Alimoradi Zainab, Kariman Nourossadat, Simbar Masoumeh, Ahmadi Fazlollah
Department of Midwifery and Reproductive Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Midwifery and Reproductive Research Center, Department of Midwifery and Reproductive Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Community Based Nurs Midwifery. 2017 Jan;5(1):2-12.
Adolescence is a period of overwhelming changes and challenges, which expose the adolescents to high-risk behaviors. Risky sexual relationship is one of these behaviors that entails physical risks and psychosocial harms. Various factors have been recognized to shape sexual behaviors in adolescents. This paper is an attempt to investigate the factors contributing to high-risk sexual behaviors in Iranian adolescent girls.
A literature review of the research published by Iranian authors, in Farsi or English language in local and foreign journals, was conducted using PubMed, Science Direct, Scopus, Scientific Information Database (SID), IranMedex, IranDoc, and Google Scholar. The search in each database included all the years covered at that time using keywords such as "sexual, adolescents, and Iran", and continued using other keywords such as "sexual behavior, high-risk behavior, sexual risk and reproductive behavior" individually and in combination.
Sixteen published articles were identified. Factors contributing to high-risk sexual behaviors in girls can be divided into four general groups including personal, family, peer, school and community.
Regarding the identified risk and protective factors, appropriate individual, family and school-based interventions can be designed and implemented to strengthen protective factors. While individual and family factors are considered more in research, factors related to peers, school and community have received less attention. Since social values, beliefs and norms are important factors in formation of sexual behaviors, further research regarding these factors is suggested.
青春期是一个充满巨大变化和挑战的时期，这使青少年面临高风险行为。危险性行为就是其中之一，它会带来身体风险和心理社会危害。人们已经认识到多种因素会影响青少年的性行为。本文旨在调查伊朗少女高风险性行为的影响因素。
通过PubMed、科学Direct、Scopus、科学信息数据库（SID）、伊朗Medex、伊朗Doc和谷歌学术，对伊朗作者在国内外期刊上发表的波斯语或英语研究进行文献综述。每个数据库的搜索涵盖当时所有年份，使用“性、青少年和伊朗”等关键词，并继续单独或组合使用“性行为、高风险行为、性风险和生殖行为”等其他关键词。
共识别出16篇已发表文章。少女高风险性行为的影响因素可分为四大类，包括个人、家庭、同伴、学校和社区。
鉴于已识别出的风险和保护因素，可以设计并实施适当的个人、家庭和基于学校的干预措施，以强化保护因素。虽然研究中更多考虑个人和家庭因素，但同伴、学校和社区相关因素受到的关注较少。由于社会价值观、信仰和规范是性行为形成的重要因素，建议对这些因素进行进一步研究。
