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Background: In spite of the fact that Iran is one of the most successful countries in family planning program yet the rate of condom usage among those, who are sexually active is low. As a result, recognizing barriers to condom usage can improve planning for condom promotion. Objectives: The main goal of this study was to examine the rate of condom usage and to determine factors influencing condom usage among couples in Shiraz city of Iran. This study also investigates the possible effects of new population policies on the rate of condom usage. Methods: The study was a quantitative survey. Data was collected by a questionnaire from 626 married females in Shiraz county (Shiraz city and rural areas), who were selected by the multi-cluster sampling method. Data analysis was done by the SPSS software (version 20). Results: Findings demonstrated that rate of condom usage in Shiraz County, particularly in rural areas, was low. However, considerable percentages of respondents were familiar with condoms yet many of them did not have enough information about it. Furthermore, results of logistic regression revealed that age, place of residence, knowledge about condoms, couple agreement on condom usage, spousal age difference, and influence of condom sexual pleasure were the main predictors of condom usage. Conclusions: The rate of male condom usage in Shiraz county compared to other countries, even some Asian countries, is very low. Condom usage is a complex issue, which is affected by a set of demographic, socioeconomic, and cultural factors. As a result, policymakers should pay greater attention to these factors in order to improve the prevalence of condom usage. Finally, Iranian policy makers should be aware that new population policy through restriction of access to family planning services is not only ineffective, but can also create new problems.

Background:Female sexual satisfaction is one of the main issues that can affect women's physical and mental health as well as their family life. Although physiological and pathological changes are the main reason for the reduction of libido and sexual satisfaction in postmenopausal women, sociocultural and demographic factors are involved in this regard as well. Objectives:The main goal of this study was to examine some demographic and sociocultural factors affecting sexual satisfaction among postmenopausal women in Shiraz, Iran. Methods:This cross-sectional study was performed on 400 married postmenopausal women aged 45 -59 years in Shiraz in 2018. Data collection tool was a questionnaire, which consisted of four sections: demographic questionnaire, menopause attitude questionnaire, lifestyle questionnaire, and sexual satisfaction questionnaire. The results were analyzed in SPSS V. 20 using Pearson and Spearman tests and multiple linear regressions. Results:The findings showed that sexual motivation of about 70% of respondents had declined after menopause. In addition, 45% and 32% of respondents, respectively, had a sexual relationship once or twice and less than once a month. The results of multiple regression revealed that the main predictors of sexual satisfaction are lifestyle (B = 0.378, t = 2.09, P < 0.05), number of monthly intercourse (B = 0.199, t = 4.81, P < 0.01), and positive attitude towards menopause (B = 0.242, t = 5.99, P < 0.01). Conclusions:Demographic and sociocultural factors significantly influence sexual activity and sexual satisfaction of postmenopausal women. Accordingly, researchers and health planners should pay more attention to these factors alongside physiological and psychological dimensions.