Structural equation modeling of psychosocial determinants of health for the empowerment of Iranian women in reproductive decision making.
Background: Women's empowerment is a process wherein females are afforded power over their own lives as well as their participation in the communities and larger societies to which they belong. An important aspect of such empowerment is the right to make decisions regarding fertility-an entitlement...
| Publicado en: | BMC Women's Health Vol. 20; no. 1; pp. 1 - 10 |
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| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
BioMed Central
2/3/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141530244&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141530244 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14726874 1CIP jtl: BMC Women's Health issn: 14726874 maglogo: N pubinfo: dt: 2/3/2020 vid: 20 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 141530244 141530244 NLM32013966 10.1186/s12905-020-0893-0 NLM32013966 141530244 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Structural equation modeling of psychosocial determinants of health for the empowerment of Iranian women in reproductive decision making. aug: au: Kiani, Zahra Simbar, Masoumeh Dolatian, Mahrokh Zayeri, Farid affil: Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran sug: subj: Women's Rights Decision Making Social Determinants of Health Human Rights Psychosocial Factors Female Iran Socioeconomic Factors Marriage Psychosocial Factors Adult Cross Sectional Studies Middle Age Reproductive Health Young Adult Exercise of Self-Care Agency Scale Psychosocial Adjustment to Illness Scale Rosenberg Self Esteem Scale Scales Social Readjustment Rating Scale Adult: 19-44 years Middle Aged: 45-64 years Female ab: Background: Women's empowerment is a process wherein females are afforded power over their own lives as well as their participation in the communities and larger societies to which they belong. An important aspect of such empowerment is the right to make decisions regarding fertility-an entitlement affected by the social health determinants that contribute to the social conditions under which humans live and work throughout their lives. As one such determinant, psychosocial factors play an essential role in the development of women's empowerment. Correspondingly, this study conducted a structural equation modeling of these determinants to examine the empowerment of Iranian women in reproductive decision making.Methods: This cross-sectional study involved 400 women who were referred to clinical centers of the Shahid Beheshti University of Medical Sciences in Tehran, Iran. Data were collected using six questionnaires, namely, demographic, socioeconomic, and social support questionnaires, the Rosenberg self-esteem scale, a marital satisfaction questionnaire, and an empowerment survey. The data were analyzed using SPSS software version 17, and the structural equation modeling was carried out using EQS software version 6.1.Results: The Iranian women had an average level of empowerment with respect to reproductive decision making, and such empowerment was related to all the psychosocial factors examined (p = 0.001). The final model appropriately fit the data (comparative fit index = 0.92, root mean square error of approximation = 0.06). The psychosocial factors served as intermediate social determinants of the women's empowerment in reproductive decision making (β = 0.78, p = 0.001). This empowerment was indirectly affected by socioeconomic situation as a structural factor (β = 0.44, p = 0.001).Conclusions: Socioeconomic factors, through the mechanism of psychosocial determinants, may significantly affect women's empowerment in making decisions regarding reproductive health. Conditions associated with these factors should be improved to ensure that women claim and exercise their right to have mastery over their reproductive health. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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