مطالعه‌ی کارآزمایی میدانی برای ارتقای رفتارهای پیشگیرانه زنان از HIV

حسینی, حبیب اله; صالحی, مرضیه; برومندفر, زهرا

doi:10.48305/jims.v43.i828.1004

مطالعه‌ی کارآزمایی میدانی برای ارتقای رفتارهای پیشگیرانه زنان از HIV

نوع مقاله : Original Article(s)

نویسندگان

¹ مرکز تحقیقات مراقبت‌های پرستاری و مامایی، گروه بهداشت، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

² دانشجوی کارشناسی ارشد سلامت جامعه، دانشکده‌ی پرستاری و مامایی اصفهان، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

³ مرکز تحقیقات علوم باروری و سلامت جنسی، گروه مامایی و بهداشت باروری، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

10.48305/jims.v43.i828.1004

چکیده

مقاله پژوهشی

مقدمه: با توجه به روند رو به رشد اچ‌آی‌وی (Human Immunodeficiency Viruses) HIVدر جهان و نقش کلیدی زنان در پیشگیری از این بیماری، این مطالعه با هدف تعیین تأثیر آموزش مبتنی بر مدل بزنف بر آگاهی، نگرش، هنجارهای انتزاعی، عوامل قادرکننده و قصد رفتاری زنان در زمینه پیشگیری از HIV انجام شد.
روش‌ها: این پژوهش، یک مطالعه‌ی کارآزمایی میدانی با طرح پیش‌آزمون و پس‌آزمون بود که بر روی زنان مراجعه‌کننده به مراکز خدمات جامع سلامت اصفهان انجام شد. شرکت‌کنندگان به‌صورت تصادفی در دو گروه مداخله (دریافت‌کننده‌ی آموزش مبتنی بر مدل بزنف) و کنترل تقسیم شدند. داده‌ها با استفاده از پرسشنامه‌های استاندارد قبل، بلافاصله بعد و سه ماه پس از مداخله جمع‌آوری و با آزمون‌ آماری آنالیز واریانس با تکرار مشاهدات و آزمون‌های تعقیبی تحلیل شدند.
یافته‌ها: نتایج نشان داد که مداخله‌ی آموزشی منجر به افزایش معنادار آگاهی (0/05> P)، بهبود نگرش (0/05> P)، تقویت هنجارهای انتزاعی (0/05> P) و افزایش قصد رفتاری (0/05> P) در گروه مداخله نسبت به گروه کنترل شد. همچنین، عوامل قادرکننده بلافاصله پس از مداخله بهبود یافتند.
نتیجه‌گیری: آموزش مبتنی بر مدل بزنف به‌عنوان راهبردی موثر برای ارتقای رفتارهای پیشگیری از ایدز در زنان شناخته شد. این یافته‌ها بر اهمیت طراحی برنامه‌های آموزشی ساختاریافته با تمرکز بر عوامل فردی و اجتماعی تأکید می‌کنند.

تازه های تحقیق

حبیب اله حسینی: Google Scholar

زهرا برومندفر: Google Scholar

کلیدواژه‌ها

موضوعات

پزشکی

عنوان مقاله [English]

A Field Trial Study to Promote Women's HIV Preventive Behaviors

نویسندگان [English]

Habibollah Hosseini ¹
MArziyeh Salehi ²
Zahra Boroumandfar ³

¹ Nursing and Midwifery Care Research Center, Health Department, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

² Health Department, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

³ Reproductive Sciences and Sexual Health Research Center, Midwifery & Reproductive Department, Isfahan University of Medical Sciences, Isfahan, Iran

چکیده [English]

Background: Given the growing trend of HIV in the world and the key role of women in preventing this disease, this study aimed to determine the effect of education based on the BASNEF model on women's knowledge, attitudes, abstract norms, enabling factors, and behavioral intentions in the field of HIV prevention.
Methods: This study was a field trial study with a pre-test and post-test design that was conducted on women referring to comprehensive health service centers in Isfahan. Participants were randomly divided into two intervention groups (receiving education based on the BASNEF model) and control. Data were collected using standard questionnaires before, immediately after, and three months after the intervention and analyzed using ANOVA with repeated observations and follow-up tests.
Findings: The results showed that the educational intervention resulted in a significant increase in awareness (P<0.05), improved attitude (P<0.05), strengthened abstract norms (P<0.05), and increased behavioral intention (P<0.05) in the intervention group compared to the control group. Also, enabling factors improved immediately after the intervention.
Conclusion: BASNEF model-based education was identified as an effective strategy for promoting AIDS prevention behaviors in women. These findings emphasize the importance of designing structured educational programs focusing on individual and social factors.

کلیدواژه‌ها [English]

BASNEF model
Prevention
AIDS
Health promotion
Health behaviors
Women

مراجع

Mahmoudian N. Discrimination against people with AIDS: Challenges in Iran and the world. [in Persian]. 2024. Available from: https://civilica.com/doc/2138160
Ahmadnia Sh, Zahedi Mazandarani MJ, Kazemi Nejhad Z. Sociological Analysis of Lived Experience of Women Infected with AIDS [in Persian]. Journal of Social Studies and Research in Iran, 2017, 6(4): 633-60.
Fathi M, Abbasi M, Khakrangin M. Exploring the problems and challenges of HIV-infected women: A qualitative study. Iranian Journal of Health Psychology 2021; 4(4): 59-66.
Lou LX, Chen Y, Yu CH, Li YM, Ye J. National HIV/AIDS mortality, prevalence, and incidence rates are associated with the Human Development Index. Am J Infect Control 2014; 42(10): 1044-8.
Torkashvand F, Asadpor M, Sheikh Fathollahi M, Sheikhi E, Salehi Shahrbabaki MH, RezaHoseini O, et al. Frequency of high risk behaviour in HIV positive patients referred to centers for behavioural disorders of Rafsanjan and Kerman in 2012. J Rafsanjan Univ Med Sci 2015; 14(7): 587-98.
Mosalanejad E, Farahmandfard MA, Norouzi M, Torabi Jahromi S, Alipanah M. Knowledge and attitude of marriage candidates referring to premarital counseling classes about AIDS in Jahrom [in Persian]. Pars Journal of Medical Science 2017; 15(4): 9-15
Workagegn F, Kiros G, Abebe L. Predictors of HIV-test utilization in PMTCT among antenatal care attendees in government health centers: institution-based cross-sectional study using health belief model in Addis Ababa, Ethiopia, 2013. HIV AIDS (Auckl) 2015; 7: 215-22.
Khosravani Poor H, Mir mohammad khani M, Najafi L, Davar Panah M A. The Mediating Role of Demographic Variables in the Relationship Between High-Risk Behaviors and HIV/AIDS in the Referrals to Behavioral Disease Counseling Centers of Shiraz University of Medical Sciences in 2020: A Descriptive Study [in Persian]. J Rafsanjan Univ Med Sci 2022; 21(8): 835-52.
Cherutich P, Kaiser R, Galbraith J, Williamson J, Shiraishi RW, Ngare C, et al. Lack of knowledge of HIV status a major barrier to HIV prevention, care and treatment efforts in Kenya: results from a nationally representative study. PLoS One 2012; 7(5): e36797.
Pakpourhaji AA. Mohammadi Zaidi A, Mohammadi Zeidi B. The effect of training based on the theory of planned behavior on AIDS prevention skills in adolescents [in Persian]. Iranian Nursing Journal 2012, 25(78): 1-13.
Ahmadi H. Moeini M. Investigating the relationship between social skills and risky behaviors of youth: A case study of Shiraz [in Persian]. Strategic Research on Social Problem 2015; 4(1): 1-24
Zareipour M. Mahmoudi H. Rezaei Moradali M. Mohammadi S. Zare F. Predictors of skin cancer prevention based on the BASNEF model in students [in Persian]. Rahavard Salamat Journal 2017; 3(1): 13-2.
Sadeghi R, Mazloumi SS, Hashemi M, Rezaian M. The effect of educational intervention based on the health belief model to promote AIDS preventive behaviors in male hairdressers in Sirjan [in Persian]. J Rafsanjan Univ Med Sci 2016; 15(3): 235-46.
Bastami F, Hassanzadeh A, Heydari M, Mostafavi F. The relationship between health belief model constructs with regard to AIDS preventive behaviors among addicts [in Persian]. J Health Syst Res 2015; 11(2): 276-87.
Karimi M, Zarban A, Tabasi Darmian A, Taher M, Fayazi N. Beliefs and factors affecting preventive behaviors against HIV transmission in HIV-positive patients [in Persian]. Iranian Journal of Infectious Diseases 2016, 21(72): 41-7.
Pourtaheri A, Tavakoly Sany S B, Ahangari H, Peyman N. Evaluating the effectiveness of theory-based education in preventing high-risk sexual behaviors in adolescents: a systematic review [in Persian]. J Jiroft Univ Med Sci 2024; 11(2):1584-600.
Ghasemi M, Jadidi R, Shamsi M, Alian Fini F. Investigating the effect of health education on improving the level of awareness and attitude of students of Islamic Azad University of Arak regarding the prevention of emerging diseases [in Persian]. J Neyshabur Univ Med Sci 2014, 2(2): 14-21.
Ramezanzadeh Z, Safarian M, Emadzadeh A, Ismaili H, Teymouri E. The effect of BASNEF model-based education on nutritional behavior of middle-aged women with overweight and obesity [in Persian]. J Torbat Heydariyeh Univ Med Sci 2022; 9(3): 47-55.
Dehghani Tafti A. Dehghani Tafti A. Zobeidi M. Tofiqian A. The effect of education intervention based on the BASNEF model in promoting preventive behaviors against celiac disease among parents of households living in Ram Hormoz County [in Persian]. J Toloo-e-behdasht 2017; 16(2): 62-74
Carovano K. More than mothers and whores: Redefining the AIDS prevention needs of women. InWomen's Health, Politics, and Power. Int J Health Serv 1991; 21(1): 131-42.
Bassett MT, Mhloyi M. Women and AIDS in Zimbabwe: the making of an epidemic. In Women's Health, Politics, and Power. Int J Health Serv 1991; 21(1): 143-56.
Narimani MR, Vahidi R, Jannati A, Taj Nesaei M. Behavior change strategies in society regarding AIDS prevention from the perspective of professors [in Persian]. Health Image Journal 2011; 2(2): 29-33.