Examining the influence of mental health and structural determinants of health on the stage of motivational readiness for health behaviour changes: A path analysis study
Irene Gómez-Gómez, María Luisa Rodero-Cosano, Juan Á Bellón, Edurne Zabaleta-del-Olmo, José A Maderuelo-Fernandez, Patricia Moreno-Peral, Rosa Magallón-Botaya, Bárbara Oliván-Blázquez, Marc Casajuana-Closas, Tomàs López-Jiménez, Bonaventura Bolíbar, Joan Llobera, Ana Clavería, Alvaro Sanchez-Perez, Emma Motrico- Applied Psychology
This study explores the influence of mental health and structural determinants of health on motivational readiness for health behaviour change in 1462 Spanish primary healthcare users. Chi-square test and structural equation modelling were performed. Results showed that depression and anxiety were negatively associated with being in the action stages of motivational readiness for a healthy diet and physical activity. This association was statistically significant only for motivational readiness for a healthy diet and depression ([Formula: see text]). Furthermore, women and workers were more likely to be in the action stages of motivational readiness for a healthy diet while older adults and adults with higher health-related quality of life were more likely to be in the action stages of motivational readiness for physical activity. The present study suggests that structural (being older, being a woman and being employed) and intermediary (suffering from depression and higher health-related quality of life) determinants of health influence motivational readiness for health behaviour changes.