The relationship between social determinants of health and postpartum weight retention based on the World Health Organization model: path analysis
Abstract Background Postpartum weight retention (PPWR) causes obesity, chronic diseases, and occurring adverse maternal-fetal and neonatal outcomes. Given the social factors’ effect on health and disease and considering the lack of information on social determinants of health (SDH) effects on PPWR,...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-15207-8 |
| _version_ | 1827982387231850496 |
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| author | Shahin Bazzazian Giti Ozgoli Hedyeh Riazi Zohreh Mahmoodi Mohammadreza Vafa Malihe Nasiri |
| author_facet | Shahin Bazzazian Giti Ozgoli Hedyeh Riazi Zohreh Mahmoodi Mohammadreza Vafa Malihe Nasiri |
| author_sort | Shahin Bazzazian |
| collection | DOAJ |
| description | Abstract Background Postpartum weight retention (PPWR) causes obesity, chronic diseases, and occurring adverse maternal-fetal and neonatal outcomes. Given the social factors’ effect on health and disease and considering the lack of information on social determinants of health (SDH) effects on PPWR, this study was conducted to survey the relationship between SDH and PPWR based on the World Health Organization (WHO) model. Methods A cross-sectional study was performed on 400 women six months after delivery in 2020. Twelve health centers were randomly selected from the three universities of Medical Sciences in the city of Tehran, Iran. Participants were selected by convenience method and based on eligibility. Questionnaires used included: Lifestyle Profile Health Promoting II, Short Form Postpartum Quality of Life Questionnaire, Multidimensional Scale of Perceived Social Support, Postpartum Social Support, Depression Anxiety Stress Scales, and questionnaires designed by reviewing the literature about breastfeeding, sleep, contraceptive, child health, unhealthy behaviors, postpartum nutritional awareness/beliefs, body satisfaction, access to postpartum care, socioeconomic status, demographic, and obstetric questionnaire. Data analysis was performed in SPSS-23, and the relationship model was examined using the path analysis method in LISREL-8.8. Results Path analysis indicated the direct effect of six intermediate factors on PPWR including: gestational weight gain (β = 0.42), access to postpartum care (β = 0.11), postpartum nutritional awareness/beliefs (β=-0.17), anxiety (β = 0.09), sleep duration (β=-0.09), pre-pregnancy body mass index (β = 0.09). Among the structural factors, woman’s education and socioeconomic status had an indirect negative effect on PPWR. The model fit indices showed good fit (RMSE = 0/05, GFI = 0.92, CFI = 0.92, χ2/df = 2.17). Conclusion The results indicate the effect of structural and intermediate determinants of health on PPWR. It is recommended to use the proposed model as an appropriate framework in the research, design, and implementation of programs to prevent and control PPWR. |
| first_indexed | 2024-04-09T22:33:37Z |
| format | Article |
| id | doaj.art-2209d77d4b114954ad6c74b228820328 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-09T22:33:37Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-2209d77d4b114954ad6c74b2288203282023-03-22T12:37:05ZengBMCBMC Public Health1471-24582023-02-0123111510.1186/s12889-023-15207-8The relationship between social determinants of health and postpartum weight retention based on the World Health Organization model: path analysisShahin Bazzazian0Giti Ozgoli1Hedyeh Riazi2Zohreh Mahmoodi3Mohammadreza Vafa4Malihe Nasiri5Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical SciencesMidwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical SciencesDepartment of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical SciencesSocial Determinants of Health Research Center, Alborz University of Medical SciencesNutrition Department, School of Public Health, Iran University of Medical SciencesDepartment of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical SciencesAbstract Background Postpartum weight retention (PPWR) causes obesity, chronic diseases, and occurring adverse maternal-fetal and neonatal outcomes. Given the social factors’ effect on health and disease and considering the lack of information on social determinants of health (SDH) effects on PPWR, this study was conducted to survey the relationship between SDH and PPWR based on the World Health Organization (WHO) model. Methods A cross-sectional study was performed on 400 women six months after delivery in 2020. Twelve health centers were randomly selected from the three universities of Medical Sciences in the city of Tehran, Iran. Participants were selected by convenience method and based on eligibility. Questionnaires used included: Lifestyle Profile Health Promoting II, Short Form Postpartum Quality of Life Questionnaire, Multidimensional Scale of Perceived Social Support, Postpartum Social Support, Depression Anxiety Stress Scales, and questionnaires designed by reviewing the literature about breastfeeding, sleep, contraceptive, child health, unhealthy behaviors, postpartum nutritional awareness/beliefs, body satisfaction, access to postpartum care, socioeconomic status, demographic, and obstetric questionnaire. Data analysis was performed in SPSS-23, and the relationship model was examined using the path analysis method in LISREL-8.8. Results Path analysis indicated the direct effect of six intermediate factors on PPWR including: gestational weight gain (β = 0.42), access to postpartum care (β = 0.11), postpartum nutritional awareness/beliefs (β=-0.17), anxiety (β = 0.09), sleep duration (β=-0.09), pre-pregnancy body mass index (β = 0.09). Among the structural factors, woman’s education and socioeconomic status had an indirect negative effect on PPWR. The model fit indices showed good fit (RMSE = 0/05, GFI = 0.92, CFI = 0.92, χ2/df = 2.17). Conclusion The results indicate the effect of structural and intermediate determinants of health on PPWR. It is recommended to use the proposed model as an appropriate framework in the research, design, and implementation of programs to prevent and control PPWR.https://doi.org/10.1186/s12889-023-15207-8Social Determinants of HealthPostpartum Weight RetentionGestational weight gainPostpartum Period |
| spellingShingle | Shahin Bazzazian Giti Ozgoli Hedyeh Riazi Zohreh Mahmoodi Mohammadreza Vafa Malihe Nasiri The relationship between social determinants of health and postpartum weight retention based on the World Health Organization model: path analysis BMC Public Health Social Determinants of Health Postpartum Weight Retention Gestational weight gain Postpartum Period |
| title | The relationship between social determinants of health and postpartum weight retention based on the World Health Organization model: path analysis |
| title_full | The relationship between social determinants of health and postpartum weight retention based on the World Health Organization model: path analysis |
| title_fullStr | The relationship between social determinants of health and postpartum weight retention based on the World Health Organization model: path analysis |
| title_full_unstemmed | The relationship between social determinants of health and postpartum weight retention based on the World Health Organization model: path analysis |
| title_short | The relationship between social determinants of health and postpartum weight retention based on the World Health Organization model: path analysis |
| title_sort | relationship between social determinants of health and postpartum weight retention based on the world health organization model path analysis |
| topic | Social Determinants of Health Postpartum Weight Retention Gestational weight gain Postpartum Period |
| url | https://doi.org/10.1186/s12889-023-15207-8 |
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