Predicting factors in intentional safe sexual behaviors among drug abusing men covered by rehabilitation centers in Hamadan (Iran): Applying the theory of planned behavior

authors:

avatar Babak Moeini , avatar Syeid Mohammad Mahdi Hazavehei , avatar Amirabbas mousali , * , avatar Alireza Soltanian , avatar Majid Barati , avatar Vahid Kafami

Koomesh: Vol.17, issue 4; 888-894
article type: issue_documents_importer
received: July 01, 2015
accepted: April 01, 2016

how to cite: Moeini B, Hazavehei S M M, mousali A, Soltanian A, Barati M, et al. 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. 2024;17(4):e151181. 

Abstract

Introduction: Unsafe sexual behavior can lead to sexually transmitted diseases. Regarding the risks and negative consequences of unsafe sexual behaviors, the purpose of this study was to assess related factors with the intention of safe sexual behaviors based on the theory of planned behavior among male drug addicts covered by rehabilitation Centers. Materials and Methods: This descriptive-analytical study was used in a study including 163 addicted men referring to Hamadan;#39s rehabilitation centers chosen by simple sampling method. Data was collected using a questionnaire containing demographic information and the theory of planned behavior constructs. Data analysis was performed using SPSS-16 software by logistic regression. Results: Our findings in this study showed that 55.2% of participants had a history of Extramarital Relations and only 25.7% of them had used a condom during their last sexual intercourse. Results of logistic regression analysis on variables of constructs the theory of planned behavior showed subjective norms were the strongest predictors of behavioral intention for safe sexual behavior among participants (P=0.024). Conclusion: Subjective norms can be used to predict the intention of safe sexual behavior and effectively in planning and intervention to prevent sexual risk behaviors among male drug abusers.

References

  • 1.

    Gu J, Lau JT, Chen X, Liu C, Liu J, Chen H. Using the Theory of Planned Behavior to investigate condom use behaviors among female injecting drug users who are also sex workers in China. AIDS Care 2009; 21: 967-975.

  • 2.

    Eggers SM, Taylor M, Sathiparsad R, Bos AE, H dV. Predicting safe sex: Assessment of autoregressive and cross-lagged effects within the theory of planned behavior. J Health Psychol 2015; 20: 1397-1404.

  • 3.

    Barati M, Ahmadpanah M, Soltania AR. Prevalence and factors associated with methamphetamine use among adult substance abusers. J Res Health Sci 2014; 14: 221-226.

  • 4.

    Pakpour HajiAgha A, Mohammadi Zaidi I, Mohammadi Zeidi B. Effect of education based on theory of planned behavior skills for HIV prevention in Adolescents. Iran J Nurs 2012; 25: 1-13.

  • 5.

    Wells BE, Golub SA, JT P. An integrated theoretical approach to substance use and risky sexual behavior among men who have sex with men. AIDS Behav 2011; 15: 509-520.

  • 6.

    Kapadia F, Latka M, Hudson S, Golub E, Bailey S. Correlates of consistent condom use with main partners by partnership patterns among young adult male injection drug users from five US cities. Drug Alcohol Depend 2007; 91: 56-63.

  • 7.

    Newcomb ME, Mustanski B. Moderators of the relationship between internalized homophobia and risky sexual behavior in men who have sex with men: a meta-analysis. Archiv Sexual Behav 2011; 40: 189-199.

  • 8.

    HIV/AIDS JUNPo. United Nations General Assembly Special Session on HIV/AIDS: Monitoring the Declaration of Commitment on HIV/AIDS: Guidelines on Construction of Core Indicators: UNAIDS; 2002.

  • 9.

    Ataei B, Salehi M, Javadi A, KHorvash F, Mortazavi AS, Kasaeian N, Nokhodian Z, Babak A. The frequency of high-risk behaviors in intravenous drug abusers referred to addiction prohibition centers in Isfahan, 2010. J Isfahan Med Sch 2011; 28: 837-842. (Persian).

  • 10.

    Afsrkazeroni P, Amini Lari M, Joolayil H, Sabet M, Hsanabadi A, Naghshvarian M, Sayyadi M. Prevalence of human immunodeficiency virus infection and risk behaviors associated with HIV among injecting drug users in Shiraz. Cientific J Res Fundament Ment Health 2009; 3: 175-184. (Persian).

  • 11.

    Eshrati B, Taghizadeh R, Dell C, Afshar P, Millson P, Kamali M, Weekes J. Preventing HIV transmission among Iranian prisoners: Initial support for providing education on the benefits of harm reduction practices. Harm Reduct J 2008; 5. (Persian).

  • 12.

    Ajzen I. The theory of planned behaviour: reactions and reflections. Psychol Health 2011; 26: 1113-1127.

  • 13.

    Albarracn D, Durantini M, Earl A. Empirical and theoretical conclusions of an analysis of outcomes of HIV-prevention interventions. Curr Direc Psychol Sci 2006; 15: 73-78.

  • 14.

    Armitage C. Can the theory of planned behavior predict the maintenance of physical activity. Health Psychol 2005; 24 235-245.

  • 15.

    Godin G, Gagn C, Maziade J, Moreault L, Beaulieu D, Morel S. Breast Cancer: the intention to have a mammography and a clinical breast examination-application of the theory of planned behavior. Psychol Health 2001; 16: 423-441.

  • 16.

    Tolma E, Reininger B, Evans A, Ureda J. Examining the theory of planned behavior and the construct of self-efficacy to predict mammography intention. Health Educ Behav 2006; 33: 233-251.

  • 17.

    Mohr D, Lukas C, Meterko M. Predicting healthcare employees' participation in an office redesign program: Attitudes, norms and behavioral control. Implement Sci 2008; 3: 47.

  • 18.

    Atayei B, Khorvash F, Azadeh SN, Babak A. The prevalence of high risk behaviors among women prisoners in Isfahan. J Isfahan Med Sch 2011; 29: 150-155. (Persian).

  • 19.

    Turchik J, Gidycz C. Prediction of sexual risk behaviors in college students using the theory of planned behavior: a prospective analysis. J Soc Clin Psychol 2012; 31: 1-27.

  • 20.

    Razzaghi O, Rahimi MA, Mohammad K. Qualitative study of high-risk sexual behaviors among injecting drug users in Tehran. J Health Med Res Inst 2003; 2: 21-10.

  • 21.

    Myrbazegh S, Aziziasl M. Screening adolescents for substance abuse-related sexual risk behaviors. Toloe Behdasht 2009; 8: 17-18. (Persian).

  • 22.

    Burt R, Thiede H, Barash E, Sabin K. Recent condom use by arrested injection drug users in King County, Washington, USA. Int J Drug Policy 2006; 17: 222-229.

  • 23.

    Chaa E, Doswellb W, Kimc K, Prochownikb D, Patrickb T. Evaluating the theory of planned behavior to explain intention to engage in premarital sex amongst Korean college students: A questionnaire survey. Int J Nurs Studi 2007; 44: 1147-1157.

  • 24.

    Griffin D, Stein J. Predictors of sexual risk behaviors among adolescent mothers in a human immunodeficiency virus prevention program. J Adolescent Health 2006; 38: 1-11.

  • 25.

    Mausbacha B, Semplea S, Strathdee S, Patterson T. Predictors of safer sex intentions and protected sex among heterosexual HIV -negative methamphetamine users: an expanded model of the Theory of Planned Behavior. AIDS Care 2009; 21: 17-24.

  • 26.

    Asare M, Sharma M. Using the theory of planned behavior to predict safer sexual behavior by ghanaian immigrants in a large midwestern U.S. city. Int Q Commun Health Educ 2009; 30: 321-335.

  • 27.

    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]. Ibbenbren: University of Twente; 2010.

  • 28.

    Godin G, Kok G. The theory of planned behavior: A review of its applications to health-related behaviors. Am J Health Prom 1996; 11: 87-98.

  • 29.

    Moeini B, Hazavehei MM, Soltanian AR, Mousali AA, Kafami V. Effectiveness of an educational program based on the theory of planned behavior for improving safe sexual behaviors intention among addict men: a quasi experimental study. High Risk Bihav Add peress 2015.

  • 30.

    Moeini B, Hazavehei SM, Shahrabadi R, Faradmal J, Dashti S. Role of stress in treatment readiness of drug dependence based on Health Belief Model. Koomesh 2015; 16: 185-192. (Persian).

  • 31.

    Allahverdipour H. Predicting smoking related behaviors based on theoryof planned behavior and Prototype willingness model among employed adolescents and high school students. Hamadan Univ Med Sci 2009. (Persian).

  • 32.

    Barati M, Allahverdipour H, Moinei B, Farhadinasab A, Mahjub H, Jalilin F. Assertiveness skills training efficiency on college students persuasive subjective norms against substance abuse. Scientific J Hamadan Univ Med Sci 2011; 18: 40-49. (Persian).

  • 33.

    Barati M, Allahverdipour H, Hidarnia A, Niknami Sh. Predicting tobacco smoking among male adolescents in hamadan city, west of Iran in 2014: An application of the prototype willingness model. J Res Health Sci 2015; 15: 113-118.##.