The Open Public Health Journal

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The Correlation between Perceived Peer Norms in Attitude and Self-Efficacy Premarital Sexual Behavior

Katayon Vakilian1, *Afsaneh Keramat2
1 Reproductive Health, Medical School, University of Medical Sciences, Arak, Iran
2 Reproductive Health Nursing Midwifery School, Shahroud University of Medical Sciences, Shahroud, Iran


Background and Aims:

Adolescence is a period of life in which high-risk behaviors, including sexual behaviors, put the adolescents at risk for sexually transmitted diseases, including AIDS. This research aimed at studying the relationship between peers' perception of sexual behavior and adolescents' attitudes and self-efficacy.

Materials and Methods:

This cross-sectional study used a multi-stage method to examine 1500 subjects in the universities of Shahroud, Iran. The questionnaires were consisted of sexual abstinence attitude, abstinence self-efficacy and peer subjective norms. To ensure the confidentiality of information, the questionnaire was distributed among 1500 students in six universities anonymously, and students҆ field of study was not mentioned. The collected data was analyzed with descriptive (Mean, Percent) and inferential tests (independent t-test, chi2, and Spearman test) using SPSS 18 software.


The mean age of the females was 20.26±1.49, and that of males was 20.32±1.575. 59.3% of male students and 86.8% of female students had poor sexual abstinence to sex before marriage. Moreover, the sexual abstinence self-efficacy of 29% of male students and 13.1% of female students, regarding the sexual abstinence before marriage, was strong. Findings showed that the more one believes in his/her abilities in sexual abstinence, the more they believe that their friends will not be involved in sex


It is required to provide the opportunities to learn and correct the socio-emotional skills required for physical and sexual health in relationships through social interactions with peers. In this context, the reproductive health programs need to be prioritized in the youth health programs and schools

Keywords: Public health, Reproductive health, Self-Efficiency, Sexual health, Peer subjective norms, Sexual abstinence.

Article Information

Identifiers and Pagination:

Year: 2020
Volume: 13
First Page: 555
Last Page: 558
Publisher Id: TOPHJ-13-555
DOI: 10.2174/1874944502013010555

Article History:

Received Date: 30/5/2020
Revision Received Date: 26/8/2020
Acceptance Date: 05/9/2020
Electronic publication date: 26/10/2020
Collection year: 2020

© 2020 Vakilian & Keramat.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at Reproductive Health, Medical School, Sardasht rejoin, Basij square, Arak University of Medical Sciences Arak, Iran; Tel:098-86-34173505;

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