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The Social Determinants of Health in Association With Women’S Health Status of Reproductive Age: A Population-Based Study



Baheiraei A1 ; Bakouei F2 ; Mohammadi E3 ; Montazeri A4 ; Hosseni M5
Authors
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Authors Affiliations
  1. 1. Community Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Dept. of Nursing, Tarbiat Modares University, Tehran, Iran
  4. 4. Mental Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
  5. 5. Dept. of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Public Health Published:2015

Abstract

Background: Prioritizing women’s health helps achievement of the 4th and 5th goals of Millennium Development Program. This study aimed to investigate association between social determinants of health and women’s health of reproductive age. Methods: This population-based cross-sectional study, using multi-stage sampling procedure was conducted on 770, 15 to 49-year-old women residing in any one of the 22 municipality zones across Tehran, Iran. Eligible women were interviewed at home with SF-36 (Short Form Health Survey) and socio-demographic questionnaires. Social determinants of health contains; ethnicity, education, job, income, and crowding index. Data were analyzed by ANOVA and Multiple Linear Regression using SPSS-16.The threshold of P.V was considered 0.05. Results: Overall, 770 women with mean age 33.9±9.3 years were interviewed. Majority of them were married (72.27%), housewives (62.2%), of Persian ethnicity (64.3%), and educated to high school level (43.8%). Age with d imensions of health except role emotional, mental health, and social functioning had significant association with B from -0.65 to -0.16.educational level with dimensions of health except role emotional andsocial functioning had significant association with B from 3.61 to 6.43 (P<0.05). Income with dimensions of health except role physical had significant association with B from -9.97 to -4.42. Conclusion: Reflection of unfavorable economic conditions and low education level on negative women’ health experiences are alarming. Interaction between social determinants of health and health status must be considered in policymaking, and there is a need for policies that would enhance health of women in the low education and income brackets. © 2015, Iranian Journal of Public Health. All rights received.
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