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Measuring Self-perceived Social Health of Iranians; Finding from Iran Social Health Survey

kambiz Abachizadeh, Soheila Omidnia, Ahmad Hajebi, Reza Shekarriz-Foumani, Maryam Mohseni, Fariba Zamankhani




Background: The novelty of the study is to measure self-perceived social health of Iranians as one of the main dimensions of health.

Materials and Methods: This cross-sectional study was conducted in all provinces of Iran in September 2014 with 10500 participants to measure self-perceived social health on a scale from 33 to 165 arranged in three areas; family, friends and relatives, and community. Area of "family" was measure in a range from 6 to 30; area of "friends and relatives" was from 9 to 45; and area of "community" was from 19 to 95. The psychometrics of scale was examined in separate previous study.

Results: From a total of 10500 participants, 10244 fulfilled questionnaire (Response rate= 97.6%). 49.2% of participants were male. Mean of the total social health score was 99.91; area of "family" was 22; area of "friends and relatives" was 27.6; and area of "community" was 51.2. The main factors negatively influences on social health were low house size, unemployment, being divorced or widow and being at the age of 18-30. There was no significant relationship between social health score and educational level.

Conclusion: It is magnificently attained that standardized social health rate in the present study was 3.9% lower than the rate has been estimated in comparison to similar previously conducted study in three big cities of Iran, two years earlier. Area of "community" is also the main accountant for this drop. To continue monitoring the social health of Iranians, we recommend conducting the next rounds every 3-5 years.


Self-perceived, Social Health, Iran, Survey, National


Keyes CL. Social well-being. Social psychology quarterly. 1998:121-40.

Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948.

Estes RJ. The World Social Situation: Development Challenges at the Outset of a New Century. Soc Indic Res. 2010;98(3):363-402.

Ustun B, Jacob R. Re-defining health. Bulletin of the World Health Organization (WHO). 2005;83:802.

Araya R, Dunstan F, Playle R, Thomas H, Palmer S, Lewis G. Perceptions of social capital and the built environment and mental health. Social science & medicine. 2006;62(12):3072-83.

Parrish RG. Measuring population health outcomes. Prev Chronic Dis. 2010;7(4):A71. http://www.cdc.gov/pcd/issues/2010/jul/10_0005.htm. Accessed [1.2.2016].

De Leon E, Boris ET. The State of Society: Measuring Economic Success and Human Well-Being. Urban Institute (NJ1). 2010.

McDaid D. Health systems, health, wealth and societal well-being. assessing the case for investing in health systems. Open University Press; 2012.

Figueras J, McKee M, editors. Health Systems, Health, Wealth and Societal Well-being: Assessing the case for investing in health systems. World Health Organization on behalf of the European Observatory on Health Systems and Policies. New York: Open jUniversity Press, McGraw-Hill Education; 2012.

McDowell I. Measuring health: a guide to rating scales and questionnaires. Oxford University Press; 2006.

Russel RD. Social health: an attempt to clarify this dimension of well-being. Int J Health Education. 1973;16:74-82.

Weissman MM, Bothwell S. Assessment of social adjustment by patient self-report. Arch Gen Psychiatry. 1976;33:1111–1115.

Abachizadeh K, Omidnia S, Memaryan N, Nasehi AA, Rasouli M, Tayefi B, Nikfarjam A. Determining dimensions of Iranians' individual social health: A qualitative approach. Iranian journal of public health. 2013;42(1):88.

OECD, OECD Guidelines on Measuring SubjectiveWell-being, OECD Publishing. 2013. http://dx.doi.org/10.1787/9789264191655-en.

European Social Survey. ESS Round 7 Source Questionnaire. London: ESS ERIC Headquarters, Centre for Comparative Social Surveys, City University London. 2014.

Allin P. Measuring societal wellbeing, Economic & Labour Market Review. 2007;1(10):46-52.

Abachizadeh K, Omidnia S, Hajebi A, Asadi A, Rassouli M, Leila B. Measuring self-rated social health of Iranians: A population based survey in three cities. Novelty in Biomedicine. 2014 Aug 4;2(3):79-84.

Van Lente E, Barry MM, Molcho M, Morgan K, Watson D, Harrington J, McGee H. Measuring population mental health and social well-being. International Journal of Public Health. 2012;57(2):421-30.

Zaboli R, Seyedin SH, Malmoon Z. Macroeconomic policies and increasing social-health inequality in Iran. Int J Health Policy Manag. 2014;3:129–34.

See-Stoll L. Well-Being Evidence for Policy: A Review. London: nef for a review of the main drivers of well-being; 2012.

Thompson S, Marks N. Measuring well-being in policy: issues and applications. Report commissioned by the Foresight Project on Mental Capital and Well-being, Government Office for Science; 2008.

Noorbala AA. Psychosocial health and its improvement strategies. Iranian Journal of Psychiatry and Clinical Psychology. 2011;2(17):151-6.

Wallace RB, Kohatsu N. Public health & preventive medicine (Maxcy- Rosenau- last). 15th ed. Mc Graw- Hill, New York. 2006. 39-48.

Abachizadeh K, Tayefi B, Nasehi AA, Memaryan N, Rassouli M, Omidnia S, Bagherzadeh L. Development of a scale for measuring social health of Iranians living in three big cities. Medical journal of the Islamic Republic of Iran. 2014;28:2.

Bauer RA. Detection and anticipation of impact: the nature of the task. Social indicators. 1966;1-67.

Miringoff, Marc L. "Toward a national standard of social health: The need for progress in social indicators." 1995;462.

Pega F, Valentine N, Matheson D. Monitoring Social Well-being: the case of New Zealand’s Social Reports / Te Pūrongo Oranga Tangata. Social Determinants of Health Discussion Paper 3 (Case Studies). 2012.

Jany-Catrice F. The french regions and their social health. Social indicators research. 2009 Sep 1;93(2):377-91.

OECD. (2011). Society at a Glance 2011—OECD Social Indicators. http://www.oecd.org/social/societyataglance2011.htm.

Miller R, Devine P, Schubotz D. Secondary Analysis of the 1997 and 2001 Northern Ireland health and social wellbeing surveys. 1st ed. Belfast: Institute of Governance, Public Policy and Social Research Queen’s University; 2003.

Cooke M. The first nations community well-being index (CWB): a conceptual review. Strategic Research and Analysis Directorate, Indian and Northern Affairs Canada; 2005.

Pega F, Valentine N, Matheson D. Monitoring social well-being to support policies on the social determinants of health: The case of New Zealand’s ‘‘social reports’’. Geneva: World Health Organization; 2010.

DOI: https://doi.org/10.22037/nbm.v5i3.15516