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Peer-reviewedCC BYScientific Reports

Predictors of the relationship between social determinants of health and natural menopausal age: a path analysis

  • Fatemeh Vakili1
  • Malihe Nasiri2
  • Zeinab Hamzehgardeshi3
  • Shayesteh Jahanfar4
  • Zohreh Mahmoodi5
  • Mahrokh Dolatian6
  • Seideh Hanieh Alamolhoda7
7 affiliations
  1. 1School of Nursing and Midwifery, Iran University of Medical Sciences
  2. 2Department of Basic Sciences, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences
  3. 3Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences
  4. 4Department of Public Health and Community Medicine, Tufts University School of Medicine
  5. 5Social Determinants of Health Research Center, Alborz University of Medical Sciences
  6. 6Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences
  7. 7Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences
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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.

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Cite

BibTeXRIS
BibTeX
@article{vakili2026predictors,
  title = {{Predictors of the relationship between social determinants of health and natural menopausal age: a path analysis}},
  author = {Fatemeh Vakili and Malihe Nasiri and Zeinab Hamzehgardeshi and Shayesteh Jahanfar and Zohreh Mahmoodi and Mahrokh Dolatian and Seideh Hanieh Alamolhoda},
  journal = {Scientific Reports},
  year = {2026},
  month = aug,
  doi = {10.1038/s41598-026-67182-w},
  url = {https://doi.org/10.1038/s41598-026-67182-w},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Predictors of the relationship between social determinants of health and natural menopausal age: a path analysis
AU  - Fatemeh Vakili
AU  - Malihe Nasiri
AU  - Zeinab Hamzehgardeshi
AU  - Shayesteh Jahanfar
AU  - Zohreh Mahmoodi
AU  - Mahrokh Dolatian
AU  - Seideh Hanieh Alamolhoda
PY  - 2026
DA  - 2026/08/01
JO  - Scientific Reports
DO  - 10.1038/s41598-026-67182-w
UR  - https://doi.org/10.1038/s41598-026-67182-w
AB  - 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.
SN  - 2045-2322
ER  -