The effect of education based on the health belief model on preventive substance use behaviors in male high school students

Document Type : Research Paper

Authors

1 Assistant professor of health education and promotion, Bookan School of Nursing, Urmia University of Medical Sciences, Urmia, Iran.

2 Biostatistics, Clinical Research Development Unit, Shohadaye Khalije Fars Hospital, Bushehr University of Medical Sciences, Bushehr, Iran.

3 M.Sc. in health education, Abadan University of Medical Sciences, Abadan, Iran.

4 M.Sc. in epidemiology, Asadabad University of Medical Sciences, Asadabad, Iran.

10.22038/JFMH.2024.74642.3081

Abstract

Introduction: Substance abuse is associated with negative impacts on mental, physical, and central nervous system processes in humans. This study aimed to investigate the effect of education based on the health belief model on preventive behavior against substance use among male students.
 
Materials and Methods: This study was conducted on 260 male high school students in Khorramshahr City, Iran, in 2018. The students were selected through the random cluster sampling method and they were divided into the experimental and the control groups. They completed the Masoudi Boroujeni's questionnaire based on health belief model. The training program was held in five sessions based on the health belief model, and the post-test was held three months after the intervention. We analyzed the data using descriptive statistics, Chi-square test, covariance analysis, SPSS version 20.
 
Results: The results showed that in the post-test stage, by controlling the effect of pre-test scores, the effect of training in variables of perceived sensitivity (P< 0.001), perceived severity (P< 0.001), perceived benefits (P< 0.001) and cues to action (P< 0.001) was effective.
 
Conclusion: It seems that implementing an educational intervention based on the health belief model can increase the perceived threat and prevent substance use behaviors in high school students.

Keywords


  1. World Health Organization. The World health report: Shaping the future. [cited November 7, 2023]. Available from: https://iris.who.int/handle/10665/42789?&locale-attribute=en
  2. Pagano ME, Raj NM, Rhodes C, Krentzman AR, Little M. Identifying strengths in youths at substance use treatment admission. Am J Drug Alcohol Abuse 2019; 45(4): 410-20.
  3. Yaseen LQ, Nayyef SH. The inhibitory effect of aqueous and alcoholic extract of red pepper on some isolated pathogenic bacteria from different areas of human body. Bionatura 2021; 6: 1-4.
  4. Ahmed MM, Younis NM, Hussein AA. Prevalence of tobacco use among health care workers at primary health care centers in Mosul City. Pakistan journal of medical and health sciences 2021; 15(1): 421-4.
  5. World Health Organization. Tobacco. [cited 31 July 2023]. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco
  6. 6. Centers for Disease Control and Prevention. Smoking and tobacco use. [cited 16 July 2020]. Available from: https://www.cdc. gov/tobacco/data_statistics/fact_sheets/health_e_ects/e_ects_cig_smoking/
  7. United Nations Office on Drugs and Crime. Annual report 2017-2018; Afghanistan; 2020.
  8. Ahmed MM, Younis NM, Hussein AA. Violence towards nurse's staff at teaching hospitals in Mosul City. Indian J Forensic Med Toxicol 2020; 14(3): 2598-603.
  9. Panahi R, Ramezankhani A, Tavousi M, Niknami S. Adding health literacy to the health belief model: Effectiveness of an educational intervention on smoking preventive behaviors among university students. Iran Red Crescent Med J 2018; 20(2): e13773.
  10. Younis NM, Naji AB. Assessing the effect of an educational intervention based on health belief model on preventive behaviors of addiction. Pakistan journal of medical and health sciences 2021; 15(3): 813-17.
  11. Babaei S, Shakibazadeh E, Shojaeizadeh D, Yaseri M, Mohamadzadeh A. [Effectiveness the theory-based intervention based on health belief model on health promotion lifestyle in individuals susceptible to cardiovascular diseases]. Iranian journal of health education and health promotion 2020; 8(3): 224-39. (Persian)
  12. Muwfaq Younis N. Efficacy of health beliefs model-based intervention in changing substance use beliefs among Mosul University students: A randomized controlled trial. Revis Bionatura 2022; 7(2): 35.
  13. Joorbonyan H, Ghaffari M, Rakhshanderou S. Peer-led theoretically designed HIV/AIDS prevention intervention among students: A case of health belief model. BMC Public Health 2022; 22(1): 8.
  14. Boroujeni MD, Baghianimoghadam MH, Sharifirad G, Fallahzadeh H. [Investigating the preventive behaviors of drug addiction and abuse based on the health belief model in boys' high schools in Borujen region]. Journal of health system research 2012; 8(2): 237-46. (Persian)
  15. Panahi R, Ghaderi N, Latifi A, Rezaei Z. Prevalence of smoking and its related factors among Iranian adolescents. J Subst Use 2023; 28(6): 887-92.
  16. World Health Organization. WHO report on the global tobacco epidemic, 2011: Warning about the dangers of tobacco. [cited 2011]. Available from: https://apps.who.int/ iris/handle/10665/44616
  17. Mohammadi S, Ghajari H, Valizade R, Ghaderi N, Yousefi F, Taymoori P, et al. Predictors of smoking among the secondary high school boy students based on the health belief model. Int J Prev Med 2017; 8: 24.
  18. Priabadi ET, Devy SR. Application of the health belief model on the intention to stop smoking behavior among young adult women. J Public Health Res 2020; 9(2): 1817.
  19. Panahi R, Osmani F, Sahraei M, Ramezankhani A, Rezaei M, Aghaeian N, et al. The predictors of health literacy based on the constructs of health belief model for smoking prevention among university students. Modern care journal 2019; 16(2): e87068.
  20. Mohammadi K, Tavafian SS. Effect of educational intervention based on health belief model on prevention of substance abuse among the students of Khatam Al-Nabieen University in Afghanistan. Iran Red Crescent Med J 2020; 22(5): e101935.
  21. Setoudeh A, Tahmasebi R, Noroozi A. [Effect of education by health volunteers on reducing water-pipe use among women in Bushehr: An application of health belief model]. Hayat 2016; 22(1): 50-64. (Persian)
  22. Baktash MQ, Naji AB. Efficacy of health belief model in enhancing exercise behavior to preventing stroke among geriatrics homes residents in Baghdad city. Indian J Public Health Res Dev 2019; 10(2): 928-33.
  23. Khazaee-Pool M, Zarei F, Pashaei T, Shojaeizadeh D. [The effect of an educational intervention based on health belief model on improving smoking preventive behaviors among students]. Iranian journal of health education and health promotion 2017; 4(4): 300-308. (Persian)
  24. Oveisi S, Zahedifar F, Atashgar E, Yadegary Z, Amole N, Taherkhanee S. Prediction of dental caries preventive behaviors using Health Belief Model (HBM). Health education and health promotion 2019; 7(3): 105-9.
  25. Mazloomi Mahmoodabad SS, Khoshab S, Sohrabi Vafa F, Fallahzadeh H, Yassini Ardekani SM. The effect of health education based on health belief model on preventive actions of synthetic drugs dependence in male students of Kerman, Iran. Social behavior research and health 2017; 1(2): 100-107.
  26. Kissal A, Kartal B. Effects of health belief model-based education on health beliefs and breast self-examination in nursing students. Asia Pac J Oncol Nurs 2019; 6(4): 403-10.
  27. Panahi R, Rezaie Z, Teymoori P, Nouri B, Nouri E, Ahmadi O, et al. [The factors associated to high risk behaviors in Sanandaj city students based on health belief model]. Iranian journal of health education and health promotion 2019; 6(4): 393-402. (Persian)