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Volume 28, Issue 4 (Winter 2023)
IJPCP 2023, 28(4): 460-477 |
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Roozbahani S, Dolatian M, Mahmoodi Z, Zandifar A, Alavi Majd H, Nasiri S. Predictors of Maternal Blouse in the Postpartum Period Based on Social Determinants of Health of the World Health Organization Model: A Path Analysis. IJPCP 2023; 28 (4) :460-477
URL: http://ijpcp.iums.ac.ir/article-1-3822-en.html
URL: http://ijpcp.iums.ac.ir/article-1-3822-en.html
Sahar Roozbahani1 
, Mahrokh Dolatian 2, Zohreh Mahmoodi3 , Atefeh Zandifar3 , Hamid Alavi Majd4 , Saeideh Nasiri5
, Mahrokh Dolatian 2, Zohreh Mahmoodi3 , Atefeh Zandifar3 , Hamid Alavi Majd4 , Saeideh Nasiri5
1- Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,mhdolatian@gmail.com
3- Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
4- Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5- Department of Midwifery, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
2- Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,
3- Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
4- Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5- Department of Midwifery, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
Abstract: (1658 Views)
Objectives The aim of this study was to determine the predictors of maternal blouse in the postpartum period based on social determinants of health of the World Health Organization (WHO) model.
Methods This cohort study was conducted on 449 postpartum women who were referred to healthcare centers of Shahid Beheshti University of Medical Sciences. The sampling method was a multi-stage random method. The tools used in this research were demographic and gynecological characteristics questionnaire, socio-economic status questionnaire, depression anxiety and stress scale-21 (DASS-21), multidimensional scale of perceived social support (MSPSS) (multidimensional scale of perceived social support [MSPSS]), domestic violence questionnaire (DVQ), unhealthy behavior questionnaire. Postpartum blouse was also measured based on the Stein’s questionnaire. The data were analyzed using SPSS software, version 24.
Results The information of 449 pregnant women participating in the study was examined. The mean age of women was 26.96±4.46 years and their husbands’ mean age was 32.17±5.6 years. The path analysis results demonstrated that among the variables related to maternal blouse (one-path test), in the indirect path analysis, socio-economic status had the most negative effect on the maternal blouse and also in the direct path analysis, DASS21 showed the most negative effect on the maternal blouse (B=-0.19) and the unfortunate event had the most positive effect (B=0.18). Violence had the most positive effect on the maternal blouse (two-path test) (B=0).
Conclusion Considering the importance of the role and the high prevalence of maternal blouse in the mental health of women after childbirth, it seems necessary to pay attention to these factors for prevention and screening in terms of timely diagnosis and necessary measures.
Methods This cohort study was conducted on 449 postpartum women who were referred to healthcare centers of Shahid Beheshti University of Medical Sciences. The sampling method was a multi-stage random method. The tools used in this research were demographic and gynecological characteristics questionnaire, socio-economic status questionnaire, depression anxiety and stress scale-21 (DASS-21), multidimensional scale of perceived social support (MSPSS) (multidimensional scale of perceived social support [MSPSS]), domestic violence questionnaire (DVQ), unhealthy behavior questionnaire. Postpartum blouse was also measured based on the Stein’s questionnaire. The data were analyzed using SPSS software, version 24.
Results The information of 449 pregnant women participating in the study was examined. The mean age of women was 26.96±4.46 years and their husbands’ mean age was 32.17±5.6 years. The path analysis results demonstrated that among the variables related to maternal blouse (one-path test), in the indirect path analysis, socio-economic status had the most negative effect on the maternal blouse and also in the direct path analysis, DASS21 showed the most negative effect on the maternal blouse (B=-0.19) and the unfortunate event had the most positive effect (B=0.18). Violence had the most positive effect on the maternal blouse (two-path test) (B=0).
Conclusion Considering the importance of the role and the high prevalence of maternal blouse in the mental health of women after childbirth, it seems necessary to pay attention to these factors for prevention and screening in terms of timely diagnosis and necessary measures.
Type of Study: Original Research |
Subject:
Psychiatry and Psychology
Received: 2022/12/20 | Accepted: 2023/03/6 | Published: 2023/01/1
Received: 2022/12/20 | Accepted: 2023/03/6 | Published: 2023/01/1
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