ArticleAnnals of neurosciences2025
Role of Health-promoting Behaviours in Minimising Mental Health Vulnerability of Middle-aged Women: Insights from Cluster Analysis.
Article in Annals of neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: A woman's primary concern during her middle adulthood is menopausal transition-a key aspect of her reproductive health. Although extensive research has been conducted on menopause and associated physiological and psychological changes, there remains a paucity of research on the role of health-promoting behaviours of middle-aged women in addressing their transitory state of mental health vulnerability. Purpose: The purpose of this study was threefold: (a) to identify profiles of middle-aged women based on their health-promoting behaviours using k-means cluster analysis, (b) to explore the role of health-promoting behaviours in minimising their mental health vulnerability and (c) to examine the major confounding variables in understanding their health-promoting behaviours. Methods: This study used a simple retrospective design with one group involving 440 Indian women selected through purposive sampling based on a degree of homogeneity of their developmental stage-middle adulthood. Two measures, the Health-Promoting Lifestyle Profile and Depression Anxiety and Stress Scale-21, were used along with a case history form. Results: The k-means cluster analysis yielded three clusters based on six domains of health-promoting behaviours. The discriminant analysis confirmed that the k-means clustering results were reliable with high classification accuracy. The findings posited that health-promoting behaviours played a significant role in minimising the mental health vulnerability of middle-aged women. Further analyses showed that the three clusters of middle-aged women were confounded by their age, menstrual stage and occupation. Conclusion: The findings shed new light on the significant association between health-promoting behaviours and mental health vulnerability of middle-aged women during menopausal transition, emphasising the need for future research in designing easily accessible tailor-made biopsychosocial interventions.
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