The relationship of marital quality and sexual satisfaction with marital status in Iranian women: a Path model

Introduction :  Marriage is the most common life event in all societies. More than 90% of people in the world get married at least once in their life; there are some factors, however, that may make a marriage unstable. This study aimed to investigate the relationship  of   marital quality   and  sexual  satisfaction  with  marital status  by  using  Path  model  in  Iranian  women   who  referred to health  centers  affiliated  to  Shahid   Beheshti  University  of  Medical  Sciences Tehran, Iran in  2015.Methods: This was cross-sectional study conducted on  400 women from January to May 2015(8 months),  who were  selected  through  multistage  sampling method. Data were collected through distinct  questionnaires  demographic  characteristics ,instability marriage , marital  quality and  Larson  sexual  satisfaction   that completed  by   interview   . Descriptive   statistics,  Pearson’s  test   were  performed by SPSS V.16 and   LISREL8.80    used  for  analysis  of  data. (P<0.05)Results: The mean age of  400  participants   was 26.74 ± 3.50 years  old, and  their   mean duration of marriage was 7.90 ± 4.30 years . Marital   quality    was the most effective predictor of marital status(P<0.001).  Sexual   satisfaction    had  direct  association with marital status through direct effect of marital quality (P<0.001). Moreover, smoking (P<0.001)  and  addiction  of  spouse (P<0.08)   had    association  with  marital status  inversely. (p< 0.05).Conclusion:  Noticed  to  sexuality  and  increase quality  marital  life  and avoidance  of high risk behaviors   will help  to  stability  marriage. Declaration of Interest: None. 

Effective Factors on Sexual Quality of Life in Iranian Women: A Path Model

Introduction: Sexual affairs are one of the physiological needs affecting human health. Sexual functioning disorders can reduce individual’s capabilities and creativities. Sexual relations are in the center of women’s quality of life. This study aimed to investigate the correlation   of  sexual  violence, stress perceived, demographic  characteristic  of  women   and  high  risk  behavior  spouse    with  sexual  quality  life of  women  by  using  Path  model  in  Iranian  women   who  referred to health  centers  affiliated  to  Shahid   Beheshti  University  of  Medical  Sciences Tehran, Iran in  2015.  Methods: This   was   sectional   descriptive-correlative  study conducted on 800 women  who were  selected  through  multistage  sampling method. Data were collected through distinct  questionnaires  demographic  characteristics ,sexual quality life of  female(SQOL-F) , sexual  violence, stress perceived   and  high risk behavior  spouse   that completed  by   interview  .Software  SPPS16   and   LISREL8.80    used  for  analysis  of  data.  Results: The   results   revealed   that   among   direct   pathways, sexual violence  (β = -0.40)  was the most effective predictor of sexual  quality  of  life  women.  The age (β=-0.03 ) had an inverse association with sexual  quality  of  life  women through direct effect of sexual violence(β=0.33). Moreover, education (β=0.03) had a direct  association  with  sexual  quality  of  life  women   through  inverse  association  0f  sexual  violence (β=-0.10). Stress perceived ( β=-0.24) and  high risk behavior spouse (β=-0.30) indirectly,  effects on  sexual  quality  of  life  women. Conclusion:   Women have the rights to experience a safe and enjoyable sexual relationship. Sexual function is very complicated and is affected by many factors, including   the  personal   lifestyle  and  interpersonal relationships. It is essential  that  noticed to sexuality and  increase quality  marital  life  but    avoidance  of  high risk  behaviors    will help  to it.Keywords: Sexual  Quality, Sexual  violence, Stress perceived , High risk behavior, Women, Ira

Comparison Effects of Vaginal Misoprostol with Vaginal Evening Primrose on Ripening Cervix in Nulliparous Women

AbstractIntroduction: Childbirth requires several changes in the function of the uterus and cervix. Today, various methods are used to prepare the cervix. Ripening of the cervix is one of the most factors in a successful delivery. This study aims to compare the effects of vaginal misoprostol tablet with vaginal evening primrose capsule on cervical ripening in nulliparous women with term pregnancy.Methods: This study was a randomized clinical trial of a sokor conducted on 100 nulliparous women referred to Pasteur Hospital and Prenatal Clinic of University of Medical Sciences of Bam, 40 weeks to 40 weeks±6 days gestational age with Bishop Score less than 4. The women were selected by convenient sampling based on random numbers divided into two groups, evening primrose (1000 mg vaginal evening primrose capsules) and misoprostol (25 micrograms of vaginal misoprostol tablets). The data was collected by demographic and midwifery questionnaire, follow-up form, Bishop's checklist, fetal movement registration form, and daily record. Data were analyzed by SPSS20 software, independent t-test, Mann-Whitney, Chi-square, and Linear by Linear. In all of the tests, P < 0.05 was considered.Results: Bishop’s score at admission in the evening primrose group was 1.84 ± 0.88 versus 0.78 ± 0.66 in the misoprostol group (P < 0.001). The two groups had significant differences in terms of dilatation and cervical consistency during admission. The dilatation in the evening primrose group significantly increased, and cervical consistency was considerably softer in the misoprostol group (P < 0.05).Conclusions: It seems that evening primrose is more effective on cervical ripening and dilatation

Effects of Sex Hormones in Combined oral Contraceptives and Cyclofem on Female Sexual Dysfunction Score: A Study on Iranian Females

AbstractIntroduction: Unwanted pregnancy can endanger reproductive health, and its complications could adversely affect quality of life in females, families, and the community. A large number of unwanted pregnancies are terminated with abortion or stillbirth. Sex is an important aspect of quality of life. According to reproductive rights, females have the right to experience a safe and enjoyable sexual relationship. This study aimed at comparing sexual function scores between females taking combined oral contraceptives and Cyclofem at health centers affiliated to Shahid Beheshti University of Medical Sciences of Tehran, Iran, During Year 2013.Methods: This descriptive-comparative study was carried -out on 240 females (each group 120) in Tehran, Iran, by multistage sampling. Data collection tools had 3 parts; General Health Questionnaire (GHQ), demographic variables, and Female Sexual Function Index (FSFI) that were completed by interviews. Descriptive statistics, independent t, Mann-Whitney test, chi-square, and SPPS16 were used for analysis of data. P-values less than 0.05 were considered statistically significant.Results: The difference in sexual function between combined oral contraceptives and cyclofem was insignificant. Scores of desire and arousal dimensions were better in combined oral contraceptive consumers than cyclofem users.Conclusions: It is important for females to choose hormonal contraception methods, which are the most effective, yet, cause the least sexual dysfunction

Sexual Dysfunction in Two Types of Hormonal Contraception: Combined Oral Contraceptives versus Depot Medroxyprogesterone Acetate

Background & aim: Sexual health is an essential element of quality of life, affecting both physical and psychological domains. Hormones used in contraceptive methods have contradictory effects on sexual function. In this study, we aimed to compare sexual function in women using combined oral contraceptives (COC) and depot medroxyprogesterone acetate (DMPA), referred to healthcare centers affiliated to Shahid Beheshti University of Medical Sciences in Tehran, Iran in 2013. Methods: This descriptive, comparative study was performed on 240 women (n=120 per group), selected through multistage sampling in Tehran, Iran. A questionnaire consisting of three parts, General Health Questionnaire (GHQ-28), demographic characteristics, and Female Sexual Function Index (FSFI), was completed through interviews. For data analysis, descriptive statistics were calculated, and independent t-test, Mann-Whitney test, Chi-square, and Fisher's exact test were performed, using SPPS version 16. P-value less than 0.05 was considered statistically significant. Results: The mean age at marriage in women using DMPA was lower than those using COC (18.55±3.61 vs. 19.92±3.98 years). Based on the findings, the menstrual status in the majority of DMPA users was irregular (46.7% in DMPA group vs. 8.3% in COC group). The difference in sexual function between the COC and DMPA groups was significant. Sexual arousal and lubrication were more favorable in the COC group in comparison with the DMPA group; also, pain in this group was lower than the DMPA group. Scores of total sexual function (27.35±5.22 in DMPA group vs. 29.15±6.13 in COC group), sexual arousal (4.11±0.90 in DMPA group vs. 4.51±1.39 in COC group), and vaginal lubrication (4.82±1.30 in DMPA group vs. 5.26±1.35 in COC group) were lower in the DMPA group, compared to the COC group. Pain scores (4.91±1.25 in DMPA group vs. 5.28±1.19 in COC group) were higher in the DMPA group in comparison with the COC group (

Examining Religious Attitudes and Reproductive Behavior among Women Visiting Health Centers of Shahid Beheshti University of Medical Sciences

For downloading the full-text of this article please click here.Background and Objective: Reproductive behavior is one of the crucial factors in population fluctuations. Decrease in fertility rate in Iran with the increasing median age in recent years, along with the aging population and shrinking young workforce are among major challenges of the future. Given the significance of the subject, this study aimed to determine the relationship between religious attitudes and reproductive behavior of women who visited health centers of Shahid Beheshti University of Medical Sciences in Tehran 2016.Method: This cross-sectional study included all women who went to health centers of Shahid Beheshti University of Medical Sciences. 200 of these women with inclusion criteria were selected via convenience sampling. A three-part questionnaire was used to collect data containing demographic information, religious attitudes, and reproductive behavior .To analyze the data, descriptive and analytical statistics were utilized. In this study, all the ethical issues were considered. Moreover, the authors declare no conflict of interest.Results: The results showed that the mean ±SD age of participants was 29.24±1.6 The mean ±SD number family size, number of children, age at marriage, duration of marriage, the time between the age at marriage and the first pregnancy were 3.16 ±0.79, 1.8±0.78 ,8.5±5.9 years; 24.74±24.79 months; and 21.02±4.47 years, respectively. The results also demonstrated that the level of religious attitudes was good in majority of samples (67.5%). Analysis of variance indicated a significant relationship between different levels of religious attitude and reproductive behavior.Conclusion: The findings of this study further corroborate the importance of religion in the reproductive behavior of people. It is recommended that when running educational programs, counseling be done in order to promote reproductive behavior. Besides, special attention should be given to the religious beliefs of individuals to foster these two important factors.For downloading the full-text of this article please click here

The relationship between religious orientation with intention of desired fertility and actual and desirable number of children in working women of Tehran, Iran

سابقه و اهداف: با توجه به کاهش باروری که به­دنبال کاهش تمایل به فرزند­آوری رخ می­دهد و همچنین اهمیّت توجه به میزان باروری و افزایش زنان شاغل طی سالیان اخیر، در شرایط کنونی ایران، مطالعه­ی حاضر با هدف تعیین ارتباط جهت­گیری مذهبی با قصد فرزندآوری و تعداد موجود و مطلوب فرزندان، از نظر زنان شاغل در مرکزهای منتخب شهر تهران انجام شد. مواد و روش‌ها: در این مطالعه­ی مقطعی، 200 زن شاغل دارای شرایط لازم (به­دلیل اینکه بیش از دو سوم زنان شاغل، در وزارت آموزش­و­پرورش و مرکزهای تابع وزارت بهداشت مشغول به­ کار هستند)، از بیمارستان­های وابسته به دانشگاه علوم پزشکی شهید بهشتی و مرکزهای منتخب آموزش­و­پرورش، به­صورت در دسترس انتخاب شدند. داده­ها با استفاده از پرسشنامه­ی حاوی اطلاعات دموگرافیک، سؤال­های تعیین­کننده­ی جهت­گیری مذهبی، سؤال­های رفتار باروری (شامل سؤال­های مربوط به قصد فرزندآوری و تعداد فرزند موجود و مطلوب) جمع­آوری شد. برای تجزیه و تحلیل داده­ها از آمارهای توصیفی و تحلیلی همبستگی استفاده شد. علاوه­براین، سطح معنی­داری نیز 05/0 در نظر گرفته شد. این پژوهش  تمام موارد اخلاقی مرتبط را رعایت کرده است. یافته‌ها: در این مطالعه، میانگین و انحراف معیار سنی واحـدهای پـژوهش 11/8 ± 55/37 سال بود و 57 درصد شرکت­‌کنندگان دارای یک فرزند و یا بدون فرزند بودند. بیشتر واحدهای پژوهش (5/60 درصد) دارای جهت­‌گیری مذهبی عالی بودند. میانگین و انحراف معیار تعداد موجود و تعداد مطلوب فرزند، به­ترتیب 81/0 ± 31/1 و 79/0 ± 03/2 بود و 21 درصد شرکت­‌کنندگان نیز قصد فرزندآوری در آینده را داشتند. بر اساس آزمون همبستگی، بین تعداد موجود و مطلوب فرزند با نمره­ی جهت­‌گیری مذهبی، همبستگی آماری معناداری وجود داشت (05/0p<،14/0=r)؛ اما بین قصد فرزندآوری و جهت­گیری مذهبی، همبستگی معناداری وجود نداشت (05/0p>). نتیجه‌گیری: نتایج این مطالعه نشان داد که جهت­گیری مذهبی از عامل­‌‍های تأثیرگذار بر تعداد مطلوب و موجود فرزندان زنان شاغل است. بر این اساس، توجه به امور فرهنگی مبتنی بر تربیت دینی در خانواده و نیز برنامه­ریزی­ها و سیاست­گذاری­های جمعیتی توصیه می­شود.   استناد مقاله به این صورت است: Saei Gharenaz M, Ozgoli G, Hajizadeh F, Sheikhan Z, Nasiri M, Jannesari Sh. The relationship between religious orientation with intention of desired fertility and actual and desirable number of children in working women of Tehran, Iran. J Res Relig Health.2017;3(1): 79- 90.Background and Objectives: Given the significant importance of fertility and increase of working women in current situation of Iran, this study aimed to determine the relationship between religious orientations with the willingness to childbearing and actual and ideal number of children in employed women in Tehran. Materials & Methods: In this cross-sectional study, 200 women employed in health centers and centers of education affiliated to Shahid Beheshti University of Medical Sciences in Tehran were selected by convenience sampling because more than two-thirds of working women in Iran work in the Ministry of Education and the Ministry of Health. In this study, women were selected inclusion criteria. Data collection instrument was a questionnaire containing demographic, religious orientation and reproductive behavior questions. Data analysis were performed using descriptive statistics and correlation analysis. In addition, significant level was considered 0.05. In this study, all relevant ethical issues were considered. Results: In this study, the mean±SD age of subjects was 37.55±8.11 years. 57% of participants had a child or without children. The majority of samples (60.5%) have an excellent religious orientation. Mean±SD of the actual number and ideal number of children were 1.31±0.81 and 2.03±0 .79, respectively and 21% of participants were willing to bear children in the future. There was a significant statistical correlation between the actual number and ideal number of children with religious orientation (p <0.05, r=0.14), but there was no significant correlation between religious orientation and intend to childbearing (p>0.05). Conclusion:The results showed that religious orientation is cultural factors affecting the real and ideal number of children among employed women. Therefore, it is recommended to consider the cultural affairs based on the religious education in the family and planning and population policy.   Please cite this article as: Saei Gharenaz M, Ozgoli G, Hajizadeh F, Sheikhan Z, Nasiri M, Jannesari Sh. The relationship between religious orientation with intention of desired fertility and actual and desirable number of children in working women of Tehran, Iran. J Res Relig Health.2017;3(1):79- 90

Prediction of academic achievement based on learning strategies and outcome expectations among medical students

Abstract Background One of the most important indicators of the effectiveness of teaching can be the academic achievement of learners, which can be influenced by different factors such as learning methods and individual motivations. The purpose of this study was to determine the ability of predicting academic achievement based on learning motivation strategies and outcome expectations based on a theoretical model. Methods This descriptive-analytic study was conducted with the participation of 380 male and female students of nine faculties of medical sciences of Shahid Beheshti University of Tehran. Multi-stage sampling along with the questionnaire of motivational strategies for learning and student outcome expectation scale were used for data collection. The college grade point average (CGPA) of students’ past grades was considered as the academic performance variable. Data analysis was performed using Structural Equation Modeling (SEM) in AMOS software. Results The mean score of the structure of learning strategies, motivational strategies, outcome expectations, and students’ GPA did not show significant statistical differences in terms of gender, marital status, residence location, field of study, and educational level. There was a direct and significant relationship between the motivational strategies’ structures (R = 0.193, p < 0.001) as well as learning strategies (R = 0.243, p < 0.001) and the CGPA, while there was no relationship between outcome expectations and CGPA. Path analysis revealed that self-regulating learning strategies and motivational strategies can predict the academic achievement of these students. Conclusions Considering the importance of active and independent learning among medical students, it is necessary for lecturers to use interactive and student-oriented patterns of teaching. Also, students should become familiar with self-regulating learning skills to better understand the information they receive

Comparing sexual self-concept in women with obesity pre- and post-bariatric surgery

Abstract Background Obesity leads to increased disease burden, decreased life expectancy, and disrupted sexual life. One of the most effective ways of obesity treatment is bariatric surgery. This study was conducted aiming to determine and compare sexual self-concept in women with obesity pre- and post-bariatric surgery. Method A longitudinal study comparing sexual self-concept pre and post- surgery was conducted on women with obesity referring to obesity clinics in the city of Tehran in 2020–2021. Data collection was performed using Snell’s Multidimensional Sexual Self-Concept Questionnaire (MSSCQ), which was completed online. Data were analyzed using SPSS version 16 statistical software and Fisher’s exact test, chi-square, Mann-Whitney, independent t, and logistic and linear regression tests. A p-value of less than 0.05 was considered significant. Results According to the findings, the mean (standard deviation) score of sexual self-concept was 240.26 (26.82) in the post-surgery group and 200.26 (32.24) in the pre-surgery group (P = 0.001), and the highest mean (standard deviation) score of sexual self-concept both in the pre-surgery group (13.06 [4.00]) and in the post-surgery group (15.46 [2.16]) was related to the area of sexual depression (P = 0.05). Also, with increasing educational level, the odds of bariatric surgery increased by 33%, and those who had no private bedroom had lower odds of bariatric surgery by 65%. In those who did not have other individuals living in their house and their spouse was not a smoker, the self-concept score was 52.35 and 23.11 units higher. Conclusion In general, bariatric surgery can improve sexual self-care. Considering the issue of sexual self-concept in bariatric surgery, it is recommended to design appropriate counseling and planning before surgery according to the culture of each country