Document Type : Research articles

Authors

1 Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Professor, Behavioral Sciences Research Center, Life Style Institute, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR Iran

4 Department of Statistics, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background: Minority groups such as female heads of households are more vulnerable in terms of mental health than other groups due to accepting multiple responsibilities. Objectives: This study aimed to determine the relationship between predictive factors of mental health and its relation to the health-promoting lifestyle in female heads of households in Zahedan, Iran. Methods: This was a cross-sectional study conducted on 420 female heads of households from four regions of the north, south, east, and west of Zahedan selected using purposive sampling. The research tool included a demographic information form, a standard health-promoting lifestyle profile (HPLP-II), and a standard general health questionnaire (GHQ-28). Data analysis was performed using Spearman’s correlation coefficient, Chi-Square, and logistic regression tests. Results: Based on the results of the present study, a high percentage of the sample (72.4%) had mental health disorders. The most and the least impact on the prediction of health status were related to spiritual growth (OR = 0.196, CI = 0.106 - 0.360) and physical activity (OR = 0.757, CI = 0.384 - 1.491). Except for physical activity, all subscales of the health-promoting lifestyle were able to predict the mental health status (P < 0.01), but in the presence of economic and social factors, they could not predict the mental health status (P < 0.05). Conclusions: Since mental health in female heads of households is influenced by a complex system other than health-promoting
behaviors, empowering both women and community to cope with these problems and move toward health promotion seems es- sential. Moreover, the results of the current study might be used by authorities in evidence-based decision making to reduce health inequalities.

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