Merghati-Khoei Effat Sadat, Rezaei Zahed, Shojaei-Zadeh Davood, Azadi Nammam Ali, Rimaz Shahnaz, Bayat Alireza, Moayedi-Nia Saeedeh, Omati Sanaz, Salimi Farahnaz, Korte Jeffrey, Killeen Therese, Mohraz Minoo
Associate Professor, Iranian National Center for Addiction Studies, Tehran University of Medical Sciences, Tehran, Iran.
MSc Student, Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Addict Health. 2017 Jan;9(1):40-47.
We aimed to investigate risky sexual behaviors (RSBs) and condom use barriers in Iranian men with substance use disorders (SUDs).
Of the total 1800 outpatient drug free (ODF) and methadone maintenance treatment program (MMTP) active centers in Tehran, Iran, six were selected to participate in the current study. Data were collected (n = 300 men) using three questionnaires including a demographic questionnaire, the Risky Sexual Behavior Questionnaire (RSBQ), and the Condom Barriers Scale (CBS). The statistical software R, analysis of variance post hoc and multivariate analysis of variance (MANOVA) logistic regression tests were used in data analysis.
The majority, (n = 194, 64.7%) reported at least one lifetime episode of RSBs. Compared to married participants (23.1%), 88.5% of single and 87.0% of divorced men had a history of RSB. Generally, the lowest and highest subscale scores of the CBS were related to sexual experience (2.60 ± 0.71) and access/availability structure (3.77 ± 0.54), respectively. The results of MANOVA analysis showed that there was a statistically significant difference between the CSB subscales based on the participants' education and marital status (P < 0.001). Only the partner barrier subscale had a significant negative relationship (P = 0.003) with RSB.
Sexual dynamic of Iranian men with SUDs is different. Barriers to condom use seem to be socio-culturally determined. Culturally acceptable strategies need to be utilized in Iranian clinical settings reaching beyond simply condom accessibility for this at risk population.
我们旨在调查患有物质使用障碍（SUDs）的伊朗男性的危险行为（RSBs）及使用避孕套的障碍。
在伊朗德黑兰总计1800个门诊戒毒（ODF）和美沙酮维持治疗项目（MMTP）活跃中心中，选取了6个参与本研究。使用三份问卷收集数据（n = 300名男性），包括一份人口统计学问卷、危险行为问卷（RSBQ）和避孕套障碍量表（CBS）。数据分析采用统计软件R、方差分析事后检验和多变量方差分析（MANOVA）逻辑回归测试。
大多数人（n = 194，64.7%）报告至少有过一次终生危险行为。与已婚参与者（23.1%）相比，88.5%的单身男性和87.0%的离异男性有危险行为史。一般来说，CBS最低和最高子量表得分分别与性经历（2.60±0.71）和获取/可及性结构（3.77±0.54）相关。MANOVA分析结果显示，基于参与者的教育程度和婚姻状况，CSB子量表之间存在统计学显著差异（P < 0.001）。只有伴侣障碍子量表与危险行为有显著负相关（P = 0.003）。
患有SUDs的伊朗男性的性行为动态有所不同。使用避孕套的障碍似乎由社会文化因素决定。在伊朗临床环境中，需要采用文化上可接受的策略，而不仅仅是为这一高危人群提供避孕套。
