1
|
Bonyadpour B, Maasoumi R, Nekoolaltak M. Development of self-care strategies to promote young Iranian women's sexual health: an explanatory sequential mixed method study protocol. Reprod Health 2023; 20:148. [PMID: 37798765 PMCID: PMC10557348 DOI: 10.1186/s12978-023-01692-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Accepted: 09/26/2023] [Indexed: 10/07/2023] Open
Abstract
BACKGROUND In contemporary Iran, the nation's traditional and deeply religious society is currently experiencing swift transformations in its moral, cultural, and social aspects. It is, therefore, not surprising to observe shifts in people's attitudes toward sexuality, largely attributed to the profound impact of widespread social networks, the proliferation of information technology, and increased levels of education. Unmarried young women may potentially face adverse consequences from engaging in extramarital sexual relationships across various aspects of their lives. Acknowledging the pivotal role of self-care in influencing the sexual behaviors of young women, the objective of this study is to compile a comprehensive list of self-care strategies aimed at improving the sexual well-being of young, single Iranian women. METHODS The research will unfold in three distinct phases: Phase 1: Explanatory Sequential Mixed-Method Study This initial phase encompasses both quantitative and qualitative aspects. It begins with a cross-sectional survey, where we will gather data from 400 unmarried female students aged 18 to 29 years, utilizing a cluster random sampling method at Kerman University of Medical Sciences. Data collection will involve the use of a researcher-designed questionnaire. Subsequently, the qualitative phase will involve conducting in-depth, semi-structured interviews with female students from the University. To analyze this qualitative data, we will employ the content analysis approach. The findings obtained from both phases will be combined. Phase 2: Narrative Review In the second stage of the study, we will conduct an extensive narrative review to explore existing strategies related to the subject matter comprehensively. This review will serve as the foundational basis for our subsequent analysis. Phase 3: Strategy Prioritization In the final phase, we will prioritize the proposed strategies using a nominal group process, soliciting expert advice. This step will result in the definitive list of strategies that emerge from the study. DISCUSSION This study pioneers the field of sexual health, with the goal of developing a protocol for creating self-care strategies based on the perspectives of young, unmarried Iranian women. It offers potential evidence-based insights into current developments in the physical, psychological, and social aspects of sexual health within this demographic. Additionally, it aims to furnish essential information to healthcare policymakers regarding the sexual health of young women.
Collapse
Affiliation(s)
- Batool Bonyadpour
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, P.O. Box: 1419733171, Tehran, Iran
| | - Raziyeh Maasoumi
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, P.O. Box: 1419733171, Tehran, Iran.
- Department of Reproductive Health, Nursing and Midwifery Care Research Centre, School of Nursing and Midwifery, Tehran University of Medical Sciences, P.O. Box: 1419733171, Tehran, Iran.
| | - Maryam Nekoolaltak
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, P.O. Box: 1419733171, Tehran, Iran
| |
Collapse
|
2
|
Bakhtiari A, Pasha H, Kashefi F, Nasiri-Amiri F, Bakouei F. Factors affecting students' attitudes towards reproductive health in the north of Iran: Designing an educational program. BMC Public Health 2023; 23:1557. [PMID: 37587441 PMCID: PMC10428581 DOI: 10.1186/s12889-023-16217-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Accepted: 06/29/2023] [Indexed: 08/18/2023] Open
Abstract
BACKGROUND It is essential to empower young people to promote reproductive health (RH) and develop effective educational programs to prevent risky behaviors. This study aimed to investigate the factors affecting students' attitudes towards RH based on the ecological model and then design an educational program. METHODS This cross-sectional study was conducted on 461 female students aged 18-29 in the north of Iran. This study was done in two stages. In the first stage, factors affecting the attitude towards RH including demographic questionnaire, interpersonal communication skills, family communication pattern, depression, stress and anxiety, body self-image, and self-confidence were determined. In the second stage, an educational program was designed based on the most effective factors. Independent t-test, ANOVA, and multiple linear regression were employed using SPSS version 20 software. Also, STATA version 15 software was utilized for statistical modeling to predict the best predictive model of attitude towards RH. RESULTS 47.7% of students had a good attitude toward RH. The majority of students had problems with interpersonal communication skills (60.7%). Also, 28.5% experienced depression, 35.8% anxiety, and 12.8% stress at different levels. More than a quarter of the students (26.5%) had poor body self-image and 18.7% had Undesirable self-esteem. Interpersonal skills (P = 0.002), family communication pattern (P = 0.004), stress (p = 0.019), anxiety (P = 0.001), and body self-image (P = 0.034) have a significant relationship with the attitude towards RH. The multiple regression showed that the most important effective factor on RH is the dialogue orientation of family communication pattern (P = 0.041), stress (P = 0.002), and anxiety (P = 0.001). CONCLUSION Stress and anxiety management training and the use of dialogue orientation in the family communication pattern for young female students are recommended based on the scientific model.
Collapse
Affiliation(s)
- Afsaneh Bakhtiari
- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Hajar Pasha
- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
- Population, Family and Spiritual Research Core, Health Research Institute, Babol University of Sciences, Babol, Islamic Republic of Iran.
| | - Fatemeh Kashefi
- Student Research Committee, Babol University of Medical Sciences, Babol, Iran
| | - Fatemeh Nasiri-Amiri
- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Fatemeh Bakouei
- Department of Midwifery and Reproductive Health, Faculty of Nursing & Midwifery, Babol University of Medical Sciences, Babol, Islamic Republic of Iran
- Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Islamic Republic of Iran
| |
Collapse
|
3
|
Joulaei H, Khaksar E, Ghorbani M, Rahmanipour E, Zarei N, Foroozanfar Z. Informal sexual relationship-associated factors among young adult smartphone users in South of Iran: a cross-sectional study. BMC Psychol 2023; 11:131. [PMID: 37098599 PMCID: PMC10131412 DOI: 10.1186/s40359-023-01179-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Accepted: 04/19/2023] [Indexed: 04/27/2023] Open
Abstract
BACKGROUND With the unprecedented pace of modernization, risky sexual behaviors have become more frequent in developing countries, such as Iran. We aimed to assess the prevalence of informal sexual relationship (ISR) and factors associated with having ISR in young adult in Iran. METHODS This cross-sectional study was conducted on 414 young adult smartphone users in Iran, in 2019. Data was collected through an online questionnaire (including: ISR, socio-demographic variables, their use of social network, religious beliefs, personality, and loneliness). Logistic regression model was used to determine factors related to ISR. RESULTS A total of 152 (36.7%; 95% CI 32.1-45.6) participants reported having ISR. Finding an opposite-sex friend through a mobile app (OR = 2.59, 95% CI 1.34, 5.01), being currently sexually active (OR = 2.39, 95% CI 1.26, 4.56), higher scores of extroverted personality (OR = 1.13, 95% CI 1.01, 1.27), and closer relationship with parents (OR = 3.17, 95% CI 2.25, 8.02) were found to be associated with having ISR. Additionally, living in small cities rather than the provincial capital (OR = 0.23, 95% CI 0.10, 0.49) had a reverse association with having ISR. CONCLUSIONS This study illustrated the high prevalence of ISR and its association with increased duration of internet and mobile app use. Innovative and multidisciplinary approaches could be recommended in this regard.
Collapse
Affiliation(s)
- Hassan Joulaei
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | - Mohammad Ghorbani
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
- Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Elham Rahmanipour
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
- Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Nooshin Zarei
- HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zohre Foroozanfar
- HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
| |
Collapse
|
4
|
Damtie Y, Cherie N, Fentaw H, Kefale B, Addisu E, Yalew M, Arefaynie M, Adane M, Adane B, Kassa AA, Abebayehu A, Ayele FY. Pre-marital sex and its association with peer pressure and watching pornography among young individuals in Ethiopia: a systematic review and meta-analysis. Sci Rep 2022; 12:9572. [PMID: 35688924 PMCID: PMC9427853 DOI: 10.1038/s41598-022-13448-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 05/24/2022] [Indexed: 11/17/2022] Open
Abstract
There is no national representative estimate on pre-marital sex and its association with peer pressure and watching pornography among young individuals in Ethiopia. So, this study aimed to estimate the pooled prevalence of pre-marital sex and its association with peer pressure and watching pornography among young individuals in Ethiopia. A comprehensive search of international databases including CINAHL, Google Scholar, Cochrane Library, PubMed, HINARI, and Global Health was carried out to estimate the pooled prevalence of pre-marital sex and its association with peer pressure and watching pornography among young individuals in Ethiopia. The data were analyzed using STATA/SE version-14. The random-effect model was used to estimate the effect size and I-squared statistics and Egger's test were used to assess the heterogeneity publication bias respectively. A total of thirty-two studies with 18,354 study subjects were included in this meta-analysis. The pooled prevalence of premarital sex among young in Ethiopia was 33.59% [95% CI (29.09, 38.09)]. There was significant heterogeneity among the included articles (I2 = 97.9, p = 0.000). Young individuals who experienced peer pressure were three times more likely to practice premarital sex compared to their counterparts [OR = 2.90, 95%, CI (1.01, 8.31)]. As the crude analysis result indicated, there was a significant association between watching pornography (sex movies) and premarital sexual practice [OR = 3.41, 95% CI (1.99, 5.84)]. However, after doing trim-and-fill analysis, the publication-bias adjusted OR indicates the absence of significant association between watching pornography and premarital sex [OR = 1.23, 95% CI (0.69, 1.76)]. The proportion of premarital sex among young individuals in Ethiopia remains high. Peer pressure had a statistically significant association with premarital sexual practice. However, the publication-bias adjusted OR indicates the absence of a significant association between watching pornography and premarital sex. Peer counseling services, sex education, and behavioral change communications should be strengthened to address factors associated with pre-marital sexual practices.
Collapse
Affiliation(s)
- Yitayish Damtie
- Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
| | - Nigus Cherie
- Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Habtamu Fentaw
- Master of Public Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Bereket Kefale
- Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Elsabeth Addisu
- Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Melaku Yalew
- Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Mastewal Arefaynie
- Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Metadel Adane
- Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Bezawit Adane
- Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Assefa Andargie Kassa
- Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Aregash Abebayehu
- Department of Public Health Nutrition, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Fanos Yeshanew Ayele
- Department of Public Health Nutrition, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| |
Collapse
|
5
|
Naghizadeh S, Maasoumi R, Khalajabadi-Farahani F, Mirghafourvand M. Development of strategies to promote healthy sexuality based on Iranian girls perspective about the role of virginity in the construction of their sexuality: an explanatory sequential mixed method study protocol. Reprod Health 2022; 19:51. [PMID: 35209918 PMCID: PMC8876816 DOI: 10.1186/s12978-021-01299-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Accepted: 11/29/2021] [Indexed: 11/10/2022] Open
Abstract
Background The modern Iran is a blend of tradition and modernity, but its dominant culture is still traditional and takes pride in female virginity. On the other hand, the influential factors such as modernity, education, social networks, global communication, influence from advanced Western societies, have obviously led to the emergence of a freer sexual attitude associated with less significance of virginity. Since the traditional, cultural and religious significance of virginity among Iranian girls can shape their sexual behaviors, therefore, the aim of the present study is development of strategies to promote healthy sexuality based on Iranian girls perspective about the role of virginity in the construction of their sexuality. Methods/design This is a two-stage study; an explanatory sequential mixed-methods follow-up design will be employed in the first stage, which consists of two quantitative and qualitative phases. The first phase is the cross-sectional survey that will be conducted on 700 single girls born in the 1970s, 1980s and 1990s. The sample will be selected using the cluster sampling method in the health centers of Tabriz-Iran. The determined sample size will be divided among the selected health centers based on the quota criterion, and eligible households will be selected randomly from the said centers using the SIB website (sib.tbzmed.ac.ir). To collect the required data in the quantitative phase, we will use a researcher-made questionnaire to evaluate the girls’ views about virginity and its influential factors, designed based on the theory of “social construction of sexuality”. After quantitative data collection and analysis, the findings inform qualitative data collection and analysis. The qualitative phase of the study will be conducted on girls living in Tabriz using in-depth and semi-structured individual interviews and purposive sampling method to collect the required qualitative data. The collected data will be analyzed using the conventional content analysis approach. The findings of two phase will be integrated for further explanation and interpretation to be used in the second stage. In the second phase of this study, a nominal group meeting will be held with the participation of reproductive and sexual health experts. The strategies extracted from the results of the first phase and review the texts in this meeting will be provided to experts and after receiving the opinions and ideas of the relevant group of experts and prioritizing them, appropriate strategies to improve and promote the healthy sexuality of Iranian girls will be presented. Discussion This study is one of the few studies conducted in the field of sexual health and culture in Iran, that using a “mixed-methods” approach to determine and explain the role of virginity in the construction of the sexuality from the Iranian girls perspective. We hope that this study can present evidence-based documents from the latest physical, psychological and social developments in young Iranian girls’ sexuality and that the presented healthy sexuality promotion strategies, which will be based on Iranian socio-cultural developments, can provide the basic information required for policy-making and planning for young girls’ sexual health. It is also hoped that the findings of this study will be useful in culture-based sexuality education and support for reproductive and sexual health care for the young Iranian generation. Custom, culture and religion in many communities impose virginity on the women of their communities. According to the traditional and conservative Iranian culture, premarital sexual relations are forbidden, female virginity is honor, and it is valuable and necessary for a girl to maintain and take care of her virginity. Attitudes toward sexual relationship and its moral aspects have changed dramatically in many parts of the world in recent decades. Iran, as a conservative society, is no exception to this rule and has experienced substantial social and attitudinal changes over the past decades. This is a two-stage study; an explanatory sequential mixed-methods follow-up design will be employed in the first stage, which consists of two quantitative and qualitative phases. At first quantitative data collection and analysis will be conducted, then the findings inform qualitative data collection and analysis. The findings of two phase will be integrated for further explanation and interpretation to be used in the second stage. In the second stage of the study, the researchers will develop appropriate strategies for the girls’ sexual health promotion by a combination of the relevant experts’ views obtained in the nominal group meeting and the results extracted from a review of literature as well as the results of the quantitative and qualitative phases of the first stage. it seems that the present study, by employing a better quantitative and qualitative approach, can clarify the young generation’s view in the socio-cultural background of Iran and explore the possible inconsistency and contradictions in the modern Iranian society to determine whether the traditional view of the concept of virginity in Iran is still dominant, or it has been changed by factors such as modernization, global communications, influence from advanced Western societies.
Collapse
Affiliation(s)
- Somayyeh Naghizadeh
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, P.O. Box: 1419733171, Tehran, Iran
| | - Raziyeh Maasoumi
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, P.O. Box: 1419733171, Tehran, Iran. .,Nursing and Midwifery Care Research Centre, School of Nursing and Midwifery, Tehran University of Medical Sciences, P.O. Box: 1419733171, Tehran, Iran.
| | - Farideh Khalajabadi-Farahani
- Department of Population & Health, National Population Studies and Comprehensive Management Institute of Iran, Tehran, Iran
| | - Mojgan Mirghafourvand
- Department of midwifery, Social Determinants of Health Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran
| |
Collapse
|
6
|
Rong Z, Wen Z, Maoxu L, Ya L, Song F, Hui W, Xiaozhen T, Yunli Y. Relationship between childhood sexual abuse and attitudes toward premarital sexual permissiveness among middle school students in Luzhou, China. BMC Public Health 2022; 22:71. [PMID: 35016651 PMCID: PMC8753910 DOI: 10.1186/s12889-021-12490-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Accepted: 12/30/2021] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND In recent years, the number of adolescents engaging in premarital sex has increased, and an increasing number of childhood sexual abuse (CSA) cases have been reported in China. Many studies have indicated that CSA has a well-established association with risky sexual activities. However, only a limited number of studies have explored possible reasons for this association among middle school students, a population that may engage in premarital sex, which is critical for the development of interventions to prevent risky sexual behavior. Based on random samples of middle school students from a Chinese city, this article investigated the relationship between CSA and students' premarital sexual permissiveness (PSP). METHODS In a cross-sectional study conducted between 2016 and 2017 in Luzhou, China, 2292 middle school and high school students aged 12-18 years were recruited by multistage random sampling. All students were administered anonymous questionnaires. Multiple linear regression and binary logistic regression analyses were conducted to analyze the relationship between CSA and PSP. RESULTS The prevalence of CSA was 15.4% (354/2292; 95% CI: 14-16.9%). A higher percentage of male respondents (18.2%) than female respondents (12.9%) had experienced CSA. A positive association between CSA and PSP was found among students. Respondents who had suffered CSA exhibited greater PSP, and this relationship was observed in the male sample, female sample and the total student sample in Luzhou (β = - 3.76, P < 0.05; β = - 2.79, P < 0.05; and β = - 2.84, P < 0.05, respectively). Respondents who had suffered CSA were also more likely to express a double standard about premarital sex (odds ratio [OR] =1.41, P < 0.05), especially among male students (odds ratio [OR] =1.63, P < 0.05). CONCLUSIONS Sex differences in CSA and the relationship between CSA and PSP were significant among this large sample of middle school students in Luzhou (China). The findings suggest that experiencing CSA may be closely related to youth attitudes toward premarital sex, especially among males. Therefore, it is important to emphasize the prevention of CSA and provide adolescent reproductive health programs to reduce the impact of CSA on sexual cognition and attitude, prevent premarital sex and promote positive attitudes toward sexual equality for middle school students.
Collapse
Affiliation(s)
- Zhang Rong
- School of Public Health, Southwest Medical University, Luzhou, China
| | - Zhang Wen
- Shanghai Pudong New Area Center for Disease Control & Prevention, Shanghai, China
| | - Liao Maoxu
- School of Public Health, Southwest Medical University, Luzhou, China
| | - Liu Ya
- School of Public Health, Southwest Medical University, Luzhou, China
| | - Fan Song
- School of Public Health, Southwest Medical University, Luzhou, China
| | - Wei Hui
- School of Public Health, Southwest Medical University, Luzhou, China
| | - Tan Xiaozhen
- School of Public Health, Southwest Medical University, Luzhou, China
| | - Ye Yunli
- School of Public Health, Southwest Medical University, Luzhou, China
| |
Collapse
|
7
|
Kteily-Hawa R, Hawa AC, Gogolishvili D, Al Akel M, Andruszkiewicz N, Vijayanathan H, Loutfy M. Understanding the epidemiological HIV risk factors and underlying risk context for youth residing in or originating from the Middle East and North Africa (MENA) region: A scoping review of the literature. PLoS One 2022; 17:e0260935. [PMID: 34995320 PMCID: PMC8741013 DOI: 10.1371/journal.pone.0260935] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Accepted: 11/19/2021] [Indexed: 11/25/2022] Open
Abstract
Introduction HIV is the second leading cause of death among young people globally, and adolescents are the only group where HIV mortality is not declining. Middle East and North Africa (MENA) is one of few regions seeing rapid increase of HIV infections (31.0%) since 2001. MENA youth are at particular risk of HIV due to dearth of research and challenges in accessing services. Objective The purpose of this scoping review is to establish the epidemiological HIV risk factors and underlying risk context for youth residing in or originating from the MENA region. Methods Online database searches were conducted using combination of search terms. Screening 5,853 citations, published between 1990–2019 with age groups 16 to 29, resulted in 57 studies included across 18 MENA countries. Results ‘Key populations’ engage in risky behaviors, including: overlapping risky behaviors among youth who inject drugs (PWID); lack of access to HIV testing, condomless sex, and multiple sex partners among young men who have sex with men (MSM); and high and overlapping risk behaviors among young sex workers. Challenges facing other youth groups and bridging populations include: peer pressure, inhibition about discussing sexual health, lack of credible sex education sources, low condom use, and lack of access to HIV protection/prevention services, especially testing. Conclusion Poor surveillance coupled with scarcity of rigorous studies limit what is known about epidemiology of HIV among youth in MENA. Homophobia, stigma around PWID, and illegal status of sex work promote non-disclosure of risk behaviors among youth and curtail serving this population.
Collapse
Affiliation(s)
- Roula Kteily-Hawa
- Family Studies and Human Development Department, School of Behavioural and Social Sciences, Brescia University College at Western University, London, Ontario, Canada
- Ontario HIV Treatment Network, Toronto, Ontario, Canada
- * E-mail:
| | - Aceel Christina Hawa
- School of Medicine, Faculty of Health Sciences, Queen’s University, Kingston, Ontario, Canada
| | | | - Mohammad Al Akel
- Alliance for South Asian AIDS Prevention, Toronto, Ontario, Canada
| | | | | | - Mona Loutfy
- Women’s College Research Institute, Women’s College Hospital, Toronto, Ontario, Canada
- Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| |
Collapse
|
8
|
Abboud S, Flores D, Redmond L, Brawner BM, Sommers MS. Sexual attitudes and behaviours among Arab American young adults in the USA. CULTURE, HEALTH & SEXUALITY 2021; 23:1591-1607. [PMID: 32744471 DOI: 10.1080/13691058.2020.1788163] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Accepted: 06/23/2020] [Indexed: 06/11/2023]
Abstract
While the sexual behaviours of different racial and ethnic groups have been studied extensively in the USA, Arab Americans are relatively understudied. The purpose of our study is to describe sexual attitudes and behaviours of Arab American young adults, to explore gender differences and the factors associated with five primary sexual behaviours (solo and partnered masturbation, oral, vaginal and anal sex). We conducted a cross-sectional quantitative study using a self-administered survey, which included measures of Arab ethnic identity, religiosity and sexual attitudes and behaviours. The survey was completed by 100 Arab American young adults (18-25 years old). Almost half of the sample reported being engaged in at least one of the five primary sexual behaviours in the past six months. In bivariate analysis, there were significant gender differences in sexual attitudes and all the primary sexual behaviours except for anal sex. Sexual attitudes and religiosity were significant predictors of partnered masturbation, oral and vaginal sex. Our findings challenge Arab societal assumptions that unmarried Arab American young adults do not engage in sexual behaviours, including risky behaviours, warranting further research to prevent unintended sexual health outcomes.
Collapse
Affiliation(s)
- Sarah Abboud
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA
| | - Dalmacio Flores
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA
| | - Leni Redmond
- Department of Women, Children, and Family Health Science, University of Illinois at Chicago, College of Nursing, Chicago, IL, USA
| | - Bridgette M Brawner
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA
| | - Marilyn S Sommers
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA
| |
Collapse
|
9
|
Koletić G, Landripet I, Tafro A, Jurković L, Milas G, Štulhofer A. Religious faith and sexual risk taking among adolescents and emerging adults: A meta-analytic review. Soc Sci Med 2021; 291:114488. [PMID: 34662764 DOI: 10.1016/j.socscimed.2021.114488] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Revised: 10/11/2021] [Accepted: 10/12/2021] [Indexed: 10/20/2022]
Abstract
RATIONALE Although there is some evidence that religious faith may offer protection against sexual risk taking in adolescence and emerging adulthood, no attempts have been made to systematically quantify the association. OBJECTIVE Using data from studies conducted in the 2000-2020 period, this meta-analysis aimed to estimate the link between religious faith and four sexual risk-taking behaviors in samples of adolescents and emerging adults. METHODS Five different search systems were used to conduct a systematic literature search in April 2020. Studies that contained quantitative data on religious faith and at least one indicator of sexual risk taking (age at sexual debut, number of sexual partners, condom use at most recent sexual intercourse, and consistent condom use) were searched for. In total, 35 articles published in peer-reviewed journals, in English, were identified. Random-effects meta-analytic approach was used to assess target associations among 41,758 adolescents and emerging adults (Mage = 18.9 years, 37% male). To estimate the effect across the four risk indicators, we employed robust variance estimation (RVE) method. RESULTS We found small associations between religious faith on the one hand and age at sexual debut (r = 0.08, 95% CI = 0.03, 0.12) and the number of sexual partners on the other hand (r = -0.15, 95% CI = -0.21, -0.09). No association with condom use was observed. With all studies included, the overall effect size was 0.11 (95% CI = 0.06, 0.16), indicating a small (protective) role of religious faith in young people's sexual risk taking. CONCLUSIONS Considering the limited role of religious faith in young people's sexual and reproductive health, comprehensive sexuality education remains essential for risk-reduction, even among more religious young people.
Collapse
Affiliation(s)
- Goran Koletić
- Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia.
| | - Ivan Landripet
- Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia
| | - Azra Tafro
- Faculty of Forestry and Wood Technology, University of Zagreb, Zagreb, Croatia
| | - Luka Jurković
- Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia
| | - Goran Milas
- Institute of Social Sciences Ivo Pilar, Zagreb, Croatia
| | - Aleksandar Štulhofer
- Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia
| |
Collapse
|
10
|
Fiala V, Třebický V, Pazhoohi F, Leongómez JD, Tureček P, Saribay SA, Akoko RM, Kleisner K. Facial attractiveness and preference of sexual dimorphism: A comparison across five populations. EVOLUTIONARY HUMAN SCIENCES 2021; 3:e38. [PMID: 37588529 PMCID: PMC10427909 DOI: 10.1017/ehs.2021.33] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Despite intensive research, evolutionary psychology has not yet reached a consensus regarding the association between sexual dimorphism and attractiveness. This study examines associations between perceived and morphological facial sexual dimorphism and perceived attractiveness in samples from five distant countries (Cameroon, Colombia, Czechia, Iran and Turkey). We also examined possible moderating effects of skin lightness, averageness, age, body mass and facial width. Our results suggest that in all samples, women's perceived femininity was positively related to their perceived attractiveness. Women found perceived masculinity in men attractive only in Czechia and Colombia, two distant populations. The association between perceived sexual dimorphism and attractiveness is thus potentially universal only for women. Across populations, morphological sexual dimorphism and averageness are not universally associated with either perceived facial sexual dimorphism or attractiveness. With our exploratory approach, results highlight the need for control of which measure of sexual dimorphism is used (perceived or measured) because they affect perceived attractiveness differently. Morphological averageness and sexual dimorphism are not good predictors of perceived attractiveness. It is noted that future studies should use samples from multiple populations to allow for identification of specific effects of local environmental and socioeconomic conditions on preferred traits in unmanipulated local facial stimuli.
Collapse
Affiliation(s)
- Vojtěch Fiala
- Department of Philosophy and History of Science, Faculty of Science, Charles University, Viničná 7, 128 44 Prague, Czech Republic
| | - Vít Třebický
- Department of Philosophy and History of Science, Faculty of Science, Charles University, Viničná 7, 128 44 Prague, Czech Republic
- Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic
| | - Farid Pazhoohi
- Department of Psychology, University of British Columbia, 2136 West Mall, Vancouver, British Columbia, V6T 1Z4, Canada
| | - Juan David Leongómez
- Human Behaviour Laboratory, Faculty of Psychology, Universidad El Bosque, Bogota, Colombia
| | - Petr Tureček
- Department of Philosophy and History of Science, Faculty of Science, Charles University, Viničná 7, 128 44 Prague, Czech Republic
| | - S. Adil Saribay
- Department of Psychology, Kadir Has University, Istanbul, Turkey
| | - Robert Mbe Akoko
- Department of Communication and Development Studies, University of Bamenda, Cameroon
| | - Karel Kleisner
- Department of Philosophy and History of Science, Faculty of Science, Charles University, Viničná 7, 128 44 Prague, Czech Republic
| |
Collapse
|
11
|
Farahani FK. Adolescents and Young People's Sexual and Reproductive Health in Iran: A Conceptual Review. JOURNAL OF SEX RESEARCH 2020; 57:743-780. [PMID: 32543234 DOI: 10.1080/00224499.2020.1768203] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
This paper reviews the evidence on the sexual and reproductive health (SRH) of young people in Iran from 2001 to 2019 and maps needs, challenges, and opportunities in this area. From among 125 papers, 43 articles were examined for this review. Findings indicated that although the majority of youth abstain from sex before marriage, significant minorities are sexually active before marriage, with a huge heterogeneity based on gender and geographical region. A gender disparity is apparent in high-risk sexual behaviors. Multiple partners, inconsistent condom use, and younger age at sexual debut were more prevalent among men than women. There is a need to narrow gender disparities that expose young women to greater risks, expand health awareness and relevant skills, and enable access to SRH services. While the government has reaffirmed many commitments for young people's wellbeing, policy development falls far short of realizing these commitments. Future success requires increased evidence on the SRH of youth as well as political will and strategic commitment to SRH for young people. The challenge is to develop comprehensive and culturally appropriate SRH education and confidential and nonjudgmental youth services. Due to the importance of families and parents, such programs need to engage families.
Collapse
|
12
|
Karimi-Malekabadi F, Esmaeilinasab M. Religiosity, intrasexual rivalry, and mate retention behaviors in Iran. PERSONALITY AND INDIVIDUAL DIFFERENCES 2019. [DOI: 10.1016/j.paid.2019.05.059] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
13
|
Motedayen M, Kalantarkousheh SM, Scheier LM, Komarc M. Psychometric validation of the Sexual Knowledge and Attitudes Test –Adolescents (SKAT-A) in an Iranian sample. COGENT PSYCHOLOGY 2019. [DOI: 10.1080/23311908.2019.1585505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Affiliation(s)
- Mahsa Motedayen
- Department of Psychology and Education Science, University of Tehran, Tehran, Iran
| | | | - Lawrence M. Scheier
- LARS Research Institute, Visiting Scholar, UNC Greensboro, Department of Public Health Education, Senior Research Scientist, Prevention Strategies, LLC, Scottsdale, AZ, USA
| | - Martin Komarc
- Faculty of Physical Education and Sport, Department of Kinanthropology and Humanities, Charles University in Prague, Prague, Czech Republic
| |
Collapse
|
14
|
Hosseini Hooshyar S, Karamouzian M, Mirzazadeh A, Haghdoost AA, Sharifi H, Shokoohi M. Condom Use and its Associated Factors Among Iranian Youth: Results From a Population-Based Study. Int J Health Policy Manag 2018; 7:1007-1014. [PMID: 30624874 PMCID: PMC6326636 DOI: 10.15171/ijhpm.2018.65] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Accepted: 07/11/2018] [Indexed: 12/21/2022] Open
Abstract
Background: Given the young structure of Iran’s population and the fact that extramarital sexual relationships are both prohibited by legislation and shunned by society and religion, examining condom use practices among Iranian youth is highly important. The aim of this study was to explore condom use and its correlates among Iranian young adults.
Methods: In a sample of 3,045 individuals aged 19-29 who were recruited from a nation-wide study, we analyzed data from 633 participants who reported a history of extramarital sex. Subjects were asked about their condom use practices during their last penetrative sex. Data were collected through a self-administered questionnaire where the respondents completed the survey on their own and passed it to trained gender-matched interviewers. Multivariable regression models were constructed to report adjusted odds ratios (AOR) along with 95% CI.
Results: Of the 633 participants, 222 (35.1%) reported condom use at last sex. Men reported significantly higher condom use than women (38.5% vs. 25.7%). Having a stable job (AOR = 1.86, 95% CI: 1.01, 3.43), higher knowledge of condom use (AOR = 1.57, 95% CI: 1.03, 2.37) and sexual transmission of HIV (AOR = 1.83, 95% CI: 1.18, 2.85) were positively associated with condom use at last sex. Conversely, experience of sex under the influence of substances (AOR = 0.66, 95% CI: 0.45, 0.94) was significantly associated with reduced odds of condom use at last sex.
Conclusion: This study shows that only one out of every three young adults reported using condoms at last sex. While educational programs are helpful, multi-sectoral approaches (eg, individual-, community-, and structural-level interventions) are required to change sexual behaviours towards safe sex practices and reinforce negotiating condom use among youth.
Collapse
Affiliation(s)
- Samira Hosseini Hooshyar
- HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.,The Kirby Institute, UNSW Sydney, Sydney, NSW, Australia
| | - Mohammad Karamouzian
- HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.,School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Ali Mirzazadeh
- HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.,Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA
| | - Ali Akbar Haghdoost
- HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Hamid Sharifi
- HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Mostafa Shokoohi
- HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.,Department of Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON, Canada
| |
Collapse
|
15
|
|
16
|
Mate Preferences in Young Iranian Women: Cultural and Individual Difference Correlates. EVOLUTIONARY PSYCHOLOGICAL SCIENCE 2016. [DOI: 10.1007/s40806-016-0060-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|