Eftekhari Monir Baradaran, Forouzan Ameneh Setareh, Mirabzadeh Arash, Sajadi Homeira, Dejman Masoumeh, Rafiee Hasan, Golmakan Mohammad Mahdi
Deputy of Research and Technology - Ministry of Health and Medical Education, Tehran, Iran ; Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Science, Tehran, Iran.
Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Science, Tehran, Iran.
Iran J Psychiatry. 2014 Oct;9(4):241-7.
Mental health is an essential component for positive adaptation that enables people to cope with adversity to achieve their full potential and humanity. In this study, using a community based approach, the social determinants of mental health in Iranian women were extracted; and in addition, priority setting for interventional programs according to analytical framework of WHO was implemented.
This study was a community based participatory research (CBPR) in district 22 of Tehran (Iran). The target group was married females with age range of 18-65 years. In this study, mental health priorities were extracted by qualitative methods according to Essential National Health Research model (ENHR) and the analytical framework of WHO. Data analysis was done based on content analysis by the open code 3.6 software.
In the quantitative phase, according to secondary data, 1144 individuals (560 females and 584 males) were selected, of whom 41 percent had impaired mental health based on General Health Questionnaire (GHQ) (P<0.05). According to the qualitative phase, the first mental health priority in socioeconomic level was lack of insurance for unattended families, it was unemployment in differential exposure level and it was lack of knowledge and skills related to dealing with stress in the differential vulnerability level; in differential outcome and consequence levels, the priorities were lack of free counseling centers in the study area and lack of facilities for mental health rehabilitation.
Providing training courses to improve the skills to deal with stress is considered one of the most important interventions for mental health promotion in women.
心理健康是积极适应的重要组成部分，它能使人们应对逆境，充分发挥自身潜力并展现人性。在本研究中，采用基于社区的方法，提取了伊朗女性心理健康的社会决定因素；此外，还根据世界卫生组织的分析框架确定了干预项目的优先事项。
本研究是在德黑兰（伊朗）第22区开展的一项基于社区的参与性研究（CBPR）。目标群体是年龄在18至65岁之间的已婚女性。在本研究中，根据基本国家卫生研究模型（ENHR）和世界卫生组织的分析框架，通过定性方法提取心理健康优先事项。数据分析基于开放式编码3.6软件进行内容分析。
在定量阶段，根据二手数据，选取了1144人（560名女性和584名男性），其中41%的人根据一般健康问卷（GHQ）显示心理健康受损（P<0.05）。根据定性阶段的结果，在社会经济层面，心理健康的首要优先事项是无人照料家庭缺乏保险；在差异暴露层面是失业；在差异脆弱性层面是缺乏应对压力的知识和技能；在差异结果和后果层面，优先事项是研究区域缺乏免费咨询中心以及缺乏心理健康康复设施。
提供培训课程以提高应对压力的技能被认为是促进女性心理健康的最重要干预措施之一。
