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Introduction <p>Women, especially in urban marginalized areas, face a set of challenges and limitations in the field of health promotion. Considering the key role of women in family and community health, and their vulnerability in marginalized conditions, this study aimed to examine health-promoting lifestyle in women living in urban marginalized areas, to identify their needs and provide a foundation for designing evidence-based interventions and effective policies to improve women’s health.</p> Methods <p>This cross-sectional, descriptive-analytical study was conducted in 2025 on 295 women living in a suburban area of Mashhad, northeastern Iran, using multi-stage sampling. After ethical approval and written informed consent, participants completed a demographic questionnaire and the Health-Promoting Lifestyle Profile II (HPLP-II), whose Persian version has confirmed validity and reliability in Iran (Cronbach’s alpha = 0.82). Data were analyzed in SPSS version 25 using descriptive and analytical statistics including Kruskal–Wallis, Mann–Whitney U, and Spearman correlation tests with a significance level of <i>p</i> &lt; 0.05.</p> Results <p>The mean age of the women was 37.25 ± 10.63 years and mean total health-promoting lifestyle score was 127.87 ± 26.91, with the highest mean score in the spiritual growth dimension (26.02 ± 5.58). Analyses showed a significant inverse relationship between age, number of children, BMI, and lifestyle score (<i>P</i> &lt; 0.05), and lower lifestyle scores among women with chronic diseases such as hypertension and hyperlipidemia (<i>P</i> &lt; 0.05). A significant increase in lifestyle score with higher family income (<i>P</i> &lt; 0.05), and differences in mean lifestyle scores based on marital status and educational level (<i>P</i> &lt; 0.05).</p> Discussion and conclusion <p>The findings indicate that the overall level of health-promoting lifestyle among women living in marginalized areas is moderate and associated with various individual and social factors. These findings suggest that improving women’s health in such settings requires attention to both personal behaviors and broader economic and educational contexts. Further studies are recommended to design and assess interventions that effectively address these factors.</p>

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Health-promoting lifestyle among women living in suburban areas of northeastern Iran: A cross-sectional study

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  • 出版模式：

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  • 发表日期：

    2026年6月15日

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  • Faezeh Rastgoo,
  • Nayyereh Davoudi,
  • Samane Najafi,
  • HamidReza Zendeh Talab

摘要

Introduction

Women, especially in urban marginalized areas, face a set of challenges and limitations in the field of health promotion. Considering the key role of women in family and community health, and their vulnerability in marginalized conditions, this study aimed to examine health-promoting lifestyle in women living in urban marginalized areas, to identify their needs and provide a foundation for designing evidence-based interventions and effective policies to improve women’s health.

Methods

This cross-sectional, descriptive-analytical study was conducted in 2025 on 295 women living in a suburban area of Mashhad, northeastern Iran, using multi-stage sampling. After ethical approval and written informed consent, participants completed a demographic questionnaire and the Health-Promoting Lifestyle Profile II (HPLP-II), whose Persian version has confirmed validity and reliability in Iran (Cronbach’s alpha = 0.82). Data were analyzed in SPSS version 25 using descriptive and analytical statistics including Kruskal–Wallis, Mann–Whitney U, and Spearman correlation tests with a significance level of p < 0.05.

Results

The mean age of the women was 37.25 ± 10.63 years and mean total health-promoting lifestyle score was 127.87 ± 26.91, with the highest mean score in the spiritual growth dimension (26.02 ± 5.58). Analyses showed a significant inverse relationship between age, number of children, BMI, and lifestyle score (P < 0.05), and lower lifestyle scores among women with chronic diseases such as hypertension and hyperlipidemia (P < 0.05). A significant increase in lifestyle score with higher family income (P < 0.05), and differences in mean lifestyle scores based on marital status and educational level (P < 0.05).

Discussion and conclusion

The findings indicate that the overall level of health-promoting lifestyle among women living in marginalized areas is moderate and associated with various individual and social factors. These findings suggest that improving women’s health in such settings requires attention to both personal behaviors and broader economic and educational contexts. Further studies are recommended to design and assess interventions that effectively address these factors.