The role of integrative model of behavioral prediction in voluntary counseling of individuals with sexual high‑risk behavior
نویسندگان
1 Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran,
2
3 Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences
4 Department of Health Education and Promotion, School of Health, Kermanshah University of Medical Sciences, Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran,
5 Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran,
doi
چکیده
BACKGROUND: Voluntary counseling and testing (VCT) is one of the main efforts for the preventionof high‑risk sexual behavior, including HIV/acquired immunodeficiency syndrome (AIDS). The aim ofthis study was to determine cognitive determinants related to voluntary counseling and HIV testingamong Iranian adults based on the integrative model of behavioral prediction (IMBP).MATERIALS AND METHODS: This cross‑sectional study was conducted in 2018 among Iranianadults with high‑risk sexual behaviors, including drug abuse and unprotected sex, in western Iran.A total of 300 adults were randomly selected to participate voluntarily in this study. Participants filledout a self‑administered questionnaire, including the background data and IMBP constructs. Data wereanalyzed by SPSS version 21, using statistical treatments, such as bivariate correlations, Chi‑squaretest, t‑test, and logistic regression at a 95% significant level.RESULTS: Almost 73.3% of the participants had a history of VCT. The highest probability of VCTuse was in participants who were in high level of VCT skills (odds ratio: 9.635; 95% confidenceinterval [CI]: 3.255, 28.514]), following environmental constraints (odds ratio: 6.274; 95% CI: 2.166,18.171). Furthermore, the IMBP constructs accounted for 85% of the variations in the outcomemeasure of the VCT use intention.CONCLUSIONS: Based on the result, it appears that the design and implementation of educationalprograms to improve upon skills and environmental constraints toward VCT use among adults withhigh‑risk behaviors could be useful to the promotion of VCT.
