BACKGROUND AND OBJECTIVE: Spiritual health is the basis of family and community health. In marital relationships, several factors led to the satisfaction of wives from each other. In the meantime, the role of spirituality is crucial from surrounded on all aspects of human life. This study was performed with aim of analyzing the relationship between spiritual health with marital satisfaction and Comparison of them between men and women.

METHODS: The sectional study was conducted on 341 married students of Medical Sciences in Azad University, Sari branch.  Criterion variable (spiritual health) and predictor variable (marital satisfaction) were measured by standard questionnaires including Paloutzian & Ellison (1982) and Enrich(2000)  with 5-item Likert scale with a minimum score of 1 (very low) to maximum score of 5 (very high) and also two groups of men and women were compared.

FINDINGS: Spiritual health had direct and meaningful relationship with marital satisfaction (CI-95% R= 0.009).There was no difference of marital satisfaction in men with average of 3.36±0.35 and women with average of 3.44±0.43 (p=0.342) but, the spiritual health in men with average of 2.7±0.25 was more than women with average of 2.6±0.14 (p=0.000).

CONCLUSION: According the results, there was no difference of marital satisfaction in man and woman but, the spiritual health in men was more than women. Marital satisfaction had increased by increasing spiritual health in men and women students.