Document Type : Original Article


1 Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

2 Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran

3 Department of Nursing, Faculty of Health Sciences, Woldia University, Woldia, Ethiopia

4 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran


BACKGROUND: The study aimed to investigate the associations between life and health satisfaction
with health‑related quality of life (HRQoL), body mass index (BMI) and chronic disease among people
who are covered by health insurance schemes in Tehran city, Iran.
METHODS: A cross‑sectional study was conducted in Tehran city, Iran, from May to June 2016. A total
of 600 people were included in the study using a cluster sampling technique. The questionnaire that
used for data collection included demographic and socioeconomic variables, questions about health
variables such as chronic disease, weight, height, smoking status, and EQ‑5D‑3L questionnaire.
Two univariate and multivariate regression models performed to examine affecting factors on life
and health satisfaction.
RESULTS: The univariate regression showed that on average female have 0.22 and 0.69 score
lower than males with their life and health satisfaction, respectively. Explanatory variables of
gender, age, level of education, and employment status were not significantly associated with life
and health satisfaction in multiple regression models. However, marital status was correlated with
life satisfaction. Furthermore, HRQoL, BMI and chronic disease and smoking were associated with
dependent variables (P < 0.001).
CONCLUSIONS: The result showed that there was a strong association between BMI, HRQoL, chronic
disease, and life and health satisfaction among participants. Therefore, the Iranian policymakers
need to consider these factors on life and health satisfaction of adults and design health‑promoting
programs to improve health outcomes of them. Further studies should assess the associations
between BMI, HRQoL, chronic conditions, and life and health satisfaction among Iranian adults.


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