Iran Journal of Nursing

1. Introduction
One of the causes of diseases in people is an inappropriate lifestyle, and lifestyle modification in its general sense can be one of the best ways to prevent the occurrence of various diseases and promote health in people. On the other hand, a health-promoting lifestyle is one of the most critical determinants of health promotion. More than half of the Quality of Life (QoL) depends on the lifestyle and behaviors of people. Behaviors such as nutrition, physical activity, health response, stress management, interactions, and spiritual growth are components of a promotional lifestyle. Recent studies on public health show that health-promoting lifestyles positively affect nurses’ health and QoL. 
Paying attention to the health and well-being of nursing staff leads to maintaining nurses in the workplace and providing safe and quality services by them to clients. On the other hand, an inappropriate work environment is the leading cause of erosion and the tendency to leave the profession in nurses. An inadequate work environment causes physical and mental fatigue, job stress, health problems, and family disputes. These factors lead to problems in all aspects of health, especially occupational health in nurses. 
One of the threats to occupational health, especially in male nurses, is job stress and subsequent job dissatisfaction. Job satisfaction is an individual attitude towards the job and is one of the essential factors in job success that increases efficiency, creativity, and a sense of personal satisfaction. Some studies indicate that job satisfaction is associated with overall happiness, health, and longer life expectancy. Given the need for male nurses worldwide in health care, and due to many professional concerns such as shift stress and job injuries in nursing, it seems that male nurses do not pay too much attention to your health-promoting lifestyle. Due to the above factors, the quality of work-life in them decreases and leads to job dissatisfaction and its consequences such as stress, anxiety, and depression. The existence of the above problems can threaten all aspects of health in Nurses. Therefore, this study was conducted to determine the relationship between male nurses’ health-promoting lifestyles and job satisfaction.
2. Method
The present cross-sectional study was a descriptive correlational study. The study population included all male nurses in Ahwaz City working in educational and medical centers. All public and private hospitals and nursing schools in Ahwaz City in 4 North, South, West, and East regions were selected, and sampling was done from the above centers by available methods. Finally, out of 580 people in the study population, 108 male nurses were enrolled in the study from May 2019 to September 2019. 
Data were collected through a questionnaire consisting of three parts: 1) Demographic characteristics, 2) Health Promoting Lifestyle Questionnaire, and 3) Minnesota Satisfaction Questionnaire. The demographic characteristics questionnaire included age, marital status, level of education, work experience, smoking, Body Mass Index (BMI), and family health. To determine BMI, height was measured using a tape measure while the back, the shoulders, hips, and back of the legs were in contact with the wall. From data collection and questionnaire encryption, data were analyzed at a descriptive and inferential level using SPSS software v. 22. At the descriptive level, the Mean±SD was used. Pearson correlation coefficient and one-way analysis of variance (ANOVA) were used. In this study, a significant level for Statistical tests was considered less than 0.05. This study was part of a project approved by the Islamic Azad University of Ahwaz.
3. Results
The results of the study showed that most of the male nurses (55.6%) had a bachelor’s degree (84.2%) and had 1-5 years of work experience (68.5%). Most nurses were 26-35 years (46.2%), and the lowest age group was over 45 years (3.7%). In this study, male nurses’ prevalence of overweight and obesity was 24.1%. There was a significant relationship between nurses’ job satisfaction and BMI (P=0.020). Based on the study results, a meaningful relationship was found between age and body mass index of male nurses. Most obese people were in the age group of 36-45 years (young) (P=0.013). 
The variable Mean±SD score of health-promoting lifestyle in male nurses in this study was 162.76±23.4, which seems reasonable. The highest score in this field was related to spiritual growth (38.28), and the lowest was related to physical activity (18.83). Also, the job satisfaction score of male nurses (56.43±7/98) at the average level and the lowest score related to this area were opportunities for advancement (8.28), and the highest was the content of the job (13.04). Although there was no significant relationship between health-promoting lifestyle and job satisfaction in this study (p=0.660), there was a meaningful relationship between some areas of health-promoting lifestyle and job satisfaction. 
4. Conclusion
The health-promoting lifestyle score of male nurses in this study was good but was not favorable in physical activity and stress management. Also, the average score of job satisfaction and poor scores in development opportunities and related leadership styles were significant. Therefore, the support of nursing managers in implementing skills development programs to meet health challenges and promote health in the workplace should include strategies that improve the physical, mental, spiritual, occupational, emotional, and social health of nursing staff, especially men. Implementing strategies for healthy habits such as facilitating and supporting healthy lifestyle choices and creating positive environmental changes for occupational health for nurses leads to increased lifestyles that promote health and job satisfaction and reduce the disability of male nurses.

Ethical Considerations
Compliance with ethical guidelines
This study has been done in compliance with all ethical standards (Code: .IR.IAU.Ahvaz.REC. 1398.006) registered in Islamic Azad University, Ahvaz Branch.

Funding
This article is extracted from the results of a research project entitled "Study of the relationship between health-promoting lifestyle, job satisfaction and some demographic characteristics in male nurses" and is funded by the Islamic Azad University of Ahvaz.

Authors' contributions
Conceptualization, supervision and methodology: Nahid Hossein Abbasi; Writing and drafting design and editing: Nahid Hossein Abbasi, Maryam Agha Amiri; Data collection: Nahid Hossein Abbasi, Maryam Agha Amiri, Students of Ahvaz Branch Student Research Committee: Teymouri and Andisheh; Data Analysis, Ferdows Hezbavi.

Conflict of interest
According to the authors, this article has no conflict of interest.

Acknowledgments
The researchers thank the research officials of the Azad University and the male nurses who participated in this study.


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