Factors affecting mental health and happiness in the elderly: A structural equation model by gender differences

Abstract Purpose There are few studies on the gender differences in mental health, happiness, and their related factors among the older population through the structural equation model (SEM) in Iran. We conducted this study to evaluate the factors affecting mental health and happiness in the elderly...

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Main Authors: Zohreh Mahmoodi, Mansoureh Yazdkhasti, Mahnoosh Rostami, Nooshin Ghavidel
Format: Article
Language:English
Published: Wiley 2022-05-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.2549
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author Zohreh Mahmoodi
Mansoureh Yazdkhasti
Mahnoosh Rostami
Nooshin Ghavidel
author_facet Zohreh Mahmoodi
Mansoureh Yazdkhasti
Mahnoosh Rostami
Nooshin Ghavidel
author_sort Zohreh Mahmoodi
collection DOAJ
description Abstract Purpose There are few studies on the gender differences in mental health, happiness, and their related factors among the older population through the structural equation model (SEM) in Iran. We conducted this study to evaluate the factors affecting mental health and happiness in the elderly using an SEM by gender differences. Methods A cross‐sectional study was conducted on 739 elderly people in 2019 in Karaj, Iran. Sociodemographic, Symptom Checklist‐90‐Revised (SCL90‐R), and the Oxford Happiness Inventory were applied to evaluate the relationships between happiness, mental health, and sociodemographic factors by using statistical path analysis with Lisrel 8.8 and SPSS‐17. Results Overall, 55.5% of the participants in the study were female. The SCL90 (p value = .000) and happiness (p value = .000) scores showed significant differences between men and women. Fit indices confirmed the high model fitness, desirability, and logical relationships between the variables according to the conceptual model in both men (X2 = 3.2, df = 1) and women (X2 = 5.4, df = 2) groups. According to the path analysis, among the variables that affected happiness just through the direct path, education had the most positive causal relationship in men (B = .13) and women (B = .16), but mental health problems in men (B = −.33) and women (B = −.26), as well as the distance from home to the healthcare center in men (B = −.13) and women (B = −.11), had the most negative causal relationship with happiness respectively. Age was the only variable that was negatively related to happiness through direct and indirect paths in the women (B = −.188). Conclusion We provided an empirical model that illustrates the relationships between happiness, mental health, and related factors in the older population. Gender differences in path analysis showed that age negatively affects the happiness of older women but not men.
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spelling doaj.art-560527a1cf794dbbab415ed4937274c22023-08-25T04:42:55ZengWileyBrain and Behavior2162-32792022-05-01125n/an/a10.1002/brb3.2549Factors affecting mental health and happiness in the elderly: A structural equation model by gender differencesZohreh Mahmoodi0Mansoureh Yazdkhasti1Mahnoosh Rostami2Nooshin Ghavidel3Social Determinants of Health Research Center Alborz University of Medical Sciences Karaj IranNon‐communicable Diseases Research Center Alborz University of Medical Sciences Karaj IranHealth Systems Evaluation & Evidence Provincial Clinical Excellence Alberta Health Services Alberta CanadaSocial Determinants of Health Research Center Alborz University of Medical Sciences Karaj IranAbstract Purpose There are few studies on the gender differences in mental health, happiness, and their related factors among the older population through the structural equation model (SEM) in Iran. We conducted this study to evaluate the factors affecting mental health and happiness in the elderly using an SEM by gender differences. Methods A cross‐sectional study was conducted on 739 elderly people in 2019 in Karaj, Iran. Sociodemographic, Symptom Checklist‐90‐Revised (SCL90‐R), and the Oxford Happiness Inventory were applied to evaluate the relationships between happiness, mental health, and sociodemographic factors by using statistical path analysis with Lisrel 8.8 and SPSS‐17. Results Overall, 55.5% of the participants in the study were female. The SCL90 (p value = .000) and happiness (p value = .000) scores showed significant differences between men and women. Fit indices confirmed the high model fitness, desirability, and logical relationships between the variables according to the conceptual model in both men (X2 = 3.2, df = 1) and women (X2 = 5.4, df = 2) groups. According to the path analysis, among the variables that affected happiness just through the direct path, education had the most positive causal relationship in men (B = .13) and women (B = .16), but mental health problems in men (B = −.33) and women (B = −.26), as well as the distance from home to the healthcare center in men (B = −.13) and women (B = −.11), had the most negative causal relationship with happiness respectively. Age was the only variable that was negatively related to happiness through direct and indirect paths in the women (B = −.188). Conclusion We provided an empirical model that illustrates the relationships between happiness, mental health, and related factors in the older population. Gender differences in path analysis showed that age negatively affects the happiness of older women but not men.https://doi.org/10.1002/brb3.2549elderlyhappinessmental healthpath analysispsychological status
spellingShingle Zohreh Mahmoodi
Mansoureh Yazdkhasti
Mahnoosh Rostami
Nooshin Ghavidel
Factors affecting mental health and happiness in the elderly: A structural equation model by gender differences
Brain and Behavior
elderly
happiness
mental health
path analysis
psychological status
title Factors affecting mental health and happiness in the elderly: A structural equation model by gender differences
title_full Factors affecting mental health and happiness in the elderly: A structural equation model by gender differences
title_fullStr Factors affecting mental health and happiness in the elderly: A structural equation model by gender differences
title_full_unstemmed Factors affecting mental health and happiness in the elderly: A structural equation model by gender differences
title_short Factors affecting mental health and happiness in the elderly: A structural equation model by gender differences
title_sort factors affecting mental health and happiness in the elderly a structural equation model by gender differences
topic elderly
happiness
mental health
path analysis
psychological status
url https://doi.org/10.1002/brb3.2549
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