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通过路径分析评估正念、性伴侣关系关注和健康相关行为对女性生活满意度的相互关系。

Evaluating the interrelationship of mindfulness, sexual relational concern, and health related behaviors on women's life satisfaction through path analysis.

作者信息

Fili Romina, Shaban-Malekshah Maryam, Nikbakht Hossein-Ali, Behmanesh Fereshteh, Niksima Yasmina

机构信息

Student Research Committee, Babol University of Medical Sciences, Babol, Iran.

Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

出版信息

BMC Womens Health. 2025 Jul 19;25(1):359. doi: 10.1186/s12905-025-03903-z.

Abstract

BACKGROUND

Life satisfaction, a fundamental dimension of subjective well-being, exerts a positive influence on both physical and mental health outcomes. The present research aims to explicate the intricate interplay among mindfulness, sexual relational concerns, and health-related behaviors concerning women's life satisfaction, employing a path analysis framework.

METHODS

The current cross-sectional study, conducted between July and August 2024, involved a cohort of 250 Iranian women aged 18 to 45 years. Participants were selected based on predefined inclusion criteria. A team of five researchers designed and implemented the study. Data collection utilized a demographic-midwifery questionnaire, the Satisfaction with Life Scale (SWLS), the Freiburg Mindfulness Inventory (FMI), and the sexual relational concerns subscale of the Sexual Satisfaction Scale for Women (SSS-W). A convenience sampling method was employed to recruit participants. Statistical analyses, including univariate and multivariate linear regression, as well as path analysis, were performed using SPSS version 23 and AMOS version 22. For all analyses, statistical significance was determined at a threshold of P < 0.05.

RESULTS

In the path analysis model, mindfulness showed significant effects on life satisfaction (β = 0.22, P < 0.001) and sexual relational concerns (β = -0.21, P < 0.001). While sexual relational concerns exhibited a negative association with life satisfaction, this relationship was not statistically significant (β = -0.11, P = 0.087). Smoking emerged as a salient predictor, demonstrating significant effects on both life satisfaction (β = -0.13, P = 0.031) and body mass index (BMI) (β = -0.14, P = 0.021). Notably, mindfulness presented as the most influential variable; a one-unit increase in mindfulness was associated with increases of 0.26 and 0.22 in life satisfaction in univariate and multivariate regression analyses, respectively (P < 0.001). Additionally, individual factors, including economic status, smoking habits, age, and the presence of chronic diseases, contributed to the prediction of life satisfaction in these analyses.

CONCLUSION

Mindfulness demonstrated a significant association with both life satisfaction and sexual relational concerns. Furthermore, a correlation was observed between smoking and both life satisfaction and BMI. These findings suggest that interventions targeting mindfulness and health-promoting behaviors may be beneficial in enhancing life satisfaction and addressing relational challenges among women of reproductive age.

摘要

背景

生活满意度是主观幸福感的一个基本维度,对身心健康结果均有积极影响。本研究旨在运用路径分析框架,阐明正念、性伴侣关系问题以及与健康相关行为在女性生活满意度方面的复杂相互作用。

方法

本横断面研究于2024年7月至8月进行,纳入了250名年龄在18至45岁之间的伊朗女性队列。参与者根据预先定义的纳入标准进行选择。由五名研究人员组成的团队设计并实施了该研究。数据收集使用了人口统计学 - 助产士问卷、生活满意度量表(SWLS)、弗莱堡正念量表(FMI)以及女性性满意度量表(SSS - W)中的性伴侣关系问题子量表。采用便利抽样方法招募参与者。使用SPSS 23版和AMOS 22版进行统计分析,包括单变量和多变量线性回归以及路径分析。所有分析中,统计学显著性以P < 0.05为阈值确定。

结果

在路径分析模型中,正念对生活满意度(β = 0.22,P < 0.001)和性伴侣关系问题(β = -0.21,P < 0.001)显示出显著影响。虽然性伴侣关系问题与生活满意度呈负相关,但这种关系在统计学上不显著(β = -0.11,P = 0.087)。吸烟是一个显著的预测因素,对生活满意度(β = -0.13,P = 0.031)和体重指数(BMI)(β = -0.14,P = 0.021)均有显著影响。值得注意的是,正念是最具影响力的变量;在单变量和多变量回归分析中,正念每增加一个单位,生活满意度分别增加0.26和0.22(P < 0.001)。此外,个体因素,包括经济状况、吸烟习惯、年龄和慢性病的存在,在这些分析中有助于预测生活满意度。

结论

正念与生活满意度和性伴侣关系问题均显示出显著关联。此外,观察到吸烟与生活满意度和BMI之间存在相关性。这些发现表明,针对正念和促进健康行为的干预措施可能有助于提高生活满意度,并解决育龄女性的关系挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0e5/12275421/61f9a61e91d5/12905_2025_3903_Fig1_HTML.jpg

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