OBJECTIVES Increasing interest has emerged in the use of subjective well-being as a development indicator and for the evaluation of public policies. The aim of this study was to assess life and health satisfaction and their determinants in the adult population of Iran.
METHODS
We conducted a survey of a sample of 3,150 adults at least 18 years of age in Tehran, the capital of Iran. The subjects were selected using a stratified random sampling method, and they were interviewed face-to-face at their usual residence by trained interviewers. Life satisfaction was used as a measure of subjective well-being. We used ordinary least square regression models to assess the associations of life and health satisfaction with socio-demographic variables.
RESULTS
On a 0-10 scale, the mean (standard deviation) scores for life and health satisfaction were 6.93 (2.54) and 7.18 (1.97), respectively. The average score for life satisfaction in females was 0.52 points higher than in males. A U-shaped relationship was found between age and life satisfaction, with respondents 35 to 44 years of age having the lowest average level of life satisfaction. Satisfaction with life and health among divorced respondents was significantly lower than among never-married and married participants. The scores for life satisfaction in respondents who rated their health status as poor were 3.83 points lower than in those who rated their health status as excellent.
CONCLUSIONS
The majority of the population of Tehran was satisfied with their life and health. Self-rated health status had the greatest impact on life satisfaction.
Summary
Citations
Citations to this article as recorded by
Predictors of Life Satisfaction: A Nationwide Investigation in Iran Nasim Salehi, Mohsen Joshanloo, Scott Lamont, Dean Whitehead, Tushar Singh Health & Social Care in the Community.2024;[Epub] CrossRef
Effects of Group Logotherapy Training on Self-Esteem, Communication Skills, and Impact of Event Scale-Revised (IES-R) in Older Adults Ali Soroush, Arash Ziapour, Jaffar Abbas, Iran Jahanbin, Bahare Andayeshgar, Farideh Moradi, Sahar Najafi, Elham Cheraghpouran Ageing International.2022; 47(4): 758. CrossRef
Personal satisfaction: A concept analysis Rnda I. Ashgar Nursing Forum.2022; 57(3): 446. CrossRef
Life satisfaction and its influencing factors of middle-aged and elderly stroke patients in China: a national cross-sectional survey Ying Liu, Jieyu Liu, Shangcheng Zhou, Xingying Xu, Yu Cheng, Ying Yi, Guanyang Zou BMJ Open.2022; 12(8): e059663. CrossRef
What Makes Indonesians Satisfied With Their Health? A Multilevel Analysis Susanti Susanti, Adi Cilik Pierewan, Kismiantini Kismiantini, Sofjan Aripin Sage Open.2022;[Epub] CrossRef
Relationships Between Personal Satisfaction, Cardiovascular Disease Risk, and Health Promoting Behavior Among Arab American Middle-Aged Women Rnda I. Ashgar Journal of Cardiovascular Nursing.2021; 36(3): 273. CrossRef
The U Shape of Happiness Across the Life Course: Expanding the Discussion Nancy L. Galambos, Harvey J. Krahn, Matthew D. Johnson, Margie E. Lachman Perspectives on Psychological Science.2020; 15(4): 898. CrossRef
Poor quality of life as a predictor of survival among thalassemia patients in Iran Shahab Rezaeian Epidemiology and Health.2017; 39: e2017013. CrossRef
OBJECTIVES The aim of this study was to measure the health-related quality of life (HRQoL) and to evaluate the factors affecting HRQoL in individuals with health insurance in Tehran, Iran.
METHODS
A cross-sectional analytical study was conducted using the 3-level EuroQol 5-dimensions (EQ-5D) questionnaire. In order to estimate the determinants of HRQoL, information about participants’ demographic, socioeconomic, and health status was gathered. The cluster sampling technique was used to collect data from May to June, 2016. The chi-square test and weighted least squares method were employed for data analysis. Data were analyzed using Stata version 11.0.
RESULTS
A total of 600 Iranians with insurance completed the study, of whom 327 (54.5%) were male and 273 (45.5%) were female. The mean age of the participants was 41.48 years (standard deviation [SD], 14.60 years). Meanwhile, the mean duration of education was 12.36 years (SD, 4.68 years). The mean EQ-5D score was 0.74 (SD, 0.16). The most common health problems in the participants were anxiety/depression (42.3%), followed by pain/discomfort (39.2%). Sex, age, years of schooling, income, chronic disease, and body mass index had a significant effect on HRQoL (p<0.05). Healthy insured individuals, on average, had a HRQoL score 0.119 higher than that of people with a chronic disease, all else being equal (p<0.001).
CONCLUSIONS
Among all determinants of HRQoL, chronic disease was found to be the highest priority for interventions to improve the health status of Iranians with insurance. This finding can help policymakers and health insurance organizations improve their planning to promote the HRQoL of individuals with insurance and society as a whole in Iran.
Summary
Korean summary
본 연구는 만 19세 이상의 한국 성인 동성애자와 양성애자를 대상으로 이들의 건강상태에 대한 설문조사를 시행하고, 수집한 자료를 분석하여 동성애자•양성애자의 건강불평등 실태를 파악하고자 하였다. 본 연구의 목적은 자가평가건강, 정신건강(우울, 자살생각 및 자살시도), 신체적 건강(근골격계 통증) 및 건강관련행동(흡연율, 위험음주율)을 포함하여 다양한 측면에서 한국 성인 동성애자•양성애자와 일반인구집단의 건강수준을 비교하는 것이다.
Citations
Citations to this article as recorded by
Health-related quality of life measured using the EQ-5D-3L: iranian population norms Abdoreza Mousavi, Ali Akbari Sari, Fakhraddin Daastari, Rajabali Daroudi Expert Review of Pharmacoeconomics & Outcomes Research.2024; 24(5): 643. CrossRef
Predicting perceived quality of life through social trust, physical activity, and sense of happiness in Iran: Moderating role of gender Rajabi Gilan, Jamal Mohamadi, Shirin Zardoshtian, Neda Sarabi, Naseri Palangard, Mehdi Khezeli Health Science Reports.2024;[Epub] CrossRef
Factors Related to Health-Related Quality of Life across the Life Cycle in One-Person Households among Korean Adults Myung-Ock Chae Research in Community and Public Health Nursing.2024; 35: 125. CrossRef
Health-related quality of life in adults with metabolic syndrome: a multi-level analysis of family and individual level variation Mahdieh Niknam, Keyvan Olazadeh, Mobin Azami, Saeedeh Boroumandieh, Reza Yari-Boroujeni, Neda Izadi, Fereidoun Azizi, Parisa Amiri BMJ Open.2024; 14(11): e087870. CrossRef
The association between Patient Assessment of Chronic Illness Care Scores and quality of life in type 2 diabetes patients Gülçin Akan, Asiye Kartal Journal of Research in Nursing.2023; 28(3): 199. CrossRef
Comparative effectiveness of safety planning intervention with instrumental support calls (ISC) versus safety planning intervention with two-way text message caring contacts (CC) in adolescents and adults screening positive for suicide risk in emergency d Anna K. Radin, Jenny Shaw, Siobhan P. Brown, Hilary Flint, Tara Fouts, Elizabeth McCue, Anton Skeie, Cecelia Peña, Jonathan Youell, Anna Ratzliff, Diane M. Powers, Matthew Biss, Hannah Lemon, Daniel Sandoval, Jennifer Hartmann, Elizabeth Hammar, Amelia Do Contemporary Clinical Trials.2023; 131: 107268. CrossRef
Health-related quality of life variation by socioeconomic status: Evidence from an Iranian population-based study Sulmaz Ghahramani, Maryam Hadipour, Payam Peymani, Sahar Ghahramani, Kamran B. Lankarani Journal of Education and Health Promotion.2023;[Epub] CrossRef
Assessment of quality of life and its affecting factors in osteosarcopenic individuals in the Iranian older adult population: Bushehr Elderly Health (BEH) program Amir Mohammad Vahdani, Mahnaz Sanjari, Noushin Fahimfar, Mahbube Ebrahimpur, Gita Shafiee, Kazem Khalagi, Mohammad Javad Mansourzadeh, Iraj Nabipour, Bagher Larijani, Afshin Ostovar Osteoporosis and Sarcopenia.2023; 9(4): 142. CrossRef
Health-Related Quality of Life Among Pregnant Women With Pre-pregnancy Smoking and Smoking Cessation During Pregnancy in China: National Cross-sectional Study Kadi Hu, Shiqian Zou, Casper JP Zhang, Huailiang Wu, Babatunde Akinwunmi, Zilian Wang, Wai-Kit Ming JMIR Public Health and Surveillance.2022; 8(1): e29718. CrossRef
Socioeconomic status and self-rated health in Iran: findings from a general population study Soraya Nouraei Motlagh, Zahra Asadi Piri, Heshmatollah Asadi, Razyeh Bajoulvand, Satar Rezaei Cost Effectiveness and Resource Allocation.2022;[Epub] CrossRef
Health-related quality of life among adult patients with visual impairments in Yazd, Iran Mehdi Raadabadi, Sara Emamgholipour, Rajabali Daroudi, Farzan Madadizadeh, Amirreza Veisi Journal of Education and Health Promotion.2022; 11(1): 242. CrossRef
Economic evaluation of single-photon emission-computed tomography versus stress echocardiography in stable chest pain patients Javad Javan-Noughabi, Aziz Rezapour, Marjan Hajahmadi, Vahid Alipour Scientific Reports.2022;[Epub] CrossRef
Quality of Life Among Geriatric Community Members Following the Kaohsiung Gas Explosion: A 5-Year Cross-Sectional Study Wei-Tse Hsu, Han-Yun Chang, Guijing Lin, Huei-Wen Angela Lo, Joh-Jong Huang, Che-hun Liao, Pei-Jen Wu, Frank Huang-Chin Chou Journal of Psychiatric Practice.2022; 28(5): 362. CrossRef
Calidad de vida relacionada a salud y alfabetización en salud en pacientes adultos en centros de atención primaria con afiliación al régimen subsidiado o contributivo en Colombia Shea M. Lemley, Sergio Castro-Díaz, Leonardo Cubillos, Fernando Suárez-Obando, William C. Torrey, José Miguel Uribe-Restrepo, Makeda Williams, Lisa A. Marsch, Carlos Gómez-Restrepo Revista Colombiana de Psiquiatría.2021; 50: 23. CrossRef
Health-related quality of life and health literacy among adult primary care patients with subsidized or contributive health insurance in Colombia Shea M. Lemley, Sergio Castro-Diaz, Leonardo Cubillos, Fernando Suárez-Obando, William C. Torrey, José Miguel Uribe-Restrepo, Makeda Williams, Lisa A. Marsch, Carlos Gómez-Restrepo Revista Colombiana de Psiquiatría (English ed.).2021; 50: 22. CrossRef
Examination of Self-Efficacy and Quality of Life of Patients with Type 2 Diabetes Regarding Diabetes Management Özlem ÇAĞAN, Gözde YEŞİLAYDIN, Bennur KOCA Journal of Basic and Clinical Health Sciences.2021; 5(3): 43. CrossRef
Investigation of the quality of life of patients with dental conditions: medical and social aspects Georgy T. Aivazov, Anna V. Fomina Russian Journal of Dentistry.2021; 25(1): 73. CrossRef
The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China Xu Chen, Jia Xu, Yunting Chen, Ruiheng Wu, Haoqiang Ji, Yuanping Pan, Yuxin Duan, Meng Sun, Liang Du, Mingcheng Gao, Jiawei Wang, Ling Zhou Scientific Reports.2021;[Epub] CrossRef
Pre-injury health status of major trauma patients with orthopaedic injuries Asmare Yitayeh Gelaw, Belinda J. Gabbe, Pamela M. Simpson, Christina L. Ekegren Injury.2020; 51(2): 243. CrossRef
Factors Affecting Tuberculosis Patients’ Quality of Life in Surabaya, Indonesia
Ni Njoman Juliasih, Ni Made Mertaniasih, Cholichul Hadi, . Soedarsono, Reny Mareta Sari, Ilham Nur Alfian Journal of Multidisciplinary Healthcare.2020; Volume 13: 1475. CrossRef
Poor health-related quality of life in Iran: decomposition analysis of affecting factors Ali Kazemi Karyani, Satar Rezaei, Behzad Karami Matin, Saeed Amini International Journal of Human Rights in Healthcare.2019; 12(1): 28. CrossRef
Rate of psychiatric disorders and associations with quality of life among community members following the Kaohsiung gas explosion: an 18-month cross-sectional follow-up study Vincent Shieh, Joh-Jong Huang, Tsyr-En Grace Wu, Ju-Yu Chiu, Yi-Chen Chen, Guijing Lin, Chao-Yueh Su, Frank Huang-Chih Chou Health and Quality of Life Outcomes.2019;[Epub] CrossRef
Social Determinants of Health-Related Quality of Life among Residents in Zhejiang and Qinghai, China Yuxuan Gu, Hao Zhang, Shahmir H. Ali, Minzhuo Huang, Jingming Wei, Shuyan Gu, Xuemei Zhen, Xiaoqian Hu, Xueshan Sun, Hengjin Dong International Journal of Environmental Research and Public Health.2019; 16(8): 1314. CrossRef
Health-related quality of life in adults undergoing transthoracic device closure of ventricular septal defect Kai-Peng Sun, Qiang Chen, Zhi-Nuan Hong, Jiang-Shan Huang, Hua Cao Journal of Cardiothoracic Surgery.2019;[Epub] CrossRef
A preliminary report on psychiatric impairments and quality of life among Kaohsiung gas explosion victims 6 months after the event Joh-Jong Huang, Tsyr-En Grace Wu, Yi-Chen Chen, Ju-Yu Chiu, Pesus Chou, Frank Huang-Chih Chou Quality of Life Research.2018; 27(3): 631. CrossRef
What Explains Socioeconomic Inequality in Health-related Quality of Life in Iran? A Blinder-Oaxaca Decomposition Satar Rezaei, Mohammad Hajizadeh, Yahya Salimi, Ghobad Moradi, Bijan Nouri Journal of Preventive Medicine and Public Health.2018; 51(5): 219. CrossRef
Poor quality of life as a predictor of survival among thalassemia patients in Iran Shahab Rezaeian Epidemiology and Health.2017; 39: e2017013. CrossRef
Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional study Satar Rezaei, Mohammad Hajizadeh, Ali Kazemi, Masoud Khosravipour, Farid Khosravi, Shahab Rezaeian Epidemiology and Health.2017; 39: e2017038. CrossRef