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      The association between social capital and quality of life among a sample of Iranian pregnant women

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          Abstract

          Background

          Quality of life (QoL) is a multidimensional concept that is affected by various factors. According to the literature, social capital is one of the key determinants of QoL that improves the living conditions of the entire community. This study aimed to investigate the association between social capital and QoL in pregnant women.

          Methods

          This cross-sectional study included 240 pregnant women with a mean age of 27.98 years who were referred to healthcare centers in Qazvin, Iran. A two-stage random sampling method was used to select the health centers and participants. Social capital, QoL, demographic and obstetric characteristics were assessed.

          Results

          The mean scores of social capital, physical and mental dimensions of quality of life were 67.43, 70.2 and 71.88 respectively. All dimensions of social capital except for family and friends’ connection and tolerance of diversity had positive significant correlations with the physical and mental health dimensions of quality of life ( r = 0.17 to 0.28 p < 0.05). A univariate regression model revealed that social capital had a significant association with both the physical health (B = 0.40, 95% CI: 0.19–0.61, p < 0.001) and mental health (B = 0 .44, 95% CI: 0.18–0.58, p < 0.001) dimensions of pregnant women’s quality of life. In the adjusted model, each unit increase of social capital increased pregnant women’s QoL in both the physical health and mental health dimensions.

          Conclusion

          Social capital has a significant association with women’s QoL during pregnancy. Therefore, QoL during pregnancy could be improved by considering physical, psychological and social components of their healthcare.

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          Most cited references25

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          The association of neighbourhood and individual social capital with consistent self-rated health: a longitudinal study in Brazilian pregnant and postpartum women

          Background Social conditions, social relationships and neighbourhood environment, the components of social capital, are important determinants of health. The objective of this study was to investigate the association of neighbourhood and individual social capital with consistent self-rated health in women between the first trimester of pregnancy and six months postpartum. Methods A multilevel cohort study in 34 neighbourhoods was performed on 685 Brazilian women recruited at antenatal units in two cities in the State of Rio de Janeiro, Brazil. Self-rated health (SRH) was assessed in the 1st trimester of pregnancy (baseline) and six months after childbirth (follow-up). The participants were divided into two groups: 1. Good SRH – good SRH at baseline and follow-up, and, 2. Poor SRH – poor SRH at baseline and follow-up. Exploratory variables collected at baseline included neighbourhood social capital (neighbourhood-level variable), individual social capital (social support and social networks), demographic and socioeconomic characteristics, health-related behaviours and self-reported diseases. A hierarchical binomial multilevel analysis was performed to test the association between neighbourhood and individual social capital and SRH, adjusted for covariates. Results The Good SRH group reported higher scores of social support and social networks than the Poor SRH group. Although low neighbourhood social capital was associated with poor SRH in crude analysis, the association was not significant when individual socio-demographic variables were included in the model. In the final model, women reporting poor SRH both at baseline and follow-up had lower levels of social support (positive social interaction) [OR 0.82 (95% CI: 0.73-0.90)] and a lower likelihood of friendship social networks [OR 0.61 (95% CI: 0.37-0.99)] than the Good SRH group. The characteristics that remained associated with poor SRH were low level of schooling, Black and Brown ethnicity, more children, urinary infection and water plumbing outside the house. Conclusions Low individual social capital during pregnancy, considered here as social support and social network, was independently associated with poor SRH in women whereas neighbourhood social capital did not affect women’s SRH during pregnancy and the months thereafter. From pregnancy and up to six months postpartum, the effect of individual social capital explained better the consistency of SRH over time than neighbourhood social capital.
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            Quality of life: An approach integrating opportunities, human needs, and subjective well-being

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              Measuring Social Capital in Five Communities

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                Author and article information

                Contributors
                Masomeh.razai@gmail.com
                sadaf.rosta@yahoo.com
                +9828 33336001-5 , z.alimoradi@qums.ac.ir , zainabalimoradi.sbmu.ac.ir@gmail.com
                drkellyallen@gmail.com
                Pakpour_Amir@yahoo.com
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                9 November 2019
                9 November 2019
                2019
                : 19
                : 1497
                Affiliations
                [1 ]ISNI 0000 0004 0405 433X, GRID grid.412606.7, Students’ research committee, School of Nursing & Midwifery, , Qazvin University of Medical Sciences, ; Qazvin, Iran
                [2 ]ISNI 0000 0004 0405 433X, GRID grid.412606.7, Social Determinants of Health Research Center, Research Institute for prevention of Non-Communicable Diseases, , Qazvin University of Medical Sciences, ; Bahonar blv., Qazvin, 34197-59811 Iran
                [3 ]ISNI 0000 0001 2179 088X, GRID grid.1008.9, Educational Psychology and Inclusive Education, Faculty of Education, Monash University and The Centre for Positive Psychology, The Melbourne Graduate School of Education, , The University of Melbourne, ; Parkville, Australia
                [4 ]ISNI 0000 0004 0414 7587, GRID grid.118888.0, Department of Nursing, School of Health and Welfare, , Jönköping University, ; Jönköping, Sweden
                Author information
                http://orcid.org/0000-0001-5327-2411
                Article
                7848
                10.1186/s12889-019-7848-0
                6842465
                31706274
                05c1db1b-7562-46b9-8e8e-2638ac7d8514
                © The Author(s). 2019

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 24 May 2019
                : 25 October 2019
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100006396, Qazvin University of Medical Sciences;
                Award ID: 128/Students' research committee
                Award Recipient :
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2019

                Public health
                pregnancy,social capital,quality of life,mental health,physical health
                Public health
                pregnancy, social capital, quality of life, mental health, physical health

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