|Mental Health and its Relationship With Social Support in Iranian Women With High-Risk Sexual Behaviors|
|Sharare Amani1, Hossin Ebrahimi2, Mojgan Mirghafourvand3, Fahimeh Sehhatie Shafaie4|
|1Midwifery College, Tabriz University of Medical Sciences, Tabriz, Iran
2Psychiatric Nursing Department, Tabriz University of Medical Sciences, Tabriz, Iran
3Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4Midwifery Department, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
IJWHR 2019; 7: 112-118
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Keywords : Women, High-risk sexual behaviors, Mental health, Social support
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Objectives: The violence and prostitution are examples of the stressors in the women with high-risk sexual behaviors and can create a psychological crisis in these women. The purpose of this study was to determine the relationship of mental health with social support in the women with high -risk sexual behaviors visiting drop-in centers (DICs) in Tabriz, Iran, in 2017.
Materials and Methods: This cross-sectional study was conducted on 149 women with high-risk sexual behaviors, visiting three DICs in Tabriz, Iran. The sampling was purposive and non-random. Data were collected using socio-demographic characteristics, social support (PRQ-part 85), and mental health (GHQ-28) questionnaires. A test of multivariate linear regression was performed to identify a number of mental health determinants and explanation of variance.
Results: The mental health score was 50.7 (18.2), the score ranged from 0-84. The best status belonged to depression subscale [10.5 (7.1)] and the worst status belonged to social dysfunction subscale [14.6 (4.5)]. The mental health and its subscales had a significant relationship with social support (P < 0.001, R= -0.55 to -0.33). The variables of social support, drug use, and spousal violence were able to predict 35.4% of mental health variance in the women.
Conclusions:According to the results, appropriate strategies are needed to promote social protection and mental health in the women with high-risk sexual behaviors in order to reduce the sexually transmitted diseases especially HIV/AIDS in the society.
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