Predicting Women&#039;s Marital Adjustment based on Attitudes toward Infidelity, Health Literacy and Self-Care in their Diabetic Spouses in Ahvaz

Shafiee Rayhani, Arezoo; Ehteshamzadeh, Parvin

Volume 16, Issue 3 (8-2024) IJDO 2024, 16(3): 154-166 | Back to browse issues page

Mendeley

Zotero

RefWorks

Shafiee Rayhani A, Ehteshamzadeh P. Predicting Women's Marital Adjustment based on Attitudes toward Infidelity, Health Literacy and Self-Care in their Diabetic Spouses in Ahvaz. IJDO 2024; 16 (3) :154-166
URL: http://ijdo.ssu.ac.ir/article-1-885-en.html

Predicting Women's Marital Adjustment based on Attitudes toward Infidelity, Health Literacy and Self-Care in their Diabetic Spouses in Ahvaz

Arezoo Shafiee Rayhani ^*

, Parvin Ehteshamzadeh

Department of Psychology, Islamic Azad University, Ahvaz Branch, Ahvaz, Iran.

Abstract: (225 Views)

Objective: The aim of this study is to employ an artificial neural network to predict the marital adjustment of women by investigating their attitudes toward infidelity, health literacy, and self-care concerning their diabetic spouses.
Materials and Methods: The present study employed a descriptive-correlational research design. The study's statistical population comprised all couples residing in Ahvaz City, in which their male spouse was diagnosed with either type 1 or type 2 diabetes and who had been registered with the Diabetes Association of Khuzestan province until the end of December in the year 2022. Out of a total population of 2,200 individuals, a sample of 205 individuals was chosen using convenience sampling. In order to gather data, the researchers utilized several questionnaires, including the Marital Adjustment Questionnaire (MAQ), Attitude towards infidelity Scale, Health Literacy for Iranian Adults (HELIA), and The Diabetes Self-Care Activities Questionnaire (DSCAQ. The data analysis involved the application of descriptive statistics and inferential statistics to examine Pearson's correlation coefficient, regression, and the artificial neural network.
Results: The results indicated a statistically significant negative association between men's attitude towards infidelity and women's marital adjustment as well as statistically significant positive associations between men's health literacy and women's marital adjustment, and between men's self-care and women's marital adjustment (P< 0.01).
Conclusion: Health literacy plays a crucial role in enhancing the ability of men with diabetes to self-regulate and manage their condition through proper diet. It also increases their awareness of how diabetes can impact their marital life and sexual relationships.

Keywords: Diabetes, Marital adjustment, Attitude toward Infidelity, Health literacy, Self-care

Full-Text [PDF 855 kb] (104 Downloads)

Type of Study: Research | Subject: Special
Received: 2024/03/14 | Accepted: 2024/07/27 | Published: 2024/08/20

References

1. İlhan N, Telli S, Temel B, Aştı T. Health literacy and diabetes self-care in individuals with type 2 diabetes in Turkey. Primary care diabetes. 2021;15(1):74-9. [DOI:10.1016/j.pcd.2020.06.009]

2. Banday MZ, Sameer AS, Nissar S. Pathophysiology of diabetes: An overview. Avicenna journal of medicine. 2020;10(04):174-88. [DOI:10.4103/ajm.ajm_53_20]

3. Sridhar GR. On psychology and psychiatry in diabetes. Indian Journal of Endocrinology and Metabolism. 2020;24(5):387-95. [DOI:10.4103/ijem.IJEM_188_20]

4. Qian Y, Sayer LC. Division of labor, gender ideology, and marital satisfaction in East Asia. Journal of Marriage and Family. 2016;78(2):383-400. [DOI:10.1111/jomf.12274]

5. Jeanfreau MM, Mong M. Barriers to marital infidelity. Marriage & Family Review. 2019;55(1):23-37. [DOI:10.1080/01494929.2018.1518821]

6. Mphaphuli M, Smuts L. "Give it to him": sexual violence in the intimate relationships of black married women in South Africa. Signs: Journal of Women in Culture and Society. 2021;46(2):443-64. [DOI:10.1086/710811]

7. Granado-Casas M, Alcubierre N, Martín M, Real J, Ramírez-Morros AM, Cuadrado M, et al. Improved adherence to Mediterranean Diet in adults with type 1 diabetes mellitus. European journal of nutrition. 2019;58:2271-9. [DOI:10.1007/s00394-018-1777-z]

8. Wooldridge JS, Ranby KW. Influence of relationship partners on self-efficacy for self-management behaviors among adults with type 2 diabetes. Diabetes Spectrum. 2019;32(1):6-15. [DOI:10.2337/ds17-0069]

9. Duarte RF, Labopin M, Bader P, Basak GW, Bonini C, Chabannon C, et al. Indications for haematopoietic stem cell transplantation for haematological diseases, solid tumours and immune disorders: current practice in Europe, 2019. Bone marrow transplantation. 2019;54(10):1525-52. [DOI:10.1038/s41409-019-0516-2]

10. Paudel G, Vandelanotte C, Dahal PK, Biswas T, Yadav UN, Sugishita T, et al. Self-care behaviours among people with type 2 diabetes mellitus in South Asia: A systematic review and meta-analysis. Journal of global health. 2022;12:04056. [DOI:10.7189/jogh.12.04056]

11. Liu AK, Liu YY, Su J, Gao J, Dong LJ, Lv QY, et al. Self-efficacy and self-management mediate the association of health literacy and quality of life among patients with TB in Tibet, China: a cross-sectional study. International Health. 2023;15(5):585-600. [DOI:10.1093/inthealth/ihad040]

12. Rastkar M, Jalalifar E. The association between marital quality and diabetes mellitus: A systematic review. Health Science Reports. 2023;6(2):e1106. [DOI:10.1002/hsr2.1106]

13. Wong KK, Velasquez A, Powe NR, Tuot DS. Association between health literacy and self-care behaviors among patients with chronic kidney disease. BMC nephrology. 2018;19:1-8. [DOI:10.1186/s12882-018-0988-0]

14. Shin KS, Lee EH. Relationships of health literacy to self‐care behaviors in people with diabetes aged 60 and above: Empowerment as a mediator. Journal of advanced nursing. 2018;74(10):2363-72. [DOI:10.1111/jan.13738]

15. Oliveira D, Sousa L, Orrell M. Improving health-promoting self-care in family carers of people with dementia: a review of interventions. Clinical Interventions in Aging. 2019:515-23. [DOI:10.2147/CIA.S190610]

16. Chen LT, Liu L. Content Analysis of Statistical Power in Educational Technology Research: Sample Size Matters. International Journal of Technology in Teaching and Learning. 2019;15(1):49-75. [DOI:10.37120/ijttl.2019.15.1.04]

17. Spanier GB, Cole CL. Toward clarification and investigation of marital adjustment. International journal of sociology of the family. 1976:121-46.

18. Ahmaditar S, Makvandi B, Sodani M. The effectiveness of family education in cognitive-behavioral approach on marital adjustment, resilience and quality of life in couples. Women and Family Studies. 2018;11(41):23-41.

19. Whatley MA. Attitudes toward infidelity scale. Choices in relationships. 2008;19.

20. Habibi M, Sayed Alitabar SH, Pouravari M, Salehi S. Reliability, validity and factor structure for the attitudes toward infidelity scale. Journal of Research and Health. 2019;9(4):294-301. [DOI:10.29252/jrh.9.4.294]

21. Montazeri AL, Tavousi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M, et al. Health Literacy for Iranian Adults (HELIA): development and psychometric properties. Payesh (Health Monitor). 2014 Oct 15;13(5):589-99.(in Persian)

22. Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes care. 2000;23(7):943-50. [DOI:10.2337/diacare.23.7.943]

23. Kordi M, Banaei M, Asgharipour N, Mazloum SR, Akhlaghi F. Prediction of self-care behaviors of women with gestational diabetes based on Belief of Person in own ability (self-efficacy). The Iranian Journal of Obstetrics, Gynecology and Infertility. 2016;19(13):6-17.(in Persian)

24. Mehdipour-Rabori R, Dehsheakhi MA, Nouhi E, Nematollahi M. Comparison of the relationship between sexual function, marital adjustment, and life satisfaction in diabetic and non-diabetic women. International journal of community based nursing and midwifery. 2020;8(4):324.

25. Keyhani E, Falsafinejad MR, Khodabakhshi-koolaee A. Comparison of marital satisfaction and adjustment in diabetic and healthy women. Journal of Diabetes Nursing. 2019;6(4):653-63. (in Persian)

26. Cooper AN, May RW, Fincham FD. Stress spillover and crossover in couple relationships: Integrating religious beliefs and prayer. Journal of Family Theory & Review. 2019;11(2):289-314. [DOI:10.1111/jftr.12330]

27. Eftekhari M, Amanelahi A, Christopher Perry J, Rajabi G, Aslani K. Explaining the Marital Adjustment Process in Iranian Women: A Grounded Theory Study. Journal of Research and Health. 2021;11(2):77-86. [DOI:10.32598/JRH.11.2.1706.1]

28. Omidian M, Rahimian Boogar I, Talepasand S, Najafi M, Kaveh M. The cultural tailoring and effectiveness of couples coping enhancement training on marital adjustment of wives. Practice in Clinical Psychology. 2019;7(1):43-52. [DOI:10.32598/jpcp.7.1.43]

29. Getie Mekonnen E, Yeshita HY, Bishaw Geremew A. Sexual dysfunction among men with diabetes mellitus attending chronic out-patient department at the three hospitals of Northwest Amhara region, Ethiopia: Prevalence and associated factors. PLoS One. 2021;16(8):e0256015. [DOI:10.1371/journal.pone.0256015]

30. Hoogendoorn CJ, Shapira A, Roy JF, Kane NS, Gonzalez JS. Diabetes distress and quality of life in adults with diabetes. Behavioral Diabetes: Social Ecological Perspectives for Pediatric and Adult Populations. 2020:303-28. [DOI:10.1007/978-3-030-33286-0_20]

31. Wang MJ, Hung LC, Lo YT. Glycemic control in type 2 diabetes: role of health literacy and shared decision-making. Patient preference and adherence. 2019;13:871-9. [DOI:10.2147/PPA.S202110]

32. Wallner LP, Sarma AV, Kim C. Sexual functioning among women with and without diabetes in the Boston Area Community Health Study. The journal of sexual medicine. 2010;7(2_Part_2):881-7. [DOI:10.1111/j.1743-6109.2009.01510.x]

33. Montazami M, Khalifehzadeh-Esfahani A, Keshvari M. Investigating the effect of family-centered self-care program based on home visits regarding dietary and medication regimen adherence of discharged patients with acute coronary syndrome. Iranian Journal of Nursing and Midwifery Research. 2021;26(2):113-9. [DOI:10.4103/ijnmr.IJNMR_105_19]

34. Soriano EC, Lenhard JM, Gonzalez JS, Tennen H, Chow SM, Otto AK, et al. Spousal influence on diabetes self-care: Moderating effects of distress and relationship quality on glycemic control. Annals of Behavioral Medicine. 2021;55(2):123-32. [DOI:10.1093/abm/kaaa038]

35. Donoho CJ, Seeman TE, Sloan RP, Crimmins EM. Marital status, marital quality, and heart rate variability in the MIDUS cohort. Journal of Family Psychology. 2015;29(2):290-5. [DOI:10.1037/fam0000068]

36. Wang L, Yi Z. Marital status and all-cause mortality rate in older adults: a population-based prospective cohort study. BMC geriatrics. 2023;23(1):214. [DOI:10.1186/s12877-023-03880-8]

37. Lee HH, Lung FW, Lee PR, Kao WT, Lee YL. The relationship between sex life satisfaction and job stress of married nurses. BMC research notes. 2012;5:445. [DOI:10.1186/1756-0500-5-445]

38. Elyasi F, Kashi Z, Tasfieh B, Bahar A, Khademloo M. Sexual dysfunction in women with type 2 diabetes mellitus. Iranian journal of medical sciences. 2015;40(3):206.