Investigating the Relationship Between Structural Determinants of Health and Preterm Delivery: A Systematic Review

Publish Year: 1401
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_JPRE-10-2_002

تاریخ نمایه سازی: 9 آذر 1402

Abstract:

Background: Preterm delivery is one of the main causes of newborn mortality, signifying the inequality of conditions in receiving the necessary prenatal care.  Objectives: The present systematic review was conducted to investigate the relationship between preterm delivery and socio-structural determinants of health with an emphasis on occupation, education, and income in Iranian society based on the World Health Organization model. Methods: In this systematic review, all observational articles published from ۲۰۰۰ to November ۲۰۲۱ were examined by searching the international and Persian databases of Scopus, PubMed, Google Scholar, Web of Science, Embase, ProQuest, Cochrane, IranDoc, and SID. Keywords were extracted through the MESH. The articles were searched using English and Persian keywords of occupation, education, income, social and economic status, and preterm delivery and appropriate operators, such as AND, OR, as well as a combination of the search strategy of each database, and all related articles were collected. Results: In the initial search, ۱۴۵۶ articles were found, and a total number of ۱۷ articles were finally included in the study, of which ۱۲ articles were on occupation, ten articles on education, four studies on income, two studies on socio-economic status, seven studies on occupation, and eight studies on education. All studies on income and socio-economic status had shown a statistically significant relationship between these structural determinants and preterm delivery.  Conclusions: Preterm delivery is a prevalent problem with critical complications in Iran and there is a significant relationship between structural determinants and preterm delivery. Appropriate interventions, such as life skills training, self-care, and prenatal care can help mitigate pregnancy outcomes.

Keywords:

Preterm birth , Social determinants of health , systematic , Delivery , Iran

Authors

Farzaneh Rashidi Fakari

Department of Midwifery, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.

Ghasem Bayani

Department of Pediatrics, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.

Javad Ghaffari

Department of Anesthesiology and Operating Room, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Homayoon Bana Derakhshan

Department of Anesthesia and Operating Room, School of Nursing, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Zahra Kiani

Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

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