Health-promoting behaviors and social support in Iranian women of reproductive age: a sequential explanatory mixed methods study

Int J Public Health. 2014 Jun;59(3):465-73. doi: 10.1007/s00038-013-0513-y. Epub 2013 Sep 17.

Abstract

Objectives: The aim of this study was to determine health-promoting behaviors and their determinants including social support and sociodemographic characteristics as well as to explore women's experience of health-promoting behaviors.

Methods: This sequential explanatory mixed methods study was conducted in two phases. The first phase was a cross-sectional study conducted on 1,359 women. Questionnaires, including items on sociodemographic characteristics, the HPLP-II and the PRQ85-Part2, were completed by interview. In the second phase, 15 women who were identified as extreme cases participated in individual in-depth interviews.

Results: The results of the quantitative phase showed that women obtained the highest scores on interpersonal relations and the lowest scores on physical activity. Scores on the HPLP-II and all its subscales correlated significantly with the level of social support. In the qualitative phase, factors affecting health-promoting behaviors were explored and grouped into four main categories that included personal and socio-environmental barriers as well as personal and socio-environmental facilitators.

Conclusions: The findings from this study confirm the importance of social support and modifiable variables (sociodemographic) that play a role in the health-promoting behaviours of women. These results will be useful in designing suitable interventions and strategies for the promotion of women's health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Health Behavior*
  • Health Promotion / methods*
  • Humans
  • Iran
  • Life Style
  • Social Support*
  • Socioeconomic Factors
  • Stress, Psychological / prevention & control
  • Women's Health*