Journal of Education and Health Promotion

Abstract BACKGROUND: Considering the role of sexual quality of life in public satisfaction, improving
interpersonal relationships, promoting the general quality of life, especially in women, and ultimately
maintaining, consolidating, and promoting family and community health, the need to explain the factors
affecting it, such as sexual health literacy, is felt from the perspective of women. This study aimed
to determine the relationship of sexual health literacy on the sexual life quality of women referring
to health‑care centers in Qazvin.
MATERIALS AND METHODS: This research was a descriptive cross‑sectional study. The population
of this study was 420 women of Qazvin in 2020 who were selected by multistage sampling. The
data collection tool was a demographic questionnaire and the standard questionnaire sexual health
literacy for adults and Sexual Quality of Life‑Female questionnaire. Data were analyzed using SPSS
software version 22 and descriptive statistics and logistic regression.
RESULTS: The mean (standard deviation) of the sexual health literacy score was 78.47 (17.85) and
sexual quality of life was 59.71 (19.21). The results of logistic regression test showed that the variables
of sexual health literacy, education level, age of marriage, and number of sexual intercourses per
week were effective factors on the sexual quality of life (P < 0.05).
CONCLUSION: Women with lower sexual health literacy, lower education level, higher marriage age,
and women who had sex less per week had a lower sexual quality of life. Therefore, it is necessary to pay
more attention to these women in designing educational programs to improve the quality of sexual life.

Abstract BACKGROUND AND AIM: Posttraumatic growth following traumas such as chronic illnesses can
occur in some people. The psychological factors, such as cognitive emotion regulation (CER), can
influence its formation. CER is a type of coping strategy that helps to efficiently deal with trauma.
Due to the importance of the topic and the lack of sufficient studies on posttraumatic growth and
CER in hemodialysis patients, this study aims to investigate the relationship between posttraumatic
growth and CER in hemodialysis patients.
METHODS: This is a descriptive study performed on hemodialysis patients in Bou Ali and Velayat
hospitals in Qazvin. One hundred and sixty-two patients were selected by the convenience sampling
method, and Garnefski Cognitive Emotion Regulation Questionnaire (α =0.92) and Tedeschi
Posttraumatic Growth Questionnaire (α =0.96) were used. Data were analyzed using Pearson
correlation and ANOVA tests.
RESULTS: The results showed that the majority of the hemodialysis patients experienced some
degree of posttraumatic growth. The participants achieved high scores in the domains of spiritual
development and communication with others. Moreover, posttraumatic growth was positively and
significantly correlated with CER (r = 0.67, P < 0.001).
CONCLUSIONS: Hemodialysis provides the basis for the positive mental reactions known as
posttraumatic growth in hemodialysis patients. Nurses and other authorities can use this phenomenon
to adapt to illness and care planning.