The relationship of supportive roles with mental health and satisfaction with life in female household heads in Karaj, Iran: a structural equations model

Nooshin Shadabi; Sara Esmaelzadeh Saeieh; Mostafa Qorbani; Touran Bahrami Babaheidari; Zohreh Mahmoodi

doi:10.1186/s12889-021-11656-1

The relationship of supportive roles with mental health and satisfaction with life in female household heads in Karaj, Iran: a structural equations model

BMC Public Health. 2021 Sep 8;21(1):1643. doi: 10.1186/s12889-021-11656-1.

Authors

Nooshin Shadabi¹, Sara Esmaelzadeh Saeieh², Mostafa Qorbani^{3

4}, Touran Bahrami Babaheidari⁵, Zohreh Mahmoodi⁶

Affiliations

¹ Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.
² Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
³ Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
⁴ Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
⁵ Dietary Supplements and Probiotic Research Center, Alborz University of Medical Sciences, Karaj, Iran.
⁶ Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran. zohrehmahmoodi2011@gmail.com.

Abstract

Background: Female household heads are faced with more problems than men due to their multiple concurrent roles. The present study was conducted to determine the relationship of supportive roles with mental health and satisfaction with life in female household heads in Karaj, Iran using a structural equations model.

Methods: The present descriptive-analytical study was conducted on 286 eligible female household heads in Karaj, Iran, in 2020, who were selected by convenience sampling. Data were collected using Vaux's Social Support, the perceived social support scale, the general health questionnaire (GHQ), and the satisfaction with life questionnaire plus a socio-demographic checklist, and were analyzed in SPSS-16 and Lisrel-8.8.

Results: The participants' mean age was 43.1 ± 1.7 years. According to the path analysis results, satisfaction with life had the highest direct positive relationship with perceived social support (B = 0.33) and the highest indirect positive relationship with age (B = 0.13) and the highest direct and indirect positive relationship with education and social support (B = 0.13). Also, mental health had a direct negative relationship with satisfaction with life (B = -0.29), an indirect negative relationship with social support, and both a direct and indirect negative relationship with perceived support (B = -0.26).

Conclusion: Based on the results, supportive roles had a negative relationship with mental health; in other words, mental health problems increase as supportive roles decrease. They also had a positive relationship with satisfaction with life in female household heads. Accordingly, given the status and role of women in the health of family members and the community and their greater vulnerability, further attention and support should be directed toward these women by the government and relevant organizations like establishment of counseling-support centers.

Keywords: Female household heads; Mental health; Satisfaction with life; Structural equations; Supportive roles.

MeSH terms

Adult
Cross-Sectional Studies
Family Characteristics
Female
Humans
Iran / epidemiology
Male
Mental Health*
Personal Satisfaction*