Izvorni znanstveni članak
https://doi.org/10.3325/cmj.2016.57.58
Association between social capital, health-related quality of life, and mental health: a structural-equation modeling approach
Jafar Hassanzadeh
; Department of Epidemiology, Research Center for Health Sciences, School of Health, Shiraz University of Medical Sciences,Shiraz, Iran
Mohsen Asadi-Lari
; Department of Epidemiology School of Public Health and Oncopathology Research Centre Iran University of Medical Sciences Tehran, Iran
Abdolvahab Baghbanian
; Health Systems and Global Populations Faculty of Health Sciences, University of Sydney,Sydney, Australia
Haleh Ghaem
; Department of Epidemiology, Research Center for Health Sciences, School of Health, Shiraz University of Medical Sciences,Shiraz, Iran
Aziz Kassani
; Department of Epidemiology, Research Center for Health Sciences, School of Health, Shiraz University of Medical Sciences,Shiraz, Iran
Abbas Rezaianzadeh
Sažetak
Aim To explore the association(s) between demographic
factors, socioeconomic status (SES), social capital, healthrelated
quality of life (HRQoL), and mental health among
residents of Tehran, Iran.
Methods The pooled data (n = 31 519) were extracted
from a population-based survey Urban Health Equity Assessment
and Response Tool-2 (Urban HEART-2) conducted
in Tehran in 2011. Mental health, social capital, and
HRQoL were assessed using the 28-item General Health
Questionnaire (GHQ-28), social capital questionnaire, and
Short-Form Health Survey (SF-12), respectively. The study
used a multistage sampling method. Social capital, HRQoL,
and SES were considered as latent variables. The association
between these latent variables, demographic factors,
and mental health was determined by structural-equation
modeling (SEM).
Results The mean age and mental health score were
44.48 ± 15.87 years and 23.33 ± 11.10 (range, 0-84), respectively.
The prevalence of mental disorders was 41.76%
(95% confidence interval 41.21-42.30). The SEM model
showed that age was directly associated with social capital
(P = 0.016) and mental health (P = 0.001). Sex was indirectly
related to mental health through social capital (P = 0.018).
SES, HRQoL, and social capital were associated both directly
and indirectly with mental health status.
Conclusion This study suggests that changes in social
capital and SES can lead to positive changes in mental
health status and that individual and contextual determinants
influence HRQoL and mental health.
Ključne riječi
Hrčak ID:
169154
URI
Datum izdavanja:
15.2.2016.
Posjeta: 2.094 *