The Association between Spiritual Health and Health Related Quality of Life in Tehrani Adults

Background and Aim: Existing evidence indicated the association between spiritual health and health related quality of life (HRQoL) in individuals with chronic diseases. The current study is among the first conducted to investigate the association between spiritual health and HRQoL in a general population of Tehranian adult, using the structural equation model method. Materials and Methods: The current cross-sectional study was conducted within the framework of the Tehran Lipid and Glucose Study (TLGS). Participants were adults ≥20 years who participated in the TLGS during 2014-2016 and completed the spiritual health inventory in Muslim adults (SHIMA) and the Iranian version of Short-Form 12-Item Health Survey version 2 (SF-12v2). Structural equation modeling was used to assess associations between socio-demographic factors, spiritual health and HRQoL. Findings: The spiritual health questionnaire was completed by 1595 adults (56.2% female) with a mean age of 41.3±12.5 years. Of the total study population, 361(22.6%) were single and 657 (41.2%) had academic education. Mean total and subscale scores of spiritual health were significantly higher in women compared to men (p<0.05). In addition, mean HRQoL subscale scores were significantly higher in men compared to women (p<0.001). Fit indices of tested conceptual model for men and women were acceptable. Cognitive/ emotional dimension has a significant direct association with the mental dimension of HRQoL in both men (β=0.37, p<0.05) and women (β=0.21, p<0.05). Ethical Considerations: All participants signed informed consent form befor data collection. Conclusion: The current study indicated a structural model of association between spiritual health and HRQoL in Tehranian men and women, which can be used in future interventions with the aim of improving HRQoL in adults. To generalize these findings, further investigations in other urban and rural Iranian populations is recommended. Cite this article as: Amiri P, Vahedi-Notash G, Jalali-Farahani S, Karimi M, Alamdari SH, Azizi F, The association between spiritual health and health related quality of life in Tehrani adults. Med Ethics J 2019; 13(44): e9.

[1]  F. Azizi,et al.  Socio-Demographic Determinants of Health-Related Quality of Life in Tehran Lipid and Glucose Study (TLGS) , 2017, International journal of endocrinology and metabolism.

[2]  M. Ranjbaran,et al.  Relationship between Religious Orientation and Quality of Life , 2017 .

[3]  B. Heidari,et al.  Health Related Quality of Life and Its Socio-Demographic Determinants among Iranian Elderly People: a Population Based Cross-Sectional Study , 2017, Journal of caring sciences.

[4]  M. Asadi-lari,et al.  Health-Related Quality of Life and Socioeconomic Status: Inequalitiesamong Adults inWest of Iran , 2017 .

[5]  J. Macindo,et al.  Socio-demographics, spirituality, and quality of life among community-dwelling and institutionalized older adults: A structural equation model. , 2016, Archives of gerontology and geriatrics.

[6]  M. Mirghafourvand,et al.  Spiritual Well-Being and Health-Related Quality of Life in Iranian Adolescent Girls , 2016, Community Mental Health Journal.

[7]  G. Janbabaei,et al.  LIFE QUALITY RELATED TO SPIRITUAL HEALTH AND FACTORS AFFECTING IT IN PATIENTS AFFLICTED BY DIGESTIVE SYSTEM METASTATIC CANCER , 2015, Materia socio-medica.

[8]  F. Azizi,et al.  DESIGNATION AND PSYCHOMETRIC ASSESSMENT OF A COMPREHENSIVE SPIRITUAL HEALTH QUESTIONNAIRE FOR IRANIAN POPULATIONS , 2015 .

[9]  K. Momeni,et al.  The role of spiritual health in prediction of the quality of life of students in Razi University of Kermanshah during academic year of 2014-2015 , 2015 .

[10]  B. Moeini,et al.  The Role of Spiritual Health and Social Support in Predicting Nurses’ Quality of Life , 2015 .

[11]  Meiying Bai,et al.  A systematic review of associations between spiritual well-being and quality of life at the scale and factor levels in studies among patients with cancer. , 2015, Journal of palliative medicine.

[12]  Christian U. Krägeloh,et al.  Spiritual quality of life and spiritual coping: evidence for a two-factor structure of the WHOQOL spirituality, religiousness, and personal beliefs module , 2015, Health and Quality of Life Outcomes.

[13]  G. Rowe,et al.  Quality of life in dementia: a systematically conducted narrative review of dementia-specific measurement scales , 2015, Aging & mental health.

[14]  T. Mehrabi,et al.  A STUDY ON THE RELATIONSHIP BETWEEN SPIRITUAL WELL-BEING AND QUALITY OF LIFE IN INFERTILE WOMEN REFERRED TO INFERTILITY CENTERS IN ISFAHAN , 2014 .

[15]  K. Pargament,et al.  The role of religion and spirituality in mental health , 2014, Current opinion in psychiatry.

[16]  Hui Bian,et al.  The Relationship Between Spiritual Well-Being and Health-Related Quality of Life in College Students , 2013, Journal of American college health : J of ACH.

[17]  A. Jadidi,et al.  2625 – Relationship Between Spiritual Well-Being and Quality of Life Among Elderly Peopleresiding in Kahrizak Senior House , 2013, European Psychiatry.

[18]  N. Rejeh,et al.  The Relationship Between Spiritual Health and Quality of Life in Patients with Coronary Artery Disease , 2012 .

[19]  M. Abolghasemi.  SEMANTICS OF SPIRITUAL HEALTH AND ITS RELIGIOUS SCOPE , 2012 .

[20]  A. Golafshani,et al.  Relationship between spiritual well-being and quality of life in nurses , 2012 .

[21]  S. Tavafian,et al.  Determinants of Health Related Quality of Life on People Living in Bandar Abbas, Iran , 2011, Iranian journal of public health.

[22]  N. Azimi,et al.  Relationship between spiritual well-being, religion, and hope among patients with cancer , 2011 .

[23]  M. Holstad,et al.  Spiritual Well-Being and Health-Related Quality of Life Among African–American Women with HIV/AIDS , 2011, Applied research in quality of life.

[24]  Scott M. Debb,et al.  Spiritual Well-Being as a Component of Health-Related Quality of Life: The Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being Scale (FACIT-Sp) , 2011 .

[25]  H. Haghani,et al.  A Survey on relationship between spiritual wellbeing and quality of life in multiple sclerosis patients , 2010 .

[26]  M. Palta,et al.  Gender differences in health-related quality-of-life are partly explained by sociodemographic and socioeconomic variation between adult men and women in the US: evidence from four US nationally representative data sets , 2010, Quality of Life Research.

[27]  D. Niakas,et al.  Assessing the socio-economic and demographic impact on health-related quality of life: evidence from Greece , 2009, International Journal of Public Health.

[28]  Farzad Hadaegh,et al.  Prevention of non-communicable disease in a population in nutrition transition: Tehran Lipid and Glucose Study phase II , 2009, Trials.

[29]  S. Ng,et al.  The impact of spirituality on health-related quality of life among Chinese older adults with vision impairment , 2008, Aging & mental health.

[30]  H. Prigerson,et al.  Religious coping is associated with the quality of life of patients with advanced cancer. , 2006, Journal of palliative medicine.

[31]  Whoqol Srpb.  A cross-cultural study of spirituality, religion, and personal beliefs as components of quality of life. , 2006, Social science & medicine.

[32]  B. Saletu,et al.  Effects of socio‐demographic variables on health‐related quality of life determined by the quality of life index—German version , 2005, Human psychopharmacology.

[33]  B. Gandek,et al.  The Short Form Health Survey (SF-36): Translation and validation study of the Iranian version , 2005, Quality of Life Research.

[34]  Fereidoun Azizi,et al.  Cardiovascular risk factors in an Iranian urban population: Tehran Lipid and Glucose Study (Phase 1) , 2002, Sozial- und Präventivmedizin.

[35]  Rex B. Kline,et al.  Principles and Practice of Structural Equation Modeling , 1998 .

[36]  L. Ross.  The spiritual dimension: its importance to patients' health, well-being and quality of life and its implications for nursing practice. , 1995, International journal of nursing studies.

[37]  C. Ellison,et al.  Norms for the Spiritual Weil-Being Scale , 1991 .