Honarvar Behnam, Salehi Forough, Barfi Rahele, Asadi Zahra, Honarvar Hossein, Odoomi Neda, Arefi Nafiseh, Lankarani Kamran Bagheri
Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, 45794-71348, Iran.
Arch Sex Behav. 2016 Feb;45(2):395-402. doi: 10.1007/s10508-015-0577-2. Epub 2015 Sep 3.
The population of Iran is young and millions of youths are at risk for unprotected sexual relationships and their consequences. This questionnaire-based study was conducted in Shiraz, southern Iran. Singles were asked about premarital sex (PMS) and sexual health issues. A total of 1076 participants (634 males, 58.9%) with a mean age of 24 ± 5.8 years participated in this study. One out of 2 singles reported PMS and 1 out of 2 singles with PMS reported multiple partners. Median age at first sexual contact was 18 years. Of all singles, 452 (41.9%) were heterosexual, 61 (5.6%) were bisexual, 366 (33.9%) were alcohol users, 252 (23.3%) were smokers, 57 (5.2%) were opium users, and 392 (36.3%) did not know about preventive methods for HIV. Of 528 singles who had PMS, 126 (23.8%) never used a condom, 223 (42.2%) used it inconsistently, and 59 (11.1%) used it mainly against sexually transmitted diseases. In the regression analysis, alcohol use was the strongest associated factor of PMS in singles (OR 4.9, 95% CI 3.3-7.4), followed by lack of religious beliefs (OR 2.3, 95% CI 1.4-3.8). As a result, the PMS situation in our setting is cause for alarm and to protect singles against the risks associated with PMS, a multidisciplinary intervention including improving access to sexual behavioral counseling centers, education about sexual health and especially condom use, abstinence from alcohol use, and commitment to religious values is urgently needed to be established by health policymakers.
伊朗人口年轻化，数百万年轻人面临无保护性行为及其后果的风险。这项基于问卷调查的研究在伊朗南部的设拉子进行。研究询问单身人士的婚前性行为（PMS）和性健康问题。共有1076名参与者（634名男性，占58.9%）参与了本研究，他们的平均年龄为24±5.8岁。每两名单身人士中就有一人报告有婚前性行为，而有婚前性行为的单身人士中，每两人就有一人报告有多个性伴侣。首次性接触的中位年龄为18岁。在所有单身人士中，452人（41.9%）为异性恋，61人（5.6%）为双性恋，366人（33.9%）饮酒，252人（23.3%）吸烟，57人（5.2%）吸食鸦片，392人（36.3%）不了解艾滋病毒预防方法。在有婚前性行为的528名单身人士中，126人（23.8%）从未使用过避孕套，223人（42.2%）使用不规律，59人（11.1%）主要用于预防性传播疾病。回归分析显示，饮酒是单身人士婚前性行为最主要的相关因素（OR 4.9，95%CI 3.3 - 7.4），其次是缺乏宗教信仰（OR 2.3，95%CI 1.4 - 3.8）。因此，我们所研究环境中的婚前性行为状况令人担忧，为保护单身人士免受婚前性行为相关风险的影响，卫生政策制定者迫切需要建立多学科干预措施，包括增加对性行为咨询中心的访问机会、开展性健康尤其是避孕套使用教育、戒酒以及坚守宗教价值观。
