Preterm delivery and psycho-social determinants of health based on World Health Organization model in Iran: a narrative review.
Preterm delivery and psycho-social determinants of health based on World Health Organization model in Iran: a narrative review.
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DOI：
10.5539/gjhs.v5n1p52
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发表时间：
2012-11-04
期刊：
影响因子：
--
通讯作者：
Moafi F
中科院分区：
文献类型：
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作者：
Dolatian M;Mirabzadeh A;Forouzan AS;Sajjadi H;Alavi Majd H;Moafi F
早产仍然是婴儿死亡和发病的主要原因，这表明全世界孕妇的护理都存在问题。本回顾性研究描述了伊朗近十年来与活产早产（PTD）相关的患病率、心理社会人口统计学以及产科风险因素。在2001年至2010年的波斯语和国际数据库（包括PubMed、SID、Google Scholar、Iran Medex、Magiran和Irandoc）中进行了叙述性综述，关键词如下：早产和妊娠结局，（患病率、社会经济条件、结构决定因素、中介决定因素、心理社会因素、行为因素和母亲情况，卫生系统）所有的文章进行了审查，然后根据WHO模型进行分类。共检索到52篇文献，选择35篇文献，其中26篇为横断面或纵向研究，9篇为分析性研究（队列或病例对照）。据报告，伊朗不同城市的早产患病率在阔姆的5.6%至克尔曼的39.4%之间。结构性因素中最常见的社会因素是母亲的文化程度，中介性因素是心理社会因素（母亲孕期焦虑和压力）、行为因素和母亲环境（侵害和创伤），卫生系统因素是缺乏产前保健。早产的发生率是一个令人关切的问题。由于许多心理社会因素可能会影响这种情况，而且贫困社区的高发病率可能揭示了生物和心理社会因素之间的因果关系，因此建议进行病因调查。
Preterm delivery is still the primary cause of mortality and morbidity in infants, which shows a problematic condition in the care of pregnant women all over the world. This review study describes prevalence and psycho - socio-demographic as well as obstetrical risk factors related to live preterm delivery (PTD) in the recent decade in Iran. A narrative review was performed in Persian and international databases including PubMed, SID, Google Scholar, Iran Medex, Magiran and Irandoc from 2001 to 2010 with following keywords: preterm delivery and pregnancy outcomes with (prevalence, socioeconomic condition, structural determinant, Intermediary determinants, Psychosocial factor, Behavioral factor and Maternal circumstance, Health system) All of article was reviewed then categorized based on WHO model. Totally 52 article were reviewed and 35 articles were selected, of which 26 were cross-sectional or longitudinal, 9 were analytical (cohort or case-control). The prevalence rates of preterm delivery in different cities of Iran were reported between 5.6% in Quom to 39.4% in Kerman. The most common social factors in structural determinant were educational level of mother, and in intermediary determinants were Psychosocial factor (maternal anxiety and stress during pregnancy), Behavioral factor and Maternal circumstance (violation and trauma) and in Health system, lack of prenatal care. The prevalence rate of preterm delivery is a matter of concern. Since many psycho-social factors may affect on the condition and its high rate in poor communities might reveals a causal relationship among biological and psychosocial factors, performing etiological investigations is recommended.