Evidence map›Paper›PMID 39187796›Full record

ArticleBMC public health2024

The relationship between good governance, social support, and perceived discrimination with mental health through the mediation role of quality of life: a cross-sectional path analysis in Iran.

Edris Kakemam, Ebrahim Mohammadpour, Salah Eddin Karimi, Jalal Saeidpour, Mohammad Abbaszadeh, Mahasti Alizadeh

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Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Edris KakemamSocial Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
Ebrahim MohammadpourDepartment of Social Sciences, Faculty of Law and Social Sciences, University of Tabriz, Tabriz, Iran.
Salah Eddin KarimiSocial Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran. salahkarimi2009@gmail.com.
Jalal SaeidpourHealth Information Management Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad AbbaszadehDepartment of Social Sciences, Faculty of Law and Social Sciences, University of Tabriz, Tabriz, Iran.
Mahasti AlizadehSocial Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran. alizadm@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecognizing the established link between social determinants of health, such as social support, good governance, and perceived discrimination, and individual mental health, this study aims to delve deeper into the specific relationships within the Iranian adult population. It seeks to elucidate the potential mediating role of quality of life in the association between mental health disorders (MHDs) and these social factors.

methodsThis cross-sectional study employed path analysis to investigate the relationships between social determinants of health and MHDs among 725 Iranian adults in Tabriz, Northwest Iran. Data collection occurred between March and September 2022, utilizing a multi-stage and cluster sampling approach. Good governance, social support, perceived discrimination, MHDs, and quality of life were assessed using valid questionnaires. Statistical analysis was conducted using SPSS-24 and Lisrel-8 software, with a significance level set at p < 0.05.

resultsThis study found that nearly 70.0% of the participants reported experiencing mental health problems. The path analysis showed that good governance had a significant indirect and negative effect on MHDs via quality of life (β = -0.05; P < 0.05). Major racial discrimination had a positive relationship in the direct and indirect paths (β = 0.24; P < 0.01). While, social support was a directly and indirectly significant predictor of decreased MHDs (β = -0.17, p < 0.01). Furthermore, quality of life had a negative relationship on the indirect path with MHDs (β = -0.24, P < 0.01).

conclusionsThis study reveals a significant burden of mental health issues among Iranian adults. It highlights the crucial role of social factors like good governance, social support, and perceived discrimination in shaping mental health through their impact on quality of life. Consequently, addressing these factors through improved governance, strengthened social support systems, and active efforts to reduce discrimination is essential for promoting mental well-being.

Indexed as

Mental DisordersQuality of LifeSocial SupportAdolescentAdultAgedCross-Sectional StudiesFemaleGovernmentHumansIranMaleMental HealthMiddle AgedSocial Determinants of HealthSurveys and QuestionnairesDiscriminationGood governanceMental health disordersPath analysisQuality of lifeSocial support

Identifiers

PMID39187796
PMCPMC11346057

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.