Examining the model of social determinants affecting the health of referring women to the center of health with the World Health Organization model approach: a path analysis

<h2>Abstract:</h2><h3>Problem considered</h3> The goal of this study was testing the communication model of the social determinants effective on healthcare in women referred to the healthcare centres based on the WHO's approach: pathway analysis. <h3>Methods</h3> This analytical cross-sectional study was conducted on 700 women referred to a public healthcare center in northwest Tehran. Data were collected using Keyes's Social Well-Being Questionnaire (KSWBQ), which measures five dimensions of social health. Based on the conceptual framework of the World Health Organization's model of social determinants of health, path analysis was applied to investigate the structural relationships between socioeconomic variables and women's social health. Statistical analyses were performed using SPSS version 27 and LISREL 8.8 <h3>Results</h3> In the first model with the outcome variable being the Keyes social well-being score, the most meaningful direct positive effect in social acceptance (β = 0.22) and social solidarity (β = 0.15) is the age variable. In social participation (β =0.79), social coherence (β = 0.79) and social prosperity (β = 0.83), income has the most direct effect. From the indirect effective factors, occupation was the most effective in all the social well-being dimensions except for social prosperity. <h3>Conclusion</h3> Effective determinants of women's social well-being should be considered by governments in order to further advance the health of women, families and finally the society.