@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2018;4(4):4-12
ISSN: 2383-2150 Journal of Education and Community Health 2018;4(4):4-12
Effect of Education Based on the Health Belief Model in the Prevention of Sexually Transmitted Diseases in Couples Participating in Premarriage Training Classes
ARTICLE INFO
Article Type
Original ResearchAuthors
Khani Jeihooni Ali (1)Ghaedi Rabeh (1)
Kashfi Seyyed Mansour (2)
Khiyali Zahra (1*)
(1) Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran
(2) Department of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
Correspondence
Address: Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, IranPhone: -
Fax: -
khiyaliz@yahoo.com
Article History
Received: December 18, 2017Accepted: March 20, 2018
ePublished: March 20, 2018
ABSTRACT
Aims
Sexually transmitted diseases (STDs) are among the most common infectious diseases in the community. Implementing health education interventions is the best strategy available to promote sexual health. Thus, this study aimed to investigate the effect of STDs prevention training in couples based on the health belief model (HBM) in Fasa, Iran.
Materials & Methods This quasi-experimental study was conducted on 70 couples presenting to Fasa health centers in 2016. The participants were randomly assigned to a case or control group (n=35 per group). The study data were collected using a standard questionnaire including demographic variables, the HBM constructs, and couples’ performance in the prevention of STDs, which was completed by both groups before and three months post-intervention. The educational intervention included four 50 to 55-minute sessions in the form of group discussions, as well as questions and answers with educational images. To analyze the data, Chi-square test, independent t-test, and paired t-test were run in SPSS, version 22.
Findings The mean age of the participants in the intervention and control groups were 27.02±5.53 and 25.14±4.45 years, respectively. The mean scores of all the HBM constructs and the level of performance of the couples in preventing STDs increased in the intervention group after the intervention (P<0.001).
Conclusion The results of this study showed that designing and implementing educational programs based on the HBM can be effective in prevention of STDs and promotion of sexual health
Materials & Methods This quasi-experimental study was conducted on 70 couples presenting to Fasa health centers in 2016. The participants were randomly assigned to a case or control group (n=35 per group). The study data were collected using a standard questionnaire including demographic variables, the HBM constructs, and couples’ performance in the prevention of STDs, which was completed by both groups before and three months post-intervention. The educational intervention included four 50 to 55-minute sessions in the form of group discussions, as well as questions and answers with educational images. To analyze the data, Chi-square test, independent t-test, and paired t-test were run in SPSS, version 22.
Findings The mean age of the participants in the intervention and control groups were 27.02±5.53 and 25.14±4.45 years, respectively. The mean scores of all the HBM constructs and the level of performance of the couples in preventing STDs increased in the intervention group after the intervention (P<0.001).
Conclusion The results of this study showed that designing and implementing educational programs based on the HBM can be effective in prevention of STDs and promotion of sexual health
CITATION LINKS
[1]Sexually transmitted infections (STIs). World Health Organization. Available at: URL: http://www.who.int/topics/sexually_ transmitted_ infections/en/; 2015.
[2]Sexually transmitted infections (STIs), Fact sheet. World Health Organization. Available at: URL: http://www.who.int/mediacentre/factsheets/fs110/en/; 2014.
[3]Dutra MR, Campos LN, Guimarães MD. Sexually transmitted diseases among psychiatric patients in Brazil. Braz J Infect Dis. 2014;18(1):13-20. PMID: 23933407 DOI: 10.1016/j.bjid.2013.04.004
[4]Mark H, Dhir A, Roth C. Sexually transmitted infections in the United States: overview and update. Am J Nurs. 2015;115(9):34-44. PMID: 26273928 DOI: 10.1097/01.NAJ.0000471245.76692.28
[5]Landry DJ, Turnbull W. Sexually transmitted diseases hamper development efforts. Issues Brief (Alan Guttmacher Inst). 1998;2:1-4. PMID: 12138905
[6]World Health Organization. Global incidence and prevalence of selected curable sexually transmitted infections. Geneva: World Health Organization; 2008.
[7]Rahmatinjar Kolaei F. Tehran University students' knowledge about sexually transmitted disease. J Holistic Nurs Midwifery. 2007;17(58):9-14.
[8]Miri M, Mogharab M, Hoseinpour F. Knowledge, attitude and performance of male workers of Birjand factories toward AIDS & hepatitis B. J Sci Quart Birjand Nurs Midwifery Facul. 2009;6(1-4):12-8. [Persian]
[9]Warner L, Klausner JD, Rietmeijer CA, Malotte CK, O’Donnell L, Margolis AD, et al. Effect of a brief video intervention on incident infection among patients attending sexually transmitted disease clinics. PLoS Med. 2008;5(6):e135. PMID: 18578564 DOI: 10.1371/journal.pmed.0050135
[10]Rink E, Montgomery-Andersen R, Anastario M. The effectiveness of an education intervention to prevent chlamydia infection among Greenlandic youth. Int J STD AIDS. 2015;26(2):98-106. PMID: 24713230 DOI: 10.1177/0956462414531240
[11]Gates ML, Walker V, Webb NC. Sexual health education in Georgia: a role for reducing sexually transmitted infections among adolescents. J Georgia Public Health Assoc. 2015;5(2):191-95.
[12]Sharifirad G, Entezari MH, Kamran A, Azadbakht L. The effectiveness of nutritional education on the knowledge of diabetic patients using the health belief model. J Isfahan Uni of Med Sci. 2009;14(1):1-8. PMID: 21772854
[13]Zareban I, Karimy M, Ahmadi R, Tabasi Darmiyan A, Taher M. Effectiveness of a theory-based education program in prevention of HIV transmission risk behaviors in HIV+ patients: an intervention in health belief model framework. Horizon Med Sci. 2015;21(4):13-8. [Persian]
[14]Tarkang EE, Zotor FB. Application of the health belief model (HBM) in HIV prevention: a literature review. Central Afr J Public Health. 2015;1(1):1-8. DOI: 10.11648/j.cajph. 20150101.11
[15]Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice. 4th ed. San Francisco: John Wiley & Sons; 2008.
[16]Ramazani A, Faraji O, Fatemi M, Solooki M. The effects of pre-marriage education and consultation on knowledge and attitude of couples regarding to reproductive health. Toloo-E-Behdasht. 2012;11(3):56-65. [Persian]
[17]Mirmohammadaliei M, Moddares M, Mehran A, Ashtari Mahini M. Effect of preventive education of STD based on health belief model in the couples. J Hayat. 2006;11(4):89-96. [Persian]
[18]Khiyali Z, Manoochri M, Khani Jeihooni A, Babaei Heydarabadi A, Mobasheri F. Educational Intervention on Preventive Behaviors on Gestational Diabetes in Pregnant Women: Application of Health Belief Model. Int J Pediatr. 2017;5(5):4821-31. DOI: 10.22038/ijp.2016.7750
[19]Henry Akintobi T, Trotter J, Zellner T, Lenoir S, Evans D, Rollins L, et al. Outcomes of a behavioral intervention to increase condom use and reduce HIV risk among urban African American young adults. Health Promot Pract. 2016,17(5):751-9.
[20]Fogel CI, Crandell JL, Neevel AM, Parker SD, Carry M, White BL, et al. Efficacy of an adapted HIV and sexually transmitted infection prevention intervention for incarcerated women: a randomized controlled trial. Am J Public Health. 2015;105(4):802-9. PMID: 25211714 DOI: 10.2105/AJPH.2014.302105
[21]Carey MP, Senn TE, Vanable PA, Coury-Doniger P, Urban MA. Brief and intensive behavioral interventions to promote sexual risk reduction among STD clinic patients: results from a randomized controlled trial. AIDS Behav. 2010;14(3):504-17. PMID: 19590947 DOI: 10.1007/s10461-009-9587-1
[22]Diallo DD, Moore TW, Ngalame PM, White LD, Herbst JH, Painter TM. Efficacy of a single-session HIV prevention intervention for black women: a group randomized controlled trial. AIDS Behav. 2010;14(3):518-29. PMID: 20135214 DOI: 10.1007/s10461-010-9672-5
[23]Witherspoon UL. Effect of an educational intervention for prevention of STD in minority women. Indiana: Valparaiso University; 2016.
[24]Rink E. An evaluation of the interaction of place and community-based participatory research as a research methodology in the implementation of a sexually transmitted infection intervention for Greenlandic youth. Int J Circumpolar Health. 2016;75:32239. PMID: 27938642
[25]Appel PW, Warren BE, Yu J, Rogers M, Harris B, Highsmith S, et al. Implementing substance abuse intervention services in New York City sexually transmitted disease clinics: factors promoting interagency collaboration. J Behav Health Serv Res. 2017;44(1):168-76. PMID: 26276420 DOI: 10.1007/s11414-015-9473-8
[26]DiClemente RJ, Davis TL, Swartzendruber A, Fasula AM, Boyce L, Gelaude D, et al. Efficacy of an HIV/STI sexual risk-reduction intervention for African American adolescent girls in juvenile detention centers: a randomized controlled trial. Women Health. 2014;54(8):726-49. PMID: 25190056 DOI: 10.1080/03630242.2014.932893
[27]Vivancos R, Abubakar I, Phillips-Howard P, Hunter P. School-based sex education is associated with reduced risky sexual behaviour and sexually transmitted infections in young adults. Public Health. 2013;127(1):53-7. PMID: 23127519 DOI: 10.1016/j.puhe.2012.09.016
[28]In-iw S, Braverman PK, Bates JR, Biro FM. The impact of health education counseling on rate of recurrent sexually transmitted infections in adolescents. J Pediatr Adolesc Gynecol. 2015;28(6):481-5. PMID: 26220351 DOI: 10.1016/j.jpag.2015.02.001
[29]Barati M, Soltanian A, Emdadi S, Zahiri B, Barzeghar N. Analyzing sexual health-related beliefs among couples in marriage based on the health belief model. J Educ Community Health. 2014;1(1):36-45. [Persian] DOI: 10.20286/jech-010136
[30]Kabodi S, Barati M, Rajabi Gilan N, Reshadat S. Application of the health belief model for investigation of couples' attitude toward sexual health. Health Educ Health Promot. 2014;2(3):45-56. [Persian]
[31]Jadgal KH, Siouki HA, Razavi NS. The using of health belief model on AIDS preventive behaviors among health volunteers. J Res Health. 2015;5(1):58-64.
[32]Bastami F, Sharafkhani N, Bakhteyar K, Heydari M, Hassanzadeh A, Mostafavi F. Effect of educational intervention based on health belief model on psychological factors of AIDS preventive behaviors in addicts. J Res Health. 2017;7(6):1120-9.
[33]Montanaro EA, Bryan AD. Comparing theory-based condom interventions: health belief model versus theory of planned behavior. Health Psychol. 2014;33(10):1251-60. PMID: 23977877 DOI: 10.1037/a0033969
[34]Li X, Lei Y, Wang H, He G, Williams AB. The health belief model: a qualitative study to understand high-risk sexual behavior in Chinese men who have sex with men. J Assoc Nurses AIDS Care. 2016;27(1):66-76.
[35]Carpenter CJ. A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Commun. 2010;25(8):661-9. PMID: 21153982 DOI: 10.1080/10410236.2010.521906
[36]Zhao J, Song F, Ren S, Wang Y, Wang L, Liu W, et al. Predictors of condom use behaviors based on the health belief model (HBM) among female sex workers: a cross-sectional study in Hubei province, China. PLoS One. 2012;7(11):e49542. PMID: 23185355 DOI: 10.1371/journal.pone.0049542
[37]Nikpour S, Haghani H. The effect of educational program based on health belief model (HBM) on self efficacy related to condom use for preventing of sexually transmitted diseases (STDs) and AIDS among youth addicts admitted to the drug treatment centers. J Bacteriol Parasitol. 2014;5:4.
[38]Ebrahimipour H, Jalali Akerdi B, Solhi M, Esmaeli H. Effect of educational intervention based on Self Efficacy Theory (SET) on behavior of prevention of HIV AIDS in high risk women. Iran J Obstet Gynecol Infertil. 2015;18(144):19-27. [Persian]
[2]Sexually transmitted infections (STIs), Fact sheet. World Health Organization. Available at: URL: http://www.who.int/mediacentre/factsheets/fs110/en/; 2014.
[3]Dutra MR, Campos LN, Guimarães MD. Sexually transmitted diseases among psychiatric patients in Brazil. Braz J Infect Dis. 2014;18(1):13-20. PMID: 23933407 DOI: 10.1016/j.bjid.2013.04.004
[4]Mark H, Dhir A, Roth C. Sexually transmitted infections in the United States: overview and update. Am J Nurs. 2015;115(9):34-44. PMID: 26273928 DOI: 10.1097/01.NAJ.0000471245.76692.28
[5]Landry DJ, Turnbull W. Sexually transmitted diseases hamper development efforts. Issues Brief (Alan Guttmacher Inst). 1998;2:1-4. PMID: 12138905
[6]World Health Organization. Global incidence and prevalence of selected curable sexually transmitted infections. Geneva: World Health Organization; 2008.
[7]Rahmatinjar Kolaei F. Tehran University students' knowledge about sexually transmitted disease. J Holistic Nurs Midwifery. 2007;17(58):9-14.
[8]Miri M, Mogharab M, Hoseinpour F. Knowledge, attitude and performance of male workers of Birjand factories toward AIDS & hepatitis B. J Sci Quart Birjand Nurs Midwifery Facul. 2009;6(1-4):12-8. [Persian]
[9]Warner L, Klausner JD, Rietmeijer CA, Malotte CK, O’Donnell L, Margolis AD, et al. Effect of a brief video intervention on incident infection among patients attending sexually transmitted disease clinics. PLoS Med. 2008;5(6):e135. PMID: 18578564 DOI: 10.1371/journal.pmed.0050135
[10]Rink E, Montgomery-Andersen R, Anastario M. The effectiveness of an education intervention to prevent chlamydia infection among Greenlandic youth. Int J STD AIDS. 2015;26(2):98-106. PMID: 24713230 DOI: 10.1177/0956462414531240
[11]Gates ML, Walker V, Webb NC. Sexual health education in Georgia: a role for reducing sexually transmitted infections among adolescents. J Georgia Public Health Assoc. 2015;5(2):191-95.
[12]Sharifirad G, Entezari MH, Kamran A, Azadbakht L. The effectiveness of nutritional education on the knowledge of diabetic patients using the health belief model. J Isfahan Uni of Med Sci. 2009;14(1):1-8. PMID: 21772854
[13]Zareban I, Karimy M, Ahmadi R, Tabasi Darmiyan A, Taher M. Effectiveness of a theory-based education program in prevention of HIV transmission risk behaviors in HIV+ patients: an intervention in health belief model framework. Horizon Med Sci. 2015;21(4):13-8. [Persian]
[14]Tarkang EE, Zotor FB. Application of the health belief model (HBM) in HIV prevention: a literature review. Central Afr J Public Health. 2015;1(1):1-8. DOI: 10.11648/j.cajph. 20150101.11
[15]Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice. 4th ed. San Francisco: John Wiley & Sons; 2008.
[16]Ramazani A, Faraji O, Fatemi M, Solooki M. The effects of pre-marriage education and consultation on knowledge and attitude of couples regarding to reproductive health. Toloo-E-Behdasht. 2012;11(3):56-65. [Persian]
[17]Mirmohammadaliei M, Moddares M, Mehran A, Ashtari Mahini M. Effect of preventive education of STD based on health belief model in the couples. J Hayat. 2006;11(4):89-96. [Persian]
[18]Khiyali Z, Manoochri M, Khani Jeihooni A, Babaei Heydarabadi A, Mobasheri F. Educational Intervention on Preventive Behaviors on Gestational Diabetes in Pregnant Women: Application of Health Belief Model. Int J Pediatr. 2017;5(5):4821-31. DOI: 10.22038/ijp.2016.7750
[19]Henry Akintobi T, Trotter J, Zellner T, Lenoir S, Evans D, Rollins L, et al. Outcomes of a behavioral intervention to increase condom use and reduce HIV risk among urban African American young adults. Health Promot Pract. 2016,17(5):751-9.
[20]Fogel CI, Crandell JL, Neevel AM, Parker SD, Carry M, White BL, et al. Efficacy of an adapted HIV and sexually transmitted infection prevention intervention for incarcerated women: a randomized controlled trial. Am J Public Health. 2015;105(4):802-9. PMID: 25211714 DOI: 10.2105/AJPH.2014.302105
[21]Carey MP, Senn TE, Vanable PA, Coury-Doniger P, Urban MA. Brief and intensive behavioral interventions to promote sexual risk reduction among STD clinic patients: results from a randomized controlled trial. AIDS Behav. 2010;14(3):504-17. PMID: 19590947 DOI: 10.1007/s10461-009-9587-1
[22]Diallo DD, Moore TW, Ngalame PM, White LD, Herbst JH, Painter TM. Efficacy of a single-session HIV prevention intervention for black women: a group randomized controlled trial. AIDS Behav. 2010;14(3):518-29. PMID: 20135214 DOI: 10.1007/s10461-010-9672-5
[23]Witherspoon UL. Effect of an educational intervention for prevention of STD in minority women. Indiana: Valparaiso University; 2016.
[24]Rink E. An evaluation of the interaction of place and community-based participatory research as a research methodology in the implementation of a sexually transmitted infection intervention for Greenlandic youth. Int J Circumpolar Health. 2016;75:32239. PMID: 27938642
[25]Appel PW, Warren BE, Yu J, Rogers M, Harris B, Highsmith S, et al. Implementing substance abuse intervention services in New York City sexually transmitted disease clinics: factors promoting interagency collaboration. J Behav Health Serv Res. 2017;44(1):168-76. PMID: 26276420 DOI: 10.1007/s11414-015-9473-8
[26]DiClemente RJ, Davis TL, Swartzendruber A, Fasula AM, Boyce L, Gelaude D, et al. Efficacy of an HIV/STI sexual risk-reduction intervention for African American adolescent girls in juvenile detention centers: a randomized controlled trial. Women Health. 2014;54(8):726-49. PMID: 25190056 DOI: 10.1080/03630242.2014.932893
[27]Vivancos R, Abubakar I, Phillips-Howard P, Hunter P. School-based sex education is associated with reduced risky sexual behaviour and sexually transmitted infections in young adults. Public Health. 2013;127(1):53-7. PMID: 23127519 DOI: 10.1016/j.puhe.2012.09.016
[28]In-iw S, Braverman PK, Bates JR, Biro FM. The impact of health education counseling on rate of recurrent sexually transmitted infections in adolescents. J Pediatr Adolesc Gynecol. 2015;28(6):481-5. PMID: 26220351 DOI: 10.1016/j.jpag.2015.02.001
[29]Barati M, Soltanian A, Emdadi S, Zahiri B, Barzeghar N. Analyzing sexual health-related beliefs among couples in marriage based on the health belief model. J Educ Community Health. 2014;1(1):36-45. [Persian] DOI: 10.20286/jech-010136
[30]Kabodi S, Barati M, Rajabi Gilan N, Reshadat S. Application of the health belief model for investigation of couples' attitude toward sexual health. Health Educ Health Promot. 2014;2(3):45-56. [Persian]
[31]Jadgal KH, Siouki HA, Razavi NS. The using of health belief model on AIDS preventive behaviors among health volunteers. J Res Health. 2015;5(1):58-64.
[32]Bastami F, Sharafkhani N, Bakhteyar K, Heydari M, Hassanzadeh A, Mostafavi F. Effect of educational intervention based on health belief model on psychological factors of AIDS preventive behaviors in addicts. J Res Health. 2017;7(6):1120-9.
[33]Montanaro EA, Bryan AD. Comparing theory-based condom interventions: health belief model versus theory of planned behavior. Health Psychol. 2014;33(10):1251-60. PMID: 23977877 DOI: 10.1037/a0033969
[34]Li X, Lei Y, Wang H, He G, Williams AB. The health belief model: a qualitative study to understand high-risk sexual behavior in Chinese men who have sex with men. J Assoc Nurses AIDS Care. 2016;27(1):66-76.
[35]Carpenter CJ. A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Commun. 2010;25(8):661-9. PMID: 21153982 DOI: 10.1080/10410236.2010.521906
[36]Zhao J, Song F, Ren S, Wang Y, Wang L, Liu W, et al. Predictors of condom use behaviors based on the health belief model (HBM) among female sex workers: a cross-sectional study in Hubei province, China. PLoS One. 2012;7(11):e49542. PMID: 23185355 DOI: 10.1371/journal.pone.0049542
[37]Nikpour S, Haghani H. The effect of educational program based on health belief model (HBM) on self efficacy related to condom use for preventing of sexually transmitted diseases (STDs) and AIDS among youth addicts admitted to the drug treatment centers. J Bacteriol Parasitol. 2014;5:4.
[38]Ebrahimipour H, Jalali Akerdi B, Solhi M, Esmaeli H. Effect of educational intervention based on Self Efficacy Theory (SET) on behavior of prevention of HIV AIDS in high risk women. Iran J Obstet Gynecol Infertil. 2015;18(144):19-27. [Persian]