:: Volume 23, Issue 2 (Scientific Journal of Kurdistan University of Medical Sciences 2018) ::
SJKU 2018, 23(2): 21-36 Back to browse issues page
The relationship of the structural and intermediate social determinants of health with low birth weight in Iran: A systematic review and meta-analysis
Nasibeh Sharifi Dr1, Mahrokh Dolatian Dr 2, Azita Fath nezhad kazemi3, Reza Pakzad4, Leila Yadegari5
1- Department of midwifery, School of Nursing & Midwifery, Ilam University of Medical Sciences, Ilam, Iran
2- Department of midwifery & Reproductive Health, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran , mhdolatian@gmail.com
3- Faculty Member, Department of midwifery, School of Nursing & Midwifery, Islamic Azad University of Tabriz, Tabriz, Iran
4- Noor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran
5- School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract:   (2061 Views)
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%-1.85: %95 CI) and 2.24 (1.85%-2.71: %95 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.
Keywords: Low birth weight, Pregnancy outcome, Social determinants of health, Meta –analysis.
Received: May 13, 2017     Accepted: Apr 9, 2018 
Keywords: Low birth weight, Pregnancy outcome, Social determinants of health, Meta –analysis.
Full-Text [PDF 1187 kb]   (524 Downloads)    
Type of Study: Research | Subject: General
Received: 2018/05/31 | Accepted: 2018/05/31 | Published: 2018/05/31
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