Mental Health of Urban Poor Married Women: Perspectives, Coping Strategies, and Stakeholder Recommendations – A Qualitative Study

Abstract Background: Urban poor married women (UPMW) are vulnerable due to socio-economic and cultural factors that adversely affect their mental well-being. Aims This study aimed to explore mental health related psychosocial stressors, and coping strategies among urban poor married women and to identify systemic barriers through stakeholder recommendations for strengthening the mental health services. Methods: An exploratory qualitative design was employed. Participants were purposively recruited from urban communities in Coimbatore, Tamil Nadu, India. Data were collected between June and November 2024 from urban poor married women (n=11) and key stakeholders (n=6). Semi-structured interview guides were used for in-depth interviews and focused group discussions. Each session lasted 45–60 minutes and was audio-recorded. Data were analysed using inductive thematic analysis following Braun and Clarke’s model to integrate both data sources. Ethical approval was obtained from the university, and written informed consent was secured. Results: Four major themes emerged: (1) Mental health illiteracy (2) Barrier to access mental health care and services (3): Psychosocial stressors with coping strategies (4) Recommendation to improve mental health. Limited awareness of mental health and fear of social labelling discouraged help-seeking. Psychological distress included financial insecurity, husbands’ alcohol use, and unequal gender roles to. Access to professional mental health services was minimal and suggested recommendation to improve mental health care through various strategies to implement in the community. Conclusion: The findings highlight the need for community-based mental health awareness initiatives, accessible services, and livelihood-oriented empowerment interventions to improve the mental well-being of urban poor married women.