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Determinants of High-Risk Behaviors Among Vulnerable Adolescents: A Mixed-Methods Study in Southwest Iran | ||
| International Journal of School Health | ||
| مقاله 4، دوره 10، شماره 2 - شماره پیاپی 38، تیر 2023، صفحه 69-81 اصل مقاله (673.07 K) | ||
| نوع مقاله: Research Article (s) | ||
| شناسه دیجیتال (DOI): 10.30476/intjsh.2023.98185.1293 | ||
| نویسندگان | ||
| Hassan Joulaei1؛ Nooshin Zarei2؛ Shohreh Beheshti2؛ Robert Farnam2؛ Mahmood AminiLari2؛ Morteza Mehraeen2؛ Alireza Nazari3؛ Sima Afrashteh* 4 | ||
| 1Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 2HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 3Sociology Department of Iran, Islamic Azad University of Bushehr, Bushehr, Iran | ||
| 4Department of Biostatistics and Epidemiology, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran | ||
| چکیده | ||
| Background: Living in marginalized areas with challenging socio-economic contexts can make teenagers vulnerable. This study aimed to investigate high-risk behaviors and their determinants amongst teenage students living in marginalized areas of Southwest Iran. Methods: This was a cross-sectional study with mixed-method desgin, in which 421 students completed a questionnaire in September 2018, and seven focused group discussions were conducted from October 2018 to January 2019 in a marginalized district of Shiraz, Southwest of Iran. Descriptive statistics were used to describe the data, and multiple logistic regression was used for statistical analysis. Quantitative data were analyzed using STATA14 (Stata Corporation, College Station, TX, USA) software, and qualitative data analysis was done using comparative content analysis. The risk behaviors examined in this study were tobacco, alcohol, sexual relations, and substance use. Results: In total, 34.7% of the participants were engaged in at least one of the high-risk behaviors. Based on multiple logistic regression analysis, parents’ marital status (ORDivorced&Dead/Living together=3.50, P=0.016), fathers’job (ORUnemployment/Employment=6.61, P=0.004), family history for addiction (ORYes/No=2.62, P=0.001), and friendship with the opposite sex (ORYes/No=2.56, P<0.001) were among the observed risk factors for high-risk behaviors. Qualitative results indicated that family-related conflicts, personal characteristics, and environmental challenges are predisposing determinants for involving in high-risk behaviors among teenagers. Conclusion: High-risk behaviors are mostly prevalent among adolescents living in marginalized areas. To combat and mitigate the consequences of these behaviors, policymakers must focus on reducing social injustice, improving teenagers’ resiliency and family solidarity, and creating a safe environment. | ||
تازه های تحقیق | ||
How to Cite: Joulaei H, Zarei N, Beheshti S, Farnam R, AminiLari M, Mehraeen M, Nazari AR, Afrashteh S. Determinants of High-Risk Behaviors Among Vulnerable Adolescents: A Mixed-Methods Study in Southwest Iran. Int. J. School. Health. 2023;10(2):69-81. doi: 10.30476/INTJSH.2023.98185.1293. | ||
| کلیدواژه‌ها | ||
| Adolescent؛ Sexual behavior؛ Alcohol drinking؛ Drug use؛ Slums | ||
| مراجع | ||
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1. Morrison-Beedy D, Grove L, Ji M, Baker E. Understanding the “why” for high-risk behavior: Adolescent girls’ motivations for sex. J Assoc Nurses AIDS Care. 2017;28(6):877-887. doi: 10.1016/j.jana.2017.06.012. PubMed PMID: 28784584; PubMed Central PMCID: PMC5633494. ## 2. Ernst M. The triadic model perspective for the study of adolescent motivated behavior. Brain Cogn. 2014;89:104-11. doi: 10.1016/j.bandc.2014.01.006. PubMed PMID: 24556507; PubMed Central PMCID: PMC4248307. ## 3. Leão AS, Moura Soares NM, Gonçalves ECdA, Silva DAS, Silva RJdS, Thomazzi SM. Simultaneous health risk behaviors in adolescents associated with higher economic class in the Northeast of Brazil. ScientificWorldJournal. 2017;2017:3587567. doi: 10.1155/2017/3587567. PubMed PMID: 28815196; PubMed Central PMCID: PMC5549486. ## 4. Panaghi L, Mohammadi S, Poshtmashhadi M, Zadehmohammadi A, Ahmadabadi Z. High Risk Behaviors among Iranian Adolescents: Evaluating the Effect of Family Factors. PCP. 2013;1(1):33-40. ## 5. Copello AG, Velleman RDB, Templeton LJ. Family interventions in the treatment of alcohol and drug problems. Drug Alcohol Rev. 2005;24(4):369-85. doi: 10.1080/09595230500302356. PubMed PMID: 16234133. 6. Varela A, Pritchard ME. Peer influence: use of alcohol, tobacco, and prescription medications. J Am Coll Health. 2011;59(8):751-6. doi: 10.1080/07448481.2010.544346. PubMed PMID: 21950257; PubMed Central PMCID: PMC5916837. ## 7. Dehghani A, Dehghani P, Dehghani B. HIV/AIDS knowledge and attitude among High School students in Shiraz, Iran in 2015. Journal of Midwifery and Reproductive Health. 2017;5(2):897-903. doi: 10.22038/JMRH.2017.8451. ## 8. Kegeles SM, Adler NE, Irwin Jr CE. Sexually active adolescents and condoms: changes over one year in knowledge, attitudes and use. Am J Public Health. 1988;78(4):460-1. doi: 10.2105/ajph.78.4.460. PubMed PMID: 3348475; PubMed Central PMCID: PMC1349376. ## 9. Morrison DM, Baker SA, Gillmore MR. Sexual risk behavior, knowledge, and condom use among adolescents in juvenile detention. J Youth Adolesc. 1994;23(2):271-88. doi: 10.1007/BF01537449. PubMed PMID: 12319315. ## 10. Hallfors DD, Haydon AA, Halpern CT, Iritani BJ. Patterns of risk behavior change from adolescence to emerging adulthood: Implications for HIV/STD racial disparities. In Thomas, F. Yonette Price N. LeShawndra, editors: Drug use trajectories among minority youth. Dordrecht: Springer Netherlands; 2016. p. 367-398. doi: 10.1007/978-94-017-7491-8_18. ## 11. Lynch DA, Krantz S, Russell JM, Hornberger LL, Van Ness CJ. HIV infection: a retrospective analysis of adolescent high-risk behaviors. J Pediatr Health Care. 2000;14(1):20-5. doi: 10.1016/s0891-5245(00)70040-x. PubMed PMID: 11141822. ## 12. Anderson JE, Mueller TE. Trends in Sexual Risk Behavior and Unprotected Sex Among High School Students, 1991‐2005: The Role of Substance Use. J Sch Health. 2008;78(11):575-80. doi: 10.1111/j.1746-1561.2008.00348.x. PubMed PMID: 18844809. ## 13. Assanangkornchai S, Mukthong A, Intanont T. Prevalence and Patterns of Alcohol Consumption and Health‐Risk Behaviors Among High School Students in Thailand. Alcohol Clin Exp Res. 2009;33(12):2037-46. doi: 10.1111/j.1530-0277.2009.01043.x. PubMed PMID: 19740137. ## 14. Speziale H, Carpenter D. Qualitative research in nursing. 4th ed. Lippincott Williams & Wilkins: Lippincott Williams & Wilkins; 2007. ## 15. Mohammad K, Farahani FKA, Mohammadi MR, Alikhani S, Zare M, Tehrani FR, et al. Sexual risk-taking behaviors among boys aged 15–18 years in Tehran. J Adolesc Health. 2007;41(4):407-14. doi: 10.1016/j.jadohealth.2007.05.003. PubMed PMID: 17875467. ## 16. Botticello AL. School contextual influences on the risk for adolescent alcohol misuse. Am J Community Psychol. 2009;43(1-2):85-97. doi: 10.1007/s10464-008-9226-4. PubMed PMID: 19156512; PubMed Central PMCID: PMC3689216. ## 17. O’Malley PM, Johnston LD, Bachman JG, Schulenberg JE, Kumar R. How substance use differs among American secondary schools. Prev Sci. 2006;7(4):409-20. doi: 10.1007/s11121-006-0050-5. PubMed PMID: 16900406. ## 18. Zulu EM, Dodoo FN-A, Chika-Ezeh A. Sexual risk-taking in the slums of Nairobi, Kenya, 1993-98. Popul Stud. 2002;56(3):311-23. doi: 10.1080/00324720215933. PubMed PMID: 12553329. ## 19. Razzaghi EM, Movaghar AR, Green TC, Khoshnood K. Profiles of risk: a qualitative study of injecting drug users in Tehran, Iran. Harm Reduct J. 2006;3:12. doi: 10.1186/1477-7517-3-12. PubMed PMID: 16545137; PubMed Central PMCID: PMC1431517. ## 20. Joulaei H, Bhuiyan AR, Sayadi M, Morady F, Kazerooni PA. Slums’ access to and coverage of primary health care services: a cross-sectional study in Shiraz, a Metropolis in Southern Iran. Iran J Med Sci. 2014;39(2 Suppl):184-90. PubMed PMID: 24753641; PubMed Central PMCID: PMC3993042. ## 21. Hassan Z, Hashim MJ, Khan G. Population risk factors for COVID-19 deaths in Nigeria at sub-national level. Pan Afr Med J. 2020;35(Suppl 2):131. doi: 10.11604/pamj.supp.2020.35.131.25258. PubMed PMID: 33193946; PubMed Central PMCID: PMC7608767. ## 22. Ansari-Moghaddam A, Bakhshani N-M, Hoseinbore M, Sanavi FS. High-risk behaviors related to intentional and unintentional harm in adolescents of Zahedan, Iran. Int J High Risk Behav Addict. 2015;4(1):e20328. doi: 10.5812/ijhrba.20328. PubMed PMID: 25861582; PubMed Central PMCID: PMC4386057. ## 23. Schwandt TA, Lincoln YS, Guba EG. Judging interpretations: But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. New Directions for Evaluation. 2007;114:11-25. doi: 10.1002/ev.223. ## 24. Aparna A, Vinod kumar R, Vijay Kumar CH. Study of Prevalence of High Risk Behavior Among Adolescents in Hyderabad - a Cross – Sectional Study. Int J Res Health Sci. 2015;3(4):460-467. ## 25. Swendsen J, Burstein M, Case B, Conway KP, Dierker L, He J, et al. Use and abuse of alcohol and illicit drugs in US adolescents: Results of the National Comorbidity Survey–Adolescent Supplement. Arch Gen Psychiatry. 2012;69(4):390-8. doi: 10.1001/archgenpsychiatry.2011.1503. PubMed PMID: 22474107; PubMed Central PMCID: PMC3746542. ## 26. Afrashteh S, Ghaem H, Gholami A, Tabatabaee HR, Abbasi-Ghahramanloo A. Cigarette smoking patterns in relation to religiosity and familial support among Iranian university students: A Latent Class Analysis. Tob Induc Dis. 2018;16:33. doi: 10.18332/tid/92649. PubMed PMID: 31516432; PubMed Central PMCID: PMC6659471. ## 27. Romero-Estudillo E, González-Jiménez E, Mesa-Franco MC, García-García I. Gender-based differences in the high-risk sexual behaviours of young people aged 15-29 in Melilla (Spain): a cross-sectional study. BMC Public Health. 2014;14:745. doi: 10.1186/1471-2458-14-745. PubMed PMID: 25053253; PubMed Central PMCID: PMC4118048. ## 28. Ghaem H, Afrashteh S, Mohammadbeigi A, Gholami A, Nami Nazari L, Abbasi-Ghahramanloo A, et al. Illicit Drug Use and the Associated Factors Among University Students: A Report in the Southwest of Iran. J Kermanshah Univ Med Sci. 2020;24(2):e101993. doi: 10.5812/jkums.101993. ## 29. Jain MA, Jain SM, Patil S, Bang A. A study on knowledge, attitude and practice of sexually transmitted diseases and HIV in adolescent population in Wardha, Maharashtra, India. Int J Contemp Pediatr. 2016;3(2):367-72. doi: 10.18203/2349-3291.ijcp20161016. ## 30. Sarma H, Islam MA, Khan JR, Chowdhury KIA, Gazi R. Impact of teachers training on HIV/AIDS education program among secondary school students in Bangladesh: A cross-sectional survey. PloS One. 2017;12(7):e0181627. doi: 10.1371/journal.pone.0181627. PubMed PMID: 28742103; PubMed Central PMCID: PMC5524404. ## 31. Allen M, Donohue WA, Griffin A, Ryan D, Turner MMM. Comparing the influence of parents and peers on the choice to use drugs: A meta-analytic summary of the literature. Criminal Justice and Behavior. 2003;30(2):163-86. doi: 10.1177/0093854802251002. ## 32. Yen J-Y, Yen C-F, Chen C-C, Chen S-H, Ko C-H. Family factors of internet addiction and substance use experience in Taiwanese adolescents. CyberPsychology & Behavior. 2007;10(3):323-9. doi: 10.1089/cpb.2006.9948. ## 33. Maguire ER, Fishbein DH. The Influence of family characteristics on problem behaviors in a sample of high‐risk Caribbean adolescents. Family Relations. 2016;65(1):120-133. doi: 10.1111/fare.12179. ## 34. Flouri E, Midouhas E, Joshi H. Family poverty and trajectories of children’s emotional and behavioural problems: the moderating roles of self-regulation and verbal cognitive ability. J Abnorm Child Psychol. 2014;42(6):1043-56. doi: 10.1007/s10802-013-9848-3. PubMed PMID: 24473936. ## 35. Kiernan KE, Huerta MC. Economic deprivation, maternal depression, parenting and children's cognitive and emotional development in early childhood. Br J Sociol. 2008;59(4):783-806. doi: 10.1111/j.1468-4446.2008.00219.x. PubMed PMID: 19035922. ## 36. National Institute of Child Health and Human Development Early Child Care Research Network. Duration and developmental timing of poverty and children's cognitive and social development from birth through third grade. Child Dev. 2005;76(4):795-810. doi: 10.1111/j.1467-8624.2005.00878.x. PubMed PMID: 16026497. ## 37. Lau WW, Yuen AHK. Adolescents’ risky online behaviours: The influence of gender, religion, and parenting style. Computers in Human Behavior. 2013;29(6):2690-2696. doi: 10.1016/j.chb.2013.07.005. ## 38. Malow-Iroff MS. Cross-sex best friendship influences on early adolescent cigarette and alcohol expectancies and use. J Psychol. 2006;140(3):209-27. doi: 10.3200/JRLP.140.3.209-227. PubMed PMID: 16916075. ## 39. Deutsch AR, Steinley D, Slutske WS. The role of gender and friends’ gender on peer socialization of adolescent drinking: A prospective multilevel social network analysis. J Youth Adolesc. 2014;43(9):1421-35. doi: 10.1007/s10964-013-0048-9. PubMed PMID: 24170437; PubMed Central PMCID: PMC4497576. ## 40. Mrug S, Borch C, Cillessen AHN. Other-sex friendships in late adolescence: Risky associations for substance use and sexual debut? J Youth Adolesc. 2011;40(7):875-88. doi: 10.1007/s10964-010-9605-7. PubMed PMID: 21088876; PubMed Central PMCID: PMC3111728. ## 41. Daniel KE. The Effect of Peer Presence on Adolescent Risk-Taking Behaviors; 2016. ## 42. Knoll LJ, Magis-Weinberg L, Speekenbrink M, Blakemore S-J. Social influence on risk perception during adolescence. Psychol Sci. 2015;26(5):583-92. doi: 10.1177/0956797615569578. PubMed PMID: 25810453; PubMed Central PMCID: PMC4426139. ## 43. Eisenberg ME, Toumbourou JW, Catalano RF, Hemphill SA. Social norms in the development of adolescent substance use: A longitudinal analysis of the International Youth Development Study. J Youth Adolesc. 2014;43(9):1486-97. doi: 10.1007/s10964-014-0111-1. PubMed PMID: 24633850; PubMed Central PMCID: PMC4130778. ## 44. Catalano R, Goldman-Mellor S, Saxton K, Margerison-Zilko C, Subbaraman M, LeWinn K, et al. The health effects of economic decline. Annu Rev Public Health. 2011;32:431-50. doi: 10.1146/annurev-publhealth-031210-101146. PubMed PMID: 21054175; PubMed Central PMCID: PMC3855327. ## 45. Henkel D. Unemployment and substance use: a review of the literature (1990-2010). Curr Drug Abuse Rev. 2011;4(1):4-27. doi: 10.2174/1874473711104010004. PubMed PMID: 21466502. ## 46. Lee JO, Hill KG, Hartigan LA, Boden JM, Guttmannova K, Kosterman R, et al. Unemployment and substance use problems among young adults: Does childhood low socioeconomic status exacerbate the effect? Soc Sci Med. 2015;143:36-44. doi: 10.1016/j.socscimed.2015.08.016. PubMed PMID: 26342911; PubMed Cetral PMCID: PMC4601938. ## 47. Li X, Stanton B, Fang X, Lin D. Social stigma and mental health among rural-to-urban migrants in China: A conceptual framework and future research needs. World Health Popul. 2006;8(3):14-31. doi: 10.12927/whp.2006.18282. PubMed PMID: 18277106; PubMed Central PMCID: PMC2249560. ## 48. Sudhinaraset M, Mmari K, Go V, Blum RW. Sexual attitudes, behaviours and acculturation among young migrants in Shanghai. Cult Health Sex. 2012;14(9):1081-94. doi: 10.1080/13691058.2012.715673. PubMed PMID: 22943505. ## 49. Lin D, Li X, Wang B, Hong Y, Fang X, Qin X, et al. Discrimination, perceived social inequity, and mental health among rural-to-urban migrants in China. Community Ment Health J. 2011;47(2):171-80. doi: 10.1007/s10597-009-9278-4. PubMed PMID: 20033772; PubMed Central PMCID: PMC2891847. ## 50. Yang X. Rural–urban migration and mental and sexual health: A case study in Southwestern China. Health Psychol Behav Med. 2014;2(1):1-15. doi: 10.1080/21642850.2013.839384. PubMed PMID: 25932350; PubMed Central PMCID: PMC4367429. ## | ||
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