A systematic review of social determinants of healthy lifestyle among Iranian women.
Sakineh Ghasemi Yngyknd, Mohammad Asghari Jafarabadi, Solmaz Ghanbari-Homayi and 2 others
PMID 34388863WHAT IT FOUND
Pooled evidence from 12 studies of Iranian women linked healthier lifestyle to income, job, education, spouse's job and education, housing, social support and health knowledge.
Ethnicity and crowding index were not linked.
Key findings
01Combined p-values showed significant associations with healthy lifestyle for income, job, education, spouse's occupation, spouse's education, housing, social support and health knowledge.
02Ethnicity and crowding index were not significant predictors in the pooled analyses.
03The review included 11 cross-sectional and 1 case-control study, and no included study directly examined the relationship between social determinants of health and women's lifestyle in Iran.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The evidence came from observational studies, mostly cross-sectional, so it shows associations but cannot prove that income, education, housing or support caused healthier lifestyle. Some variables were based on very few studies, such as social support and health knowledge from one study each. The synthesis combined p-values, so it does not show how large the differences in healthy lifestyle were. The included studies had moderate methodological quality, limited sample sizes, heterogeneous analysis methods and different confounding factors. Most studies were done in provincial centres with higher economic and social status, so results may not apply to poorer or more rural settings.
Declared interests
The authors declared no conflict of interest. The funding statement names Tabriz University of Medical Sciences.
The easy way to misread this
Do not read this as proof that nurses can make women healthier by giving social support or lifestyle advice. The review pooled associations from observational studies, mostly cross-sectional, and tested no intervention, so it cannot show that changing any single factor causes a healthier lifestyle.