Barrier and Facilitators of HIV Related Risky Sexual Behavior

Background: This study was conducted to identify the determinants of protective behavior in relation to HIV transmission. Since the risk of transmission is higher among those who have extramarital intercourse, the study sample constituted of such people.Methods: We started this study in 2010 and fin...

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Main Authors: Soheila Asgari, Saharnaz Nedjat, Ameneh Setareh Forouzan, Ashkan Shahnazi, Reza Majdzadeh
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2013-08-01
Series:Iranian Journal of Public Health
Subjects:
Online Access:http://ijph.tums.ac.ir/index.php/IJPH/article/view/3874/2199
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author Soheila Asgari
Saharnaz Nedjat
Ameneh Setareh Forouzan
Ashkan Shahnazi
Reza Majdzadeh
author_facet Soheila Asgari
Saharnaz Nedjat
Ameneh Setareh Forouzan
Ashkan Shahnazi
Reza Majdzadeh
author_sort Soheila Asgari
collection DOAJ
description Background: This study was conducted to identify the determinants of protective behavior in relation to HIV transmission. Since the risk of transmission is higher among those who have extramarital intercourse, the study sample constituted of such people.Methods: We started this study in 2010 and finished it in 2011. Participants were divided into low-risk and high-risk groups. High-risk people included sex workers and those who presented at drop-in centers. Interviewees were 18 men and women in the low-risk group and 12 men and women in the high-risk group. Data were collected through in-depth interviews and were analyzed using the thematic framework method.Results: In both groups, protective behavior was influenced by willingness to protect, intention or decision to protect, and personal, social, and environmental barriers and facilitators. In terms of willingness, behavior was influenced to preserve sexual pleasure by avoiding condoms. In terms of barriers and facilitators, trust in partner, misperceptions, condom inaccessibility, unplanned sex, fear of contracting the disease, partner’s wish, ethical commitments were mentioned by both groups, stigma of condom possession by the low-risk group, and partner’s force was mentioned by the high-risk group.Conclusion: Educational programs need to focus on changing the concept that “condoms reduce sexual pleasure”. In addition, interventional programs to strengthen factors such as self-efficacy, ethical commitments, faithfulness, and correct beliefs such as undue trust in partner, misconception of being safe, unplanned sex, and the stigma of possessing condoms can be very effective in changing high-risk sexual behavior.
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spelling doaj.art-9ba6e03b40d8458b9a7a2d51d6753d712022-12-21T18:12:02ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852013-08-01428842853Barrier and Facilitators of HIV Related Risky Sexual BehaviorSoheila AsgariSaharnaz NedjatAmeneh Setareh ForouzanAshkan ShahnaziReza MajdzadehBackground: This study was conducted to identify the determinants of protective behavior in relation to HIV transmission. Since the risk of transmission is higher among those who have extramarital intercourse, the study sample constituted of such people.Methods: We started this study in 2010 and finished it in 2011. Participants were divided into low-risk and high-risk groups. High-risk people included sex workers and those who presented at drop-in centers. Interviewees were 18 men and women in the low-risk group and 12 men and women in the high-risk group. Data were collected through in-depth interviews and were analyzed using the thematic framework method.Results: In both groups, protective behavior was influenced by willingness to protect, intention or decision to protect, and personal, social, and environmental barriers and facilitators. In terms of willingness, behavior was influenced to preserve sexual pleasure by avoiding condoms. In terms of barriers and facilitators, trust in partner, misperceptions, condom inaccessibility, unplanned sex, fear of contracting the disease, partner’s wish, ethical commitments were mentioned by both groups, stigma of condom possession by the low-risk group, and partner’s force was mentioned by the high-risk group.Conclusion: Educational programs need to focus on changing the concept that “condoms reduce sexual pleasure”. In addition, interventional programs to strengthen factors such as self-efficacy, ethical commitments, faithfulness, and correct beliefs such as undue trust in partner, misconception of being safe, unplanned sex, and the stigma of possessing condoms can be very effective in changing high-risk sexual behavior.http://ijph.tums.ac.ir/index.php/IJPH/article/view/3874/2199HIVSexual BehaviorBarrierFacilitatorIran
spellingShingle Soheila Asgari
Saharnaz Nedjat
Ameneh Setareh Forouzan
Ashkan Shahnazi
Reza Majdzadeh
Barrier and Facilitators of HIV Related Risky Sexual Behavior
Iranian Journal of Public Health
HIV
Sexual Behavior
Barrier
Facilitator
Iran
title Barrier and Facilitators of HIV Related Risky Sexual Behavior
title_full Barrier and Facilitators of HIV Related Risky Sexual Behavior
title_fullStr Barrier and Facilitators of HIV Related Risky Sexual Behavior
title_full_unstemmed Barrier and Facilitators of HIV Related Risky Sexual Behavior
title_short Barrier and Facilitators of HIV Related Risky Sexual Behavior
title_sort barrier and facilitators of hiv related risky sexual behavior
topic HIV
Sexual Behavior
Barrier
Facilitator
Iran
url http://ijph.tums.ac.ir/index.php/IJPH/article/view/3874/2199
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AT amenehsetarehforouzan barrierandfacilitatorsofhivrelatedriskysexualbehavior
AT ashkanshahnazi barrierandfacilitatorsofhivrelatedriskysexualbehavior
AT rezamajdzadeh barrierandfacilitatorsofhivrelatedriskysexualbehavior