مجله زنان مامائی و نازائی ایران
سال شانزدهم شماره 74 (هفته چهارم آبان 1392)

Stress is a common human experience that has significant implications on their health. Occupational stress particularly is an inability to cope and deal with the pressures of the jobs، and subsequently cause people lose their mental and physical balance. Happiness is a component of mental health which has opposite relationship with stress، so that the experience of stress reduces feelings of happiness and mental health is threatened. The aim of this study was determining the relationship between occupational stress and happiness in midwives who work in the hospitals and health centers of Mashhad، Iran. This descriptive-correlation study was conducted on 180 midwives who work in educational hospitals and health centers of Mashhad University of Medical Sciences، Mashhad، Iran in 2013. Sampling in the maternity was census and in the health centers was classified cluster. Data were collected with demographic and Happiness Oxford Questionnaire، and visual analog scale of occupational stress. Data were analyzed by SPSS software version 19، descriptive statistics، Pearson correlation coefficient، Spearman correlation، Kruskal-Wallis and chi-square tests. P value less than 0. 05 was considered significant. The mean age of midwives work in health centers and maternity wards were 39. 63±6. 92 and 36. 50±9. 71، respectively (p=0. 014). Occupational stress among midwives in maternity ward (4. 14±1. 96) was higher than midwives in health centers (3. 70±1. 77) (p=0. 114). The mean score of happiness in midwives work in hospital was 123. 61±20. 00 and the mean score of happiness in midwives work in health centers was 125. 13±35. 19 (p=0. 604). Moderate and significant negative correlation was found between happiness and stress (r=-0. 479، p<0. 001). There was a negative and significant correlation between happiness and stress.

Promotion of quality of life in many communities is seen as their major effort. Patients with gender identity disorder are at greater risk of mental health problems because of the gender issues and pressures upon them. This study was done aimed to compare the quality of life in patients with gender identity disorders after sex reassignment surgery with normal women. This descriptive-analytical study was conducted on 46 male to female transsexual in Tehran، Iran، 2012. 184 normal women as controls were selected to compare quality of life and associated individual factors. Demographic information was collected and a standard questionnaire of quality of life (SF36) was used in both groups. The quality of life showed significant differences in transsexual women regarding education level in aspect of physical function (p=0. 04)، occupational status in aspects of social function and general health (p=0. 03 and p=0. 01، respectively)، history of psychiatric problems in aspect of mental health (p=0. 03) and income adequacy in aspect of general health (p=0. 01). Total score of quality of life among transsexual women is similar to normal women. Quality of life among transsexual women is associated with level of education، job، income adequacy and mental stability.

Healthy sexual function is one of the most important confounding factors in a woman’s sense of well-being and quality of life. Various factors are involved in establishing a good sex. In recent years، the problem of obesity and impact of body mass index on sexual function in women has been considered. This study investigated the relationship between body mass index and female sexual function.

This cross-sectional study was conducted on 330 women aged 15-45 years between May and September 2013 in Ahvaz، Iran. Cluster randomized sampling method was used. Data were collected using demographic questionnaire and the Female Sexual Function Index (FSFI) questionnaire and analyzed using SPSS software (version 19)، Kolmogorov–Smirnov، Chi-Square، ANOVA and regression tests. P value less than 0. 05 was considered significant.

The mean of total FSFI score was 26. 60±4. 45. The mean of body mass index was 26. 41±4. 58 kg/m2. The mean of FSFI scores were 26. 38 ±5. 51 in normal body mass index group، 26. 76±3. 49 in overweight women and 26. 72±3. 47 in obese women. No significant difference was found in BMI groups regarding to FSFI scores (p<0. 05).

Overweight and obesity has no significant relationship with Sexual function in women، but definitive conclusion in this issue requires further studies.