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HIV/STI RISK-TAKING SEXUAL BEHAVIOURS AND RISK PERCEPTION AMONG MALE UNIVERSITY STUDENTS IN TEHRAN: IMPLICATIONS FOR HIV PREVENTION AMONG YOUTH

Published online by Cambridge University Press:  13 March 2017

Farideh Khalajabadi Farahani ,
Mohammad Mahdi Akhondi ,
Mehdi Shirzad  and
Ali Azin
Farideh Khalajabadi Farahani*
Affiliation:
National Institute for Population Research, Tehran, Iran
Mohammad Mahdi Akhondi
Affiliation:
Avicenna Research Institute (ARI), Tehran, Iran
Mehdi Shirzad
Affiliation:
Avicenna Research Institute (ARI), Tehran, Iran
Ali Azin
Affiliation:
Avicenna Research Institute (ARI), Tehran, Iran
*
1Corresponding author. Email: farideh.farahani@psri.ac.ir
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Summary

Recent evidence indicates a rising trend in premarital sexual activity among young people in Iran. However, little is known about the extent to which young people’s sexual behaviours expose them to HIV and STI risks. This study aimed to assess HIV/STI-related sexual risk-taking behaviours (correlates and determinants) and HIV/STI risk perception among male university students in Tehran. A representative sample of male university students (N=1322) studying in government and private Tehran universities completed an anonymous questionnaire survey in 2013–14. Respondents were selected using two-stage stratified cluster sampling. About 35% of respondents had ever had premarital sex (n=462). The majority (about 85%) of the sexually experienced students reported having multiple sexual partners in their lifetime. More than half (54%) reported inconsistent condom use over the previous month. Despite this exposure to HIV/STI risk, the respondents had a very low level of HIV/STI risk perception. Only 6.5% were highly concerned about contracting HIV over the previous year, and an even lower percentage (3.4%) were concerned about contracting STIs in the near future. Early sexual debut (<18 years), studying in a private university, ever watching pornography and work experience were found to be significant predictors of having multiple sexual partners. Younger age at sexual debut, having one lifetime sexual partner and poor HIV knowledge were significant predictors of inconsistent condom use over the preceding month. HIV prevention programmes among Iranian youth need to focus on the postponement of first sex and enhancement of HIV/STI knowledge in the light of increasing access of young people to pornography.

Type
Research Article
Information
Journal of Biosocial Science , Volume 50 , Issue 1 , January 2018 , pp. 86 - 101
Copyright
Copyright © Cambridge University Press, 2017 

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References

Adefuye, A. S., Abiona, T. C., Balogun, J. A. & Lukobo-Durrell, M. (2009) HIV sexual risk behaviors and perception of risk among college students: implications for planning interventions. BMC Public Health 9, 281.Google Scholar
Amin-Esmaeli, M., Yunesian, M., Sahimi-Izadian, E. & Rahimi-Movaghar, A. (2016) The prevalence of illicit substance use among students of medical science in Tehran: results from four repeated surveys from 2006–2009. Journal of Child & Adolescents Substance Abuse. URL: http://dx.doi.org/10.1080/1067828X.2016.1242099.Google Scholar
Brown, J. S., Shah, I. & Yount, K. M. (2001) Sexual Relations among Young People in Developing Countries: Evidence from WHO Case Studies. World Health Organization, Geneva. URL: http://www.who.int/reproductivehealth/publications/adolescence/RHR_01.8/en/ (accessed 20th January 2017).Google Scholar
Center for Disease Control (2008) Report of Activities and their Results on HIV/AIDS in Iran. Ministry of Health and Medical Education, Tehran, Iran.Google Scholar
Cleland, J., Ingham, R. & Stone, N. (2001) Asking Young People about Sexual and Reproductive Behaviours: Illustrative Core Instruments. Human Reproductive Programme Report, WHO. URL: http://www.who.int/reproductivehealth/topics/adolescence/sample_core_instruments.pdf (accessed 20th January 2017).Google Scholar
Haghdoost, A. A. & Moosazadeh, M. (2013) The prevalence of cigarette smoking among students of Iran’s universities: a systematic review and meta-analysis. Journal of Research in Medical Science 18(8), 717–725.Google Scholar
Haghdoost, A. A., Mostafavi, E., Mirzazadeh, A., Navadeh, S., Feizzadeh, A., Fahimfar, N. et al. (2011) Modeling of HIV/AIDS in Iran up to 2014. Journal of AIDS and HIV Research 3(12), 231–239.Google Scholar
Kapiga, S. H. (1996) Determinants of multiple sexual partners and condom use among sexually active Tanzanians. East African Medical Journal 73(7), 435–442.Google Scholar
Khalajabadi Farahani, F. (2008) Sexual norms, attitude and conduct among female college students in Tehran. PhD Thesis, London School of Hygiene and Tropical Medicine.Google Scholar
Khalajabadi Farahani, F. (2016) Meta analysis of premarital heterosexual relationships among young people in Iran over the past 15 years (2001–2015). Journal of Family Research (Khanevadeh Pajoohi) [in Persian] 12(3), 339–367.Google Scholar
Khalajabadi Farahani, F. (2014) Methodological considerations in studying sexual behaviors of young people in Iran. Journal of Reproduction and Infertility 15(4), 171–172.Google Scholar
Kirby, D. & Lepore, G. (2007) Sexual Risk and Protective Factors: Factors Affecting Teen Sexual Behavior, Pregnancy, Childbearing, and Sexually Transmitted Disease: Which Are Important? Which Can You Change? The National Campaign to Prevent Teen and Unplanned Pregnancy, Washington, DC.Google Scholar
Magnani, R. J., Karim, A. M., Weiss, L. A., Bond, K. C., Lemba, M. & Morgan, G. T. (2002) Reproductive health risks and protective factors among youth in Lusaka, Zambia. Journal of Adolescent Health 30(1), 76–86.Google Scholar
Magnani, R. J., Seiber, E. E., Gutierrez, E. Z. & Vereau, D. (2001) Correlates of sexual activity and condom use among secondary-school students in urban Peru. Studies in Family Planning 32(1), 53–66.Google Scholar
Meston, C. M., Heiman, J. R., Trapnell, P. D. & Paulhus, D. L. (1998) Socially desireable responding and sexuality self-reports. Journal of Sex Research 35(2), 148–157.Google Scholar
Mirmolaee, S. T. & Rahimikia, F. (2005) The study of sexual behaviours and related factors among female students of governmental schools in Tehran. Paper presented at the 2nd Congress on Family and Sexual Disorders (Khanevadeh va Moshkelate jensi) [in Farsi]. Shahed University (Daneshgah-e-shahed), Tehran, Iran.Google Scholar
Mmari, R. W. & Blum, K. (2009) Risk and protective factors affecting adolescent reproductive health in developing countries: a structured literature review. Global Public Health 4(4), 350–366.Google Scholar
Mohammad, K., Khalajabadi Farahani, F., Mohammadi, M. R., Alikhani, S., Zare, M., Ramezani Tehrani, F. et al. (2007) Sexual risk-taking behaviours among boys aged 15–18 years in Tehran. Journal of Adolescent Health 41(4), 407–414.Google Scholar
Mohammadi, M. R., Mohammad, K., Khalajabadi Farahani, F., Alikhani, S, Zare, M., Ramezani, Tehrani et al. (2006) Reproductive knowledge, attitude and behaviour of adolescent males in Tehran. International Family Planning Perspective 32, 35–44.CrossRefGoogle ScholarPubMed
Mojtahedzadeh, V., Razani, N., Malekinejad, M., Vazirian, M., Shoaee, S., Saberi-Zafarqhandi, M. D. et al. (2008) Injection drug use in rural Iran: integrating HIV prevention into Iran’s rural primary health care system. AIDS Behavior 12(4), 7–12.Google Scholar
National AIDS Committee Secretariat (2015) Islamic Republic of Iran AIDS Progress Report on Monitoring of the United Nations General Assembly Special Session on HIV and AIDS Ministry of Health and Medical Education. Tehran, Iran. URL: http://www.unaids.org/sites/default/files/country/documents/IRN_narrative_report_2015.pdf (accessed 20th January 2017).Google Scholar
National Center for Health Statistics (1993) National Health Interview Survey of AIDS Knowledge and Attitudes, 1992 . National Center for Health Statistics, Hyattsville, MD.Google Scholar
Ramezani Tehrani, F. & Malek-Afzali, H. (2008) Knowledge, attitudes and practices concerning HIV/AIDS among Iranian at-risk sub-populations. East Mediterranean Health Journal 14(1), 142–156.Google ScholarPubMed
Rwenge, M. (2000) Sexual Risk behaviors among young people in Bamenda, Cameroon. International Family Planning Perspectives 26(3), 118–123.Google Scholar
Sawires, S., Birnbaum, N., Abu-Raddad, L., Szekeres, B. A. & Gayle, J. (2009) Twenty-five years of HIV: lessons for low prevalence scenarios. Journal of Acquire Immune Deficiency Syndrome 51(3), 75–82.Google Scholar
Simbar, M. (2003) The needs of reproductive health of the university students of Ghazvin. Journal of Qazvin University of Medical Sciences & Health Services [in Persian] 28, 5–13.Google Scholar
Statistical Centre of Iran (2011) Total Population by Sex and Provinces. URL: https://www.amar.org.ir/Portals/1/Iran/census-2.pdf (accessed 20th January 2017).Google Scholar
Tavoosi, A., Zaferani, A., Enzevaei, A., Tajik, P. & Ahmadinezhad, Z. (2004) Knowledge and attitude towards HIV/AIDS among Iranian students. BMC Public Health 4(17), 1–6.Google Scholar
UNAIDS (2004) Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Diseases of Islamic Republic of Iran. UNAIDS/UNICEF/WHO, Geneva. URL: http://data.unaids.org/Publications/Fact-Sheets01/iran_en.pdf (accessed 20th January 2017).Google Scholar
Witte, K., Berkowitz, J. M. & Cameron, K. A. (1998) Preventing the spread of genital warts: using fear appeals to promote self-protective behaviors. Health Education Behaviour 25, 571–585.Google Scholar