Measurement of Social Factors Affecting Self-Declaration Health (Case study, 6 and 16 districts of Tehran)
Bioethics and Health Law Journal (BHL),
Vol. 3 No. 3 (2023),
16 February 2026
https://doi.org/10.22037/bhl.v3i3.38951
Abstract
Health has other dimensions in addition to its physical dimension. Health is a result of socioeconomic and cultural life conditions and qualities and has a close relation with economic stability, environment, neighborhood situation, health care, social and cultural context, education level and knowledge. In this study, we examined the possible effect of social factors on diverse health levels. The aim is to investigate the relationship between health and independent variables such as lifestyle, health literacy and socioeconomic status. Data were gathered with a survey method and 256 sample sizes of 3 and 16 municipal districts of Tehran using structured and semi-structured questionnaires. Validity was examined by content validity and reliability was examined by Cronbach’s alpha. Data were analyzed with SPSS software. In this study, verbal informed consent of participants was obtained, followed by an explanation about the purpose of the study, anonymity and confidentiality of patients' information. Results indicate that the general condition of health has a significant relation with all independent variables (lifestyle, health literacy and socioeconomic status). In examining the relation of two dimensions of physical and mental health with independent variables, physical health has a significant relationship with gender, healthy lifestyle, health literacy, social support and socioeconomic status; and mental health has a significant relationship with a healthy lifestyle, health literacy and social capital. Analysis of stepwise regression shows that independent variables explain 9 percent of health variation, so that health literacy has more effect and with adding demographical variables increases to 17 percent.
- Health
- Lifestyle
- Health Literacy
- Physical Health
- Mental Health
- Socioeconomic Status
How to Cite
References
1. Kingdon C. Sociology for Midwives. Andover (UK): Quay Books/MA Healthcare Ltd; 2014.
2. World Health Organization. Social determinants of health. Key concepts 2013. Available at: http://www.WHO.int/social_determinants/thecommission/finalreport/key_concepts/en/index.html.
3. Giddens A. Sociology. Translated by Chavoshian H. Tehran: Ney Publications; 2007. [Persian]
4. Marmout M, Wilkinson R. Social Components of Health. Translated by Montazeri A. 2nd ed. Tehran: Academic Jihad Publications; 2014. [Persian]
5. Kaplan GA, Salonen JT, Cohen RD, Brand RJ, Leonard Syme S, Puska P. Social connections and mortality from all causes and from cardiovascular disease: prospective evidence from eastern Finland. American Journal of Epidemiology. 1988; 128(2): 370-380.
6. Gashtasbi A, Mantazeri A. Self-reported health and socioeconomic status: Results from a population-based study in Tehran, Iran. Payesh. 2003; 2(3): 187-193. [Persian]
7. Adam P, Herzlich C, Singly DE. Sociology of disease and medicine. Translated by Katebi A. Tehran: Ney Publications; 2006. [Persian]
8. Masoudnia E. Medical sociology. Tehran: Tehran University Press; 2010. [Persian]
9. Shahrokhi A. General health status of female workers in Qazvin factories. Journal of Inflammatory Diseases. 2003; 7(4): 32-35. [Persian]
10. Narimani A, Akbarzadeh M, Mohammad H. A Study of the General Status of Students of Army Medical Sciences University in 2009. Journal of Army University of Medical Sciences of Iran. 2010; 8(1): 49-55. [Persian]
11. Cockerham WC. The social causes of health and disease. Hoboken, NJ: John Wiley & Sons; 2021.
12. Abel T. Cultural capital and social inequality in health. Journal of Epidemiology & Community Health. 2008; 62(7): e13.
13. Phelan JC, Link BG, Tehranifar P. Social conditions as fundamental causes of health inequalities: Theory, evidence and policy implications. Journal of health and social behavior. 2010; 51(1-suppl): S28-40.
14. Chaney D. Lifestyles. London: Routledge; 2012.
15. Williams MV, Parker RM, Baker DW, Coates W, Nurss J. The impact of inadequate functional health literacy on patients' understanding of diagnosis, prescribed medications and compliance. Acad Emerg Med. 1995; 2(5): 386-391.
16. Kutner M, Greenberg E, Jin Y, Paulsen C. The Health Literacy of America’s Adults: Results from the 2003 National Assessment of Adult Literacy. Washington (DC): National Center for Education Statistics; 2006.
17. Hudson CG. Socioeconomic status and mental illness: Tests of the social causation and selection hypotheses. American Journal of Orthopsychiatry. 2005; 75(1): 3-18.
18. Lantz PM, House JS, Lepkowski JM, Williams DR, Mero RP, Chen J. Socioeconomic factors, health behaviors and mortality: Results from a nationally representative prospective study of US adults. JAMA. 1998; 279(21): 1703-1708.
19. Bastani S, Salehi Hikooei M. The social capital of networks and gender: Review of structural, interactive and functional features of social network of women and men in Tehran. Letter of Social Sciences. 2007; 1(30): 64-95. [Persian]
20. De Vaus DI. Surveying Social Research. Translated by Naibi H. Tehran: Ney Publications; 2011. [Persian]
21. Walker SN, Kerr MJ, Pender NJ, Sechrist KR. A Spanish language version of the Health-Promoting Lifestyle Profile. Nursing Research. 1990; 39(5): 268-273.
22. Pilatan F, Ghanei F. A Sociology Study of Effective Factors in Public Health. Journal of Sociological Studies of Youth Journal. 2012; 2(5): 73-94. [Persian]
23. Calnan M, Katsouyiannopoulos V, Ovcharov VK, Prokhorskas R, Ramic H, Willims S. Major determinants of consumer satisfaction with primary care in different health systems. Family Practice. 1994; 11(4): 468-478.
24. Banifatemeh H, Shahamfar J, Bagher Alizade Aghdam M, Abdi B. Health status, education and gender: Effects on people’s awareness, life style and health related quality of life. Payesh. 2015; 14(1): 85-92. [Persian]
25. Mohseni M. Medical Sociology and Health. Tehran: Tahouri Publications; 2009. [Persian]
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