确定摩洛哥产妇保健的社会决定因素的范围审查。

0 HEALTH CARE SCIENCES & SERVICES International journal of social determinants of health and health services Pub Date : 2024-04-01 Epub Date: 2023-11-30 DOI:10.1177/27551938231217589
Chaimae Moujahid, Jack E Turman, Hiba Houradi, Loubna Amahdar
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引用次数: 0

摘要

为了了解保健不平等的机制及其对孕产妇保健的影响,健康问题社会决定因素委员会提供了一个框架,以确定保健不平等的结构性和中间原因。本审查报告根据《摩洛哥孕产妇健康与可持续发展框架》绘制并描述了摩洛哥孕产妇健康的当前社会经济决定因素。从六个数据库(Springer, Web of Science, Pubmed, Science Direct, Jstor和Cochrane图书馆)进行了一项范围研究,基于1990年以来所做的定量和定性研究。妇女的就业和经济地位、教育水平、文化和性别平等等结构性因素受到居住地、结婚年龄、产妇分娩年龄和胎次(单独或与其他变量一起)等中介因素的影响。这些因素共同影响孕产妇保健服务的使用或影响孕产妇保健结果。在影响妇女获得保健的各种社会经济类别的社会情况中,确定了权力动态。研究揭示了社会决定因素如何影响摩洛哥的孕产妇保健。要持续改善摩洛哥的母婴健康,就必须解决这些决定因素。
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Scoping Review to Identify Social Determinants of Maternal Health in Morocco.

To understand the mechanism of health inequities and their influence on maternal health, the Commission on Social Determinants of Health (CSDH) provides a framework to identify structural and intermediate causes of health inequity. This review maps and describes the current socioeconomic determinants of maternal health in Morocco according to the CSDH framework. A scoping study was carried out from six databases (Springer, Web of Science, Pubmed, Science Direct, Jstor, and Cochrane library) based on quantitative and qualitative research done since 1990. Structural factors such as women's employment and economic status, education level, culture, and gender equity were influenced by intermediary factors such as place of residence, age at marriage, maternal age at childbirth, and parity (either alone or in conjunction with other variables). Together these factors worked to influence maternal health service usage or affected maternal health outcomes. Power dynamics were identified in a variety of social situations that impacted access to health care for women across socioeconomic categories. Studies reveal how social determinants impact maternal health in Morocco. Addressing these determinants is required for sustainably improving maternal and infant health in Morocco.

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