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Social Determinants of Health and Quality of Sexual Life Among Married Women in Behshahr, Iran, in 2023: A Cross-Sectional Study.

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Title: Social Determinants of Health and Quality of Sexual Life Among Married Women in Behshahr, Iran, in 2023: A Cross-Sectional Study.
Authors: Habibi, Farangis1 (AUTHOR), Khani, Soghra2 (AUTHOR) khanisog343@gmail.com, Abolfazl, Hoseinnataj3 (AUTHOR), Afra, Razieh4 (AUTHOR)
Source: Inquiry (00469580). 5/11/2026, Vol. 63, p1-11. 11p.
Subject Terms: *Quality of life, *Research methodology, *Comparative studies, *Factor analysis, Risk assessment, Cross-sectional method, Scale analysis (Psychology), Pearson correlation (Statistics), Social determinants of health, Married women, Questionnaires, Socioeconomic factors, Statistical sampling, Primary health care, Multiple regression analysis, Medical care, Descriptive statistics, Marital satisfaction, Statistics, Social support, Data analysis software, Public health, Sexual health, Psychosocial factors, Social classes, Nonparametric statistics
Geographic Terms: Iran
Abstract: Sexual health is a multidimensional aspect of women's well-being, yet its intersection with social determinants of health (SDH) remains critically underexplored in culturally conservative settings. In such contexts, sociocultural norms often obscure open discourse and research on sexual quality of life (QoSL), despite its central role in marital satisfaction and overall health. This study addresses this gap by examining the relationship between SDH and QoSL among married women in Behshahr, Iran. This study aimed to examine the associations between key social determinants of health and sexual quality of life, marital satisfaction, and perceived social support among married women of reproductive age in Behshahr, Iran. A descriptive cross-sectional study was conducted in 2023 among 380 married women aged 16 to 52 years, recruited through stratified random sampling from 6 healthcare centers in Behshahr, Iran. Data collection instruments included: Sociodemographic Form (SDF), Sexual Quality of Life-Female (SQOL-F) questionnaire, ENRICH Marital Satisfaction (EMS) scale, Multidimensional Scale of Perceived Social Support (MSPSS), Statistical analyses were performed using SPSS v26 and AMOS v26. Descriptive statistics (mean, SD, frequency) summarized the data. Inferential analyses included Pearson correlation, multiple linear regression (MLR), and confirmatory factor analysis (CFA). A significance level of P ≤.05 was applied. The mean age of participants was 33.08 ± 5.31 years. The average scores were: QoSL = 90.92 ± 13.08, marital satisfaction = 162.16 ± 25.05, and perceived social support = 48.63 ± 11.62. A statistically significant but weak positive correlation was found between QoSL and marital satisfaction (r =.15, P =.004). Husband's education, socioeconomic status, and place of residence emerged as significant predictors of QoSL. Marital satisfaction was modestly associated with women's employment status and vehicle ownership. Perceived social support was positively influenced by socioeconomic status and number of children. Confirmatory factor analysis supported the structural relationships among the 3 constructs. Sexual quality of life and marital satisfaction are significantly shaped by social determinants such as education, occupation, socioeconomic status, and living conditions. These findings highlight the need for public health strategies and social policies that address structural inequalities to promote sexual and relational well-being among women. [ABSTRACT FROM AUTHOR]
Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Social Determinants of Health and Quality of Sexual Life Among Married Women in Behshahr, Iran, in 2023: A Cross-Sectional Study.
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  Data: <searchLink fieldCode="JN" term="%22Inquiry+%2800469580%29%22">Inquiry (00469580)</searchLink>. 5/11/2026, Vol. 63, p1-11. 11p.
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  Data: *<searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br />*<searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br />*<searchLink fieldCode="DE" term="%22Factor+analysis%22">Factor analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Scale+analysis+%28Psychology%29%22">Scale analysis (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Pearson+correlation+%28Statistics%29%22">Pearson correlation (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Social+determinants+of+health%22">Social determinants of health</searchLink><br /><searchLink fieldCode="DE" term="%22Married+women%22">Married women</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+factors%22">Socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+health+care%22">Primary health care</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Marital+satisfaction%22">Marital satisfaction</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+health%22">Sexual health</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Social+classes%22">Social classes</searchLink><br /><searchLink fieldCode="DE" term="%22Nonparametric+statistics%22">Nonparametric statistics</searchLink>
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  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Iran%22">Iran</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Sexual health is a multidimensional aspect of women's well-being, yet its intersection with social determinants of health (SDH) remains critically underexplored in culturally conservative settings. In such contexts, sociocultural norms often obscure open discourse and research on sexual quality of life (QoSL), despite its central role in marital satisfaction and overall health. This study addresses this gap by examining the relationship between SDH and QoSL among married women in Behshahr, Iran. This study aimed to examine the associations between key social determinants of health and sexual quality of life, marital satisfaction, and perceived social support among married women of reproductive age in Behshahr, Iran. A descriptive cross-sectional study was conducted in 2023 among 380 married women aged 16 to 52 years, recruited through stratified random sampling from 6 healthcare centers in Behshahr, Iran. Data collection instruments included: Sociodemographic Form (SDF), Sexual Quality of Life-Female (SQOL-F) questionnaire, ENRICH Marital Satisfaction (EMS) scale, Multidimensional Scale of Perceived Social Support (MSPSS), Statistical analyses were performed using SPSS v26 and AMOS v26. Descriptive statistics (mean, SD, frequency) summarized the data. Inferential analyses included Pearson correlation, multiple linear regression (MLR), and confirmatory factor analysis (CFA). A significance level of P ≤.05 was applied. The mean age of participants was 33.08 ± 5.31 years. The average scores were: QoSL = 90.92 ± 13.08, marital satisfaction = 162.16 ± 25.05, and perceived social support = 48.63 ± 11.62. A statistically significant but weak positive correlation was found between QoSL and marital satisfaction (r =.15, P =.004). Husband's education, socioeconomic status, and place of residence emerged as significant predictors of QoSL. Marital satisfaction was modestly associated with women's employment status and vehicle ownership. Perceived social support was positively influenced by socioeconomic status and number of children. Confirmatory factor analysis supported the structural relationships among the 3 constructs. Sexual quality of life and marital satisfaction are significantly shaped by social determinants such as education, occupation, socioeconomic status, and living conditions. These findings highlight the need for public health strategies and social policies that address structural inequalities to promote sexual and relational well-being among women. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1177/00469580251411402
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 1
    Subjects:
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Factor analysis
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Scale analysis (Psychology)
        Type: general
      – SubjectFull: Pearson correlation (Statistics)
        Type: general
      – SubjectFull: Social determinants of health
        Type: general
      – SubjectFull: Married women
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Marital satisfaction
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Public health
        Type: general
      – SubjectFull: Sexual health
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Social classes
        Type: general
      – SubjectFull: Nonparametric statistics
        Type: general
      – SubjectFull: Iran
        Type: general
    Titles:
      – TitleFull: Social Determinants of Health and Quality of Sexual Life Among Married Women in Behshahr, Iran, in 2023: A Cross-Sectional Study.
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            – D: 11
              M: 05
              Text: 5/11/2026
              Type: published
              Y: 2026
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