health promotion lifestyle in underprivileged neighborhoods by the urban managers and policymakers in the health and associated fields.


Health promotion lifestyle Public health Health policy Underprivileged neighborhoods Kermanshah Iran 



This study was supported by the Kermanshah University of Medical Sciences under grant number 93461. The authors acknowledge the financial and emotional support provided by the Deputy Head of the Research and Technology Department of the Kermanshah University of Medical Sciences.

Author contributions

SR and AZ apprehended the research idea. AZ, RT, and SS designed the study and analyzed the data. SR, MT, MG, AZ, SS, RT, and TY interpreted the results and drafted the manuscript. SS and AZ participated in re-revision of the manuscript. All the authors took responsibility for the integrity of the work as a whole, from inception to published article. SR is the guarantor. All the authors read and approved the final manuscript.

Compliance with ethical standards

This study was approved by the institutional ethics committee of the Kermanshah University of Medical Sciences with ID 93461. Research involving human participants.

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

10389_2019_1086_MOESM1_ESM.doc (39 kb)
ESM 1 (DOC 39 kb)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Sohyla Reshadat
    • 1
  • Mohamadreza Tohidi
    • 2
  • Mahmoud Ghasemi
    • 3
  • Alireza Zangeneh
    • 1
  • Shahram Saeidi
    • 1
  • Raziyeh Teimouri
    • 4
  • Tan Yigitcanlar
    • 5
  1. 1.Social Development and Health Promotion Research CenterKermanshah University of Medical SciencesKermanshahIran
  2. 2.School of MedicineKermanshah University of Medical SciencesKermanshahIran
  3. 3.School of Medicine, Clinical Developmental Research CenterKermanshah University of Medical SciencesKermanshahIran
  4. 4.Department of Art, Architecture and DesignUniversity of South AustraliaAdelaideAustralia
  5. 5.School of TechnologyFederal University of Santa CatarinaTrindade, FlorianópolisBrazil

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