Back to Journals » International Journal of Women's Health » Volume 7

Health-related quality of life in southern Iranian rural women: a multivariate multilevel study

Authors Ayatollahi SMT, Zare N, Dehesh T

Received 28 August 2014

Accepted for publication 10 December 2014

Published 10 February 2015 Volume 2015:7 Pages 213—218


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 4

Editor who approved publication: Professor Elie Al-Chaer

Seyed Mohammad Taghi Ayatollahi, Najaf Zare, Tania Dehesh

Department of Biostatistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Purpose: The evaluation of health-related quality of life (HRQOL) is increasingly growing to be of much significance. In an attempt to improve the agricultural conditions and to prevent the rural–urban migration, analyzing HRQOL in rural communities has gained significant governmental attention. The purpose of this study was initially to investigate rural women’s HRQOL, and then to assess the influence of some specific covariates on four domains of rural women’s HRQOL via multivariate analysis (MA) and multivariate multilevel analysis (MMA), and finally to compare the results.
Methods: Out of 146 active health centers in villages around Shiraz, Iran, ten health centers were selected, using a multistage random sampling process. These ten health centers covered 18 villages. In this cross-sectional study, all women over the age of 15 in a sample of 1,128 rural residents were interviewed using a brief version of the World Health Organization HRQOL (the WHOQOL-BREF) questionnaire. Assessing the influence of some specific covariates on the four domains of rural women’s HRQOL was conducted by MA and MMA.
Results: The average range for all four domain scores was between 12.53 and 14.27, which indicates that HRQOL for rural women is acceptable on the whole. The social relations domain and the environmental domain received the highest (14.3±2.5 SD) and the lowest (12.5±2.3 SD) scores respectively. Marital status did not indicate any significant effects on MA, but it presented an important influence on MMA. Furthermore, age and chronic diseases showed indifferent levels of significance in the two analytical methods.
Conclusion: Rural women are in need of more heedfulness during their lives, especially about facilities and health. MMA is a more accurate procedure in exploring the important covariates in HRQOL.

Keywords: Health-related quality of life, multivariate multilevel analysis, multivariate analysis, rural women

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]