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Licensed Unlicensed Requires Authentication Published by De Gruyter August 15, 2015

Health concerns of adolescents in Tehran, Iran

  • Azam Baheiraei , Elham Khoori EMAIL logo , Robert M. Weiler , Fazlollah Ahmadi , Abbas Rahimi Foroshani and Fazlollah Ghofranipour



Adolescent health concerns are an important source of information that should be considered when planning school and community health promotion policies, programs and services. Adolescence is a critical period of human development and the health concerns of adolescents can point to important issues that may be eclipsed by epidemiologic and other clinical sources of information. This study aimed to assess the health concerns of adolescents living in Tehran, Iran and to examine associations between selected demographics and the health concerns reported by participants.


This study was a population-based cross-sectional survey in 2011. Data were collected from a stratified random cluster sample of 915 adolescents, aged 14–18 years, living in Tehran, using the Persian version of the Adolescent Health Concern Inventory (AHCI-P). The data were analyzed using the χ2, Mann-Whitney and Kruskal-Wallis tests and logistic regression analysis.


The mean numbers of health concerns in girls and boys were 48 (±27.6) and 44.5 (±27.4) respectively. The highest ranking health concern subscale for both girls and boys was The Future, and “being successful” was endorsed as the most prominent concern in the subscale. Female (OR: 1.42, CI 95%: 1.08–1.87), mother’s educational level (OR: 2.23, CI 95%: 1.07–4.65) and living in northern (OR: 1.76, CI 95%: 1.13–2.74) and western (OR: 2.02, CI 95%: 1.30–3.16) regions of Tehran were significant predictors of a higher level of health concerns.


Findings can be used to inform school and public health promotion policies, programs and supportive services designed to improve the overall health and well-being of adolescents.


We gratefully acknowledge Emeritus Professor John Pilbrow (Monash University) and Mrs Susan Pilbrow, who provided help in editing the English version of this article. This study was funded and supported by Tehran University of Medical Sciences in Tehran, Iran, grant no. 89-04-28-11912.

  1. Conflicts of interest statement: None.


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Received: 2015-3-19
Accepted: 2015-5-25
Published Online: 2015-8-15
Published in Print: 2016-11-1

©2016 Walter de Gruyter GmbH, Berlin/Boston

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