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Women’s Mental Health Literacy in a Conflict-Recovery Setting: Evidence from Telafer, Iraq

*Mohmmed Qassim Baktash orcid scopus publons  -  Department of Community Health Nursing, College of Nursing, University of Telafer, Iraq
Open Access Copyright (c) 2026 by the Authors, Published by Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: Mental health literacy plays a significant role in addressing mental health issues. However, evidence regarding mental health literacy among women from Turkmen communities living in post-conflict settings in Iraq remains limited.

Purpose: This study aimed to determine the level of mental health literacy and its associated factors among women in the context of conflict recovery in Telafer City, Iraq.

Methods: This study employed a descriptive cross-sectional design involving 603 women attending a general hospital in Telafer city. The Arabic version of the Mental Health Literacy scale was used to collect data. Descriptive statistics (mean and standard deviation) were calculated to assess mental health literacy scores. Inferential analyses, including one-way ANOVA, independent-samples t-tests, and multiple linear regression at a 95% confidence level (p < .05), were conducted to assess the relationship between mental health literacy and eight sociodemographic predictors (age, educational level, employment status, marital status, residence, culture, and mental health clinical and family history).

Results: The mean mental health literacy score among women was 88.06 (SD = 13.80). Bivariate Pearson’s correlation analysis indicated that age, educational level, employment status, and marital status were significantly associated with mental health literacy (p < .05). However, in the multiple linear regression analysis, only educational level remained a significant predictor (B = 1.342, SE = .456, p = .003, 95% CI [0.447, 2.237]).  

Conclusion: Mental health literacy among women in Telafer City was moderate. Educational level was the only significant predictor of mental health literacy among Turkmen women. These findings highlight the need for targeted interventions to improve mental health literacy among women in conflict- and war-affected settings. Additionally, the results support the development of mental health education programs tailored for women’s educational levels in Turkmen and Arab communities.

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Keywords: Mental health literacy; post-conflict settings; sociodemographic factors; Turkmen; women

Article Metrics:

  1. Abonassir, A. A., Siddiqui, A. F., Abadi, S. A., Al-Garni, A. M., Alhumayed, R. S., Tirad, R. S., Almotairi, S. A., Mohammed Asiri, A. E., Ibraheem Asiri, F. Y., Alshahran, N. Z., & Abonassir, B. A. (2021). Mental health literacy among secondary school female students in Abha, Saudi Arabia. Journal of Family Medicine and Primary Care, 10(2), 1015–1020. https://doi.org/10.4103/jfmpc.jfmpc_2083_20
  2. Ahmed, D. R., Mesbah, S. M., Al Diab Al Azzawi, M., & Heun, R. (2024). Trauma and mental health problems among Iraqi IDPs following the 2014 ISIS Invasion: A systematic review. Medicine, Conflict and Survival, 40(4), 366–387. https://doi.org/10.1080/13623699.2024.2411651
  3. Al-Qerem, W., Jarab, A., Khdour, M., Eberhardt, J., Alasmari, F., Hammad, A., Zumot, R., & Khalil, S. (2024). Assessing mental health literacy in Jordan: A factor analysis and Rasch analysis study. Frontiers in Public Health, 12, 1396255. https://doi.org/10.3389/fpubh.2024.1396255
  4. al-Uzri, M., & Dyer, A. R. (2020). Reconstructing post-conflict Iraq: Focus on mental health. In Innovations in Global Mental Health (pp. 1-10). Springer
  5. Baklola, M., Terra, M., Taha, A., Elnemr, M., Yaseen, M., Maher, A., Buzaid, A. H., Alenazi, R., Osman Mohamed, S. A., Abdelhady, D., & El-Gilany, A. H. (2024). Mental health literacy and help-seeking behaviour among Egyptian undergraduates: A cross-sectional national study. BMC Psychiatry, 24(1), 202. https://doi.org/10.1186/s12888-024-05620-7
  6. Baktash, M. Q., & Aziz, A.-A. A. (2023). Women’s knowledge of sexually transmitted diseases in Telafer city, Iraq. Nurse Media Journal of Nursing, 13(1), 12–21. https://doi.org/10.14710/nmjn.v13i1.48924
  7. Baktash, M.Q., & Sulaiman, A. I. (2024). The analysis of hypertension knowledge in adults in Telafer city: Implications for health education and intervention. Journal of Angiotherapy, 8(2), 9474. https://doi.org/10.25163/angiotherapy.829474
  8. BinDhim, N. F., Althumiri, N. A., Ad-Dab'bagh, Y., Alqahtani, M. M. J., Alshayea, A. K., Al-Luhaidan, S. M., Svendrovski, A., Al-Duraihem, R. A., & Alhabeeb, A. A. (2023). Validation and psychometric testing of the Arabic version of the mental health literacy scale among the Saudi Arabian general population. International Journal of Mental Health, 17(1), 42. https://doi.org/10.1186/s13033-023-00615-5
  9. Chesser, A., Woods, N. K, Bowen, A., Vargas, I., & Hawley, S. (2021). Mental health literacy and women: A systematic review. The Kansas Nurse, 96, 6–19
  10. Daehn, D., Rudolf, S., Pawils, S., & Renneberg, B. (2022). Perinatal mental health literacy: Knowledge, attitudes, and help-seeking among perinatal women and the public – A systematic review. BMC Pregnancy Childbirth, 22(1), 574. https://doi.org/10.1186/s12884-022-04865-y
  11. Darya, R. (2022). Mental health problems in Iraq: A systematic review. Global Psychiatry Archives, 5(01), 26–35. https://doi.org/10.52095/gp.2022.3774.1026
  12. Elyamani, R., Naja, S., Al-Dahshan, A., Hamoud, H., Bougmiza, M. I., & Alkubaisi, N. (2021). Mental health literacy in Arab states of the Gulf Cooperation Council: A systematic review. PLoS One, 16(1), e0245156. https://doi.org/10.1371/journal.pone.0245156
  13. Gallagher, C. E., & Watt, M. C. (2019). Mental health literacy in a sample of Canadian adults. Canadian Journal of Behavioural Science, 51(3), 171–180. https://doi.org/10.1037/cbs0000129
  14. Golpashin, E. E., & Chen, J. J. (2021). ISIS and the Assyrians: A narrative study of the psychological impacts of intergenerational trauma, continuous atrocity, and collective victimhood on the Assyrians. http://www.aina.org/reports/itseg.pdf
  15. González-Sanguino, C., Rodríguez-Medina, J., Redondo-Pacheco, J., Betegón, E., Valdivieso-León, L., & Irurtia, M. J. (2024). An exploratory cross-sectional study on mental health literacy of Spanish adolescents. BMC Public Health, 24(1), 1469. https://doi.org/10.1186/s12889-024-18933-9
  16. Hill, T. G., Sheaves, A., Tiller, A., & Fisher, M. (2024). Exploring mental health literacy in Canada: A mixed-method cross-sectional study. Healthy Populations Journal, 4(3), 53–66. https://doi.org/10.15273/hpj.v4i3.12432
  17. Jafari, A., Nejatian, M., Momeniyan, V., Barsalani, F. R., & Tehrani, H. (2021). Mental health literacy and quality of life in Iran: A cross-sectional study. BMC Psychiatry, 21(1), 499. https://doi.org/10.1186/s12888-021-03507-5
  18. Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later. Health Education Quarterly, 11(1), 1-47. https://doi.org/10.1177/109019818401100101
  19. Jorm, A. F., Korten, A. E., Jacomb, P. A., Christensen, H., Rodgers, B., & Pollitt, P. (1997). “Mental health literacy”: A survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. The Medical Journal of Australia, 166(4), 182–186. https://doi.org/10.5694/j.1326-5377.1997.tb140071.x
  20. Lafta, R. K., & Merza, A. K. (2021). Women’s mental health in Iraq post-conflict. Medicine, Conflict and Survival, 37(2), 146–159. https://doi.org/10.1080/13623699.2021.1946903
  21. Lee, H. Y., Hwang, J., Ball, J. G., Lee, J., Yu, Y., & Albright, D. L. (2020). Mental health literacy affects mental health attitude: Is there a gender difference? American Journal of Health Behavior, 44(3), 282–291. https://doi.org/10.5993/AJHB.44.3.1
  22. Ministry of Migration & Displaced. (2025, 9 August 2025). The Minister of Migration announces the launch of the twenty-nine batch of return grant for approximately 14,000 return families. https://momd.gov.iq/pages/post_details_page.html?postId=69281
  23. Neto, D. D., & Maugi, P. L. (2022). Mental health literacy regarding depression and suicide. European Journal of Mental Health, 17(3), 96-103. https://doi.org/10.5708/EJMH.17.2022.3.7
  24. O'Connor, M., & Casey, L. (2015). The Mental Health Literacy Scale (MHLS): A new scale-based measure of mental health literacy. Psychiatry Research, 229(1-2), 511–516. https://doi.org/10.1016/j.psychres.2015.05.064
  25. Oftadeh-Moghadam, S., & Gorczynski, P. (2022). Mental health literacy, help-seeking, and mental health outcomes in women rugby players. Women in Sport and Physical Activity Journal, 30(1), 1–10. https://doi.org/10.1123/wspaj.2020-0066
  26. Pescosolido, B. A. (2015). Erving Goffman: the moral career of stigma and mental illness. In The Palgrave handbook of social theory in health, illness and medicine (pp. 273-286). Springer
  27. Porter, L. (2019). The dark legacy of ISIS lives on Tal Afar. The National News. https://www.thenationalnews.com/opinion/comment/the-dark-legacy-of-isis-lives-on-in-tal-afar-1.898247?
  28. Rometsch-Ogioun El Sount, C., Denkinger, J. K., Windthorst, P., Nikendei, C., Kindermann, D., Renner, V., Ringwald, J., Brucker, S., Tran, V. M., Zipfel, S., & Junne, F. (2018). Psychological burden in female Iraqi refugees who suffered extreme violence by the “Islamic State”: The perspective of care providers. Front Psychiatry, 9, 562. https://doi.org/10.3389/fpsyt.2018.00562
  29. Schneider, M., Jaks, R., Nowak-Flück, D., Nicca, D., & De Gani, S. M. (2021). Mental health literacy in Zurich: A first measurement attempt using the general HLS-EU-Q47. Frontiers in Public Health, 9, 723900. https://doi.org/10.3389/fpubh.2021.723900
  30. Simões de Almeida, R., Trigueiro, M. J., Portugal, P., de Sousa, S., Simões-Silva, V., Campos, F., Silva, M., & Marques, A. (2023). Mental health literacy and stigma in a municipality in the North of Portugal: A cross-sectional study. International Journal of Environmental Research and Public Health, 20(4), 3318. https://doi.org/10.3390/ijerph20043318
  31. Spedding, M. F., Stein, D. J., Naledi, T., & Sorsdahl, K. (2018). Pregnant women’s mental health literacy and perceptions of perinatal mental disorders in the Western Cape, South Africa. Mental Health & Prevention, 11, 16–23. https://doi.org/10.1016/j.mhp.2018.05.002
  32. Taha, P. H., & Sijbrandij, M. (2021). Gender differences in traumatic experiences, PTSD, and relevant symptoms among the Iraqi internally displaced persons. International Journal of Environmental Research and Public Health, 18(18), 9779. https://doi.org/10.3390/ijerph18189779
  33. Tulane University School of Public Health and Tropical Medicine. (2024). Mental health literacy: Definition, importance, and impact. https://publichealth.tulane.edu/blog/mental-health-literacy/
  34. Uguz, O., Gulcan, E., & Keskin, G. (2024). A survey on the relationship between mental health literacy and beliefs toward mental illness among nurses in general hospitals in Turkey. Archives of Psychiatric Nursing, 53, 144-150. https://doi.org/10.1016/j.apnu.2024.10.013
  35. Wang, X., & Cheng, Z. (2020). Cross-sectional studies: Strengths, weaknesses, and recommendations. Chest Journal 158(1), S65-S71. https://doi.org/10.1016/j.chest.2020.03.012
  36. Wilandika, A., & Sari, D. N. I. (2025). A Bibliometric analysis of global research on the psychological burden of HIV stigma among adults: Implications for nursing practice. Nurse Media Journal of Nursing, 15(2), 162-178.. https://doi.org/10.14710/nmjn.v15i2.72426
  37. Yang, J., Li, Y., Gao, R., Chen, H., & Yang, Z. (2023). Relationship between mental health literacy and professional psychological help-seeking attitudes in China: A chain mediation model. BMC Psychiatry, 23(1), 956. https://doi.org/10.1186/s12888-023-05458-5
  38. Yeo, G., Reich, S. M., Liaw, N. A., & Chia, E. Y. M. (2024). The effect of digital mental health literacy interventions on mental health: systematic review and meta-analysis. Journal of Medical Internet Research, 26, e51268. https://doi.org/10.2196/51268
  39. Zhong, S. -l., Wang, S. -B., Ding, K. -R., Tan, W. -Y., & Zhou, L. (2024). Low mental health literacy is associated with depression and anxiety among adults: a population-based survey of 16,715 adults in China. BMC Public Health, 24(1), 2721. https://doi.org/10.1186/s12889-024-20020-y

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