Social Determinants of Health and Quality of Sexual Life Among Married Women in Behshahr, Iran, in 2023: A Cross-Sectional Study

= .004). Husband's education, socioeconomic status, and place of residence emerged as significant predictors of QoSL. Marital satisfaction was modestly associated with women's employment status and vehicle ownership. Perceived social support was positively influenced by socioeconomic status and number of children. Confirmatory factor analysis supported the structural relationships among the 3 constructs. Sexual quality of life and marital satisfaction are significantly shaped by social determinants such as education, occupation, socioeconomic status, and living conditions. These findings highlight the need for public health strategies and social policies that address structural inequalities to promote sexual and relational well-being among women.