RESEARCH PAPER
Effectiveness of social marketing on reducing risky sexual behaviors in HIV-positive individuals in Iran: a pilot randomized controlled trial
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1
Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
2
Department of Psychology, Payame Noor University, Tehran, Iran
3
Department of Global Public Health and Primary Care, University of Bergen, Norway
4
Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Imam Khomeini Hospital, Tehran, Iran
5
Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Submission date: 2020-11-20
Final revision date: 2021-05-14
Acceptance date: 2021-05-17
Publication date: 2022-09-13
HIV & AIDS Review 2022;21(4):322-326
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Social marketing is an innovative measure that benefits different aspects of human life. It has been suggested that it could also be employed in fighting human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS), and promote family planning. The purpose of this study was to investigate the effect of social marketing methods on reducing high-risk sexual behaviors in HIV-positive individuals.
Material and methods:
This study was a randomized controlled trial, involving sixty patients who visited voluntary counseling and testing (VCT) center of Imam Khomeini Hospital in Tehran, during 2017-2018 period. Respondent-driven sampling was used, and participants were divided into two groups through block randomization. Intervention group received a weekly social marketing training program in ninety minutes sessions, while control group did not receive any educational intervention. Questionnaire collected data on risky sexual behaviors (RSB) were evaluated using analysis of variance ANOVA.
Results:
Social marketing training package delivered in this study could significantly reduce RSB after 6 weeks of implementation (p < 0.001).
Conclusions:
Social marketing measures could be effective in reducing RSB in HIV-positive individuals. However, developing well-tailored social marketing interventions, which could address sexual health issues of the society is a challenging endeavor in religious countries, such as Iran.
REFERENCES (20)
1.
Jodouin JF, Bergeron S, Desjardins F, Janssen E. Sexual behavior mediates the relationship between sexual approach motives and sexual outcomes: a dyadic daily diary study. Arch Sex Behav 2018; 48: 831-842.
2.
Dabee S, Barnabas SL, Lennard KS, et al. Defining characteristics of genital health in South African adolescent girls and young women at high risk for HIV infection. PLoS One 2019; 14: e0213975.
3.
Panahi S, Watson J, Partridge H. Social media and physicians: exploring the benefits and challenges. Health Informatics Journal 2014; 22: 99-112.
4.
Mehraeen E, Safdari R, SeyedAlinaghi S, Mohammadzadeh N. Exploring and prioritization of mobile-based self-management strategies for HIV care. Infect Disord Drug Targets 2019; 19: 288-296.
5.
Tarrahi MJ, Kianersi S, Nasirian M. Latent class analysis of symptoms for sexually transmitted infections among Iranian women: results from a population-based survey. Health Care Women Int 2020; 41: 461-475.
6.
Firestone R, Rowe CJ, Modi SN, Sievers D. The effectiveness of social marketing in global health: a systematic review. Health Policy Plan 2016; 32: 110-124.
7.
Luecking CT, Hennink-Kaminski H, Ihekweazu C, Vaughn A, Mazzucca S, Ward DS. Social marketing approaches to nutrition and physical activity interventions in early care and education centres: a systematic review. Obesity Rev 2017; 18: 1425-1438.
8.
Sewak A, Singh G. Integrating social marketing into Fijian HIV/AIDS prevention programs: lessons from systematic review. Health Commun 2017; 32: 32-40.
9.
Olawepo JO, Pharr JR, Kachen A. The use of social marketing campaigns to increase HIV testing uptake: a systematic review. AIDS Care 2018; 31: 153-162.
10.
Fararouei M, Akbari M, Haghdoost A, Gouya M, Kazerooni P. Survival and associated factors among people living with HIV/AIDS: a 30-year national survey in Iran. J Res Med Sci 2019; 24: 5.
11.
Pirnia B, Pirnia K, Aghajanpoor M, Mardan F, Zahiroddin A. Relationship between function of hypothalamic-pituitary-adrenal axis and executive functions in chronic methamphetamine users: a cross-sectional study. Asian J Psychiatr 2018; 35: 113-114.
12.
Pirnia B, Givi F, Roshan R, Pirnia K, Soleimani AA. The cortisol level and its relationship with depression, stress and anxiety indices in chronic methamphetamine-dependent patients and normal individuals undergoing inguinal hernia surgery. Med J Islam Repub Iran 2015; 30: 395.
13.
Pirnia B, Azemnia Z, Soleimani AA. Psychotherapy and condom use, effectiveness of well-being therapy (WBT) on condom-use skills in cocaine-dependent. IJIR 2016; 2: 1229-1236.
14.
Pirnia B, Mansour S, Rahmani S, Soleimani AA. Sexual behavior and age differences in methamphetamine dependent and non-dependent men who have sex with men (MSM). PCP 2015; 3: 273-282.
15.
Agha S, Tollefson D, Paul S, Green D, Babigumira JB. Use of the Fogg Behavior Model to assess the impact of a social marketing campaign on condom use in Pakistan. J Health Commun 2019; 24: 284-292.
16.
Meekers D, Agha S, Klein M. The impact on condom use of the “100% Jeune” social marketing program in Cameroon. J Adolesc Health 2005; 36: 530.
17.
Khawaja Z, Ali KI, Khan S. Using Facebook for sexual health social marketing in conservative Asian countries: a systematic examination. J Health Commun 2017; 22: 111-123.
18.
Friedman AL, Kachur RE, Noar SM, McFarlane M. Health communication and social marketing campaigns for sexually transmitted disease prevention and control. Sex Transm Dis 2016; 43 (2 Suppl 1): S83-S101.
19.
Wilkinson AL, Pedrana AE, El-Hayek C, et al. The impact of a social marketing campaign on HIV and sexually transmissible infection testing among men who have sex with men in Australia. Sex Transm Dis 2016; 43: 49-56.
20.
Nair BT. Role play – an effective tool to teach communication skills in pediatrics to medical undergraduates. J Educ Health Promot 2019; 8: 18.