سجادی حمیرا، وامقی مروئه، مدنی قهفرخی سعید. عدالت اجتماعی و سلامت کودکان در ایران (در چارچوب مدل تعیین کننده های اجتماعی سلامت سازمان بهداشت جهانی) رفاه اجتماعی 1388; 9 (35) :137-89
URL: http://refahj.uswr.ac.ir/article-1-546-fa.html
چکیده: (11146 مشاهده)
Objectives: during recent years social determinants of health had been the most
complex subject on the domain of health policy. The social determinants of
health are social condition that people live and work and they affect the personal
health, community health and social health and even the health pattern. The main
object of this study is to review the studies witch related to the status of four
structural social determinants of health including income, gender, education and
ethnicity during 1379-1385 in Iranian children and the documentation of the
result of these studies are according world health organization model.
Method: In this descriptive study (review), studies had been searched with 28
keywords in Iranian electronically databases as such as Irandoc.ac.ir,
www.iranmedex.com, www.sid.ir, www.magiran.com and many universities in
Tehran. After passing several stages of screening, we found 40 studies related to
gender and health, 16 studies related to income and health, 40 studies related to
education and health and 6 studies related to ethnicity and health. Information of
these researches were classified and described. R.M, Excel and SPSS were used
in this study.
Results: In the determinant of gender and health in childhood, the difference
between two genders about weight and height of newborn, low birth weight and
malnutrition was observed, but in dental caries, impaired vision and hearing, the
deference was not significant. About mental health, mental disease and disorders
also the result of studies were not similar but suicide attempting in girls was
more reported.
In the income determinant almost all the studies showed the more frequency in
health problems is in the groups with lower income and it showed significant
relation between income and health status. It showed inverse relation between
household income and food consumption pattern and / or household calories consumption, also significant relation between income status and malnutrition
and obesity, skull youth index, health behavior, weight of child and rate of dmf
was observed .In the studies of mental health and income also the frequency of
symptoms and mental disorders in low income groups and significant
relationship between mental health and income was observed.
In education determinant category, almost all educational interventions were
effective .About literacy and health, prevalence of LBW neonate of mothers with
lower education was higher and there is a significant relation between maternal
education and child weight. However statistical significant relationship between
maternal education and the period of breastfeeding was not found. The result of
studies showed inverse statistical significant relationship between level of
education (parents) and child malnutrition, overweight and obesity. Statistical
significant relationship between father education and child obesity was also
shown. In parasitic infections there was inverse statistical relation between level
of education (parents) and hair pediculus, entrobiosis. Results of studies about
mental health and education were not similar but the frequency of attempted
suicide in the group with lower education was higher.
In ethnicity determinant, there was a little studies and the results were showed
the ethnicity difference in weight and height of neonate ,cloven lips and palate,
malformation of neurotic tube in neonate, diarrhea.
Conclusion: The health difference between two genders, the different income,
educational level and different ethnicity observed. The result of this study could
use in developing policy recommendations and suggest some principles to
ground those policy choices.
نوع مطالعه:
اصیل |
موضوع مقاله:
رفاه اجتماعی دریافت: 1390/7/17 | انتشار: 1388/12/24