Vakili Fatemeh, Nasiri Malihe, Jahanfar Shayesteh, Alamolhoda Seideh Hanieh, Hamzehgardeshi Zeinab, Salehi Farank, Fini Masoome Hooshmand
School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Researcher at Sexual and Reproductive Health Research Center, BSC, MSc in Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
BMC Womens Health. 2025 Apr 28;25(1):208. doi: 10.1186/s12905-025-03745-9.
Premenstrual syndrome (PMS) is characterized by the periodic emergence of physical, psychological, or behavioral symptoms that manifest following ovulation and subside with the commencement of menstruation. These symptoms may be intense enough to interfere with personal relationships, social engagements, or work performance. This study was undertaken to examine the relationship between social determinants of health (SDH) and premenstrual syndrome, taking into account the influence of social factors on health and disease, as well as the existing gap in knowledge regarding the impact of SDH on PMS, following the World Health Organization (WHO) model.
A cross-sectional study was carried out involving 600 women who visited health centers in Tehran in 2024. The questionnaires utilized comprised demographic and obstetric forms, Perceived Social Support, Physical Activity, Socioeconomic Status, Intimate Partner Violence, and the Premenstrual Symptoms Screening Tool. Data analysis employed SPSS-27, while the relationship model was assessed through path analysis in LISREL-8.8.
Path analysis revealed the direct impact of two intermediate factors on PMS: social support (B=-0.29) and physical activity (B=-0.35). Among the structural variables, socioeconomic status (B=-0.22) and age (B = 0.07) indirectly affected PMS. The model fit indices indicated a good fit (Chi-Square = 22.53, GFI = 0.99, RMSEA = 0.045, NFI = 0.95, NNFI = 0.94, CFI = 0.97, IFI = 0.97).
According to the path analysis PMS is prevalent in Iranian women which indicates the necessity of screening for this disorder. In order to alleviate PMS, healthcare providers should pay attention to this condition's risk and protective factors.
经前综合征（PMS）的特征是在排卵后出现周期性的身体、心理或行为症状，并在月经开始时消退。这些症状可能严重到足以干扰人际关系、社交活动或工作表现。本研究旨在根据世界卫生组织（WHO）的模式，探讨健康的社会决定因素（SDH）与经前综合征之间的关系，同时考虑社会因素对健康和疾病的影响，以及关于SDH对PMS影响的现有知识差距。
2024年对600名前往德黑兰健康中心就诊的女性进行了横断面研究。所使用的问卷包括人口统计学和产科表格、感知社会支持、身体活动、社会经济地位、亲密伴侣暴力以及经前症状筛查工具。数据分析采用SPSS-27，而关系模型则通过LISREL-8.8中的路径分析进行评估。
路径分析揭示了两个中间因素对PMS的直接影响：社会支持（B=-0.29）和身体活动（B=-0.35）。在结构变量中，社会经济地位（B=-0.22）和年龄（B = 0.07）间接影响PMS。模型拟合指数表明拟合良好（卡方=22.53，GFI=0.99，RMSEA=0.045，NFI=0.95，NNFI=0.94，CFI=0.97，IFI=0.97）。
根据路径分析，PMS在伊朗女性中普遍存在，这表明有必要对这种疾病进行筛查。为了缓解PMS，医疗保健提供者应关注该疾病的风险和保护因素。
