ABSTRACT
Background: Premature birth is the main cause of neonatal mortality and long-term complications, which imposes heavy financial and psychological burdens on the family and society; therefore, it is important to recognize the factors affecting it
Objective: The aim of this study was to determine the relationship between socioeconomic status, psychosocial factors, and food insecurity with preterm delivery
Materials and Methods: This longitudinal study was conducted on 674 pregnant women at 24-28 wk of gestation who met the inclusion criteria. The subjects were selected using cluster sampling. The pregnant women filled out total questionnaires of study and they followed up until delivery and the data about the newborn was collected after delivery. The data collection tools included questionnaires for evaluating socioeconomic status, psychosocial factors, and food insecurity
Results: The prevalence of preterm delivery was 7.7%, and socioeconomic factors were not associated with preterm labor. Among the intermediary factors, social health, food insecurity, stress, and prenatal care had a significant relationship with preterm labor. The prevalence rates of preterm delivery in cases with food insecurity, stress, and inadequate prenatal care were 2, 9.1 and 13.2 times higher than those who had food security, did not experience stress, and received adequate care during pregnancy
Conclusion: Preterm labor is a relatively common problem in which intermediary social determinants of health can play an important role. Considering the limited studies on this issue, the results of this study can lay the foundation for future studies
ABSTRACT
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-analysis was performed based on the studies conducted in Iran. We searched seven databases [Iranmedex, Magiran, SID, Irandoc, PubMed, Google Scholar and Scopus] by using keywords of social determinants of health, low birth weight and equivalents of them to find relevant articles published between 2000 and 2016. Data from relevant studies were extracted by two persons separately and evaluated by using the Stroop checklist. After extracting the required data, they were combined using a random model and the heterogeneity of the studies was evaluated by the I2 index. STATA-11 software was used for data analysis
Result: Thirty articles were analyzed in this systematic review and meta-analysis. The sample size included 42142 people. The overall odds ratios for the relationship of the structural and intermediate social determinants of health with LBW were estimated as 1.52 [1.24 percent-1.85: percent95 CI] and 2.24 [1.85 percent-2.71: percent95 CI] respectively
Conclusion: Considering the importance of low birth weight in the health of newborns, basic measures should be taken to prevent the occurrence of this problem by identification of its risk factors and people at risk, improvement of living standards and regular prenatal care, counseling before pregnancy and improvement of the nutritional status of pregnant women