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Social determinants of mental health of women living in slum: a systematic review

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주제분류산부인과학

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ObjectiveWith the rise of urbanization globally, the problem of living in slums has become a problem for the civil society. As avulnerable segment, women make up half of the population in these regions; therefore, women’s mental health hasalways been a concern. The purpose of this study was to review the social determinants of mental health in womenliving in slum areas. MethodsWe systematically reviewed articles published between 2009 and 2019 on the social determinants of women’smental health in SID, Magiran, Google scholar, PubMed, Scopus, Science Direct, Embase, MEDLINE, PsychINFO,and PsychARTICLES databases using MeSH keywords according to PRISMA guidelines. The quality of the studieswas assessed depending on the type of study using Ottawa Newcastle” scale and Joanna Briggs Institute qualityassessment tools. Finally, 23 studies were analyzed. ResultsDifferent social determinants influenced the mental health of women living in slum areas. Among the structuraldeterminants, the socioeconomic level had the highest frequency, and gender was in the second rank with the highestcorrelation with poorer women’s mental health status. Among the intermediate determinants, living conditions, foodinsecurity, social capital, and social support were most frequently associated with mental health status. ConclusionWomen living in slum areas are prone to developing mental disorders and poorer mental health; therefore,supporting these women and creating job opportunities to raise their incomes and, subsequently, improve their social,economic, and living conditions should be taken into consideration. In addition, this requires careful planning andcomprehensive social support.

Abstract

ObjectiveWith the rise of urbanization globally, the problem of living in slums has become a problem for the civil society. As avulnerable segment, women make up half of the population in these regions; therefore, women’s mental health hasalways been a concern. The purpose of this study was to review the social determinants of mental health in womenliving in slum areas. MethodsWe systematically reviewed articles published between 2009 and 2019 on the social determinants of women’smental health in SID, Magiran, Google scholar, PubMed, Scopus, Science Direct, Embase, MEDLINE, PsychINFO,and PsychARTICLES databases using MeSH keywords according to PRISMA guidelines. The quality of the studieswas assessed depending on the type of study using Ottawa Newcastle” scale and Joanna Briggs Institute qualityassessment tools. Finally, 23 studies were analyzed. ResultsDifferent social determinants influenced the mental health of women living in slum areas. Among the structuraldeterminants, the socioeconomic level had the highest frequency, and gender was in the second rank with the highestcorrelation with poorer women’s mental health status. Among the intermediate determinants, living conditions, foodinsecurity, social capital, and social support were most frequently associated with mental health status. ConclusionWomen living in slum areas are prone to developing mental disorders and poorer mental health; therefore,supporting these women and creating job opportunities to raise their incomes and, subsequently, improve their social,economic, and living conditions should be taken into consideration. In addition, this requires careful planning andcomprehensive social support.

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