Social Determinants of Health, Maternal Involvement, and Child Development: Direct and Mediated Pathways

Firoozeh Sajedi1, Mahbobeh Ahmadi Doulabi2, Roshanak Vameghi1

  • 1Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Insights

Social determinants of health significantly impact child development, with maternal involvement playing a key role. This study highlights how parental mental well-being and marital satisfaction influence child growth outcomes.

Area of Science:

  • Child Development
  • Public Health
  • Social Determinants of Health

Background:

  • Social determinants of health are crucial for child development.
  • Maternal involvement acts as a mediator in this process.
  • Understanding these factors is vital for supporting healthy child growth.

Purpose of the Study:

  • To design and test a model of social determinants of health for child development.
  • To examine the mediating role of maternal involvement in Tehran.
  • To assess children aged 36-60 months.

Main Methods:

  • Cross-sectional study of 1067 mothers and children in Tehran.
  • Multistage sampling used for participant selection.
  • Utilized various validated questionnaires assessing demographics, behaviors, developmental stages, socioeconomic status, social support, stress, anxiety, depression, and marital satisfaction.

Main Results:

  • The proposed model demonstrated good fit and satisfactory goodness of fit.
  • Maternal participation in child development showed a direct positive effect (ß = 0.089).
  • Path analysis confirmed the model's validity.

Conclusions:

  • Maternal depression, anxiety, stress, and marital satisfaction directly and indirectly affect maternal participation and child development.
  • The study model is useful and demonstrates logical relationships between variables.
  • Findings underscore the importance of maternal well-being for child development.
Abstract

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