Sexual Risk Behaviors Constructed in Iranian Women’s Life with Substance Use Disorders: A New Implication of Human Ecological Theory

Mansoureh Jamshidimanesh, Seyed Abbas Mousavi, Effat Merghati-Khoei, Mohammad Hassan Emamian, Afsaneh Keramat

Abstract


Background: Drug abuse is one of the important variables influencing protective sexual behavior. The objective of this study was to explore how risky sexual behaviors develop in drug abusing women using human ecological theory.

Methods: In this study, we used a descriptive exploratory approach. The participants were 32 drug abusing women from two of the selected drop-in centers (DICs) in south Tehran, Iran, where we could have access to a vast number of female drug users. Data was collected using semi-structured face-to-face interviews. Qualitative content analysis was used to analyze the data using Graneheim and Lundman procedure.

Findings: Risky sexual behavior in drug use disorders in women was found in four themes with thirteen emerged; sexual untaught at micro-system with two subthemes “unsafe home” and “drop out of school”, Perception of differences at meso-system with three subthemes “lack of link between family and school”, “doing manly behavior” and “low awareness of health puberty than peers”, inappropriate marriages at exo-system with three subthemes “stigma”, “fear of losing love relationship” and “self-devotion”, marginalization at macro-system with four subthemes “barrier access to rights”, “selling sex as a tool of security”, “lack of belief as a sex worker” and “mistrust and doubt partner” using implication of human ecological theory.

Conclusion: Findings suggest that strategies supporting the discovery of risky sexual behaviors in drug use disorders in women are important in order to provide counseling and education to form their decisions toward safety sex.

Keywords


Human ecology theory; Qualitative research; Sexual behavior; Female; Substances use disorder

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References


Elhammady M, Mobasher M, Moselhy Hamdy F. Pattern of risky sexual behaviors in opioid-dependent egyptian adults. Addict Disord Their Treat 2014; 13(2): 68-74.

Sarrami H, Ghorbani M, Minooei M. Survey of four decades of addiction prevalence researches in Iran. Research on Addiction 2013; 7(26): 29-52. [In Persian].

Gonzales R, Mooney L, Rawson RA. The methamphetamine problem in the United States. Annu Rev Public Health 2010; 31: 385-98.

Semple SJ, Strathdee SA, Zians J, Patterson TL. Life events and sexual risk among HIV-negative, heterosexual, methamphetamine users. J Sex Res 2010; 47(4): 355-63.

Drug Control Headquarters the counselor. The reasons women use illicit substances [Online]. [cited 2014]; Available from: URL: http://www.khabaronline.ir/detail/334514/society/social-damage

Mallory C, Hesson-McInnis M. Pilot test results of an HIV prevention intervention for high-risk women. West J Nurs Res 2013; 35(3): 313-29.

Wechsberg WM, Jewkes R, Novak SP, Kline T, Myers B, Browne FA, et al. A brief intervention for drug use, sexual risk behaviours and violence prevention with vulnerable women in South Africa: a randomised trial of the Women's Health CoOp. BMJ Open 2013; 3(5).

Dworkin SL, Beckford ST, Ehrhardt AA. Sexual scripts of women: A longitudinal analysis of participants in a gender-specific HIV/STD prevention intervention. Arch Sex Behav 2007; 36(2): 269-79.

Kermode M, Sono CZ, Songput CH, Devine A. Falling through the cracks: a qualitative study of HIV risks among women who use drugs and alcohol in Northeast India. BMC Int Health Hum Rights 2013; 13: 9.

Okpaku S, MacMaster SA, Dennie S, Tolliver D. A model program for increasing treatment access for african american women who use crack cocaine and are at risk of contracting HIV. J Hum Behav Soc Environ 2008; 17(3-4): 293-307.

Malley-Morrison K, Hines DA. Family violence in a cultural perspective: defining, understanding, and combating abuse. New York, NY: Sage Publications; 2004.

Moon SS, Patton J, Rao U. An ecological approach to understanding youth violence: The mediating role of substance use. J Hum Behav Soc Environ 2010; 20(7): 839-56.

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004; 24(2): 105-12.

Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative. Philadelphia, PA: Lippincott Williams & Wilkins; 2011.

Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005; 15(9): 1277-88.

Polit DF, Beck CT. Essentials of nursing research: Appraising evidence for nursing practice. Philadelphia, PA: Lippincott Williams & Wilkins; 2013.

Harkonen U. The Bronfenbrenner ecological systems theory of human development. Proceedings of the Scientific Articles of V International Conference Person. Color. Nature. Music; 2007 Oct 17-21; Daugavpils, Latvia.

Merghati-Khoei E, Abolghasemi N, Smith TG. Children are sexually innocent: Iranian parents' understanding of children's sexuality. Arch Sex Behav 2014; 43(3): 587-95.

Tudge JR, Mokrova I, Hatfield BE, Karnik RB. Uses and misuses of bronfenbrenner's bioecological theory of human development. J Fam Theory Rev 2009; 1(4): 198-210.

Bronfenbrenner U. Ecological models of human development. In: Gauvain M, Editor. Readings on the development of children. New York, NY: Scientific American Books; 1994. p. 37-43.

Paquette D, Ryan J. Bronfenbrenner's ecological systems theory [Online]. [cited 2001]; Available from: URL: http://www.floridahealth.gov/alternatesites/cms-kids/providers/early_steps/training/documents/bronfenbrenners_ecological.pdf

Hipwell AE, Keenan K, Loeber R, Battista D. Early predictors of sexually intimate behaviors in an urban sample of young girls. Dev Psychol 2010; 46(2): 366-78.

Raffaelli M, Green S. Parent-Adolescent communication about sex: Retrospective reports by latino college student. J Marriage Fam 2003; 65(2): 474-81.

Ramrakha S, Bell ML, Paul C, Dickson N, Moffitt TE, Caspi A. Childhood behavior problems linked to sexual risk taking in young adulthood: a birth cohort study. J Am Acad Child Adolesc Psychiatry 2007; 46(10): 1272-9.

Awusabo-Asare K, Bankole A, Kumi-Kyereme A. Views of adults on adolescent sexual and reproductive health: Qualitative evidence from Ghana [Online]. [cited 2008]; Available from: URL: https://www.guttmacher.org/report/views-adults-adolescent-sexual-and-reproductive-health-qualitative-evidence-ghana

Mousavi SA, Keramat A, Vakilian K, Chaman R. Interpretation of opposite-sex friendship based on social ecology model in Iranian females. Iran J Psychiatry Behav Sci 2012; 6(2): 69-78.

Miller-Lewis LR, Sawyer AC, Searle AK, Mittinty MN, Sawyer MG, Lynch JW. Student-teacher relationship trajectories and mental health problems in young children. BMC Psychol 2014; 2(1): 27.

Villarruel AM, Jemmott LS, Jemmott JB 3rd. Designing a culturally based intervention to reduce HIV sexual risk for Latino adolescents. J Assoc Nurses AIDS Care 2005; 16(2): 23-31.

Jaiswal S, Magar BS, Thakali K, Pradhan A, Gurubacharya DL. HIV/AIDS and STI related knowledge, attitude and practice among high school students in Kathmandu valley. Kathmandu Univ Med J (KUMJ) 2005; 3(1): 69-75.

AlQuaiz AM, Kazi A, Al Muneef M. Determinants of sexual health knowledge in adolescent girls in schools of Riyadh-Saudi Arabia: A cross sectional study. BMC Womens Health 2013; 13: 19.

Savage J, Kanazawa S. Social capital, crime, and human nature. J Contemp Crim Justice 2002; 18(2): 188-211.

van Empelen P, Kok G, Hoebe CJ, Jansen MW. A qualitative study of factors that influence the motivation-action relationship in condom use among drug users. Health Education 2003; 103(4): 230-8.




DOI: http://dx.doi.org/10.22122/ahj.v8i3.335

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