Application of the Health Belief Model for Investigation of Couples' Attitude toward Sexual Health

Aim: This study aimed to investigate the beliefs toward sexual health among couples attending marriage counseling centers, based on the Health Belief Model (HBM) as a theoretical framework. Methods: This cross-sectional study was performed on ۴۱۶ couples, aged ۱۴ to ۴۰ years, who referred to a marriage counseling center in Kermanshah in ۲۰۱۴. They were recruited through a simple random sampling method. The data gathering tool consisted of a self-administered questionnaire based on the HBM constructs and some demographic characteristics. Data were analyzed with SPSS-۱۸ software using independent t-test, one way ANOVA, and Pearson correlation. Findings: According to the results, the level of perceived susceptibility of the consequences of unsafe sexual behaviors and perceived barriers among couples were not satisfactory; however, perceived severity and benefits were reported in a relatively good level. Internet and friends were the most important cues to action related to sexual health. Conclusion: Results demonstrated that the framework of the HBM is useful for investigation of sexual health related beliefs among couples. Thus, design and implementation of interventions based on the results of present study may be effective in promoting knowledge and beliefs toward sexual health among couples.