What is the path through which social determinants of maternal health affect Child Development : A Path Analysis

Background: Since several factors, rather than a single cause, contribute to developmental delay in children, identification of the condition s risk factors and their pathway of effects is critical to the design and implementation of appropriate intervention. This study aimed to determine the relationship of some social determinants of maternal health with each other and ultimately with the developmental status of 6-18-month-old children.Materials & Methods: In this analytical cross-sectional study, the subjects were recruited from mother-child health clinics located at general hospitals affiliated to Shahid Beheshti University of Medical Sciences (Tehran, Iran). A total of 950 mothers and their children were selected using cluster sampling. The questionnaires usedIRU GDWD JDWKHULQJ ZHUH: %HFNʼV HSUHVVLRQ ,Qventory II (BDI-,,) 6SLHOEHUJHUʼV 6WDWH-Trait Anxiety Inventory (STAI), the 12-LWHP 06366 TXHVWLRQQDLUH IRU VRFLDO VXSSRUW &RKHQʼV PHDVXUH RI SHUFHLYHG VWUHVV WKH $JHV and Stages Questionnaires (ASQ) of infant developmental status, and socio-economic status questionnaire. The data were analyzed using SPSS19 and Lizrel 8.8 software.Results: The percentage of children with suspected delay was 12.2%.The final path model fitted well (RMSEA=0.049 GFI=1). Maternal Socioeconomic status had the greatest direct, indirect, and total effects on child development ( 7RWDO 0.35377) and maternal depression had the second most significant direct effects on child development ( -0.17).Conclusion: The proposed path model regarding the effects of maternal socioeconomic status, perceived social support, perceived stress, anxiety and depression, on the developmental status of 6 to 18 month-old children, fitted well.

کلیدواژه ها:

Social determinants of health ، Child development ، Stress ، Socioeconomic status ، Depression ، Social Support.