Prevalence of Posttraumatic Stress Disorder among Firefighters in Iran: A Systematic Review and Meta-Analysis

  • Ali Sahebi ORCID Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran. AND Clinical Research Development Unit, Shahid Mostafa Khomeini Hospital, Ilam University of Medical Sciences, Ilam, Iran.
  • Kosar Yousefi ORCID Clinical Research Development Unit, Shahid Mostafa Khomeini Hospital, Ilam University of Medical Sciences, Ilam, Iran.
  • Siamak Moayedi ORCID Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, United States.
  • Najaf Golitaleb ORCID Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
  • Ali Esmaeili Vardanjani ORCID Department of Critical Care Nursing and Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.AND School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
  • Mohamad Golitaleb ORCID Mail Department of Critical Care Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran.
First Responder, Firefighters, Mental Health, Posttraumatic Stress Disorder (PTSD)


Objective: Firefighters are exposed to many different chemicals and physical hazards and experience a significant number of accidents and injuries. They are exposed to high-risk of posttraumatic stress disorder (PTSD). The purpose of this study was to determine the prevalence of PTSD among Iranian firefighters.
Method: This was a systematic review and meta-analysis. Valid Persian and English keywords were searched in data resources, including SID, Magiran, Irandoc, Google Scholar, PubMed, Scopus, and Web of Science to retrieve articles on the prevalence of PTSD among Iranian firefighters. The STROBE checklist was used to assess the quality of the articles. Heterogeneity among the studies was assessed by I2 index. The data were analyzed using Stata14 software.
Results: Of the 316 articles selected in the initial search, 3 articles the inclusion criteria and were used for the meta-analysis. A total of 274 firefighters were studied. The prevalence of PTSD was 23.17% among Iranian firefighters (I2 = 92.4%, 95% CI = 6.71-39.62, p < 0.001).
Conclusion: The prevalence of PTSD is among Iranian firefighters relatively high and has been on the rise over the recent years.


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How to Cite
Sahebi A, Yousefi K, Moayedi S, Golitaleb N, Esmaeili Vardanjani A, Golitaleb M. Prevalence of Posttraumatic Stress Disorder among Firefighters in Iran: A Systematic Review and Meta-Analysis. Iran J Psychiatry. 15(4):358-365.
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