Stressful life events and Low birth Weight: according to social determinant of health approach
نویسندگان
1 A: Assistant Professor, Social Determinant of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran B: Nursing & midwifery Faculty, Alborz University of Medical Sciences, Karaj, Iran
2 Associated Professor, Social Determinant of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
3 Assistant Professor, Social Determinant of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
4 Assistant Professor, Social Determinant of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
5 Assistant Professor, Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
6 Assistant Professor, Department of Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
doi
10.22037/anm.v25i90.11549چکیده
Background and aim:Stressful life events during pregnancy are associated with adverse consequences for mother and newborn. The purposeof this study was to understand the effects of stressful life events during pregnancy on low-birth-weight newbornaccording to social determinants of health.Materials and Methods:This study was the second part of a large research project. The main study was conducted using case-control design.Samples were recruited in four stages by selecting 750 mothers with newborns weighing less than 4000 gr using multistagesampling method. The data about women’s lifestyle during pregnancy was collected using a questionnaire whichwas developed using inductive and deductive approaches based on social determinants of health. This study assessedstressful life events during pregnancy using 18 itemsFindings:The average of stressful life events number and the total score of this domain were different between two groups(p<0.001). The odds ratio for effect of a one-unit increase in stress score, increased the risk of low- birth-weight by 1.03times (p=0.001).Conclusion:The stressful life events can influence fetal growth independently. Although receiving health care during pregnancy (thebiological dimension), has an important influence, the role of stress, the related factors and the coping methods shouldbe considered.Keywords:Stressful Event; Social Determinant of Health; Newborn, Infant, Low Birth Weight
