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基于健康信念模型的伊朗中年人群心理健康服务寻求行为的预测因素:来自一个发展中国家横断面研究的证据

Predictors of seeking mental health services among Iranian middle-aged people based on health belief model: evidence from a cross-sectional study in a developing country.

作者信息

Yusefi Ali Reza, Rahimi Tahereh, Rezaei Fatemeh, Abpardeh Ebrahim Ahmadi

机构信息

Department of Public Health, Sirjan School of Medical Sciences, Sirjan, Iran.

Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.

出版信息

BMC Res Notes. 2024 Dec 18;17(1):360. doi: 10.1186/s13104-024-07043-9.

Abstract

BACKGROUND

There is limited information about people's beliefs regarding how they deal with mental health problems, especially in developing countries. This study was conducted with the aim of determining predictors of seeking mental health services (SMHS) among Iranian middle-aged people.

METHOD

The current study is a cross-sectional study on 384 middle-aged people from Jahrom city that was selected with random cluster sampling. The data collection tool is a researcher-made questionnaire consisting demographic information and health beliefs about SMHS based on the health belief model. To examine the prediction of variables explaining SMHS, a linear regression analysis was carried out. P-value < 0.05 was considered statistically significant.

RESULTS

Perceived susceptibility (β = 0.22; p < 0.001), perceived severity (β = 0.13; p = 0.002), perceived barriers (β = 0.39; p < 0.001) and perceived self-efficacy (β = 0.37; p < 0.001) could explain 44% of variance of SMHS (F = 61.46; p < 001).

CONCLUSION

SMHS was related to people's perceptions and beliefs, and middle-aged people's perceived barriers were stronger predictors. It is necessary for health planners to develop and implement educational intervention programs that include health beliefs.

摘要

背景

关于人们如何应对心理健康问题的信念方面的信息有限,尤其是在发展中国家。本研究旨在确定伊朗中年人群中寻求心理健康服务(SMHS)的预测因素。

方法

本研究是一项对来自贾赫罗姆市的384名中年人的横断面研究,采用随机整群抽样法选取。数据收集工具是研究者编制的问卷,包括人口统计学信息以及基于健康信念模型的关于SMHS的健康信念。为检验解释SMHS的变量的预测作用,进行了线性回归分析。P值<0.05被认为具有统计学意义。

结果

感知易感性(β = 0.22;p < 0.001)、感知严重性(β = 0.13;p = 0.002)、感知障碍(β = 0.39;p < 0.001)和感知自我效能(β = 0.37;p < 0.001)可解释SMHS变异的44%(F = 61.46;p < 0.001)。

结论

SMHS与人们的认知和信念相关,中年人的感知障碍是更强的预测因素。卫生规划者有必要制定并实施包括健康信念的教育干预项目。

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