Volume 5, Issue 2 (September 2018)                   J Educ Community Health 2018, 5(2): 45-52 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Keshavarzi S, Khani Jeihooni A, Yazdanpanah A. Effect of Educational Program Based on the Theory of Planned Behavior on Increasing the Safe Sexual Behaviors among Addicts Covered by Addiction Treatment Centers in Shiraz. J Educ Community Health. 2018; 5 (2) :45-52
URL: http://jech.umsha.ac.ir/article-1-509-en.html
1- Department of Health Care Service Management, Islamic Azad University of Marvdasht, Marvdasht, Iran.
2- Department of Public Health, School of Health, Fasa University of Medical sciences, Fasa, Iran. , khani_1512@yahoo.com
Abstract:   (470 Views)
Background and Objective: High-risk behaviors in addicts are one of the most important risk factors for the health of the community. Regarding the negative consequences of insecure sexual behaviors in addicts, this study aimed at investigating the effect of educational program based on the theory of planned behavior on increasing the safe sexual behaviors among addicts covered by addiction treatment centers.
Materials and Methods: The present study was conducted in two stages in 2017 among addicts covered by private addiction treatment centers in Shiraz. At first, a descriptive-analytic and cross sectional study was conducted to investigate the factors related to safe sexual behaviors based on the theory of planned behavior on 200 addicts covered by addiction treatment centers in Shiraz. At this stage, the sampling method was random cluster sampling. In the second stage, a semi-experimental interventional study was performed on 100 addicts (50 people in experimental group and 50 people in control group), who participated in two educational sessions. In this stage, the samples were selected by simple random sampling. Data gathering tools consisted of questionnaire containing demographic information and the theory of planned behavior constructs. After coding, data analysis was performed, using SPSS 22 software by statistical tests such as logistic regression, paired t-test, independent t-test, Chi-square, and McNemar’s tests.
Results: After educational intervention, the mean scores of all planned behavior structures (attitude toward behavior, subjective norms, perceived behavioral control, behavioral intention, and safe sexual behaviors) in the intervention group significantly increased (p<0.001). These changes were not significant in the control group (p>0.05).
Conclusion: Implementation of educational programs to encourage safe sexual behaviors based on the theory of planned behavior increases safe behavior of addicted people.
Type of Study: Research Article | Subject: Sexual Health
Received: 2018/05/25 | Accepted: 2018/08/18

References
1. Hajian K, Khirkhah F, Habibi M. Frequency of risky behaviours among students in Babol Universities (2009). J Gorgan Uni Med Sci. 2011;13(2):53-60. [Persian]
2. Samouei R, Sohrabi A, Yarmohammadian MH. Why some previous drug abuse preventive programs had low effectiveness?. Med Arch. 2013;67(1):68-72.
3. Sarrami H, Ghorbani M, Taghavi M. The survey two decades of prevalence studies among Iran university students. J Res Addict. 2013;7(27):9-36. [Persian]
4. Rahimi Movaghar A, Razaghi EM, Sahimi Izadian E, Amin Esmaeili M. HIV, hepatitis C virus, and hepatitis B virus co-infections among injecting drug users in Tehran, Iran. Int J Infect Dis 2010;14(1):e28-33.
5. Collins SP, Goldenberg SM, Burke NJ, Bojorquez I, Silverman JG, Strathdee SA. Situating HIV risk in the lives of formerly trafficked female sex workers on the Mexico-US border. AIDS Care. 2013;25(4):459-65.
6. Goldenberg SM, Rangel G, Vera A, Patterson TL, Abramovitz D, Silverman JG, et al. Exploring the impact of underage sex work among female sex workers in two Mexico-US border cities. AIDS Behav. 2012;16(4):969-81.
7. Teimouri F, Kariman N, Mansouri F, Rezaei M. Prevalence of sexually transmitted infections and high risk behaviors among women who have referred to a de-addiction center in Kermanshah. J Kermanshah Univ Med Sci. 2011;15(5):400-6. [Persian]
8. Razzaghi EM, Rahimi Movaghar A, Mohammad K, Hosseini M. A qualitative study of risky sexual behavior in injecting drug users in Tehran. J Sch Public Health Inst Public Health Res. 2003;2(2):1-10. [Persian]
9. Wells BE, Golub SA, Parsons JT. An integrated theoretical approach to substance use and risky sexual behavior among men who have sex with men. AIDS Behav. 2011;15(3):509-20.
10. Albarracín D, Durantini MR, Earl A. Empirical and theoretical conclusions of an analysis of outcomes of HIV-prevention interventions. Curr Dir Psychol Sci. 2006;15(2):73-8.
11. Carey MP, Ravi V, Chandra PS, Desai A, Neal DJ. Screening for sexually transmitted infections at a de-addictions service in South India. Drug Alcohol Depend. 2006;82(2):127-34.
12. UNAIDS. Monitoring the declaration of commitment on HIV/AIDS: Guidelines on construction of core indicators [Internet]. Geneva: UNAIDS; 2002 [cited 2017 Nov 16]. Available from: https://www.unfpa.org/publications/monitoring-declaration-commitment-hivaids
13. Ataei B, Salehi M, Javadi AA, Khorvash F, Mortazavi AS, Kasaeian N, et al. The frequency of high-risk behaviors in intravenous drug abusers referred to addiction prohibition centers in Isfahan, 2010. J Isfahan Med Sch. 2011;28(114):837-42. [Persian]
14. Afsar Kazeroni P, Amini Lari M, Joolaee H, Sabet M, Hsanabadi AR, Naghsh Varian M, et al. Prevalence of human immunodeficiency virus infection and related risk factors among injective substance abusers in Shiraz, Southern part of Iran. J Fundam Ment Health. 2009;11(3):175-84. [Persian]
15. Moeini B, Hazavehei SMM, Mousali AA, Soltanian AR, Barati M, Kafami V. Predicting factors in intentional safe sexual behaviors among drug abusing men covered by rehabilitation centers in Hamadan (Iran): Applying the theory of planned behavior. Koomesh. 2016;17(4):888-94. [Persian]
16. Rawson RA, Washton A, Domier CP, Reiber C. Drugs and sexual effects: Role of drug type and gender. J Subst Abuse Treat. 2002;22(2):103-8.
17. Mohammadi Sh, Diyariyan MM. The effectiveness of sexual health behaviors training on sexual dysfunction of addicted women. J Res Addict. 2016;10(39):249-62. [Persian]
18. Pirsaheb M, Almasi A, Rezaee M. The special health education course effects on knowledge, attitude and practice of preparation, distribution and sale centers food staff in Kermanshah. Iran J Health Environ. 2010;3(3):299-308. [Persian]
19. Shidfar MR, Hosseini M, Shojaei Zadeh D, Asasi N, Majlesi F, Nazemi S. Effectiveness of an educational program on knowledge and attitudes of angina patients in Mashhad, Iran: Results of an intervention. J Birjand Univ Med Sci. 2007;14(1):18-27. [Persian]
20. Rich A, Mullan BA, Sainsbury K, Kuczmierczyk AR. The role of gender and sexual experience in predicting adolescent condom use intentions using the theory of planned behaviour. Eur J Contracept Reprod Health Care. 2014;19(4):295-306.
21. Robinson TD. Hypertension beliefs and behaviors of African Americans in selected Cleveland public housing [Dissertation]. Kent: Kent State University; 2012.
22. Eaton AA, Stephens DP. Using the theory of planned behavior to examine beliefs about verbal sexual coercion among urban black adolescents. J Interpers Violence. 2016 Jul:886260516659653.
23. Sharma M, Romas JA. Theoretical foundations of health education and health promotion. Burlington: Jones and Bartlett Publishers; 2008.
24. Moeini B, Mousali AA, Hazavei MM, Soltanian AR, Barati M, Kafami V. Predicting factors of safe sexual behaviors intention among male addicts covered by substance abuse treatment centers based on theory of planned behavior, in 2013. Pajouhan Sci J. 2016;14(2):44-52. [Persian]
25. Moeini B, Hazavehei SMM, Zareban I, Mousali AA, Bashiriyan S, Soltanian AR, et al. Effectiveness of an educational program based on the theory of planned behavior for improving safe sexual behaviors intention among addicted males: A quasi experimental study. Int J High Risk Behav Addict. 2017:6(2):e32432.
26. Seidel K. Determinants of sexual behavior in the Dominican Republic: The explanatory quality of the theory of planned behavior and the prototype willingness model [Dissertation]. Enschede: University of Twente; 2010.
27. Turchik JA, Gidycz CA. Prediction of sexual risk behaviors in college students using the theory of planned behavior: A prospective analysis. J Soc Clin Psychol. 2012;31(1):1-27.
28. Karimi M, Niknami Sh. Self-efficacy and perceived benefits / barriers on the AIDs preventive behaviors. J Kermanshah Univ Med Sci. 2011;15(5):384-92. [Persian]
29. Randolph ME, Pinkerton SD, Somlai AM, Kelly JA, Mc Auliffe TL, Gibson RH, et al. Seriously mentally ill women's safer sex behaviors and the theory of reasoned action. Health Educ Behav. 2009;36(5):948-58.
30. Rinaldi-Miles A, Quick BL, Mc Closkey L. Risk assessment heuristics: Cues and intention to use a condom in casual sex. Health Educ J. 2017;76(3):313-25.
31. Bashirian S, Barati M, Fathi Y. Prevalence and factors associated with tramadol abuse among college students in West of Iran: An application of the theory of planned behavior. Avicenna J Neuro Psycho Physiol. 2014;1(1):e20314.
32. Webber G, Edwards N, Graham ID, Amaratunga C, Gaboury I, Keane V, et al. A survey of Cambodian health-care providers' HIV knowledge, attitudes and intentions to take a sexual history. Int J STD AIDS. 2009;20(5):346-50.
33. Mirzaei Alavijeh M, Jalilian F, Zinat Motlagh F, Mazloomy Mahmoodabad S, Zolghadr R, Hatamzadeh N. Effectiveness of drug abuse preventative intervention among Iranian medical college students based on the theory of planned behavior. Health Educ Health Promot. 2014;2(1):41-52.
34. Moeini B, Hazavehei SMM, Bashirian S, Soltanian AR, Mousali AA, Kafami V. Effect of educational program to encourage safe sexual behaviors among addicted men referred to substance abuse treatment centers in Hamadan, Western Iran: Applying the theory of planned behavior. J Educ Community Health. 2014;1(1):1-10. [Persian]
35. Delshad Noghabi A, Darabi F, Moshki M. The impact of education on the basis of the theory of planned behavior on the level and method of supervision of their parents on watching television by students. J Torbat Heydariyeh Univ Med Sci. 2014,1(4):7-17. [Persian]
36. Ebrahimipour H, Jalambadany Z, Peyman N, Ismaili H, Vafaii Najjar A. Effect of sex education, based on the theory of planned behavior, on the sexual function of the woman attending Mashhad health centers. J Birjand Univ Med Sci. 2013;20(1):58-67. [Persian]
37. Barati M, Allahverdipour H, Moeini B, Farhadi Nasab A, Mahjub H. Evaluation of theory of planned behavior-based education in prevention of MDMA (Ecstasy) use among university students. Med J Tabriz Univ Med Sci. 2011;33(3):20-9. [Persian]

Add your comments about this article : Your username or Email:
CAPTCHA code

Send email to the article author


© 2019 All Rights Reserved | J Educ Community Health

Designed & Developed by : Yektaweb