Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

Sexual and Reproductive Behaviors among Undergraduate University Students in Mashhad, a City in Northeast of Iran

Authors
Research Center for HIV/AIDS, HTLV and Viral Hepatitis, Iranian Academic Center for Education, Culture & Research (ACECR), Mashhad Branch, Mashad, Iran
Abstract
Background: The incidence of sexual transmitted infections (STIs) and HIV/AIDS is globally higher in young people. This study evaluated the prevalence of sexual reproductive behaviors among undergraduate students of Mashhad, Iran. Methods: The study was conducted on 605 students in twelve non-medical faculties of a great university of Mashhad. A self-administered questionnaire was completed on demographic information, sexual contact in the lifetime and during the last three months, and age of first sex. Kaplan-Meier statistic was used to calculate the mean age of initiation of sex. A p<0.05 was considered statistically significant. Results: After exclusion of individuals over 25 years of age, among 590 students with a mean age of 20.8±1.5 years included in the analysis, 71.4% were female and 85.3% were single. Prevalence of at least one sexual contact in life was 15.1% and 35.3% of single sexually experienced students reported to have sex in the last three months. The lifetime prevalence of sexual relationship in males was significantly higher than females (32.9% vs. 7.6%, p<0.001). The mean age of first sexual experience was 23.7 years with a significant difference between both sexes (p<0.001). In single sexually experienced students, the mean age at first sex was 17.6±3.3 years, 24% started sexual activity at <15 years, 34.3% had at least 3 partners and only 40.6% stated using condom in their last sex. Conclusion: Although very small proportion of females reported premarital sex, a significant minority of male students experienced sexual and risky behaviors. Therefore, the use of educational programs on related issues to reduce the risk of STIs/ HIV among youth including university students seems to be a necessity.
Keywords

  1. Statistical Centre of Iran. National Population and Housing Census, 2011: Selected Findings. Tehran: Statistical Center of Iran, Office of the Head, Public Relations and International Cooperation; 2012. p. 27.
  2. Latifnejad Roudsari R, Javadnoori M, Hasanpour M, Hazavehei SM, Taghipour A. Socio-cultural challenges to sexual health education for female adolescents in Iran. Iran J Reprod Med. 2013;11(2):101-10.
  3. Selected Findings of the 2011 National Population and Housing Census [Internet]. Tehran: Statistical Center of Iran. Mean age at first marriage by sex, 1976-2011; 2011 [cited 2014 Nov 13]. Available from: www.amar.org.ir/Portals/1/Iran/census-2.pdf
  4. Simbar M, Tehrani FR, Hashemi Z. Reproductive health knowledge, attitudes and practices of Iranian college students. East Mediterr Health J. 2005;11(5-6):888-97.
  5. Mohammad K, Farahani FK, 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.
  6. Rahmanian F, Simbar M, Ramezankhani A, Zayeri F. Gender sensitive STIs/HIV/AIDS prevention policies: A qualitative study. Health. 2014;6:1246-54.doi: 10.4236/health.2014.611153
  7. UNAIDS. Global report: UNAIDS report on the global AIDS epidemic 2013. Geneva: UNAIDS; 2013. p. A11.
  8. Schoeneberger M, Logan TK, Leukefeld C. Gender roles, HIV risk behaviors, and perceptions of using female condoms among college students. Popul Res Policy Rev. 1999;18(1-2):119-36.doi: 10.1023/A%3A1006161029726
  9. UNAIDS: Epidemiological slides – GAP report [Internet]. Geneva: UNAIDS Secretariat; 2009-2014. 2014 Epi slides; 2014 July [cited 2014 Nov 21]. Available from: http://www.unaids.org/sites/default/files/media_asset/01_Epi_slides_2014July.pdf
  10. Centre for Diseases Management, Iranian Ministry of Health and Medical Education. [Third wave of HIV? Asib-e- Penhan; Newsletter on HIV/AIDS and risky behavior]. Tehran: Iranian Ministry of Health and Medical Education; 2007. p. 16. Persian.
  11. Babikian T, Freier MC, Hopkins GL, DiClemente R, McBride D, Riggs M. An assessment of HIV/AIDS risk in higher education students in Yerevan, Armenia. AIDS Behav. 2004;8(1):47-61.
  12. Eisenberg M, Wechsler H. Substance use behaviors among college students with same-sex and opposite-sex experience: results from a national study. Addict Behav. 2003;28(5):899-913.
  13. Liu A, Kilmarx P, Jenkins RA, Manopaiboon C, Mock PA, Jeeyapunt S, et al. Sexual initiation, substance use, and sexual behavior and knowledge among vocational students in northern Thailand. Int Fam Plan Perspect. 2006;32(3):126-35.
  14. Yamamoto K. Cross-sectional study on attitudes toward sex and sexual behavior among Japanese college students. J Physiol Anthropol. 2006;25(3): 221-7.
  15. MUMS [Internet]. Mashhad: Mashhad University of Medical Sciences. General information about Mashhad [cited 2014 Nov 21]; [about 7 screens]. Available from: http://www.mums.ac.ir/main/en/mashhadinfo
  16. MUMS: HIV/ADIS [Internet]. Mashhad: Mashhad University of Medical Science. HIV/ADIS Statistics in Khorasan; 2013 Aug 9 [Cited 2014 Nov 21]; [about 2 screens]. Available from: http:// www.mums.ac.ir/shares/aids/bahrainis4/xls/amr_ostani_90far2(1).xlsx
  17. Farahani FK, Cleland J, Mehryar AH. Correlates and determinants of reproductive behavior among female university students in Tehran. J Reprod Infertil. 2012;13(1):39-51.
  18. Reinisch JM, Hill CA, Sanders SA, Ziemba-Davis M. High-risk sexual behavior at a midwestern university: a confirmatory survey. Fam Plann Perspect. 1995;27(2):79-82.
  19. Gelibo T, Belachew T, Tilahun T. Predictors of sexual abstinence among Wolaita Sodo university students, South Ethiopia. Reprod Health. 2013;10:18.
  20. Ma Q, Ono-Kihara M, Cong L, Xu G, Zamani S, Ravari SM, et al. Sexual behavior and awareness of Chinese university students in transition with implied risk of sexually transmitted diseases and HIV infection: a cross-sectional study. BMC Public Health. 2006;6:232.
  21. Duyan V, Agalar F, Sayek I. Surgeons' attitudes toward HIV/AIDS in Turkey. AIDS Care. 2001;13 (2):243-50.
  22. Farahani FK, Shah I, Cleland J, Mohammadi MR. Adolescent males and young females in Tehran: differing perspectives, behaviors and needs for reproductive health and implications for gender sensitive interventions. J Reprod Infertil. 2012;13(2): 101-10.
  23. Hojat M, Shapurian R, Nayerahmadi H, Farzaneh M, Foroughi D, Parsi M, et al. Premarital sexual, child rearing, and family attitudes of Iranian men and women in the United States and in Iran. J Psychol. 1999;133(1):19-31.
  24. Lieber E, Chin D, Li L, Rotheram-Borus MJ, Detels R, Wu Z, et al. Sociocultural contexts and communication about sex in China: informing HIV/STD prevention programs. AIDS Educ Prev. 2009;21(5):415-29.
  25. Wellings K, Field B. Sexual behaviour in young people. Baillieres Clin Obstet Gynaecol. 1996;10 (1):139-60.
  26. Zelnik M, Shah FK. First intercourse among young Americans. Fam Plann Perspect. 1983;15(2):64-70.
  27. Dickson N, Paul C, Herbison P, Silva P. First sexual intercourse: age, coercion, and later regrets reported by a birth cohort. BMJ. 1998;316(7124):29-33.
  28. Liu H, Xie J, Yu W, Song W, Gao Z, Ma Z, et al. A study of sexual behavior among rural residents of China. J Acquir Immune Defic Syndr Hum Retrovirol. 1998;19(1):80-8.
  29. Senf JH, Price CQ. Young adults, alcohol and condom use: what is the connection? J Adolesc Health. 1994;15(3):238-44.
  30. Narring F, Wydler H, Michaud PA. First sexual intercourse and contraception: a cross-sectional survey on the sexuality of 16-20-year-olds in Switzerland. Schweiz Med Wochenschr. 2000;130(40): 1389-98.
  31. Upchurch DM, Levy-Storms L, Sucoff CA, Aneshensel CS. Gender and ethnic differences in the timing of first sexual intercourse. Fam Plann Perspect. 1998;30(3):121-7.
  32. Sen B. Does alcohol-use increase the risk of sexual intercourse among adolescents? Evidence from the NLSY97. J Health Econ. 2002;21(6):1085-93.
  33. Cooper ML, Orcutt HK. Drinking and sexual experience on first dates among adolescents. J Abnorm Psychol. 1997;106(2):191-202.
  34. Mnyika KS, Klepp KI, Kvale G, Ole-Kingori N. Determinants of high-risk sexual behaviour and condom use among adults in the Arusha region, Tanzania. Int J STD AIDS. 1997;8(3):176-83.
  35. Pascom AR, Szwarcwald CL. Sex inequalities in HIV-related practices in the Brazilian population aged 15 to 64 years old, 2008. Cad Saude Publica. 2011;27 Suppl 1:S27-35.
  36. DeJong J, Shepard B, Roudi-Fahimi F, Ashford L. Young people’s sexual and reproductive health in the Middle East and North Africa. Reprod Health. 2007;14(78):8.
  37. MOHME: Deputy of Health [Internet]. Tehran: Center for Disease Management, Iranian Ministry of Health and Medical Education. Organizing of measures and duties of provincial committee for prevention and control of HIV/AIDS; 2009 [cited 2014 Nov 6]. Available from: aids.behdasht.gov.ir/uploads/dastavardha.pdf