Identifying and Prioritizing Social Determinants of Population Health in Iran: A Mixed Method Research
Background and Purpose: In recent decades, research has shown that social determinants of health (SDH) affect population health more than medical care. Therefore, identifying the SDH has become a top priority. Materials and Methods: It is an explanatory-sequential mixed-method study. We used the me...
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| Format: | Article |
| Language: | English |
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Mazandaran University of Medical Sciences
2023-05-01
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| Series: | علوم بهداشتی ایران |
| Subjects: | |
| Online Access: | http://jhs.mazums.ac.ir/article-1-855-en.pdf |
| _version_ | 1797805561251627008 |
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| author | Nafiseh Salehnia Abbas Assari Arani Alireza Olyaeemanesh Hossein Sadeghi Saghdel |
| author_facet | Nafiseh Salehnia Abbas Assari Arani Alireza Olyaeemanesh Hossein Sadeghi Saghdel |
| author_sort | Nafiseh Salehnia |
| collection | DOAJ |
| description | Background and Purpose: In recent decades, research has shown that social determinants of health (SDH) affect population health more than medical care. Therefore, identifying the SDH has become a top priority.
Materials and Methods: It is an explanatory-sequential mixed-method study. We used the meta-synthesis method in the first step to identify and prioritize social determinants of population health in Iran. Then, the identified factors were shown in a semantic map. Afterward, we used fuzzy Delphi to screen and determine each factor’s importance in Iran.
Results: A total of 172 factors were identified and classified into 4 levels: individual, local, national, and global. After screening items, parental competence, hope, addiction, types of pollution, inflation, and unemployment rate (the crisp value of defuzzification 9-10) are generally the most important determinants of population health at the individual and national levels in Iran.
Conclusion: The resulting semantic map of SDH demonstrates the substantial effect of non-health policies on the health of Iran’s population. This finding proposes health as a complex and comprehensive system needing an interdisciplinary approach to address its multiple determinants. Specifically, the comparative analysis of this research shows that among the determinants of health in Iran, parental competence, individual behaviors such as addiction, and spiritual and mental health, including depression, suicide, and stress, are the most important SDH in Iran. |
| first_indexed | 2024-03-13T05:53:55Z |
| format | Article |
| id | doaj.art-75b4d5ad583641838082656127484fa5 |
| institution | Directory Open Access Journal |
| issn | 2322-553X 2322-4797 |
| language | English |
| last_indexed | 2024-03-13T05:53:55Z |
| publishDate | 2023-05-01 |
| publisher | Mazandaran University of Medical Sciences |
| record_format | Article |
| series | علوم بهداشتی ایران |
| spelling | doaj.art-75b4d5ad583641838082656127484fa52023-06-13T07:55:52ZengMazandaran University of Medical Sciencesعلوم بهداشتی ایران2322-553X2322-47972023-05-011127586Identifying and Prioritizing Social Determinants of Population Health in Iran: A Mixed Method ResearchNafiseh Salehnia0Abbas Assari Arani1Alireza Olyaeemanesh2Hossein Sadeghi Saghdel3 Department of Economic Development and Planning, Faculty of Management and Economics, Tarbiat Modares University, Tehran, Iran. Department of Economic Development and Planning, Faculty of Management and Economics, Tarbiat Modares University, Tehran, Iran. Health Equity Research Center (HERC), Tehran University of Medical Sciences, Tehran, Iran. Department of Health Economics, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran. Background and Purpose: In recent decades, research has shown that social determinants of health (SDH) affect population health more than medical care. Therefore, identifying the SDH has become a top priority. Materials and Methods: It is an explanatory-sequential mixed-method study. We used the meta-synthesis method in the first step to identify and prioritize social determinants of population health in Iran. Then, the identified factors were shown in a semantic map. Afterward, we used fuzzy Delphi to screen and determine each factor’s importance in Iran. Results: A total of 172 factors were identified and classified into 4 levels: individual, local, national, and global. After screening items, parental competence, hope, addiction, types of pollution, inflation, and unemployment rate (the crisp value of defuzzification 9-10) are generally the most important determinants of population health at the individual and national levels in Iran. Conclusion: The resulting semantic map of SDH demonstrates the substantial effect of non-health policies on the health of Iran’s population. This finding proposes health as a complex and comprehensive system needing an interdisciplinary approach to address its multiple determinants. Specifically, the comparative analysis of this research shows that among the determinants of health in Iran, parental competence, individual behaviors such as addiction, and spiritual and mental health, including depression, suicide, and stress, are the most important SDH in Iran.http://jhs.mazums.ac.ir/article-1-855-en.pdfsocial determinants of healthpublic healthpopulation healthhealth policy |
| spellingShingle | Nafiseh Salehnia Abbas Assari Arani Alireza Olyaeemanesh Hossein Sadeghi Saghdel Identifying and Prioritizing Social Determinants of Population Health in Iran: A Mixed Method Research علوم بهداشتی ایران social determinants of health public health population health health policy |
| title | Identifying and Prioritizing Social Determinants of Population Health in Iran: A Mixed Method Research |
| title_full | Identifying and Prioritizing Social Determinants of Population Health in Iran: A Mixed Method Research |
| title_fullStr | Identifying and Prioritizing Social Determinants of Population Health in Iran: A Mixed Method Research |
| title_full_unstemmed | Identifying and Prioritizing Social Determinants of Population Health in Iran: A Mixed Method Research |
| title_short | Identifying and Prioritizing Social Determinants of Population Health in Iran: A Mixed Method Research |
| title_sort | identifying and prioritizing social determinants of population health in iran a mixed method research |
| topic | social determinants of health public health population health health policy |
| url | http://jhs.mazums.ac.ir/article-1-855-en.pdf |
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