Factors Associated with Mental Health and Its Relation with Health-Promoting Lifestyle in Female Heads of Households: A Cross-Sectional Study

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 essential. Moreover, the results of the current study might be used by authorities in evidence-based decision making to reduce health inequalities.