The role of integrative model of behavioral prediction in voluntary counseling of individuals with sexual high-risk behavior

Abstract

BACKGROUND: Voluntary counseling and testing (VCT) is one of the main efforts for the prevention of high-risk sexual behavior, including HIV/acquired immunodeficiency syndrome (AIDS). The aim of this study was to determine cognitive determinants related to voluntary counseling and HIV testing among Iranian adults based on the integrative model of behavioral prediction (IMBP). MATERIALS AND METHODS: This cross-sectional study was conducted in 2018 among Iranian adults with high-risk sexual behaviors, including drug abuse and unprotected sex, in western Iran. A total of 300 adults were randomly selected to participate voluntarily in this study. Participants filled out a self-administered questionnaire, including the background data and IMBP constructs. Data were analyzed by SPSS version 21, using statistical treatments, such as bivariate correlations, Chi-square test, t -test, and logistic regression at a 95% significant level. RESULTS: Almost 73.3% of the participants had a history of VCT. The highest probability of VCT use was in participants who were in high level of VCT skills (odds ratio: 9.635; 95% confidence interval [CI]: 3.255, 28.514]), following environmental constraints (odds ratio: 6.274; 95% CI: 2.166, 18.171). Furthermore, the IMBP constructs accounted for 85% of the variations in the outcome measure of the VCT use intention. CONCLUSIONS: Based on the result, it appears that the design and implementation of educational programs to improve upon skills and environmental constraints toward VCT use among adults with high-risk behaviors could be useful to the promotion of VCT.

Health service quality of human immunodeficiency virus voluntaries’ counselling and testing

“…Changes must be made immediately to improve the quality of services to meet patient expectations. These changes can be by improving skills and environmental facilities, providing cognitive attention, self-efficacy, and norms to motivate people to carry out voluntary HIV counseling and testing, especially for those with risky sexual behavior [9], [10].…”

Multiple Substance Use Patterns and Its Relationship with Imprisonment in a High-Risk Group of Iranian Adults

“… 11 , 12 It should be noted that the use of heroin and stimulants has also shown an increasing trend in Iran. 13 Furthermore, the substance abuse mortality rate in Iran increased between 2014 and 2018. 2 …”

“…Voluntary Counseling and Testing (VCT) was first developed in 1995 as a major tool for HIV/AIDS control and a viable means of preventing the disease spread. 13 In Iran, behavioral health counseling centers provide services for patients with AIDS and other diseases, HIV counseling, diagnostic tests, and services aimed at harm reduction in substance use (e.g., syringe and needle exchange) and a condom to ensure protected intercourse. 14 …”

“…11,12 It should be noted that the use of heroin and stimulants has also shown an increasing trend in Iran. 13 Furthermore, the substance abuse mortality rate in Iran increased between 2014 and 2018. 2 Voluntary Counseling and Testing (VCT) was first developed in 1995 as a major tool for HIV/AIDS control and a viable means of preventing the disease spread.…”

“…2 Voluntary Counseling and Testing (VCT) was first developed in 1995 as a major tool for HIV/AIDS control and a viable means of preventing the disease spread. 13 In Iran, behavioral health counseling centers provide services for patients with AIDS and other diseases, HIV counseling, diagnostic tests, and services aimed at harm reduction in substance use (e.g., syringe and needle exchange) and a condom to ensure protected intercourse. 14 The latent class analysis (LCA) provides a framework to identify heterogeneity within the population by analyzing the behavioral patterns of individuals so that the latent groups with similar patterns are identified in a set of observations.…”