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

Overview

Journal BMC Res Notes

Publisher Biomed Central

Specialties Biology
General Medicine

Date 2024 Dec 19

PMID 39695860

Authors

Ali Reza Yusefi

Tahereh Rahimi

Fatemeh Rezaei

Ebrahim Ahmadi Abpardeh

Affiliations

Soon will be listed here.

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.

References

Rickwood D, Thomas K . Conceptual measurement framework for help-seeking for mental health problems. Psychol Res Behav Manag. 2012; 5:173-83. PMC: 3520462. DOI: 10.2147/PRBM.S38707. View

Font H, Roelandt J, Behal H, Geoffroy P, Pignon B, Amad A . Prevalence and predictors of no lifetime utilization of mental health treatment among people with mental disorders in France: findings from the 'Mental Health in General Population' (MHGP) survey. Soc Psychiatry Psychiatr Epidemiol. 2018; 53(6):567-576. DOI: 10.1007/s00127-018-1507-0. View

Gondek D, Bernardi L, McElroy E, Comolli C . Why do Middle-Aged Adults Report Worse Mental Health and Wellbeing than Younger Adults? An Exploratory Network Analysis of the Swiss Household Panel Data. Appl Res Qual Life. 2024; 19(4):1459-1500. PMC: 11349807. DOI: 10.1007/s11482-024-10274-4. View

. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Psychiatry. 2022; 9(2):137-150. PMC: 8776563. DOI: 10.1016/S2215-0366(21)00395-3. View

Olsson D, Kennedy M . Mental health literacy among young people in a small US town: recognition of disorders and hypothetical helping responses. Early Interv Psychiatry. 2010; 4(4):291-8. DOI: 10.1111/j.1751-7893.2010.00196.x. View

Tesfaye Y, Agenagnew L, Tucho G, Anand S, Birhanu Z, Ahmed G . Attitude and help-seeking behavior of the community towards mental health problems. PLoS One. 2020; 15(11):e0242160. PMC: 7660493. DOI: 10.1371/journal.pone.0242160. View

Taheri Mirghaed M, Gorji H, Panahi S . Prevalence of Psychiatric Disorders in Iran: A Systematic Review and Meta-analysis. Int J Prev Med. 2020; 11:21. PMC: 7050223. DOI: 10.4103/ijpvm.IJPVM_510_18. View

Talebi M, Taghipour A, Raouf-Rahmati A, Farokhani E, Ghaffariyan-Jam S, Samarghandi A . Prevalence of mental disorders among middle-aged population of primary healthcare centers in Northeastern Iran. BMC Public Health. 2024; 24(1):80. PMC: 10763134. DOI: 10.1186/s12889-023-17598-0. View

Gonzalez J, Alegria M, Prihoda T, Copeland L, Zeber J . How the relationship of attitudes toward mental health treatment and service use differs by age, gender, ethnicity/race and education. Soc Psychiatry Psychiatr Epidemiol. 2009; 46(1):45-57. PMC: 3654385. DOI: 10.1007/s00127-009-0168-4. View

10.

Lavingia R, Jones K, Asghar-Ali A . A Systematic Review of Barriers Faced by Older Adults in Seeking and Accessing Mental Health Care. J Psychiatr Pract. 2020; 26(5):367-382. DOI: 10.1097/PRA.0000000000000491. View

11.

Li X, Liu Q, Chen P, Ruan J, Gong X, Luo D . Predictors of Professional Help-Seeking Intention Toward Depression Among Community-Dwelling Populations: A Structural Equation Modeling Analysis. Front Psychiatry. 2022; 13:801231. PMC: 8907597. DOI: 10.3389/fpsyt.2022.801231. View

12.

Daluwatta A, Fletcher K, Ludlow C, Virgona A, Murray G . A Mixed-Methods Investigation of Facilitators to Accessing and Utilising Mental Health Services amongst Sri Lankan Australians. Int J Environ Res Public Health. 2023; 20(7). PMC: 10093901. DOI: 10.3390/ijerph20075425. View

13.

Witte K, Allen M . A meta-analysis of fear appeals: implications for effective public health campaigns. Health Educ Behav. 2000; 27(5):591-615. DOI: 10.1177/109019810002700506. View

14.

OConnor P, Martin B, Weeks C, Ong L . Factors that influence young people's mental health help-seeking behaviour: a study based on the Health Belief Model. J Adv Nurs. 2014; 70(11):2577-87. DOI: 10.1111/jan.12423. View

15.

Wang H, Feng Z, Zheng Z, Yang J . Chinese undergraduates' mental health help-seeking behavior: the health belief model. Front Psychol. 2024; 15:1377669. PMC: 11137748. DOI: 10.3389/fpsyg.2024.1377669. View

16.

Pretorius C, Chambers D, Coyle D . Young People's Online Help-Seeking and Mental Health Difficulties: Systematic Narrative Review. J Med Internet Res. 2019; 21(11):e13873. PMC: 6891826. DOI: 10.2196/13873. View

17.

Garrey S, Takemoto E, Petrsoric L, Gargano L . Self-Efficacy and Mental Health Help-Seeking Behavior of World Trade Center Health Registry Enrollees, 2015-2016. Int J Environ Res Public Health. 2022; 19(12). PMC: 9222698. DOI: 10.3390/ijerph19127113. View

18.

Johnson P, Jou J, Upchurch D . Psychological Distress and Access to Care Among Midlife Women. J Aging Health. 2019; 32(5-6):317-327. PMC: 8056857. DOI: 10.1177/0898264318822367. View

19.

Alissa N . Social barriers as a challenge in seeking mental health among Saudi Arabians. J Educ Health Promot. 2021; 10:143. PMC: 8224481. DOI: 10.4103/jehp.jehp_819_20. View

20.

Schmutte T, Flanagan E, Bedregal L, Ridgway P, Sells D, Styron T . Self-efficacy and self-care: missing ingredients in health and healthcare among adults with serious mental illnesses. Psychiatr Q. 2008; 80(1):1-8. DOI: 10.1007/s11126-008-9088-9. View