Investigating the relationship between quality of life and body image concerns in women with genital HPV: a cross-sectional study
摘要
Human papillomavirus (HPV) is one of the most prevalent sexually transmitted infections worldwide, with the majority of sexually active individuals acquiring the infection at some point in their lives. Although HPV infection is often transient, it may negatively affect women’s quality of life, particularly through psychological distress and body image–related concerns. Despite this, the relationship between body image concerns and domain-specific quality of life among women with genital HPV infection remains insufficiently explored. Therefore, this study aimed to examine the association between quality of life and body image concerns in women diagnosed with genital HPV infection.
MethodsThis cross-sectional study was conducted on 301 women with HPV in the comprehensive health center of Torbat Jam city, Khorasan Razavi, Iran from November 2024 to November 2025. Convenience sampling method was performed using 3 questionnaires on demographic characteristics, body image concerns, and the 26-item World Health Organization Quality of Life Scale (WHOQOL). Data were analyzed using SPSS version 29 for descriptive and analytical statistics.
ResultsThe mean total quality of life score was 58.98 (SD = 15.22), with the lowest score observed in the social relationship’s domain. The mean body image concern score was 41.77 (SD = 15.07). Multiple linear regression results showed that body image concerns (β = -0.57, p < 0.001), duration of HPV (β = -1.00, p = 0.003), employed status compared to housewife status (β = 2.831, p = 0.049), and urban residence compared to rural residence (β = 5.20, p = 0.013) could predict quality of life. In regression models of the different dimensions of quality of life, body image concerns showed the strongest predictive power in the domains of psychological health (β = -0.77), physical health (β = -0.66), and social relationships (β = -0.65).
ConclusionBody image concerns were identified as the strongest correlate of quality of life among women with genital HPV, particularly within the psychological, physical, and social domains. These findings underscore the importance of body-related psychological factors in understanding well-being in this population and suggest that greater clinical attention to body image concerns may be warranted in the comprehensive care of affected women.