ArticleReproductive health2025
Determinants of sexual self-efficacy among Iranian married women: a path analysis using the WHO framework.
Article in Reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSexual self-efficacy is a critical factor in promoting protected and satisfying sexual health.
objectiveThis study aimed to examine the relationship between structural/intermediary health determinants (socioeconomic status, social support, stress, intimate partner violence) and sexual self-efficacy among Iranian women of reproductive age, using path analysis.
methodIn this cross-sectional study, 424 reproductive-aged women completed validated questionnaires that assessed socio-demographics, socioeconomic status, perceived social support, perceived stress, intimate partner violence, and sexual self-efficacy. Data were analyzed using SPSS 27 for descriptive statistics and AMOS 24 for path analysis.
resultsAccording to the path analysis, perceived social support and socioeconomic status were positively associated with sexual self-efficacy, while perceived stress and intimate partner violence were negatively associated with sexual self-efficacy. Therefore, intimate partner violence, perceived stress and social support play a mediating role between age, socioeconomic status and sexual self-efficacy. The model demonstrated a strong fit, with RMSEA = 0.05, GFI = 0.99, CFI = 0.99, NFI = 0.96, and χ²/df = 1.56, confirming its strength.
conclusionBased on the results of this study, it is crucial to focus more on the sexual self-efficacy of women, particularly those with low socioeconomic status. Furthermore, it is advisable to implement specialized programs to alleviate stress and reduce domestic violence, as well as to increase social support for women facing sexual issues.
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