Document Type : Review Article
Authors
1
Department of Midwifery and Reproductive Health, school of nursing and midwifery, Midwifery and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2
Department of mid midwifery
3
Assistant Professor of Nursing & Midwifery Faculty of Alborz University of Medical Sciences, Karaj, Iran
4
Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5
Department of Radiation Oncology, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
10.22038/ijogi.2024.78460.6022
Abstract
Introduction: One of the reproductive health challenges of breast cancer survivors is the childbearing desire and it is influenced by many medical and non-medical factors. According to the report of the World Health Organization, the social determinants of health are one of these effective factors.Tthis study was aimed to investigate the intermediating determinants of childbearing in survived breast cancerwomen.Method: based on the PRISMA checklist, by searching four databases, pubmed, webofscience, embase, scopus, using the standardized keywords including breast neoplasm, survivorship, social determinants of health, reproductive behavior,fertility intention, and their Persian equivalents as well as their possible combinations were carried out in the period of 2008-2023Results:In total, 10 studies were included among the 4542 retrieved articles. Among the included studies, 7 were cross-sectional and three were cohort studies. This systematic review showed that intermediating determinants of health that were examined in a larger number of studies were behavioral factors, biological factors, and psychological factors that are associated with challenges such as increasing the desire and value of motherhood after treatment, the intention to get pregnant, Feeling the need to have children had a significant relationship.Conclusion:Based on the results obtained from the present systematic review, the mediating factors that determine the childbearing issues of survived breast cancer include: biological factors, behavioral factors, and psychosocial factors.Considering the limited number of studies conducted in this field, it is recommended to carry out more relational studies in order to accurately diagnose these components with regard to their impact on the general health of this group
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