International Journal of Pediatrics

Postpartum Mental Health and Its Relationship with Mediating Social Determinants of Health in Iran based on the WHO Model: A Systematic Review

Sahahr - Roozbahani; Mahrokh Dolatian; Zohreh Mahmoodi; Atefeh Zandifar; Hamid Alavi Majd; Saeideh Nasiri

Volume 10, Issue 8 , August 2022, , Pages 16564-16605

https://doi.org/10.22038/ijp.2022.65973.4967

Abstract

Background: Pregnancy is a complex and vulnerable period that causes some challenges including the development of postpartum psychiatric disorders (PPDs) for women. Identifying the ... Read More Background: Pregnancy is a complex and vulnerable period that causes some challenges including the development of postpartum psychiatric disorders (PPDs) for women. Identifying the factors associated with these disorders can be effective in reducing maternal symptoms and supporting mother, child and family. The aim of this study was to identify the relationship between postpartum mental health and mediating social determinants of health in Iran.Methods: In this systematic review, the Persian and English observational studies in Iran were obtained through advanced search in online databases, such as PubMed, Scopus, EMBASE, SID, Magiran, Psycinfo, and Google Scholar search engine in the period of January 2005 to August 5, 2021 using the following keywords: social determinants, mediating factors, social support, mental health, risk factors, postpartum, Iran, and their English equivalents through Mesh. Articles were selected based on the inclusion and exclusion criteria and quality assessment of articles was performed using the standard Newcastle-Ottawa Scale (NOS).Results: Out of 42 eligible articles (total sample: 39216), 40 articles examined the relationship between postpartum depression and 2 articles studied the relationship of maternal grief with some mediating social determinants. In general, these factors were classified into five categories, including midwifery and pregnancy-related factors, psychosocial conditions, factors related to postpartum status, behavioral factors and material status or conditions, and health care.Conclusion: Mothers' mental health is affected by many underlying factors; Therefore, identifying the risk factors associated with mental disorders in this population based on the model of the WHO (World Health Organization), especially in the mediating area (Material and environmental conditions, Psychosocial, Behavioral factors, Health system) due to the extent of this area is very important.

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

Roshanak Vameghi; Sedigheh Amir Ali Akbari; Firoozeh Sajedi; Homeira Sajjadi; Hamid Alavi Majd

Volume 6, Issue 12 , December 2018, , Pages 8643-8654

https://doi.org/10.22038/ijp.2018.32948.2910

Abstract

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 ... Read More 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 their children. Materials and Methods: In this analytical cross-sectional study, the subjects were recruited from mother-child health clinics located at general hospitals affiliated to Shahid Beheshti University of Medical Sciences (Tehran, Iran). A total of 950 mothers and their children were selected using cluster sampling. Based on the WHO conceptual framework of Social determinants of health (SDH) and review of literature, this model was proposed. The questionnaires used for data gathering were: Beck’s Depression Inventory II (BDI-II), Spiel Berger's State-Trait Anxiety Inventory (STAI), the 12-item MSPSS questionnaire for social support, Cohen’s measure of perceived stress, the Ages and Stages Questionnaires (ASQ) of infant developmental status, and socio-economic status questionnaire. The data and theoretical Path Model were analyzed using SPSS software version 19.0 and Lizrel 8.8 software. Results: The mean of Mother’s age was 28.05±4.22 years old.The percentage of children with suspected delay was 12.2%. The final path model fitted well (RMSEA=0.049 GFI=1). Maternal Socioeconomic status had the greatest direct, indirect, and total effects on child development (βTotal=0.35377), and maternal depression had the second most significant direct effects on child development (β= -0.17). Conclusion: The proposed path model regarding the effects of maternal socioeconomic status, perceived social support, perceived stress, anxiety and depression, on the developmental status of 6 to 18 month-old children, fitted well.

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Keywords = Social determinants of health

Postpartum Mental Health and Its Relationship with Mediating Social Determinants of Health in Iran based on the WHO Model: A Systematic Review

Abstract

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

Abstract