فهرست مطالب
International Journal of High Risk Behaviors and Addiction
Volume:10 Issue: 2, Jun 2021
- تاریخ انتشار: 1400/04/22
- تعداد عناوین: 8
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Page 1Background
HIV/AIDS has remained a public health issue, especially in developing countries. The contributing factors to HIV/AIDS include poor access to medical care, fear, shame because of stigmatization, and lack of social support resulting in the isolation of people who share their status.
ObjectivesTaking a phenomenological descriptive approach, this qualitative study investigated the experiences of people living with HIV (PLHIV) in Jahrom, Southern Iran.
Patients andMethodsThe data were collected through in-depth and semi-structured interviews (face to face) with 21 (10 males and 11 females) participants who were referred to the Jahrom Counseling Center for Behavioral Diseases. They were selected by the purposive sampling method according to theoretical saturation. Data were analyzed using the Diekelmann method.
ResultsAnalysis of the interview data and notes resulted in the four key themes: (I) emotional and psychological disturbances with three sub-themes: fear, depression, and feeling victimized; (II) stigma with three subthemes, including fear of being exposed, false judgment, and discrimination; (III) supportive environment with two sub-themes of family and social support; (IV) patients’ perspective of the future with three sub-themes, including hopelessness for the future, the future importance of children and hope for the future, and find a cure.
ConclusionsDeveloping educational programs for the public can greatly increase public awareness of HIV, change attitudes and beliefs about HIV, and modify the behavior of others in dealing with PLHIV. This change of attitude creates social support and facilitates the acceptance of the infection for PLHIV.
Keywords: Iran, Qualitative Research, Acquired Immunodeficiency Syndrome, Stigmatizatio, Interview -
Page 2Background
Family and parents’ supervision and performance affect the proper socialization process of adolescents and their behavioral development. Therefore, this qualitative study was conducted to examine the family factors affecting violence in adolescents.
Materials and MethodsThis qualitative study was conducted using the conventional qualitative content analysis method in 2017 in Roodsar. Data saturation was obtained with 50 individuals using 4 questions. The data were collected using in-depth interviews with purposive sampling among female primary and secondary school students as the main participants of the study and their teachers and family as contributors. All interviews were recorded and then typed. Data analysis was done continuously and simultaneously by collecting data using Lundman and Graneheimm constant comparative method.
ResultsData analysis was conducted using the conventional qualitative analysis method resulted in the extraction of 357 primary codes, 21 sub-sub-categories, 4 sub-categories, and one main category. At the end of this stage, the family factors affecting the violence of adolescents in the whole family provided insecurity to the adolescents, and an insecure family was defined according to the findings as follows: "a broken family with incorrect parenting practices and open borders that provide an insecure environment for the student and lead to violent behavior in adolescent".
ConclusionsAccording to the results of this study family factors are related to adolescent violence. Regarding the independence of adolescents at this age and the role of other socializing formal and informal institutions that affect adolescent behavior, the strong and influential role of the family on adolescent behavior is quite obvious.
Keywords: Violence, Family, Schools, Feminine -
Page 3Background
Self-medication (SM), the use of drugs by individuals to treat self-recognized illnesses or symptoms is one of the major health problems.
ObjectivesThe study assessed the patterns and links between SM and illness behavior in Nigerian artisans.
Patients andMethodsIn this cross-sectional survey, a multistage sampling procedure was employed to select 186 participants (age range = 15 - 61 years; mean = 31.5) in the Ede community of Osun State, Southwestern Nigeria. The artisans (beauticians, autoworkers, and house building construction workers) responded to the self-medication test (SMT) and Illness Behavior Questionnaire (IBQ). Frequency counts were employed to analyze the participants' demographic characteristics, while linear regression analysis was used to answer the research question.
ResultsThe findings from this study revealed a 47.8% prevalence of SM, ranging from 14.2% of antibiotics SM to 51.1% of alternative medicine SM. SM was observed to independently and significantly predict disease conviction (R2 = 0.030, P = 0.018), psychological/somatic perception (R2 = 0.034, P = 0.012), general illness reaction (R2 = 0.064, P = 0.000), and general illness behavior (R2 = 0.028, P = 0.023) of the participants.
ConclusionsOur findings revealed the need for an increase in public enlightenment, awareness, and sensitization among artisans on ills of SM. Also, we recommend psycho-education among this vulnerable group.
Keywords: Nigeria, Self-Medication, Artisans, Illness Behavior, Nonprescription Drugs -
Prevalence of Child Abuse and Correlations with Family Factors Among Elementary School-aged ChildrenPage 4Background
Child abuse is a significant health and social problem. Different social and family factors have effects on child abuse.
ObjectivesThis study was carried out to determine the prevalence of child abuse in three domains of physical abuse, emotional abuse, and neglect among a sample of elementary school children in Iran.
Materials and MethodsIn this cross-sectional study, a total of 400 elementary school children were selected through multistage cluster sampling from Shahroud, Iran, and assessed for all child abuse domains, except for sexual abuse, using a validated self-administered Persian questionnaire. The collected data were analyzed with SPSS, using descriptive statistics, t-test, chi-square test, Fisher's exact test, and multiple linear regression analysis (P ≤ 0.05).
ResultsThe mean age of the participants was 10.83 years (SD = 1.9). Overall, 63.8%, 27%, and 90.3% of children reported emotional abuse, physical abuse, and neglect, respectively. There were significant associations between the mother’s employment status and neglect (P < 0.001), father’s education and physical child abuse (P = 0.03), and father’s smoking and emotional child abuse (P < 0.001). The results showed that lower levels of family socioeconomic status had significant effects on neglect (P = 0.006) and emotional child abuse (P = 0.003).
ConclusionsAmong the studied children, 73.8% declared at least one type of child abuse. It seems that the prevalence of neglect increased among school-aged children compared to previous studies from Iran. The low socioeconomic status of the family is significantly related to child abuse. Family physicians and school counselors play important roles in identifying and reporting child abuse and neglect. Therefore, they should be more involved in the prevention of child abuse.
Keywords: Iran, Child Abuse, Physical Abuse, Emotional Abuse, Neglect -
Page 5Background
Various factors, like mental disorders, may affect the desire for medication and adherence in HIV/AIDS patients.
ObjectivesThe present study aimed to determine levels of neurotic disorders and associations of disorders level and HAART medication adherence in HIV/AIDS patients.
Patients andMethodsFinally, 150 patients of Behavioral Disease Counseling Center of Shiraz were selected by a convenience method and were evaluated by Symptom Checklist-25 (SCL-25) and Medication Adherence Questionnaire (MAQ).
ResultsSeventy-eight percent of patients had normal mental health status. Also, 83% had very good medication adherence. Female gender, single or divorced, and working in temporary and low-income jobs were associated with decreased mental health status. Higher age and education were associated with increased adherence. Anxiety was the most common and effective disorder. Decreased mental health' status was shown to reduce drug adherence.
ConclusionsTreatment of mental disorders, particularly anxiety, can be one of the most effective ways to increase drug compliance in HIV/AIDS patients.
Keywords: HIV, Mental Disorders, Medication Adherence, ART -
Page 6Background
Prevalence of suicide and attempted suicide has increased due to social, economic, and cultural factors.
ObjectivesThis study aimed to investigate the suicide and attempted suicide epidemiology in Sirjan, Iran, in 2018.
MethodsFollowing a cross-sectional design, suicide attempts and their related factors were investigated in the city of Sirjan in 2018. Data were collected by a researcher-developed checklist and were analyzed using descriptive and analytical statistics (chi-square and Fisher’s exact tests) by SPSS.
ResultsA total of 768 people referred to Sirjan’s hospitals with a diagnosis of suicide attempt were investigated. One-year suicide attempts incidence for males and females was 120.6 (N = 391) and 116.3 (N = 377) per 100,000 people, respectively. The mean age of males and females was 26.0 ± 9.2 and 24.2 ± 8.1, respectively. Most cases were aged 20 - 29 and 10 - 19 years. The male-to-female ratio was higher in the 20 - 29 age group, but more females, most suicide cases were aged 10 - 19, and this difference was significant. Most of them were single, urbanite, educated up to high school diploma, or were school-goers. Self-poisoning (i.e. drug intoxication) was the most common method of suicide attempts. Suicides that led to death were 3.7 per 100000 people, higher rates were observed in men, younger age, single status, urbanite, and those with school diplomas. Hanging was the most common suicide method.
ConclusionsSirjan is one of the areas with high rates of suicide attempts; therefore, the findings of the present study can be regarded as a step forward in future studies to consider interventions intended to improve mental health, as well as to find useful solutions to prevent suicide occurrence.
Keywords: Prevalence, Epidemiology, Attempted Suicide, Suicide