Advertisement

Applied Research in Quality of Life

, Volume 11, Issue 3, pp 723–737 | Cite as

Predictors of Health-Related Quality of Life in Iranian Women of Reproductive Age

  • Mojgan Mirghafourvand
  • Sakineh Mohammad-Alizadeh Charandabi
  • Mohammad Asghari Jafarabadi
  • Nikta Tavananezhad
  • Mahsa KarkhaneEmail author
Article

Abstract

Introduction

Quality of life, one of the major concerns of health professionals, is the main indicator for measuring health status. The present study aimed to assess the quality of life and its predictors in women of reproductive age in Tabriz (Iran).

Methods & Materials

This cross-sectional study was conducted on 532 married women of reproductive age using a two-stage cluster random sampling method. A self-administered questionnaire was used for data collection. It included questions on demographic characteristics, quality of life (SF-36), female sexual function index (FSFI), and ENRICH marital satisfaction. The general linear model in SPSS-13 was used to determine the predictors of quality of life.

Results

The mean (standard deviation, SD) score of physical and mental health was 62.2 (17.1) and 60.3 (18.5), respectively (from an attainable score range of 0–100). The highest mean (SD) score [69.5 (25.7)] was obtained for “physical functioning,” while the lowest [52.9 (24.4)] was for “role limitations due to emotional problems.” There was a significant positive correlation between the quality of life and its sub-domains with sexual function (r = 0.15–0.33) and marital satisfaction (r = 0.15 to 0.49). Higher sexual function and marital satisfaction, higher educational level, and no prior history of depression were predictors of physical and mental components of health-related quality of life.

Conclusion

Physical and mental components of quality of life among women were moderate. Relieving sexual problems and dysfunction and improving marital satisfaction may improve women's quality of life and help to achieve a strong family life.

Keywords

Quality of life Sexual function Marital satisfaction Women of reproductive age Socio-demographic predictors 

Notes

Acknowledgments

This study has been proved (code: 91203) and funded by Tabriz University of Medical Sciences. The author would like to thank Department of Health of Tabriz University of Medical Sciences, health centers’ staff and all the participants who shared their time and experience with us.

References

  1. Abbaszadeh, F., Baghery, A., & Mehran, N. (2004). Quality of life among pregnant women. HAYAT, 15(1), 41–48.Google Scholar
  2. Abdoly, M., & Pourmousavi, L. (2013). The relationship between sexual satisfaction and education levels in women. International Journal of Women’s Health and Reproduction Sciences, 1(2).Google Scholar
  3. Alborzi, S., & Area, M. (2008). The relationship between autonomy and quality of life in Shiraz University of Medical Sciences, bright, talented students. Women’s Study, 6(2), 47–61.Google Scholar
  4. Amanelahifard, A., Nikbakht, R., Hoseini, M. A., Ahmadi Fakhr, S., & Hoseini, Z. (2012). The comparison of marital satisfaction and quality of life between fertile and infertile women. Biannual Journal of Applied Counseling, 2(1), 75–88.Google Scholar
  5. Amirkhani, Z., Jangholi, E., Ramezi, P., Shafiei, M., Saberi, M., Sadreddini, N., Gheraati, S., & Yassami, S. (2014). Prevalence survey of sexual dysfunction among women in the reproductive age group referred to the Islamic Azad University hospital during 2011–2012. Galen Medical Journal, 3(1), 14–19.Google Scholar
  6. Arrington, R., Cofrancesco, J., @ Wu, A. W. (2004). Questionnaires to measure sexual quality of life. Quality of Life Research, 13, 1643–1658.Google Scholar
  7. Asadian, A., Aghamolaei, T., Zare, F., Khodarahmi, M., Ghanbarnejad, A., Zainali, M., & Ashough, M. (2014). Quality of life in pregnant women in Bandar Abbas, South Iran. Journal of Biology and Today’s World, 3(8), 180–184.Google Scholar
  8. Assad Cavalcante, M., Teresa Nogueira Bombig, M., Luna Filho, B., de Camargo, C., Carvalho, A., de Paola, A. A., & Póvoa, R. (2007). Quality of life of hypertensive patients treated at an outpatient clinic Arq. Arquivos Brasileiros de Cardiologia, 89(4), 245–250.Google Scholar
  9. Assari, S., Moghani Lankarani, M., Ahmadi, K., & Kazemi Saleh, D. (2014). Association between sexual function and marital relationship in patients with ischemic heart disease. The Journal of Tehran University Heart Center, 9(3), 124–131.Google Scholar
  10. Baheiraei, A., Mirghafourvand, M., Mohammad-Alizadeh Charandabi, S., Mohammadi, E., & Nedjat, S. (2014). Health-promoting behaviors and social support in Iranian women of reproductive age: a sequential explanatory mixed methods study. International Journal of Public Health. doi: 10.1007/s00038-013-0513-y.Google Scholar
  11. Bowlin, A., & Windsor, J. (2001). Towards the good life. A population survey of dimensions of quality of life. Journal of Happiness Studies, 2, 55–81.CrossRefGoogle Scholar
  12. Daly, E. J., Trivedi, M. H., Wisniewski, S. R., Nierenberg, A. A., Gaynes, B. N., Warden, D., Morris, D. W., Luther, J. F., Farabaugh, A., Cook, I., & Rush, A. J. (2010). Health-related quality of life in depression: a STAR*D report. Annals of Clinical Psychiatry, 22(1), 43–55.Google Scholar
  13. DeLamater, J., & Karraker, A. (2009). Sexual functioning in older adults. Current Psychiatry Reports, 11(1), 6–11.CrossRefGoogle Scholar
  14. Demiral, Y., Ergor, G., Unal, B., Semin, S., Akvardar, Y., Kıvırcık, B., & Alptekin, K. (2006). Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health, 6, 247. doi: 10.1186/1471-2458-6-247.CrossRefGoogle Scholar
  15. Demyttenaere, K., Fruyt, J. D., & Huygens, R. (2002). Measuring quality of life in depression. Current Opinion in Psychiatry, 15, 89–92.CrossRefGoogle Scholar
  16. Evans, J., Heron, J., Francomb, H., Oke, S., & Golding, J. (2001). Cohort study of depressed mood during pregnancy and after childbirth. British Medical Journal, 323(7307), 257–260.CrossRefGoogle Scholar
  17. Fallahzadeh, H., & Mirzaei, H. (2012). Health-related quality of life and associated factors among Iranian university students. Journal of Community Health Research, 1(2), 122–130.Google Scholar
  18. Fallowfield, L.(2009). What is quality of life? Health economsics, 18.Google Scholar
  19. Fowers, B. J., & Olson, D. H. (1986). Predicting marital success with PREPARE: a predictive validity study. Journal of Marital and Family Therapy, 12(4), 403–413.CrossRefGoogle Scholar
  20. FritzellIa, S., Gunilla, R. W., Johan, F., & Burstroma, B. (2007). From macro to micro: the health of Swedish lone mothers during changing economic and social circumstances. Social Science & Medicine, 65(12), 2474–2488.CrossRefGoogle Scholar
  21. Gonzalez, M. (2004). Sexual function, menopause and hormone replacement therapy (HRT). Maturitas, 3(48), 411–420.CrossRefGoogle Scholar
  22. Goštautas, A., & Pranckevičienė, A. (2006). Changes in depression and quality of life during inpatient treatment of depression. Medicina (Kaunas, Lithuania), 42(6), 472–478.Google Scholar
  23. Gustavsson-Lilius, M., Julkunen, J., & Hietanen, P. (2007). Quality of life in cancer patients: the role of optimism, hopelessness, and partner support. Quality of Life Research, 16, 75–87.CrossRefGoogle Scholar
  24. Holt-Lunstad, J., Birmingham, W., & Jones, B. Q. (2008). Is there something unique about marriage? The relative impact of marital status, relationship quality, and network social support on ambulatory blood pressure and mental health. Annals of Behavioral Medicine, 35(2), 239–244.CrossRefGoogle Scholar
  25. Johansson, B., Brandberg, Y., Hellbom, M., Persson, C., Petersson, L. M., Berglund, G., & Glimelius, B. (2008). Health-related quality of life and distress in cancer patients: results from a large randomised study. British Journal of Cancer, 99, 1975–1983. doi: 10.1038/sj.bjc.6604789.CrossRefGoogle Scholar
  26. Keshavarzi, S., Taghi Ayatollahi, S. M., Zare, N., & Sharif, F. (2013). Quality of life of childbearing age women and its associated factors: an application of seemingly unrelated regression (SUR) models. Quality of Life Research, 22(6), 1255–1263. doi: 10.1007/s11136-012-0250-3.CrossRefGoogle Scholar
  27. McCall, V. W., Cohen, W., Reboussin, B., & Lawton, P. (1999). Effects of mood and age on quality of life in depressed inpatients. Journal of Affective Disorders, 55, 107–114.CrossRefGoogle Scholar
  28. Mercer, C. H., Fenton, K. A., Johnson, A. M., Wellings, K., Macdowall, W., McManus, S., Nanchahal, K., & Erens, B. (2003). Sexual function problems and help seeking behaviour in Britain: national probability sample survey. British Medical Journal, 327(7412), 4267.CrossRefGoogle Scholar
  29. Mohammad-Alizadeh-Charandabi, S., Kamalifard, M., Mahzad Sedghiani, M., Montazeri, A., & Dehghanpour Mohammadian, E. (2012a). Health-related quality of life and its predictive factors among infertile women. Journal of Caring Sciences, 1(3), 156–161.Google Scholar
  30. Mohammad-Alizadeh-Charandabi, S., Rezaei, N., Hakimi, S., & Montazeri, A. (2012b). Predictors of health- related quality of life in postmenopausal women: a population-based study. Journal of Caring Sciences, 1(4), 204–211.Google Scholar
  31. Mohammadi, K. H., Heydari, M., & Faghihzadeh S. (2008). Female Sexual Function Index-FSFI scale validation of the Persian version as an indicator of female sexual function. Paysh Healths Monitor, 7(2), 269–278.Google Scholar
  32. Mohammadkhani, P., Dobson, S. K., Cholabi, O. M., & Asari, S. (2011). The role of gender and sexuality in realation to quality of life in patients with major depression. Rehabilitation, 12(1), 27–34.Google Scholar
  33. Montazeri, A., Milroy, R., Hole, D., McEwen, J., & Gills, C. H. (2003). How quality of life data contribute to our understanding of cancer patients’ experiences? A study of patients with lung cancer. Quality of Life Research, 12(2), 157–166.CrossRefGoogle Scholar
  34. Montazeri, A., Gashtasbi, A., Vahdaninia, M., & Gandek, B. (2005). The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Quality of Life Research, 14(3), 875–882.CrossRefGoogle Scholar
  35. Mrabet, H., Mrabet, A., Zouari, B., & Ghachem, R. (2004). Health-related quality of life of people with epilepsy compared with a general reference population: a tunisian study international league against epilepsy. Epilepsia, 45(7), 838–843.CrossRefGoogle Scholar
  36. Najafi, M., Mir Hosayni, M., Mohghani Lankarani, M., & Asari, S. H. (2006). Correlation between marital satisfaction and sexual dysfunction in people with diabetes. Iranian Journal of Endocrinology and Metabolism, 8(2), 175–179.Google Scholar
  37. Nascimento Cruz, L., de Almeida Fleck, M. P., Rosana Oliveira, M., Alves Camey, S., Feliciati Hoffmann, J., Maria Bagattini, A., & Polanczyk, C. A. (2013). Health-related quality of life in Brazil: normative data for the SF-36 in a general population sample in the south of the country. Ciência & Saúde Coletiva, 18(7), 1911–1921.CrossRefGoogle Scholar
  38. Nourani, S., Jonaidy, E., Shakeri, M. T., & Mokhber, N. (2010). Sexual satisfaction in fertile and infertile women attending state clinics in mashad. Journal of Reproduction and Infertility, 10(4), 269–277.Google Scholar
  39. Oh, S. J., Ku, J. H., Choo, M. S., Yun, J. M., Kim, D. U., & Park, W. H. (2008). Health-related quality of life and sexual function in women with stress urinary incontinence and overactive bladder. International Journal of Urology, 15(1), 62–67.CrossRefGoogle Scholar
  40. Osinowo, H. O. (2003). Psychosocial factors associated with perceived psychological health, perception of menopause and sexual satisfaction in menopausal women and controls. West African Journal of Medicine, 22(3), 225–231.Google Scholar
  41. Paksoy Erbaydar, N., Bilir, N., Hilal Özcebe, L., Vaizoğlu, S., & Aslan, D. (2011). Evaluation of health-related quality of life of women living in a city center in the east of Turkey. Turkish Journal of Medical Sciences, 41(2), 307–316.Google Scholar
  42. Porojan, M., Poantă, L., & Dumitraşcu, D. L. (2012). Assessing health related quality of life in diabetic patients. Romanian Journal of Internal Medicine, 50(1), 27–31.Google Scholar
  43. Rajabi Gilan, N., Ghasemi, S. R., Reshadat, S., & Rajabi, S. (2014). The relationship between social capital and health-related quality of life among teachers. Journal of Zanjan University of Medical Sciences and Health Services, 21(88), 95–107.Google Scholar
  44. Rosen, C., Brown, J., Heiman, S., Leiblum, C., Meston, R., Shabsigh, D., Ferguson, R., & D’Agostino, R. (2000). The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy, 26(2), 191–208.CrossRefGoogle Scholar
  45. Rostami, A., Ghazinour, M., Nygren, L., Nojumi, M., & Richter, J. (2013). Health-related quality of life, marital satisfaction, and social support in medical staff in Iran. Applied Research in Quality of Life, 8, 385–402.CrossRefGoogle Scholar
  46. Salehy Fadardy, J. (1999). The development and validation of marital satisfaction questionnaire on a sample of students of ferdowsi university. Journal of Psychotherapical Novelties, 4(13,14), 84–108.Google Scholar
  47. Salganik, M. J. (2006). Variance estimation, design effects, and sample size calculations for respondent-driven sampling. Journal of Urban Health, 83(1), 98–112.CrossRefGoogle Scholar
  48. Sandelwoski, M., & Davis, D. (1990). Living the life explanation of infertility. Journal Nurse-Midwifery, 43(12), 195–215.Google Scholar
  49. Sartorius, N., & Kuyken, W. (1994). Translation of health status measures. In: Orley, J., Kuyken, W. (Eds), Quality of life assessment: international perspectives. Heidelberg: Springer Verlag.Google Scholar
  50. Segraves, R. T. (2002). Female sexual disorders: psychiatric aspects. Canadian Academy of Child and Adolescent Psychiatry, 47, 419–425.Google Scholar
  51. Shek, D. T. L. (1995). Gender differences in marital quality and well-being in Chinese married adults. Sex Roles, 32(11–12), 699–715.CrossRefGoogle Scholar
  52. Solymanian, A. (1994). Evaluation of irrational on marital dissatisfaction Dissertation. Teacher training collageTehran, Iran[MA Thesis] [persian].Google Scholar
  53. Sprecher, S. (2001). Equity and social exchange in dating couples: associations with satisfaction, commitment and stability. Journal of Marriage and the Family, 63(3), 599–613.CrossRefGoogle Scholar
  54. Tajvar, M., Arab, M., & Montazeri, A. (2008). Determinants of health-related quality of life in elderly in Tehran, Iran. BMC Public Health, 8, 323. doi: 10.1186/1471-2458-8-323.CrossRefGoogle Scholar
  55. Thumbooa, J., Fongc, K. Y., Machind, D., Chanb, S. P., Sohb, C. H., Leonga, K. H., Feng, P. H., Thio, S. T., & Boey, M. L. (2003). Quality of life in an urban Asian population: the impact of ethnicity and socio-economic status. Social Science & Medicine, 17611772.Google Scholar
  56. Ventegodt, S. (1998). Sex and the quality of life in Denmark. Archives of Sexual Behavior, 27(3), 295–307.CrossRefGoogle Scholar
  57. Waltz, M. (1986). Marital context and post-infarction quality of life: is it social support or something more? International Society for Magnetic Resonance in Medicine, 22(8), 791–805.Google Scholar
  58. Wiese, U., & Moradi, S. (2006). Quality of life and related factors in The women with HIV Tehran. Journal Family Health, 2(8), 309–325.Google Scholar
  59. Wilma, M., Hopman, M. A., Berger, C., Joseph, L., Towheed, T., Prior, J. C., Anastassiades, T., Poliquin, S., Zhou, W., Adachi, J. D., Hanley, D. A., Papadimitropoulos, E. A., Tenenhouse, A., & CaMos Research Group. (2009). Health-related quality of life in Canadian adolescents and young adults: normative data using the SF-36. Canadian Journal of Public Health, 100(6), 449–452.Google Scholar
  60. World Bank: International Economics Department. Development Data Group (2008). In World Development Indicators. World Bank Publications.Google Scholar
  61. World Health Organization (2006). BMI classification. Retrive December 2010. (http://apps.who.int/bmi/index.jsp?introPage=intro_3.html). Accessed 18 Dec 2010.
  62. World Health Organization: Strategic action for the health of women in Europe endorsed at a WHO meeting, Copenhagen, 5–7 February 2001. available at: http://www.eurowhoint/__data. Accessed 12 Jan 2010.
  63. Zarbakhsh, M. R., Taghavi Dinani, P., & Rahmani, M. (2013). The relationship between sexual self-esteem and all its components with marital satisfaction in athletic women of Tehran. European Online Journal of Natural and Social Sciences, 2(2), 200–206.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht and The International Society for Quality-of-Life Studies (ISQOLS) 2015

Authors and Affiliations

  • Mojgan Mirghafourvand
    • 1
  • Sakineh Mohammad-Alizadeh Charandabi
    • 1
  • Mohammad Asghari Jafarabadi
    • 1
  • Nikta Tavananezhad
    • 1
  • Mahsa Karkhane
    • 1
    Email author
  1. 1.Research center of health effective social factorsTabriz University of Medical SciencesTabrizIran

Personalised recommendations