Document Type: Original Article


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


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.


Main Subjects