Document Type : Original Article

Authors

1 Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran

2 Student, Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran

3 PhD Student in Clinical Psychology, Interpersonal Relationships and Development Laboratory, Centre for Research in Human Development, Department of Psychology, Concordia University, Montréal, Canada

Abstract

Abstract
Background and aims: Midwives experience a high level of stress due to heavy workloads, which has
been shown to have adverse effects on well-being. Accordingly, the main goal of this study was to
assess the predictors associated with a healthy lifestyle in a sample of midwives working in hospitals
and health centers of Qazvin, Iran.
Methods: A total of 200 midwives were recruited using convenience sampling method. Each subject
completed a demographic questionnaire, the Farsi version of the Health Promoting Lifestyle Profile
Questionnaire, and Perceived Social Support Questionnaire. A multivariate linear regression model
was used to assess the predictors of health promoting lifestyle (HPL).
Results: Spiritual growth (2.78 ± 0.53) and nutrition (2.79 ± 0.45) had the highest scores among HPL
subscales. Conversely, subjects had the lowest score in physical activity (2.02 ± 0.64). Multivariate
regression analyses showed that workplace (β = -0.19, P = 0.03), involving in professional sports
(β = 0.2, P = 0.01), and perception of an adequate social support network (β = 0.47, P < 0.001) were the
strongest predictors of HPL. These predictors accounted for 27% of the variance in the model.
Conclusion: Considering the predictive role of three variables including workplace, involving in
professional sport, and having adequate social support, HPL interventions can be designed and
implemented. Improving working conditions, strengthening social support networks, and increasing
physical activity might be beneficial measures to improve midwives’ HPL.

Keywords

Main Subjects

1.Edelman CL, Mandle CL, Kudzma EC. Health Promotion Throughout the Life Span - E-Book. Elsevier Health Sciences; 2017. 
2.Dalvandi A, Maddah SSB, Khankeh HR, Parvaneh SH, Bahrami F, Hesam Zadeh A, et al. The health-oriented lifestyle in Islamic culture. Journal of qualitative Research in Health Sciences. 2013;1(4):332-43. [Persian]. 
3.Tol A, Tavassoli E, Shariferad GR, Shojaeezadeh D. Health-promoting lifestyle and quality of life among undergraduate students at school of health, Isfahan university of medical sciences. J Educ Health Promot. 2013;2:11. doi: 10.4103/2277- 9531.108006. 
4.Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res. 1987;36(2):76-81. 
5.Nacar M, Baykan Z, Cetinkaya F, Arslantas D, Ozer A, Coskun O, et al. Health promoting lifestyle behaviour in medical students: a multicentre study from Turkey. Asian Pac J Cancer Prev. 2014;15(20):8969-74. doi: 10.7314/ apjcp.2014.15.20.8969. 
6.Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Reliability and validity of Persian version of the health-promoting lifestyle profile. Journal of Mazandaran University of Medical Sciences. 2012;21(1):102-13. [Persian]. 
7.Kim HJ, Choi-Kwon S, Kim H, Park YH, Koh CK. Health-promoting lifestyle behaviors and psychological status among Arabs and Koreans in the United Arab Emirates. Res Nurs Health. 2015;38(2):133-41. doi: 10.1002/nur.21644. 
8.Pender NJ, Murdaugh CL, Parsons MA. Health Promotion in Nursing Practice. 5th ed. Upper Saddle River, NJ: Pearson/ Prentice Hall; 2006. 
9.Damirchi F, Khodabakhshi Koolaee A. Differences between health-promoting lifestyle among sex worker with substance use and non-substance use women (Case study in Tehran). Community Health. 2016;3(3):239-47. 
10.Peker K, Bermek G. Predictors of health-promoting behaviors among freshman dental students at Istanbul University. J Dent Educ. 2011;75(3):413-20. 
11.Mak YW, Kao AHF, Tam LWY, Tse VWC, Tse DTH, Leung DYP. Health-promoting lifestyle and quality of life among Chinese nursing students. Prim Health Care Res Dev. 2018;19(6):629- 36. doi: 10.1017/s1463423618000208. 
12.Hosseini M, Ashktorab T, Taghdisi M. Health promotion lifestyle in nursing students: a systematic review. Journal of Health Promotion Management. 2013;2(1):66-79. [Persian]. 
13.Caldwell LL. Leisure and health: why is leisure therapeutic? Br J Guid Counc. 2005;33(1):7-26. doi: 10.1080/03069880412331335939. 
14.Harter JK, Schmidt FL, Keyes CL. Well-being in the workplace and its relationship to business outcomes: a review of the Gallup studies. In: Keyes CLM, Haidt J, eds. Flourishing: Positive Psychology and the Life Well-Lived. American Psychological Association; 2003. p. 205-24. doi: 10.1037/10594-009. 
15.Hall LH, Johnson J, Watt I, Tsipa A, O’Connor DB. Healthcare staff wellbeing, burnout, and patient safety: a systematic review. PLoS One. 2016;11(7):e0159015. doi: 10.1371/ journal.pone.0159015. 
16.Hadizadeh Talasaz Z, Nourani Saadoldin S, Shakeri MT. Relationship between components of quality of work life with job satisfaction among midwives in Mashhad, 2014. Hayat. 2015;21(1):56-67. [Persian]. 
17.Sakkaki M, Hajimiri K, Farsi F. Quality of work life among midwives working in Zanjan university of medical sciences hospitals. Preventive Care in Nursing & Midwifery Journal. 2013;2(2):41-8. [Persian]. 
18.Safaei M, Abedian Z, Mazlum SR. Relationship between job stress and work ability among Mashhad health centers employed midwives. Journal of Torbat Heydariyeh University of Medical Sciences. 2016;4(1):30-5. [Persian]. 
19.Masoumi SZ, Mirzaiinajmabadi K, Shobeiri F, Khodakarami B, Montazeri A. Quality of life among midwives working in hospitals, in Hamedan, Iran. Payesh. 2013;12(3):283-8. [Persian]. 
20.Hasanpour L, Zohari Anboohi S, Safari M, Naderiravesh N, Khodakarim S. Factors associated with nurses’ lifestyles in nurses of Tehran hospitals in 2012. Faculty of Nursing of Midwifery Quarterly. 2016;25(91):65-73. [Persian]. 
21.Abedi P, Jorfi M, Afshari P. Evaluation of the health promotion lifestyle and its related factors in reproductive aged women in Ahvaz, Iran. Community Health Journal. 2015;9(1):68-74. [Persian]. 
22.Bruwer B, Emsley R, Kidd M, Lochner C, Seedat S. Psychometric properties of the multidimensional scale of perceived social support in youth. Compr Psychiatry. 2008;49(2):195-201. doi: 10.1016/j.comppsych.2007.09.002. 
23.Bagherian-Sararoudi R, Hajian A, Ehsan HB, Sarafraz MR, Zimet GD. Psychometric properties of the persian version of the multidimensional scale of perceived social support in iran. Int J Prev Med. 2013;4(11):1277-81. 
24.Siboni F, Khatooni M, Atashi V. Health-promoting lifestyle practices among patients with chronic diseases and its related factors. Soc Health Behav. 2018;1(2):67-73. doi: 10.4103/shb. shb_29_18. 
25.Mahmoodi H, Asghari Jafarabadi M, Mohammadi Y, Shirzadi S, Sadeghi M, Sharifisaqezi P. Correlation of body mass index and health-promoting lifestyle among health care workers of Saqqez city. Journal of Health Promotion Management. 2016;5(2):42-51. [Persian]. 
26.Kurnat-Thoma E, El-Banna M, Oakcrum M, Tyroler J. Nurses’ health promoting lifestyle behaviors in a community hospital. Appl Nurs Res. 2017;35:77-81. doi: 10.1016/j. apnr.2017.02.012. 
27.Geok SK, Yusof A, Lam SK, Japar S, Leong OS, Fauzee MSO. Physical activity and health-promoting lifestyle of student nurses in Malaysia. J Biosci Med. 2015;3(3):78-87. doi: 10.4236/jbm.2015.33012. 
28.Paudel S, Krishna Bahadur GC, Bhandari DB, Bhandari L, Arjyal A. Health related lifestyle behaviors among undergraduate medical students in Patan Academy of Health Sciences in Nepal. J Biosci Med. 2017;5(9):43-53. doi: 10.4236/ jbm.2017.59005. 
29.Nassar OS, Shaheen AM. Health-promoting behaviours of university nursing students in Jordan. Health. 2014;6(19):2756- 2763. doi: 10.4236/health.2014.619315. 
30.Borle PS, Parande M, Tapare V, Kamble VS, Bulakh PC. Health-promoting lifestyle behaviours of nursing students of a tertiary care institute. Int J Community Med Public Health. 2017;4(5):1768-73. doi: 10.18203/2394-6040. ijcmph20171799. 
31.Hui WH. The health-promoting lifestyles of undergraduate nurses in Hong Kong. J Prof Nurs. 2002;18(2):101-11. doi: 10.1053/jpnu.2002.32346. 
32.Stengel B, Tarver-Carr ME, Powe NR, Eberhardt MS, Brancati FL. Lifestyle factors, obesity and the risk of chronic kidney disease. Epidemiology. 2003;14(4):479-87. doi: 10.1097/01. EDE.0000071413.55296.c4. 
33.Nocon M, Hiemann T, Müller-Riemenschneider F, Thalau F, Roll S, Willich SN. Association of physical activity with all-cause and cardiovascular mortality: a systematic review and meta-analysis. Eur J Cardiovasc Prev Rehabil. 2008;15(3):239- 46. doi: 10.1097/HJR.0b013e3282f55e09. 
34.Anderson ES, Wojcik JR, Winett RA, Williams DM. Social-cognitive determinants of physical activity: the influence of social support, self-efficacy, outcome expectations, and self-regulation among participants in a church-based health promotion study. Health Psychol. 2006;25(4):510-20. doi: 10.1037/0278-6133.25.4.510. 
35.Lorentzen B, Wikström BM. Healthy lifestyle for people with intellectual disabilities through a health intervention program. Open Journal of Nursing. 2012;2(3):157-64. doi: 10.4236/ ojn.2012.23024. 
36.Mohamadian H, Eftekhar H, Rahimi A, Mohamad HT, Shojaiezade D, Montazeri A. Predicting health-related quality of life by using a health promotion model among Iranian adolescent girls: a structural equation modeling approach. Nurs Health Sci. 2011;13(2):141-8. doi: 10.1111/j.1442- 2018.2011.00591.x. 
37.Chen CM, Kuo SF, Chou YH, Chen HC. Postpartum Taiwanese women: their postpartum depression, social support and health-promoting lifestyle profiles. J Clin Nurs. 2007;16(8):1550-60. doi: 10.1111/j.1365-2702.2006.01837.x. 
38.Thanakwang K. Social networks and social support influencing health-promoting behaviors among Thai community-dwelling elderly. Pac Rim Int J Nurs Res. 2008;12(4):243-58. 
39.Bang KS, Song MK, Park SE, Kim H. Relationships among physical activity level, health-promoting behavior, and physiological variables in Korean university students. Perspect Nurs Sci. 2018;15(1):11-7. doi: 10.16952/pns.2018.15.1.11. 
40.Aliabadi S, Hesami S. Path analyze model of general health, physical activity and the health-promoting lifestyle in female’s student. International Congress on Physical Education And Sport Sciences; 2015; Tehran, Ministry of Research and Technology Institute of Physical Education and Sport Sciences.