{
  "abstract": "This cross-sectional study aimed to construct a hypothetical path analysis model explaining factors affecting natural menopausal age in women and test the hypothesized model fit using the collected data. The participants were 550 women in the postmenopausal state in Tehran, Iran (2024). Data were collected using self-reported questionnaires from April 18 to August 15, 2024, and analyzed using SPSS-21 and AMOS 24 to examine the direct and indirect relationships among the study variables. The overall fitness indices of the hypothetical model were good (Chi-Square = 1.5, Goodness-of-Fit Index [GFI] = 1.00, Root Mean Square Error of Approximation [RMSEA] = 0.03, Normed Fit Index [NFI] = 0.97, Tucker–Lewis Index [TLI] = 0.93, Comparative Fit Index [CFI] = 0.99, and Incremental Fit Index [IFI] = 0.99). Out of 4 paths, 3 were statistically significant. Menopausal age was directly affected by domestic violence and unhealthy behaviors and it was also indirectly affected by socioeconomic status. These findings highlight the importance of addressing social determinants of health, particularly unhealthy behaviors, socioeconomic disadvantage, and domestic violence, in public health strategies aimed at promoting healthy reproductive aging and reducing health inequalities among women.",
  "abstract_shown": true,
  "affiliations": [
    "School of Nursing and Midwifery, Iran University of Medical Sciences",
    "Department of Basic Sciences, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences",
    "Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences",
    "Department of Public Health and Community Medicine, Tufts University School of Medicine",
    "Social Determinants of Health Research Center, Alborz University of Medical Sciences",
    "Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences",
    "Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Fatemeh Vakili"
    },
    {
      "affs": [
        1
      ],
      "name": "Malihe Nasiri"
    },
    {
      "affs": [
        2
      ],
      "name": "Zeinab Hamzehgardeshi"
    },
    {
      "affs": [
        3
      ],
      "name": "Shayesteh Jahanfar"
    },
    {
      "affs": [
        4
      ],
      "name": "Zohreh Mahmoodi"
    },
    {
      "affs": [
        5
      ],
      "name": "Mahrokh Dolatian"
    },
    {
      "affs": [
        6
      ],
      "name": "Seideh Hanieh Alamolhoda"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/bgnddwbzqbatt.bib",
  "cited_by": 0,
  "doi": "10.1038/s41598-026-67182-w",
  "fulltext_url": "https://doi.org/10.1038/s41598-026-67182-w",
  "id": "bgnddwbzqbatt",
  "issns": [
    "2045-2322"
  ],
  "landing_url": "https://doi.org/10.1038/s41598-026-67182-w",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "Q"
    ],
    [
      "lcc",
      "R"
    ],
    [
      "openalex",
      "2712|Menopause: Health Impacts and Treatments"
    ]
  ],
  "openalex": "W7203570162",
  "pdf_url": "https://www.nature.com/articles/s41598-026-67182-w_reference.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-08-01",
  "publisher": "Nature Portfolio",
  "ris": "https://research.draconitic.com/paper/bgnddwbzqbatt.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:45:54Z",
      "native_id": "c251f1899bac4bf7b463e956faf5b083",
      "source": "doaj",
      "url": "https://doi.org/10.1038/s41598-026-67182-w"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2712|Menopause: Health Impacts and Treatments",
      "subfield": "endocrinology-metabolism"
    }
  ],
  "title": "Predictors of the relationship between social determinants of health and natural menopausal age: a path analysis",
  "title_text": "Predictors of the relationship between social determinants of health and natural menopausal age: a path analysis",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:45:54Z",
  "url": "https://research.draconitic.com/paper/bgnddwbzqbatt",
  "venue": "Scientific Reports",
  "versions": []
}