Preventive Behaviors of HIV/AIDS based on Health Belief Model among Students of University of Medical Sciences

Maghare Dehkordi, Sara; Sharif Nia, Seyed Hamid; Gholamnia-shirvani, Zeinab; Behmanesh, Fereshteh; Ahmadzadeh Tori, Neda

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Preventive Behaviors of HIV/AIDS based on Health Belief Model among Students of University of Medical Sciences

Sara Maghare Dehkordi

, Seyed Hamid Sharif Nia

, Zeinab Gholamnia-shirvani

, Fereshteh Behmanesh

, Neda Ahmadzadeh Tori ^*

Abstract: (109 Views)

Background and Objectives: Acquired immunodeficiency syndrome (AIDS) infection is a major global public health issue. Given that young people are at higher risk of contracting this virus and the importance of identifying the growth trend of this issue, the present study aimed to identify predictors of self-efficacy for HIV prevention based on the health belief model in students of Babol University of Medical Sciences.

Materials and Methods: This cross-sectional study was conducted on 250 students using a convenience sample in 2024. The data collection tool was a questionnaire based on the health belief model. The collected data were analyzed using various statistical tests in SPSS software.

Results: In this study, 48.8% were female. Self-efficacy was significantly influenced by psychological factors, especially perceived benefits, perceived barriers, and perceived severity (p<0/05), but demographic variables such as gender, parental education, and economic status did not have a significant effect (p>0/05). The health belief model constructs together predicted 20.5 of the variance in self-efficacy.

Conclusion: Measuring self-efficacy and its predictors will be of great help in finding effective ways of prevention as well as in deciding on the implementation of intervention programs and evidence-based policies in this field.

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/

Keywords: Health Behavior, Self-efficacy, Health Belief Model

Type of Study: Research | Subject: Health Education & Health Promotion
Received: 2025/01/21 | Accepted: 2025/06/5

References

1. Darabi F, Maheri M, Shadmani MN. The Effect of Educational Intervention Based on the Health Belief Model on Promoting Perceived Self-efficacy to Prevent HIV/AIDS Among the High School Students. Journal of Education and Community Health. 2023;10(1):8-15.

2. Bietsch B. Second time overlooked in crisis: Examining how HIV/AID health policies in the USA connect with policy implications today for aging LGBTQ adults during the COVID-19 pandemic. Journal of Human Rights and Social Work. 2022;7(3):246-55

3. Ghaffari M, Rakhshanderou S, Gharlipour Z, Khalajabadi Farahani F, Ramezani T, Izadkhah F. Students' Perspective on Factors Influencing Premarital Sexual Intercourse. JHNM 2020; 30 (2) :111-119

4. Pettifor A, Bekker L-G, Hosek S, DiClemente R, Rosenberg M, Bull SS, et al. Preventing HIV among young people: research priorities for the future. JAIDS Journal of Acquired Immune Deficiency Syndromes. 2013;63:S155-S60.

5. Schroeder SE, Wilkinson A, O’Keefe D, Bourne A, Doyle J, Hellard M, et al. Does sexuality matter? A cross-sectional study of drug use, social injecting, and access to injection-specific care among men who inject drugs in Melbourne, Australia. Harm Reduction Journal. 2023;20(1):9.

6. Chan CT, Olivieri‐Mui BL, Mayer KH. Associations between State‐Level High School HIV Education Policies and Adolescent HIV Risk Behaviors. Journal of School Health. 2022;92(3):316-24

7. Zeggagh J, Bauer R, Delaugerre C, Carette D, Fressard L, Charreau I, et al. Incidence and risk factors for recurrent sexually transmitted infections among MSM on HIV pre-exposure prophylaxis. Aids. 2022;36(8):1129-34

8. Asefa A, Midaksa G, Qanche Q, Wondimu W, Nigussie T, Bogale B, et al. Does the perception of HIV risk among Female sex workers affect HIV prevention behavior? application of the Health Belief Model (HBM). BMC Public Health. 2022;22(1):1646.

9. Janz NK, Becker MH. The health belief model: A decade later. Health education quarterly. 1984;11(1):1-47.

10. Glanz K, Ammerman A. Introduction to community and group models of health behavior change. Health Behavior: Theory, Research, and Practice, 5th ed; Jossey-Bass: San Francisco, CA, USA. 2015:271-6.

11. Shitu K, Adugna A, Kassie A, Handebo S. Application of Health Belief Model for the assessment of COVID-19 preventive behavior and its determinants among students: A structural equation modeling analysis. PloS one. 2022;17(3):e0263568.

12. Li M, Li N. A study of the factors influencing HIV-preventive intentions among “hookup” application users. Frontiers in Psychology. 2023;13:1048226.

13. Vakili M, Moazen A, Sharifi S, Kamali K. Development, psychometric and factor analysis of HIV/AIDS health belief model scale in adolescents and youth (second phase: a study based on theory, culture and population of Iran). Iran J Epidemiol. 2018;14(3):255-64.

14. Cianelli R, Villegas N, McCabe BE, de Tantillo L, Peragallo N. Self-efficacy for HIV Prevention Among Refugee Hispanic Women in South Florida. J Immigr Minor Health. 2017 Aug;19(4):905-912. doi: 10.1007/s10903-016-0462-7. PMID: 27470226; PMCID: PMC5659853.

15. Soltani K, Tavafian S, Vakili M. Influence of educational program based on Health Belief Model in health beliefs in AIDS among students. Armaghane Danesh. 2014;19(9):797-807

16. Coleman CL. Health beliefs and high-risk sexual behaviors among HIV-infected African American men. Applied Nursing Research. 2007;20(3):110-5.

17. Yıldırım M, Güler A. COVID-19 severity, self-efficacy, knowledge, preventive behaviors, and mental health in Turkey. Death studies. 2022;46(4):979-86.

18. Zhou C, Yue XD, Zhang X, Shangguan F, Zhang XY. Self-efficacy and mental health problems during COVID-19 pandemic: A multiple mediation model based on the Health Belief Model. Personality and Individual Differences. 2021;179:110893.

19. Rafiei N, Aghapoor S, Behnampour N, Heshmati H, Ghasemyani S. Promoting AIDS Preventive Beliefs in Turkmen Students by Using the Health Belief Model in Aq-Qala. Iran J Health Educ Health Promot 2020; 7 (4) :323-332

20. Liu H, Lai G, Shi G, Zhong X. The influencing factors of HIV-preventive behavior based on health belief model among hiv-negative msms in Western China: A structural equation modeling analysis. International Journal of Environmental Research and Public Health. 2022;19(16):10185.

21. Gholamrezaee Sarvelat Z, Sharifirad G, Babakhani M H, Zamanian H, Mohebi S. Effect of Educational Intervention Based on the Health Belief Model on the Improvement of the Health Performance of Female Hairdressers in Qom, Iran. Arch Hyg Sci 2020; 9 (2) :109-120URL: http://jhygiene.muq.ac.ir/article-1-410-en.html

22. Khumsaen N, Stephenson R. Beliefs and perception about HIV/AIDS, self-efficacy, and HIV sexual risk behaviors among young Thai men who have sex with men. AIDS Education and Prevention. 2017;29(2):175-90.

23. Alizade M, Farshbaf-Khalili A, Malakouti J, Mirghafourvand M. Predictors of preventive behaviors of AIDS/HIV based on Health Belief Model constructs in women with high-risk sexual behaviors: A cross-sectional survey. Journal of education and health promotion. 2021;10(1):446

24. Yu B, Jia P, Huang Y-l, Zhou J-m, Xie T, Yu J, et al. Self-efficacy as a crucial psychological predictor of treatment adherence among elderly people living with HIV: analyses based on the health belief model. AIDS care. 2022;34(8):1041-7.

25. Cahyani IP, Fatimah FS, Rosyida RW. Relationships between self-efficacy, health belief, and self-care among type 2 diabetes mellitus. Journal of Community Empowerment for Health. 2024;7(1):6-9

26. Cahyani FD, Devy SR. The Relationship between Self-Efficacy and Self-Management Behavior in Gestational Diabetes Mellitus Control. Journal of Indonesian Health Policy and Administration. 2025;10(1):4

27. Park J-H, Sherman LD, Smith ML, Patterson MS, Prochnow T. The Association Between Health Belief Model Components and Self-Care Practices Among Black/African American Men with Type 2 Diabetes. International Journal of Environmental Research and Public Health. 2025;22(3):414

28. Andayani SA, Sholehah B, Kamaruzzaman M. Self-Efficacy, Dietary Adherence, and Medication Compliance among Hypertension Patients. Adult Health Nursing Journal. 2024;1(1).

29. khosravi Chahak F, Allahyari E, Miri M R, Norozi E, Cognitive Factors Affecting AIDS Preventive Behaviors in Iranian Women with Addicted Spouses.Mod Care J.2020;17(4):e109890.https://doi.org/10.5812/modernc.109890

30. Sharifzadeh G, Behdani MA, Moodi M. Pregnant Women’s Knowledge and Beliefs About Voluntary HIV Counseling and Testing in Birjand in 2018: An Assessment Using Health Belief Model. Modern Care Journal. 2020;17(3).

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