Original Article

The effect of sociodemographic factors on constructs of modified theory of planned behavior in relation to reproductive health in adolescents: Crosssectional study


Background & Aim: Identification of factors influencing reproductive health-related behavior among adolescent students is an important issue to plan effective intervention. Therefore, this study was aimed to determine the effect of sociodemographic factors on constructs modified theory of planned behavior (TPB) in relation to reproductive health in adolescents.
Methods & Materials: A cross-sectional study was conducted among 578 female students aged 12-16, recruited through a multistage random cluster sampling method, in Tehran, Iran. A self-administered TPB-based constructed questionnaire was designed and used for data gathering. Multivariate regression analyses were conducted to examine association between family size, number of siblings, birth rank, and family closeness, source of information, and reproductive health behavior.
Results: The mean age of participants was 14.1 years. None of participants were not obtained a perfect score in relation to reproductive health. In addition, they were achieved scores average less than half the rates. Number of siblings, family size, birth rank, mother education, and information source were factors associated with TPB constructs (P < 0.001).
Conclusion: The results of this study were emphasized sociodemographic factors can have an effective role in students’ Sexual and reproductive health behaviors.

Fatusi AO, Hindin MJ. Adolescents and youth in developing countries: Health and development issues in context. J Adolesc 2010; 33(4): 499-508.

Statistical Center of Iran. Population and Housing Censuses [Online]. [cited 2011]; Available from: URL: https://www.amar.org.ir/english/Populationand-Housing-Censuses. 3. Mohammadi MR, Mohammad K, Farahani FK, Alikhani S, Zare M, Tehrani FR, et al. Reproductive knowledge, attitudes and behavior among adolescent males in Tehran, Iran. Int Fam Plan Perspect 2006; 32(1): 35-44.

Defo BK. The importance for the MDG4 and MDG5 of addressing reproductive health issues during the second decade of life: Review and analysis from times series data of 51 African countries. Afr J Reprod Health 2011; 15(2): 9-30.

Joint United Nations Programme on HIV/AIDS (UNAIDS). Report on the global acquired immunodeficiency syndrome epidemic [Online]. [cited 2008]; Available from: URL: www.unaids.org/sites/default/files/media_ass et/jc1510_2008globalreport_en_0.pdf

Simbor M, Ramezani F, Hashemi Z. Surveying the knowledge and attitudes towards sexual health in university students of Qazvin. Pejouhandeh: 2003; 8(4): 299-305

Mosleh-Uddin M, Nassiri N, Mir-Motahari M. Adolescents data on reproductive health issues in the I.R. of Iran. Proceedings of the the IUSSP Seminar in Bangkok, Thailand; 2002 June 10-13; Bangkok, Thailand.

Ramezani F. Effects of two educational methods about health of puberty, on knowledge, attitude and practice of adolescents [Project]. Tehran, Iran: Reproductive Health Research Centre, Ministry of Health and Medical Education; 2000.

Farahani FK, Shah I, Cleland J, Mohammadi MR. Adolescent males and young females in Tehran: differing perspectives, behaviors and needs for reproductive health and implications for gender sensitive interventions. J Reprod Infertil 2012; 13(2): 101-10.

World Health Organization. Sexual and reproductive health: Misperceptions amongst boys in the Islamic Republic of Iran about sexual and reproductive health Social science research policy brief. Geneva, Switzerland: World Health Organization; 2007.

Sawyer SM, Afifi RA, Bearinger LH, Blakemore SJ, Dick B, Ezeh AC, et al. Adolescence: A foundation for future health. Lancet 2012; 379(9826): 1630-40.

Jackson J, Eggleston E, Lee A, Hardee K. Reproductive Knowledge, Attitudes and Behaviour Among Young Addlescents in Jamaica. J Soc Econ Stud 1997; 46(1): 95-109.

Salimzadeh H, Eftekhar H, Majdzadeh R, Montazeri A, Delavari A. Effectiveness of a theory-based intervention to increase colorectal cancer screening among Iranian health club members: A randomized trial. J Behav Med 2014; 37(5): 1019-29.

Kinmonth AL, Wareham NJ, Hardeman W, Sutton S, Prevost AT, Fanshawe T, et al. Efficacy of a theory-based behavioural intervention to increase physical activity in an at-risk group in primary care (ProActive UK): A randomised trial. Lancet 2008; 371(9606): 41-8.

Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process 1991; 50(2): 179-211.

Taymoori P, Niknami S, Berry T, Lubans D, Ghofranipour F, Kazemnejad A. A schoolbased randomized controlled trial to improve physical activity among Iranian high school girls. Int J Behav Nutr Phys Act 2008; 5: 18.

Karimi-Shahanjarini A, Omidvar N, Bazargan3 M, Rashidian A, Majdzadeh R, Shojaeizadeh D. Iranian female adolescent's views on unhealthy snacks consumption: A Qualitative Study. Iran J Public Health 2010; 39(3): 92-101.

Christian J, Armitage CJ, Abrams D. Evidence that theory of planned behaviour variables mediate the effects of sociodemographic variables on homeless people's participation in service programmes. J Health Psychol 2007; 12(5): 805-17.

Anderssen N, Jacobs DR, Jr., Aas H, Jakobsen R. Do adolescents and parents report each other's physical activity accurately? Scand J Med Sci Sports 1995; 5(5): 302-7. 20. Cleland J, Verrall J, Vaessen M. Preferences for the sex of children and their influence on reproductive behaviour [Online]. [cited 1983]; Available from: URL: http://www.popline.org/node/401264

Ingham R, Stone N. Topics for In-depth Interviews and Focus Group Discussions: Partner selection, sexual behaviour and risk taking. In: Cleland J, Ingham R, Stone N, editors. Asking young people about sexual and reproductive behaviours: Illustrative Core Instruments .Geneva, Switzerland: UNDP/UNFPA/WHO/World Bank; 2001.

Darabi F, Khalaj Abadi Farahani F, Kaveh MH, Safari M, Yaseri M. Development and psychometric properties of a belief-based reproductive health behavior questionnaire for female adolescents. Iranian journal of public health 2017. [Unpublished].

Goldstein H. Multilevel Statistical Models. New York, NY: John Wiley & Sons; 2011.

Darrell Bock R. Multilevel analysis of educational data. Philadelphia, PA: Elsevier; 2014.

Thompson E, Lemkey F. Directionally solidified eutectic superalloys. In: Kreider KG. Metallic Matrix Composites: Composite Materials. Vol 4. New York, NY: Academic Press; 1974. p. 101-10. 26. Malekshahi F, Farhadi A. Knowledge, attitude and practice of female high school students on menstrual health. Yafteh 2006; 8(1): 73-8. [In Persian].

Poureslami M, Amin E, Sarmast H. Assessment of knowledge, attitude and behavior of adolescent girls in suburban districts of Tehran regarding dysmenorrhea and menstrual hygiene. J Shaheed Sadoughi Univ Med Sci 2002; 9(4): 23-9. [In Persian].

Koff E, Rierdan J. Early adolescent girls' understanding of menstruation. Women Health 1995; 22(4): 1-21.

Jejeebhoy SJ. Adolescent sexual and reproductive behavior: A review of the evidence from India. Soc Sci Med 1998; 46(10): 1275-90.

Feldman SS, Brown NL. Family influences on adolescent male sexuality: The mediational role of self-restraint. Social Development 1993; 2(1): 15-35.

Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Educ Q 1988; 15(2): 175-83.

Kalej Abadi Farahani F, Alikhani S, Mohammadi MR, Bahonar A. Parents' attitudes towards adolescent boy's reproductive health needs and practice in Tehran. Iran J Psychiatry 2007; 2(1): 13-24. 33. Jaccard J, Dittus PJ, Gordon VV. Maternal correlates of adolescent sexual and contraceptive behavior. Fam Plann Perspect 1996; 28(4): 159-65, 185.

Chandra-Mouli V, Lawe-Davies O, Dick B. Responding to the needs of adolescents. Bull World Health Organ 2010; 88(1): 3.

Rad M., Hashemipour M, Alizadeh R. Investigation of knowledge and attitudes of patients referring to kerman dental school about AIDS, (Spring 2006). J Dent Shiraz Univ Med Sci 2009; 10(2): 144-52. [In Persian].

Panahandeh Z, Taramian S. Knowledge and attitude of non-medical students towards AIDS. J Guilan Univ Med Sci 2004; 13(49): 20-6.

Montazeri A. AIDS knowledge and attitudes in Iran: Results from a population-based survey in Tehran. Patient Educ Couns 2005; 57(2): 199-203.

IssueVol 2 No 4 (2016) QRcode
SectionOriginal Article(s)
Reproductive health Adolescents Demography Theory

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How to Cite
Yaseri M, Darabi F, Kaveh MH, Khalajabadi-Farahani F. The effect of sociodemographic factors on constructs of modified theory of planned behavior in relation to reproductive health in adolescents: Crosssectional study. JBE. 2017;2(4):188-198.