Journal of Education and Health Promotion

Marital satisfaction and its associated factors at reproductive age women referred to health centers

Document Type : Original Article

Authors

. Raziyeh Taghani
. Akram Ashrafizaveh 1
. Mahsa Ghanbari Soodkhori 
. Elham Azmoude 1
. Maryam Tatari 2

1 Department of Midwifery, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran, Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran

2 Department of Public Health, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran

Abstract
BACKGROUND: Marital satisfaction, as one of the elements of family health, is affected by various
factors such as social norms, customs, and expectations. Sexual self‑efficacy as one of the important
aspects of female sexual affairs may be related to the marital relationship. The aim of this study was
to evaluate the related factors of marital satisfaction in Torbat Heydariyeh, Iran.
METHODS: This research was a cross‑sectional study performed on 350 married women in the
reproductive age referred to health centers in Torbat Heydariyeh, Iran, in 2018. The data collection
tools were Evaluation and Nurturing Relationship Issues, Communication, and Happiness Marital
Satisfaction Questionnaire and a sexual self‑efficacy questionnaire derived from Schwarzer general
self‑efficacy scale. The data were analyzed with Pearson’s correlation coefficient and linear regression.
A P < 0.05 was considered statistically significant.
RESULTS: The mean age of the participants was 30.85 ± 7.56 years. Most people had high sexual
self‑efficacy (51%) and relative and intermediate marital satisfaction (68%). There was also a
significant relationship between sexual self‑efficacy and marital satisfaction (P = 0.001). According to
the linear regression test, only three variables of sexual self‑efficacy, dyspareunia, and socioeconomic
status explain 12% of the variance of marital satisfaction in women (P < 0.05).
CONCLUSION: The results indicated that sexual self‑efficacy, dyspareunia, and socioeconomic
status have significant relationship with marital satisfaction. Due to the significant relationship between
sexual self‑efficacy and marital satisfaction, some interventions to improve this aspect of sexual life
may increase the satisfaction of individuals from marital life.

Keywords

Dyspareunia
marital satisfaction
sexual self‑efficacy
women of reproductive age
  1. Shahsiah M, Bahrami F, Etemadi O, Mohebi S. Effect of sex
    education on improving couples marital satisfaction in Isfahan.
    J Health Syst Res 2011;6: 690‑97.
    2. Sosin LS. Marital Satisfaction and Aging. Faculty Publications
    and Presentations; 2015. 87.
    3. Pourmeidani S, Noori A, Shafti S. Relationship between life style
    and marital satisfaction. J Fam Res 2014;10:331‑44.
    4. valian K. A Comparative Study of Marital Satisfaction, Self Esteem
    and Body Rate in Women with Polycystic Ovary Syndrome.
    Tehran University of Medical Science; 2013.
    5. Golmakani N, Dormohammadi M, Mazloum SR. Survey of
    sexual satisfaction and marital satisfaction during postpartum at
    primiparous women referred to health care centers of Mashhad,
    Iran. Iran J Obstet Gynecol Infertil 2013;16:7‑13.
    6. Tavakol Z, Mirmolaei ST, Momeni Movahed Z, Mansouri A. The
    survey of sexual function relationship with sexual satisfaction in
    referred to Tehran South city health centers. Sci J Hamadan Nurs
    Midwifery Fac 2011;19:50‑4.
    7. Zare Z, Golmakani N, Shareh H, Shakeri MT. Survey of
    relationship between sexual self‑efficacy and sexual life quality
    with marital satisfaction in primiparous women after childbirth.
    J Stud Res Committee Sabzevar Univ Med Sci 2016;36:1‑10.
    8. Frotan A, Milany M. Prevalence of sexual dysfunction in
    volunteers of divorce referred to family court. Daneshvar Med
    2008;78:39‑41.
    9. Ghavami H, Sanadyzadeh M. Guide to Diagnosis and Treatment
    of Sexual Dysfunction in Women and Erectile Dysfunction in Men.
    11th ed. Tehran: Talia; 2012.
    10. Steinke EE, Wright DW, Chung ML, Moser DK. Sexual
    self‑concept, anxiety, and self‑efficacy predict sexual activity in
    heart failure and healthy elders. Heart Lung 2008;37:323‑33.
    11. Sadock BJ, Sadock VA, KaplanSadock’s Concise Textbook of
    Child and Adolescent Psychiatry. 9th ed.. philadelphia: Lippincott
    Williams & Wilkins; 2009.
    12. Steinke EE, Mosack V, Hertzog J, Wright DW. A social‑cognitive
    sexual counseling intervention post‑MI‑development and pilot
    testing. Perspect Psychiatr Care 2013;49:162‑70.
    13. Powwattana A, Ramasoota P. Differences of sexual behavior
    predictors between sexually active and nonactive female
    adolescents in congested communities, bangkok metropolis.
    J Med Assoc Thai 2008;91:542‑50.
    14. Vaziri S, Lotfi KF, Hosseinian S, Bahram Ghafari S. Sexual efficacy
    and marital satisfaction. Thought Behav Clin Psychol 2010;4:75‑81.
    15. Fowers BJ, Olson DH. ENRICH Marital Satisfaction Scale: A brief
    research and clinical tool. J Fam Psychol 1993;7:176.
    16. Seraj F, Nourani S, Shakeri M. Correlation between transition
    difficulty to parenthood and marital satisfaction and its
    comparison in women with first and second child. Iran J Psychiatr
    Nurs 2014;2:1‑11.
    17. Sotude M, Dindar R. Relationship between marital satisfaction,
    sexual satisfaction and social security in couples in Tehran.
    Q Policing J Knowl Capital Police 2015;8:9‑24.
    18. Banaian SH, Parvin N, Kazemian A. The investigation of the
    relationship between mental health condition and martital
    satisfaction. Sci J Hamadan Nurs Midwifery Fac2006;14 (2):52‑62.
    19. Askarian OS, Sheikholeslami F, Tabari R, Kazemnejhad LE,
    Paryad E. Effective Factors on the Marital Satisfaction in Nurses. J
    Guilan Univ Med Sci 2016;25 (97):46‑55.
    20. Khazaei M, Rostami R, Zaryabi A. The relationship between sexual
    dysfunctions and marital satisfaction in Iranian married students.
    Procedia Soc Behav Sci 2011;30:783‑5.
    21. Anhange ST, Iorwuese PA, Kwaghgbah AT, Iortsughun ST,
    Aondona AT. Emotional intelligence, happiness, hope and
    marital satisfaction among married people in Makurdi metropolis,
    Nigeria. Gender Behav 2017;15:9752‑66.
  2. 22. Alirezaei S, Ozgoli G, Alavi Majd H. Evaluation of factors
    associated with sexual function in infertile women. Int J Fertil
    Steril 2018;12:125‑9.
    23. Hajipour Khorasani N, Hosseini M, Matbouei M, Khafri S, Vasli P,
    Vardanjani AE. The study of relationship between self–efficacy
    and marital satisfaction of couples referring to the community
    health centers of Babol in 2015. BJMMR 2017;19:1‑9.
    24. Najafi Zadeh A, Mirzajan Tabriz A. Study of predicting marriage
    satisfaction based on emotional intelligence, spiritual intelligence
    and self‑efficiency. Asian J Med Pharm Res 2014;4:160‑6.
    25. Rajabi G, Sarvestani Y, Aslani K, Khojasteh Mehr R. Marriage
    satisfaction prediction in married female nurses. Nurs J Iran
    2013;82:23‑33.
    26. Mitchell KR, Geary R, Graham CA, Datta J, Wellings K,
    Sonnenberg P, et al. Painful sex (dyspareunia) in women:
    Prevalence and associated factors in a British population
    probability survey. BJOG 2017;124:1689‑97.
    27. Smith KB, Pukall CF. A systematic review of relationship
    adjustment and sexual satisfaction among women with provoked
    vestibulodynia. J Sex Res 2011;48:166‑91.
    28. Fathi S, Azadian A. The effect of demographic factors on
    marital satisfaction of couples 35‑55 years old (living in
    regions 3 and 20 of Tehran). Women Fam Soc Cult Council
    2017;19:111‑35.
    29. Taghizadeh ME, Kalhori E. Relation between self esteem with
    marital satisfaction of employed women in payam‑e‑Noor
    university. Mediterr J Soc Sci 2015;6:41.
    30. Archuleta KL, Britt SL, Tonn TJ, Grable JE. Financial satisfaction
    and financial stressors in marital satisfaction. Psychol Rep
    2011;108:563‑76.
    31. Byers ES. Relationship satisfaction and sexual satisfaction:
    A longitudinal study of individuals in long‑term relationships.
    J Sex Res 2005;42:113‑8.
Journal of Education and Health Promotion
Volume 9, Issue 7
July 2019
Pages 1-5

Home

Guide for Authors

Submit Manuscript

Reviewers

Contact Us