Introduction: A person's sexual satisfaction reflects their judgment and analysis of their own sexual behavior. Factors that affect sexual satisfaction vary in different societies and cultures. Aim: This study investigated the determinants of sexual satisfaction in women referred to health centers in Sari, north of Iran, in 2016. Methods: This cross-sectional study investigated 490 women who had been referred to health centers in 2016 and who were qualified for the study; the population was selected using convenient sampling method. Main Outcome Measure: The main outcome of this study was sexual satisfaction that assessed by the Larson's sexual satisfaction questionnaire. Other Data were 2 questionnaires: the general health questionnairee28 and a researcher-made questionnaire developed on factors related to sexual satisfaction. Data were analyzed with IBM SPSS software using the one-way analysis of variance, Pearson correlation coefficient, and t-test. To determine the predictors of sexual satisfaction, all the significant independent variables were incorporated into a linear regression model. Results: The average age of the women in this study was 33.6 years, and average sexual satisfaction score was 99.26. The results of the linear regression model showed that the spouse's job as a laborer (P ¼ .003), a low income (P < .002), insufficient income of the spouse (P < .001), and dissatisfaction with being a woman (P < .001) were the main social determinants of sexual satisfaction (r 2 ¼ 0.54). Conclusion: It can be concluded from the findings of this study that several factors influence women's sexual satisfaction. The main social determinants of women's sexual satisfaction were dissatisfaction with their gender, the spouse's job as a laborer, low income, and insufficient income. Sexual healthcare providers can play a prominent role in increasing women's sexual satisfaction, thereby, improving the quality of their sexual life by identifying and discussing ways to control them.

Objectives: Gestational diabetes mellitus (GDM) is one of the most important medical conditions in high-risk pregnancies. Social capital is one of the essential factors affecting the prevention and control of diabetes and the blood glucose level. The purpose of this study was to investigate the level of social capital and its related factors in GDM in the north of Iran. Materials and Methods: This cross-sectional study was conducted on 212 GDM women who referred to diabetes centers at Razi hospital in Ghaemshahr and Imam Khomeini hospital in Sari in 2019. The women were selected through the convenience sampling method. The data collection tools included Medical-Demographics Information Form and Onyx-Bullen’s Social Capital Questionnaire. Finally, data were analyzed by SPSS (version 25) using descriptive and inferential statistics (multiple regression analysis). Results: The results of this study showed that the mean (standard deviation, SD) of age for GDM women was 29.28 (±5.75). The majority of women (58%) had an academic education. The mean (SD) of social capital was 96.46 (±21.17). Based on the results, a positive and significant correlation was observed between spouse’s education (lower than high school, P=0.001 and academic education, P=0.001), wife’s occupation (employee, P=0.015), spouse’s occupation (employee, P=0.027), and fasting blood sugar (FBS) (P=0.048), as well as a significant negative correlation with 2-hour FBS (P=0.048), 1-hour postprandial glucose level (P=0.001), economic status (dissatisfied, P=0.42), overweight (P=0.009), and obesity (P=0.020). Conclusions: The social capital of GDM women is influenced by various socio-economic factors. According to the findings of this study, women who are economically disadvantaged, overweight, obese, and at high blood sugar levels are at greater risk of rejecting treatment due to low social capital, resulting in poor blood sugar control. Therefore, interventions related to promoting social capital in these groups should be pursued more vigorously, and strengthening of social capital and its influencing factors should be considered as one of the main approaches of health promotion.