Relationship between Structural and Intermediate Social Determinants of Health and Low Birth Weight: A Path Analysis

Authors

  • Mahrokh Dolatian Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Nasibeh Sharifi Department of Midwifery, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
  • Nazanin Rezaei Department of Midwifery, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
  • Zohreh Mahmoodi Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
Abstract:

Background: Low birth weight is one of the most important health indicators for assessing the status of newborns in every country. It is, therefore, necessary to identify factors associated with this adverse pregnancy outcome. This study was conducted to determine predicting factors associated with low birth weight using path analysis. Methods: This prospective study was performed on 719 eligible pregnant women with a gestational age of 24-28 weeks who visited the health centers in Ilam, Iran. The participants were selected through stratified cluster sampling. The data were collected using relevant scales and analyzed using SPSS software (version 19.0) and LISREL (version 8.8). Results: The incidence rate of low birth weight was obtained at 7.5%. The risk scores of low birth weight were 2.7, 2.5, 3.3, 1.8, and 2.8 times higher in the participants with stress, anxiety, depression, domestic violence, and food insecurity, respectively, compared to those without the mentioned conditions. The goodness of fit index confirmed the favorable fit of the model. The most influential direct determinants of birth weight were the number of prenatal visits (β=0.19) and mother’s body mass index (β=0.02). The most important direct determinant of birth weight was stress in this study (β=-58.006). Conclusion: The etiology of low birth weight is complex and may involve demographic characteristics, as well as nutrition, reproductive, and socioeconomic factors. Given that prenatal care and psychological and nutritional factors are the major determinants, it is essential to take fundamental steps, including the improvement of living standards and nutritional status in pregnant women, more regular prenatal care visits, and pre-conception counseling.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

The relationship of the structural and intermediate social determinants of health with low birth weight in Iran: A systematic review and meta-analysis

Background and Aim: Primary experience of intrauterine period is the essential basis of the life for the embryo. Therefore paying attention to it can lead to reduced health inequities. The aim of this study was to investigate the relationship of the structural and intermediate social determinants of health with low birth weight in Iran Materials and Methods: This systematic review and meta-ana...

full text

Relation between Social Determinants of Maternal Health and Child Development: A Path Analysis

Background: Since several factors, rather than a single cause, contribute to developmental delay in children, identification of the condition's risk factors and their pathway of effects are critical to the design and implementation of appropriate intervention .This study aimed to determine the relation between social determinants of maternal health and child development in Iranian mothers and t...

full text

The Relationship between Maternal Biosocial Determinants and Infant Birth Weight

Background & aim: Low birth weight (LBW) is the center of focus as a cause of many social, emotional, and mental deficiencies. The identification of the probable causes of LBW is considered as an important measure in reducing the prevalence of this health problem. Regarding this, the present study was carried out to compare some of the mental and social traits in the mothers of normal weight ne...

full text

the relationship between language and social capital in ilami kurdish: a sociopragmatic approach

چکیده زبان به عنوان یک وسیله در ایجاد و بازسازی سرمایه اجتماعی در چند دهه گذشته مورد توجه بوده است. اگر چه درباره سرمایه اجتماعی و سازه های مربوط به آن زیاد نوشته شده است ولی خیلی کم بر روی اینکه چطور زبان می تواند باعث ایجاد اعتماد یا بی اعتمادی بشود مطالعه ای انجام شده است. این مطالعه به منظور تحقق دو هدف انجام گرفته است. اول تلاش خواهد شد تا یک گونه شناسی از واژگانی که مردم کرد زبان شهر ا...

15 صفحه اول

on the relationship between cultural, social intelligences and literary translation ability of iranian translation students

با توجه سرعت روز افزون جهانی سازی نیاز به مهارتهای میان فرهنگی نیز افزایش یافته است. از سوی دیگر تعاملات اجتماعی و نیازهای فرهنگی منوط به ترجمه است. بدین ترتیب مطالعه ترجمه از دیدگاه اجتماعی ضروری به نظر می رسد. برای نیل به این هدف، در تحقیق حاضر به بررسی رابطه همبستگی بین دو هوش فرهنگی و اجتماعی با توانش ترجمه ادبی دانشجویان (سال سوم) مترجمی زبان انگلیسی پرداخته شده است. همچنین قابلیت پیش بینی...

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 10  issue 3

pages  88- 96

publication date 2019-09-01

By following a journal you will be notified via email when a new issue of this journal is published.

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023