Snowball Sampling Research Articles

Social Media Addiction and Its Consequences Among Youth: A Developing Country Perspective

This study investigates how loneliness and self-regulation affect social media addiction in young people in developing nations, as well as how this addiction impacts their personal family life and jobs. Purposive and snowball sampling methods were used to gather data from 514 respondents using a structured questionnaire. Structural equation modelling was used to analyze the theories of addiction. The multivariate statistical analysis indicates that social media addiction is positively influenced by loneliness and self-regulation. Moreover, loneliness is a contributing factor to the development of social media addiction, while self-regulation affects personal and family conflicts, as well as academic or professional performance. Additionally, the personal and family conflicts that arise from social media addiction have a significant impact on academic or professional performance. The study has twofold implications. It expands addiction theories by integrating aspects of self-regulation and loneliness, thereby contributing to its theoretical implications. Essentially, the results assist policymakers in formulating plans to reduce social media addiction and harness the potential of young people for the progress of the nation.

Lived Experiences of School Heads in School-Based Management (SBM) Implementation

This study explored the lived experiences of school heads in SBM implementation using Collaizi’s phenomenological approach with transcribed semi-structured face-to-face interviews among nine participants who were school heads in the Schools Division of Siargao. Selected through the snowball sampling technique, these participants graciously shared their lived experiences, including the challenges and best practices through SBM implementation. This study was anchored on RA 9155: Governance of Basic Education Act of 2001 and DepEd Order No. 1, s. of 2003 (Implementing Rules and Regulations of Republic Act 9155) as supporting legislative works. Moreover, this study was also in line with Pluralism, Social Cognitive, and Functionalism Theories. Six emergent themes were derived from the study: (1) unified support from stakeholders; (2) pressure; (3) community linkages; (4) transparency and responsibility; (5) challenging journey; and (6) development. The emergent themes comprehensively explained an understanding of the participants’ thoughts about SBM, the perceived challenges and opportunities, best practices, and achievements in collaboration with the internal and external stakeholders. To ensure the aim of this study, it was crucial to develop meaningful programs as recommendations for enhancing quality assurance, particularly within the realm of school-based management across the entire division. Moreover, empowerment not only among internal but also external stakeholders must be established, in order to keep empowering communities and foster unity in diversity for the benefit of enhanced SBM implementation in schools.

Intersecting structural and psychosocial conditions: investigating injection drug use and HIV among transgender women.

Transgender women continue to face a significant burden of health disparities with HIV infection as a critical public health concern. Substance use is higher among transgender women compared to cisgender women. However, little is known about transgender women who inject drugs and risk for HIV in the United States. The objectives were to explore HIV prevalence, injection-related behaviors, and HIV prevention and care outcomes among transgender women who inject drugs and to compare transgender women to a general sample of people who inject drugs (PWID). Participants from National HIV Behavioral Surveillance were recruited via respondent-driven sampling, interviewed, and tested for HIV infection in 2019-2020. Log-linked Poisson regression models were used to test for associations between injection drug use and selected characteristics. Among 1,561 transgender women, 7% injected drugs in the past 12 months. HIV prevalence was higher among transgender women who inject (aPR=1.5, 95%CI=1.2-1.8) than those who do not. Multiple psychosocial conditions were associated with injection drug use. Among transgender women with HIV, those who inject were less likely to take antiretroviral therapy (aPR=0.8, 95%CI=0.7-1.0) than those who do not. Methamphetamine was the most commonly injected drug (67%); most accessed a syringe services program (66%). Transgender women who inject have substantial challenges related to health outcomes including high HIV prevalence and exposure to psychosocial conditions, such as homelessness, incarceration, and exchange sex, that may exacerbate risks associated with injection drug use. This population may benefit from increased access to non-judgmental and culturally competent harm reduction services.

Objective and subjective assessment of PET felt recycled panels as an acoustic treatment in the meeting rooms

This study presents the performance of the PET-felt recycled panels for the room acoustic treatment. As the objective parameters, Reverberation Time (RT) and Speech Transmission Index (STI) were measured with B&K DIRAC, an omnidirectional loudspeaker, and power amplifier in the meeting room at the Department of Interior Design, Bilkent University, Ankara, Turkey, before the acoustic treatment. Following ISO 12913-2 Method A, Perceived Affective Quality (PQA), Appropriateness, and Assessment of the Acoustic Environment were measured. Fifteen participants who were occupants of the meeting room were selected for the questionnaire survey to be conducted using the snowball method. The findings showed that the reverberation time was five seconds at 1 kHz, which is insufficient, and the acoustic quality could have been better for the speech-purpose room. PET-felt recycled acoustic panels were applied to the ceiling and walls as a solution. After the acoustic treatments, all procedures were repeated with the same. The results showed that significant improvements have been provided in both objective and subjective assessments. RT was in the optimum range. The participants found the meeting room with PET-felt recycled panels more pleasant and eventful after the acoustic treatment.

Most important performance evaluation methods of production lines: A comprehensive review on historical perspective and emerging trends

Production is one of the most significant building blocks that strengthen the sustainable economy of companies and thus contribute to the countries’ welfare. Performance indicators of the production line affect planning operations and the efficiency of the supply chain to which the factory is connected. The key indicators for production line designers and performance analysts to monitor and improve include production rate, resource utilization rate, and average inventory level. The production rate is the most important indicator closely affecting an industrial plant's productivity and efficiency levels. From this perspective, accurate and fast estimation of this indicator is very critical. Production rate can be calculated by simulation, analytical technique, or artificial intelligence methods according to the production line characteristics. In this comprehensive review, the most important performance evaluation methods are discussed historically and systematically about the buffer allocation problem using the snowball sampling method. With this explicit motivation, 145 papers were reviewed and classified according to production line topology, hypothetical/real-case line, machine reliability, previous method on which the method is based, and originality and/or line characteristics. To present a comprehensive comparison, the methods considered were analyzed according to different criteria. This review provides general/in-depth qualitative and quantitative discussions and highlights insights to practitioners and scholars. In addition, the impact of recent key work on production line analysis in the field is assessed along with emerging trends, evolving manufacturing paradigms are discussed, and the challenges associated with performance analysis are addressed.

Empowering Unvaccinated Youth: Feasibility, Acceptability, and Efficacy of a COVID-19 Serious Game-Based Intervention.

Objective: To evaluate a serious game-based intervention's feasibility, acceptability, and efficacy in encouraging coronavirus disease (COVID-19) vaccination among 11-14-year-olds in the United States and assess participant experiences. Materials and Methods: The study, grounded in social cognitive theory and health belief model, recruited and engaged 32 English-speaking parent-child dyads with unvaccinated youths via snowball sampling and social media outreach. These dyads were randomly assigned to either the COVID-19 serious game-based intervention group (n = 16) or a usual caregroup (n = 16). The study measured beliefs, self-efficacy, and intentions regarding vaccination using surveys before and after the intervention, with follow-up at 2 months to evaluate vaccine uptake. Semistructured interviews provided insights into the gaming experience and study process. Results: All 32 eligible parent-youth dyads (16 in each group) completed the study with full participation. Most participants were Black or African American fathers, making up 75% and 81.3% of the intervention and control groups, respectively. The intervention impacted vaccine uptake, with 75% of the intervention group vaccinating their children compared with 37.5% of the control group [χ2(1, n = 32) = 4.57, P = 0.033]. Key factors for vaccine uptake included parents' motivation and youths' perceived susceptibility, with correlations of r(30) = 0.66, P = 0.006, and r(30) = 0.55, P = 0.029, respectively. The intervention reshaped youth perceptions about self and community protection. Participants expressed overall satisfaction with both the intervention and the study process. Conclusions: The intervention was found to be feasible and acceptable, with potential for integration into youth vaccination strategies to support COVID-19 vaccine decision-making.

Influence of soft skills on career development: Exploring performance appraisal as a mediating mechanism

Performance appraisal plays a crucial mediating role in the complex interaction between soft skills and career development. This practice provides a comprehensive view of workers’ competencies and directly influences their professional trajectories. This investigation checked the significance of these competencies in career development, employing performance appraisal as a mediating mechanism. The sample comprised 262 employees in Portugal. Data were collected from a convenience sample using the snowball sampling method, in which participants were asked to invite their contacts to participate in the study. The questionnaire included the short skills inventory, the career growth scale, and the performance management scale. The more developed the soft skills, the greater the tendency for employees to progress in their careers. Performance appraisal has a significant influence on employees’ career trajectories, as the possibility of career advancement largely depends on their performance. The data further revealed that by mediating the relationship between soft skills and career progression, performance appraisal helps guide and support the organization’s strategic decisions. However, when the mediating variable is introduced into the model, the influence of soft skills on career development is no longer significant, indicating a full mediation effect. The results suggest that 26.8% of the possibility of progressing in the career is explained by the performance appraisal results. These results act as a critical link between soft skills and career development. Soft skills exert a significant influence on career development, and performance appraisal emerges as a valuable means to recognize and promote these competencies.

Social Entrepreneurship and Sustainable Development: the Creation of a Digital Platform Dedicated to Resource Sharing: Moroccan Case Study

Objective: The objective of this study is to investigate and analyze the role of digital social entrepreneurship in achieving sustainable development goals, with a deep focus on the creation of a digital platform for resource sharing. Theoretical Framework: The study is based on the concepts of social entrepreneurship and sustainable development, emphasizing their role in addressing social and environmental challenges such as climate change and inequality, while leveraging digitalization to maximize impact. Method: A quantitative study was conducted with 134 participants to examine the impact of digital social entrepreneurship on sustainable development. The data were collected using a structured questionnaire distributed through a non-probability snowball sampling method. Results and Discussion: The results demonstrate how the creation of a resource-sharing platform can exemplify digital social entrepreneurship. By connecting individuals and organizations for the sharing of materials, skills, and knowledge, the platform fosters the sharing economy, reduces waste, and promotes community cooperation. These outcomes contribute to the achievement of various sustainable development goals. Research Implications: The findings provide insights into the practical application of digital platforms in promoting sustainability and social entrepreneurship. They suggest that technology can be effectively harnessed to address global challenge. Originality/Value: This study contributes to the literature by illustrating how digital social entrepreneurship can serve as a powerful tool for sustainable development. Its originality lies in the innovative approach of combining technology with social problem-solving to drive socio-economic and environmental progress.

Newly qualified general nurses’ experiences of pre-registration internship: A Republic of Ireland cross-sectional study

AimThe aim of this study was to examine Newly Qualified General Nurses' (NQGNs’) experiences of and the value of the internship period. BackgroundInternship was introduced as the final part of the undergraduate nursing degree in Ireland in 2002. The aim was to provide students with clinical experience, whereby they work more independently and in doing so, seamlessly progress their transition to the role of registered nurse. DesignA cross-sectional, quantitative, descriptive study. Setting and ParticipantsNewly Qualified General Nurses who completed their undergraduate degree in general nursing and graduated from Higher Education Institutions (HEIs) in the Republic of Ireland between 2018 and 2020 were eligible for inclusion in the study. MethodsParticipants were recruited using snowball sampling. Data were collected anonymously using the electronic Experience of Internship Questionnaire. Analysis was undertaken using the Statistical Package for Social Sciences (SPSS 27). ResultsPre-internship preparation experiences differed across hospitals. The NQGNs would have preferred more support with their caseloads and help with understanding the rationale for care delivery. However, internship provided good opportunities to link theory to practice and was considered valuable by most in preparing them for practicing as a registered nurse. ConclusionInternship assists intern nursing students to link theory to practice. Further, support in internship is crucial when managing a caseload and to enhance understanding of the care provided. The value of internship was identified with suggestions on ways to strengthen the experience of internship.

Community and academic allergists’ perspectives on integrating biologics into food allergy care: A qualitative study

BackgroundBiologics are an important area of research and development, including for treatment of food allergy (FA). However, how allergists perceive the risks and benefits of biologics to treat FA remains largely unknown. ObjectiveTo explore how US-based allergists perceive the use of biologics in FA treatment. MethodsUsing a combination of purposive and snowball sampling, providers were recruited through direct solicitation by email to participate in a telephone or Zoom interview about their perceptions of the risks and benefits of current and future FA treatment options. Interviews were transcribed, deidentified, and coded to conduct a thematic analysis. ResultsWe conducted 60 interviews with providers from 34 states working either in community practice (53.3%) or academic medical centers (46.7%). Our sample was primarily non-Hispanic White (60.0%) and men (56.7%). The plurality was in their 40s (41.7%). Our findings clustered in the following 4 main themes: (1) perceived benefits of biologics, (2) ideal use of biologics, (3) concerns about biologics, and (4) biologics as the perceived future of FA. Community and academic providers had largely similar views, but academic providers more often emphasized the benefits of biologics, and community providers were, on the whole, more supportive of using biologics as an adjunct to oral immunotherapy rather than as monotherapy. ConclusionThis study indicates that providers hold mixed views about the use of biologics to treat FA. However, most were enthusiastic about prescribing biologics for FA while also being highly concerned about the cost to patients and the health care system.

Investigating the Dynamics of Workforce Stability: The Influence of Perceived Employability on Career Resilience, Task Performance, Learning Agility and Employee Retention

The main purpose of this study is to analyze the complex interrelationships among perceived employability, employee task performance, employee retention, career resilience, and learning agility to cover this knowledge gap and provide HR practices and policies supported by evidence that can increase service sector development and contribute to Saudi Arabia's economic goals. The study used a cross-sectional quantitative design and conducted an online survey of employees in the service sector of Saudi Arabia. Snowball sampling was used during the data collection, and 403 usable responses were collected and utilized for data analysis. Data analysis techniques included descriptive statistics, Pearson correlation, and composite assessment analyses were conducted through SPSS 28. For hypothesis testing, the PLS-SEM model was used through SmartPLS4. R2adj, standardized root means square residual, Normed fit index, and Q2predict were used for model evaluation. The research findings highlighted the importance of perceived employability which is positively related to task performance and retention and show the need for organizations to train their employees so that they are characterized by career resilience and learning agility, which relate positively on their task performance and their retention within the Saudi service industry. Acquiring knowledge and understanding regarding these relationships is essential to develop targeted practices and policies to improve employee outcomes and elevate the organization's competitiveness in an economy undergoing rapid transformations. This study's findings provide practical implications regarding human resource management and organizational development strategies in Saudi Arabia that will support future research by enhancing perceived employability, building career resilience, developing employee task performance, improving learning agility, and ensuring a higher rate of employee retention, realizing the significance of each element in developing organizational goals and success. Keywords: perceived employability, employee task performance, employee retention, career resilience, learning agility.

The Role of Sex and Other Personal Characteristics in the Effects of Symptoms Severity on Self-Care Agency in Individuals with Multiple Sclerosis.

Multiple sclerosis (MS) is a chronic, autoimmune disease that attacks the central nervous system. The study was conducted to determine the role of sex and other personal characteristics in the impact of symptom severity on self-care in individuals with MS. The study was cross-sectional and was completed with 200 participants throughout Turkey. The data were collected through random and snowball sampling using the MS-related symptom checklist (MS-RS), the Fatigue Severity Scale (FSS), and the Exercise of Self-Care Agency (ESCA) form. The data obtained were analyzed using the SPSS 21. Statistical significance was evaluated at the level of p<0.05. The mean age of the participants was 37.97±10.6 years. The mean scores were 47.4±22.41 for MS-RS, 4.58±2.2 for FSS, and 94.65±24.76 for ESCA in females. The mean MS-RS score in males was 45±25.89, FSS was 4.33±2.5, and ESCA was 83.43±23.95. There were no significant differences between the sexes except that the ESCA scores were higher in females (p<0.05). According to a multiple linear regression analysis, the duration of diagnosis and sensory subdimension of MS-RS negatively affected the ESCA score in females, and this statistically significant model explained 22.6% of ESCA scores. The study found that both sexes had clinically significant fatigue, mildly severe symptoms, and moderate self-care agency. While being a female positively affected self-care agency, disease duration, and sensory symptoms negatively affected females' self-care agency.

Ranking the Relative Importance of Image Quality Features in CT by Consensus Survey

ObjectiveThis study sought to determine consensus opinions from subspecialty radiologists and imaging physicists on the relative importance of image quality features in CT. MethodsA prospective survey of subspecialty radiologists and medical physicists was conducted to collect consensus opinions on the relative importance of ten image quality features: axial sharpness, blooming, contrast, longitudinal sharpness, low contrast axial sharpness, metal artifact, motion, noise magnitude, noise texture, and streaking. The survey was first sent to subspecialty radiologists in volunteer leadership roles in the American College of Radiology and Radiological Society of North America, thereafter relying on snowball sampling. Surveyed subspecialties were abdominal, cardiac, emergency, musculoskeletal, neuro, pediatric, and thoracic radiology, and medical physics. Individual respondents’ ratings were normalized for calculation of mean normalized ratings and priority rankings for each feature within subspecialties. Also calculated were intraclass correlation coefficients across image quality features within subspecialties, and analysis of variance across subspecialties within each feature. ResultsMost subspecialties had moderate to excellent intraclass agreement. For every radiology subspecialty except musculoskeletal, motion was the most important image quality feature. There was agreement across subspecialties that axial sharpness and contrast are only moderately important. There was disagreement across subspecialties on the relative importance of noise magnitude. Blooming was highly important to cardiac radiologists, and noise texture was highly important to musculoskeletal radiologists. ConclusionImage quality preferences differ based on clinical tasks and challenges in each anatomical radiology subspecialty. CT image analysis and development of quantitative measures of quality and protocol optimization—and related policy initiatives—should be specific to radiology subspecialty.

National review of end-of-life care withdrawal guidelines for non-invasive advanced respiratory support using document analysis

ObjectivesThis study aims to understand the breadth of practice around end-of-life withdrawal of non-invasive advanced respiratory support (encompassing both continuous positive airway pressure and non-invasive ventilation) by analysing NHS-published guidelines...

Unpacking Evaluative Meaning-Making Resources in Verbal Movie Descriptions: A Comparative Study of Native and Non-Native English Speakers

The present study explored how native speakers (NSs) and non-native speakers (NNSs) of English exploit evaluative meaning-making resources of English when sharing their judgements and opinions on English movie descriptions. To this end, 10 native speakers of Australian English and 10 Iranian non-native speakers took part in on-line informal interviews, based on an approach known as snowball sampling. The study employed a combination of both qualitative and quantitative methods of analysis. The results revealed significant differences in the use of evaluative language between the two groups, with NNSs focusing more on Affect, Judgment and Appreciation respectively, while NSs prioritized Appreciation, followed by Affect and Judgment. The findings are discussed by reference to cultural and linguistic differences in the use of evaluative resources. Moreover, NSs relied more on invoked evaluation whereas NNSs showed a preference for inscribed evaluation. However, both groups utilized a higher frequency of positive descriptions in during their descriptions of English movies. These findings can provide valuable insights for language teaching and research, highlighting the significance of incorporating evaluative language resources into language instruction. The study further brought attention to the interconnectedness of diverse evaluative resources such as reference to emotions and judgements with complex linguistic and cultural domains.

Access to healthcare services and factors associated with unmet needs among migrants in Phuket Province, Thailand, 2023: a cross-sectional mixed-method study

BackgroundPhuket Province is a major tourist destination with a migrant workforce accounting for 10% of its population. Despite governmental efforts to adjust health insurance policies, migrants face healthcare access challenges. This study examines the current healthcare access situation and factors associated with unmet needs among migrants in Phuket Province.MethodsWe used a cross-sectional mixed-methods approach, recruiting participants through snowball sampling from the Migrant Health Volunteer Network. Quantitative data were gathered using self-administered questionnaires, with unmet need defined as desired outpatient or recommended inpatient services not received at government hospitals. Multivariable logistic regression identified unmet need predictors, and we assessed the mediating effect of health insurance status. Qualitative data from three focus groups on healthcare access provided context and enriched the quantitative findings.ResultsThis study includes 296 migrants mainly from Myanmar. The overall unmet need prevalence was 14.86%, mainly attributed to having undocumented status (34.09%), affordability issues (20.45%), and language barriers (18.18%). Working in the fishery industry significantly increased unmet needs risk (aOR 2.68, 95% CI 1.08–6.62). Undocumented status contributed a marginal total effect of 4.86 (95% CI 1.62–14.54), with a natural indirect effect through uninsured status of only 1.16 (95% CI 0.88–1.52). Focus group participants used various medical resources, with insured individuals preferring hospital care, but faced obstacles due to undocumented status and language barriers.ConclusionValid legal documents, including work permits and visas, are crucial for healthcare access. Attention to fishery industry practices is needed. We recommend stakeholder discussions to streamline the process of obtaining and maintaining these documents for migrant workers. These improvements could enhance health insurance acquisition and ultimately improve healthcare affordability for this population. These insights could be applied to migrant workers in other urban and suburban area of Thailand regarding access to government healthcare facilities.

Exploring Factors Contributing Towards Purchase Intention of Yogyakarta’s Fashion Goods via Digital Marketing

To remain competitive in the VUCA era, Micro, Small, and Medium Enterprises (MSMEs) in Yogyakarta need to strengthen their digital sales strategies to reach a broader customer base. This research investigates the factors influencing local consumers' purchase intentions towards Yogyakarta's products through digital marketing. Grounded in the Theory of Planned Behavior and the Digital Marketing Mix model, data was collected via Google Forms using snowball sampling. The pilot test showed strong reliability (Cronbach's alpha = .97). Exploratory Factor Analysis (EFA) identified six key factors from 47 items: Digital Marketing Mix (28 items; loadings 0.794–0.934), Consumer Engagement (7 items; loadings 0.779–0.856), Perceived Behavioral Control (3 items; loadings 0.905–0.924), Attitude (3 items; loadings 0.858–0.886), Purchase Intention (3 items; loadings 0.847–0.884), and Subjective Norm (3 items; loadings 0.840–0.907). The findings confirmed the scales' reliability and highlighted the impact of digital marketing on consumers' purchase intentions. This study suggests that the Theory of Planned Behavior and Digital Marketing Mix are influential in assessing purchase intentions for Yogyakarta's fashion goods, providing insights applicable to the broader Indonesian market. Based on these findings, MSMEs in Yogyakarta should develop effective digital marketing strategies, optimizing their marketing mix to positively influence consumer purchase intentions. This is crucial for adapting to rapid technological changes that may alter consumer behavior and for ensuring business sustainability.

Emotional Distress of Sri Lankan Women Returning to Work Post Maternity Leave

Motherhood involves dramatic physical and emotional changes, and in today's context, women often balance corporate roles with traditional responsibilities. Returning to work post-maternity leave is especially challenging, requiring women to juggle work and family while adapting to motherhood. Despite this, factors contributing to emotional distress among working mothers in South Asia have received limited academic attention. This qualitative study interviewed eight first-time manager-mothers in Sri Lankan private sector businesses, via semi-structured interviews, using snowball sampling. Thematic analysis identified key stressors: lack of emotional and physical family support, well-intentioned but counterproductive familial assistance, unsupportive work environments, and societal backlash. A significant finding was that extended family support for childcare often led to emotional distress, with family members making mothers feel guilty and embarrassed. This study fills a gap in the literature by focusing on Sri Lanka and emphasizes the need to educate extended families on the childcare expectations of working mothers.

Metabolic Monitoring for Children and Adolescents Prescribed Second-Generation Antipsychotics: A Qualitative Study with Child Psychiatrists.

Introduction: Professional guidelines recommend that providers routinely monitor children prescribed second-generation antipsychotics (SGA) to reduce the risk of adverse metabolic events associated with the medication. Despite this guidance, many studies show low rates of monitoring compliance. In this study, we interviewed child psychiatrists for their views of possible barriers to monitoring. Methods: Semi-structured qualitative interviews, developed according to the Regehr model of influences upon patient-provider decision making, were conducted with child and adolescent psychiatrists in current practice and recruited by convenience and snowball sampling. Interviews were conducted through internet video meetings and were recorded. Interview data were analyzed following Framework Analysis qualitative methods. Results: We recruited and completed interviews with 17 psychiatrists. Patient-level barriers included travel difficulties, limited family time for health care appointments, patient fear of blood draws, and more. Provider-level barriers included professional judgment versus guideline guidance, perceived family burden, assumption of low-risk, short-term SGA use, and more. Organizational level barriers included lack of organizational mandates or incentives, limited appointment time per patient, lack of care coordination, lack of co-located labs, personnel turnover, and more. Barriers at the social and cultural level include stigma and low health literacy. Conclusion: These practicing prescribers provided a wide range of possible barriers to metabolic monitoring in children and adolescents prescribed SGAs. The next step is to explore which may be present in certain settings, and to pilot quality improvement interventions. Addressing barriers can reduce risk of metabolic disorders arising from long-term use of SGAs in children and adolescents.

The effect of genital self-image on sexual satisfaction and stress in women after vaginal delivery.

Pregnancy, childbirth, and postpartum periods bring along biological, psychological, and social changes that could affect women's sexual health. The aim of this study was to evaluate the effect of genital self-image on sexual satisfaction and stress in women who had a vaginal delivery. This descriptive and cross-sectional study was conducted online between June and September 2023 by using snowball sampling and the data collection forms prepared in the GoogleDocs program. Women who had a normal vaginal delivery were included, were within 6 weeks to 1 year postpartum, were able to use at least one of the social media networks (e-mail, WhatsApp, Facebook, and Instagram), and volunteered to participate in the research. Data were collected through the Personal Information Form, the "Female Genital Self-Image Scale," the "Golombok-Rust Inventory of Sexual Satisfaction," and the "Female Sexual Distress Scale-Revised." The average age of the participating women was 30.54±5.83 years (n=235). The participants' mean scores were 18.94±2.92 for the Female Genital Self-Image Scale, 40.07±15.51 for the Golombok-Rust Inventory of Sexual Satisfaction, and 8.85±8.50 for the Female Sexual Distress Scale-Revised total. A statistically significant and negative relationship was found between Female Genital Self-Image Scale and Golombok-Rust Inventory of Sexual Satisfaction and Female Sexual Distress Scale-Revised total scores (r=-0.183, p<0.01; r=-0.387, p<0.01). Regression analysis (forward) was performed, and genital self-image was found to be the predictive factor affecting sexual satisfaction and stress. This study found that women had a medium level of genital self-image and sexual satisfaction and a low level of sexual distress.