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Paradoxical attitudes toward premarital dating and sexual encounters in Tehran, Iran: a cross-sectional study
© The Author(s). 2016
- Received: 25 September 2015
- Accepted: 10 August 2016
- Published: 30 August 2016
The purpose of this study is to assess attitudes toward premarital dating and sexual encounters in individuals aged 15–49 years in Tehran.
Utilizing the attitudes section of an original cross-sectional study (n = 755) aimed at assessing sexual health needs of adults, this paper examined personal attitudes towards premarital dating, non-sexual relationships and sexual encounters in both male and female adults aged between 15–49 years. Multi-stage cluster random sampling and a validated/reliable questionnaire were used. Descriptive, bivariate and multivariate analyses were conducted using statistical software.
The results indicated that the majority of the participants were supportive of dating. Almost three-fourths of the males were more positively inclined towards non-sexual, yet tactile, affectionate interactions between unmarried males and females as opposed to only half of the females (70 % vs. 50.5 %). Also, males held significantly more liberal attitudes than females in their acceptance of premarital sex. On preserving virginity prior to marriage, 43 % of the males felt that it was important for a female to be a virgin, whereas only 26 % felt it was important for males to remain a virgin. Interestingly, more females (61 %) supported the importance of a female’s virginity compared with the importance of males’ virginity (48 %). This study showed that, being a male, of a younger age, single, and being less religious or being secular were important determinants of a liberal sexual attitude.
These results might reflect a socio-cultural transition in the sexual attitudes of different age groups of participants - a phenomenon that will need empirical studies to unpack in the Iranian socio-cultural context.
- Sexual attitude
- Premarital sex
- Sexual health
- Sexual encounters
According to the World Health Organization (WHO) individual sexuality is, to a large extent, determined and influenced by social norms and family values . Hence, sexual attitudes and permissiveness are conceptualized and understood differently according to societal contexts [38, 41]. In fact, social construction of sexuality in any given culture defines sexual behaviours of men and women [22, 38]. Sexual permissiveness entails accepting a wide range of sexual attitudes and associated behaviours, and is influenced by various cultural factors including religious beliefs and the importance of economic exchange at marriage, as well as increased exposure to external influences due to the expansion of worldwide communications and economic changes .
There have been significant transformations in sexuality and sexual behaviours in special cultural contexts . Attitudes toward sexuality and its ethical aspects have been altered over the past few decades in many parts of the world [54, 63, 65, 69]. Increasing concerns exist about the consequences of such transformations in conservative and religious societies versus other liberal societies, because empirical research has documented an inverse association between religiosity and liberal sexual attitudes . Iran as a conservative and religious society is no exception.
Similar to other countries in Asia (India, China, Philippines; Thailand; Malaysia, Viet Nam and others), Iran has experienced significant social and attitudinal changes over the past decades [7, 8, 24, 25, 49, 55, 58]. Factors such as westernization, modernization, education, social networks and worldwide communications, information technology; and a rapidly widening generational gap have created grounds for changes in value systems and norms within this country [37, 51, 56, 62].
What perhaps makes Iran, interesting as a case is that since 1979, religion is the core cement of the Iranian value system and norms due to Islamic Law. Dynamic interactions between cultural traditions, religious cultures, and cultural modernity which focuses on “liberal values” are unavoidable [22, 41]. Both religious and non-religious scholars have pointed out that pervasive new norms may change the social structure as well as people’s definitions of sexual behaviour (Aghajanian, Family and Family Change in Iran, forthcoming) [15, 47].
Despite the aforementioned emerging changes, sexual intimacy and sex is only acceptable within the institution of marriage within Iranian society. Premarital sex is considered sinful according to the Islamic religious perspective [5, 30, 61]. It is also legally prohibited and culturally forbidden in this society . Despite the socio-cultural pressure in Iran stressing on marriage as the fundamental core for family formation, the younger generation of Iranian females in particular over the last three decades postpone their marriage . They cite socio-economic reasons for the delay in marriage, or their wish to pursue education . The increasing trend of delayed marriages possibly explains attitude changes toward premarital sexual encounters in the Iranian context.
Postponing marriage has widened the gap between puberty and marriage and this has led to the higher likelihood of people living in metropolitan contexts to be more open, accepting and engaging in premarital heterosexual interactions including sex [29, 32, 33]. However, despite this, in certain settings where only marital sex is documented, this may give the mistaken impression that the age of first sexual intercourse has increased .
Sexual behaviours are influenced by a range of factors such as personal attitudes and beliefs, knowledge about sex and its consequences, situational factors, feelings and desires [9, 57]. According to the Theory of Planned Behaviour, an individual’s behaviour is predicted by his/her intentions, attitudes toward the behaviour, perceived social norms and behavioural control . In social psychology, it is widely accepted that attitudes are socially learned . Challenges between traditional and modern values, the advent of technology and its own culture, and the coming of new communication technologies such as social media to people’s life have led to drastic changes in the personal attitudes of Iranians which contributes to changes in previously accepted norms [10, 70].
Increasing premarital heterosexual friendships and dating with the opposite sex among young Iranians has been documented. In a survey among 1,378 unmarried female college students from four universities in Tehran in 2005–2006, 52 % of females reported ever having a boyfriend .
Since friendship with the opposite sex is not acceptable in Iranian families, in many cases, particularly for females, families are mostly unaware of any such interactions or relationships. Most parents do not play a key role in informing, educating or supporting their young people on how to manage their friendships and the potential risks posed . Similar to other Islamic states such as Pakistan, in Iran, religiosity is considered to be protective for premarital sex, but it seems that due to the gap between marriage and puberty, and changes in social networks, media and communication technology as well as socio-economic development, the protective role of religiosity is diminishing [11, 27, 56, 62, 64]. Furthermore, there is no comprehensive sexuality education for singles; hence individuals in intimate relationships including sex are unprepared to deal with potential risks for both physical and mental health such as non-consensual sex, sexual coercion and unwanted pregnancy. Undesirable outcomes such as unwanted pregnancy, unsafe abortion, and HIV/AIDS have been associated with premarital sex, particularly among adolescents and young adults [71, 72].
Yet, another issue is that reportedly Iran has entered into its third wave of an HIV epidemic, which is one of the most serious health risk issues in the country. Although the HIV epidemic is primarily concentrated among key populations such as injecting drug users, HIV transmission through unsafe sex is on rise among adolescent and young adults, with recent studies suggesting an increase in premarital sexual encounters in Iran [4, 11, 20, 33]. The main feature of this peak is the significant shift in new cases of HIV infection from intravenous drug use to unsafe sexual practices. Since 1988 till 2005, from among all HIV positive cases (30,183 cases), 67 % was due to injecting drug use and 18 % was because of unsafe sex, while the corresponding rates among HIV positive cases in 2014, was 41 % and 36 %, respectively. These rates show a significant rise in sexual transmission of HIV in Iran .
It is within the interest of the current global health context that this empirical study, focusing on attitudes toward premarital dating and sexual encounters in Iran is both, socioculturally relevant in order to highlight shifting attitudes and perceptions as it is from the point of better elucidating gaps in current public health practices. The purpose of this study is to assess attitudes toward premarital dating and sexual encounters among adults aged 15-49 years in Iran.
Studies among female college students have shown that young people believe that social norms are still against premarital sex in Iran [31, 40]. In contrast, evidence indicates a rise in premarital sex, particularly among young men and women (aged 18–34) in metropolitan cities of Iran . This contrast persuaded a team of researchers to hypothesize that changes in sexuality in the Iranian contexts might be related to changes in personal attitudes, rather than social norms which are more resistant to change. Social norms influence personal attitudes and behaviors, although the links are complicated and may be bi-directional . Many factors affect personal attitudes towards premarital sex, including perceived norms and an individual’s own sexual experiences [9, 38]. However, in this study, the associations between sexual attitudes and age, biological sex, education, religiosity and marital status have been sought out.
This paper is based on the quantitative data of an original mixed methods study. This cross sectional study was conducted from March 2014 to May 2015. Questionnaires were administered to 800 males and females aged 15–49 years residing in Tehran, the capital of Iran. These individuals were presented with a consent form to sign. Seven hundred and fifty five individuals completed the questionnaire. The participants included 410 women (56%) and 344 men (46%). Forty five people decided to withdraw from completing the study questionnaire. About 12 million people live in the city of Tehran , which is a large metropolis with different cultures and ethnic groups. Given this, the residents are more influenced by modern ideas and social changes than those in small towns and villages.
To obtain a representative sample of adults in Tehran, the city was divided into three regions based on the population density; region with large, medium- and small-population. Each region comprised of several districts. According to the proportion of population to the total population in each district, the required sample was calculated in each section.
Applying Cochran’s formula for estimating sample size, the sample required was calculated as 768 participants (the proportion of sample population size for each region; the large, medium, and small population region was 422, 249, and 97, respectively). Then a district from each region was randomly selected. These districts house a number of community health centers, public parks and public places such as venues for cultural activities. From each district, one community health center, one venue for the cultural activities, and one public park was randomly selected. Upon the ethics committees’ approval (by the Ethics Committee in Tehran University of Medical Science as well as by the Isfahan University of Medical Sciences), trained staff utilized a convenience sampling approach (at different times of day; morning and evening) and recruited qualified individuals to participate. Trained staff explained the objectives of the study to the individuals who agreed to complete the questionnaire. Female staff assisted female participants to complete the questionnaires and male staff assisted the male participants. Same sex interviewers were believed to enhance response rate because of cultural sensitivity of this topic which was strength of this study. Each participant spent 30–45 mins to complete the questionnaire. Only eligible volunteers were recruited for this study. No incentives were provided for participation in this study.
The survey instrument was adapted from the World Health Organization (WHO) questionnaire for assessing sexual and reproductive health of young people . This questionnaire was designed in order to assess knowledge, attitudes, behaviors and sexual health outcomes. Back-translation from English version of questionnaire to Persian was initially conducted blindly by two independent bilingual (English and Persian) experts and validated in a separate study by the research team . Content and face validity and reliability of the questionnaire was assessed and confirmed by both qualitative and quantitative methods for the age group 15–49 years and both single and married people. The questionnaire was edited to be suitable as a self-administered questionnaire.
The dependent variable reported in this paper is a scale variable named “personal attitude toward premarital sex”. This scale was constructed by sum of scores of nine aligned items or statements about the acceptability of a range of premarital intimacy situations and sex for unmarried men and women (Table 3). Each items was measured by three-point Likert scale (1- agree, 2- not sure, 3-disagree). The score of attitude scale ranged from 9 to 27 (Cronbach ‘Alpha = 0.80). The higher the score, the more liberal is the attitude towards premarital sex and vice versa. Independent variables included age, sex, education, marital status and religiosity. The sample was also weighted at the stage of analysis to make sure it was similar to the population age structure according to Iran’s 2011 census.
Firstly, socio-economic status and responses to attitudinal statements were described. To compare the attitudinal scale scores by independent variables such as age, educational level, biological sex, marital status and religiosity, t-Test and ANOVA were applied. Finally, those factors significantly associated with personal attitudes and were not highly correlated, were entered into multivariate analysis (linear regression) to detect determinants of liberal personal attitudes toward premarital sex. In this study P-values less than 0.05 were considered significant.
Socio-economic and demographic characteristics
Socio-demographic characteristics of the Participants
Level of Education
Personal attitudes toward dating and non-sexual interactions and relationships (kissing, touching, hugging)
The results showed that the majority of both men and women (81 % & 82 %) were supportive of dating, i.e. social appointments with the opposite sex in an attempt to get to know each other , before marriage; there was no sex difference. In contrast, when it came to other intimate, but non-sexual, tactile interactions and relationships (like hugging, touching and kissing); males were more open to such interactions and relationships than females (69 % vs. 50.5 %; P < 0.001).
Personal attitudes towards premarital sex under different circumstances for unmarried men and women
Personal Attitudes of Men and Women Aged 15–49 Years toward Premarital Sex by Gender
Men (N = 344)
Women (N = 411)
No sure (%)
No sure (%)
Dating and Non-Sexual Relationships Before Marriage
− I believe it’s all right for unmarried boys and girls to have dates
− I believe it’s all right for boys and girls to kiss, hug and touch each other
Acceptability of Premarital sex Under different Circumstances for Unmarried Men and Women
− I believe there is nothing wrong with unmarried boys and girls having sexual intercourse if they love each other
− A boy and a girl should have sex before they become engaged to see whether they are suited to each other
− It’s all right for boys and girls to have sex with each other provided that they use methods to stop pregnancy
− I think that you should be in love with someone before having sex with him/her.
− One night stands are OK
Importance of Virginity for Unmarried Men and Women
− I believe that girls should remain virgins until they marry
− I believe that boys should remain virgins until they marry
A smaller percentage of the participants were supportive of sex before marriage to ensure sexual compatibility after marriage. This percentage among males was statistically almost double to that of females (43 % versus. 24 %). A higher percentage (34 % of males and 60 % females) were against premarital sex and a significant proportion was unsure about their stance in this regard (23 % of males and 16 % females). Forty five percent of males and 21 % of females agreed with sexual relations between males and females provided that they used methods to prevent pregnancy, but the percentage who disagreed with any sort of sexual contact was 33 % and 62 % in men and women, respectively (P < 0.001).
Attitudes towards the importance of preserving virginity for never-married men and women
Males were significantly (43 %) less likely to insist upon the necessity to preserve the virginity of girls/women until marriage, than were females (61 %). This means that women are more concerned about protecting virginity until marriage than men are. Uncertainty about the importance of preserving a girl’s virginity issue was significantly higher for men (30 % of men and 17.5 % women) (P < 0.001). While, only one fourth of the males were supportive of males abstaining from sex before marriage (i.e. men should remain virgins until marriage), a greater percentage of women (about 50 %) also believed that men should abstain from sex or remain virgins until marriage (P < 0.001).
Mean Scores of Attitudes toward Sexual Permissiveness by Selected Social and Demographic characteristic
Sexual Attitude (9-27)
Level of Education
Multivariate analysis of factors associated with Attitudes toward Sexuality before Marriage among people aged 15–49 (N = 755)
> =35 (ref)
Level of Education
No important (ref)
Signs of changes of sexual attitudes by time over the past decades
Comparing personal attitudes towards premarital sex shown in this study with those in previous studies, indicates some attitudinal changes in recent decades. In the past, sexual attitudes were more restrictive than they were during the time of this study. Studies published about sexual attitudes and practices before 2000 are very scarce in Iran. An unpublished report of one such study in 1993, among 18,000 Iranian students aged 15–18 years indicated that only 17 % of boys and 6 % of girls were supportive of premarital relationship between unmarried boys and girls (Mohammad, Attitude regarding relationship between boys and girls among college students, unpublished). In 2004, the National Survey of the Attitudes and Values of Iranians among 4,581 men and women (mean age = 32.2 years) showed that only 38 % of participants were supportive of premarital heterosexual relationships, 12 % were uncertain, and 50 % were against such relations . In another study conducted in 2002 among 1385 adolescent boys in Tehran, 55 % had a liberal attitude towards premarital friendships with the opposite sex. Only 28.5 % of adolescent males had a liberal attitude towards premarital sex for men and 15.5 % had a liberal attitude towards premarital sex for women .
Comparing the above mentioned rates with those of the current study suggests greater openness toward premarital relationships including sexuality in the latter. The majority of those surveyed were in favour of premarital dating (81 % of boys and 82 % of girls) and even more liberal in attitudes towards premarital sex. Sixty seven percent were supportive of any type of sexual contact before marriage for men and 38 % were supportive of such relations for women. Forty two percent of men and thirty three percent of women were supportive of premarital sexual intercourse for unmarried girls and boys if the relationship was romantic. These differences might be indicative of some attitudinal transformation, which could lead to further change of norms on sexuality in the future in Iran ([11, 21, 62]). Because of the close relationship between attitudes and behaviours, these results need to be considered in further examining of sexual interactions and behaviours among young people before marriage in the country.
Comparing these results with what people perceive as sexual norms also suggests that people are more liberal in their sexual attitudes than their perception of social norms of sexuality before marriage [33, 40, 51]. These changes in attitudes can also influence perceived norms in the future. Another finding which supports possible changes in attitudes toward premarital sex is greater liberal attitudes among the younger cohort in this study than in the older cohort. These findings are consistent with previous studies from other societies [60, 63, 65, 69]).
Contrast between acceptability of premarital dating and premarital sex
This study showed that premarital dating was somewhat more acceptable than sexual encounters. Of course, opposite sex dating is more likely to create circumstances leading to further intimacy and even sexual interaction. However, in societies like Iran where emphasis is placed on preserving a women’s virginity, heterosexual relationships and dating are socially accepted only with the condition of no sexual contact. This can be a distinct feature of premarital liaisons within conservative societies which have experienced some degree of modernity.
Notably, while the acceptability of premarital dating was reported with less uncertainty (6.6 % to 11.2 %), the acceptability of sex before marriage was accompanied with greater uncertainties. There are possible explanations for these uncertainties, for example, those who were uncertain in answering these questions might have understood sexual encounters differently,
Consistent with our findings, uncertainty was prominent in another study in Delhi, India - more than 40 % of respondents were uncertain about both premarital dating and sex before marriage .
Men indicate more liberal attitudes toward premarital sexual encounters than women
Apart from dating, for all other statements of premarital intimacy including sex, men were more liberal than women. Their greater acceptability of premarital sex may be due to their greater freedom to be involved in such relations than women, in the Iranian context. Gender differences in sexual attitudes and behaviours have also been shown to be true in other societies to some degree [2, 25, 53, 66]. For instance, a study in the United States, which is among the most religious societies in the industrial world, and at the same time, is among the most secular countries , reported that women were more conservative in sexual attitudes than men. Moreover, women were less likely to approve of sex outside marriage as well as legal access to pornography than men . Such gender differences in a conservative cultural context could lead to the sexual exploitation of women and holding them responsible if sexual coercion occurs. [23, 42].
Importance of virginity for women from the perspectives of men and women
In this study, men were more liberal in accepting premarital sex under different circumstances (i.e. in a love and romantic relationship, when contraception is used, to identify suitability for marriage) than women. They were even were less supportive of virginity for women than the females participants. While, 61.2 % of women believed that women should remain virgins until marriage, only 43 % of men held this belief. Hence, men believe they could be sexually experienced before marriage but their marriage partners should be virgins . This might be biased reporting by men but is in line with findings from other studies [2, 12, 25, 51, 53, 66].
Sex differences in perspectives on circumstances of premarital sex
This study shows that more men favour sex occurring in the context of contraceptive use than women (45 % versus. 21 %). However, a greater number of women consider “being in love” as a precondition for having sex compared to men (80 % versus. 43 %). These results could reflect different rationales and motivations for sex among men and women. A study among 2566 students from five universities in Tehran and Tabriz showed different reasons for premarital sex among men and women. Men were more driven by pleasure, recreation and peer pressure and impulsivity, while females had more emotional reasons for premarital sex . It seems that men are more concerned about the risks of pregnancy, whereas women are thinking more of true love as a condition for sex. These results reflect different perceptions of consequences of sex for men and women. This difference is also partly because females see preserving virginity before marriage as more important than males [11, 28].
These results which highlight sex differences in sexuality before marriage in Iran, can be due to a strong gender double standard. Men tend not to be worried about virginity, partly because they are perceived as being less able to control their sexual desires, and also partly because of not having physical hymen, which is a (often a false) marker of virginity preservation [3, 28]. These sex differences lead to more sexual experience among men before marriage, as well as greater risk taking sexual behaviors such as earlier sexual debut and having multiple partners .
Determinants of liberal sexual attitudes
The results of our study indicate an inverse correlation between religiosity and liberal sexual attitudes. Many previous studies have also shown that sexual permissiveness and sexual practice is significantly uncommon among religious people around the world . Consistent with these results, the majority of studies indicated a reverse relationship between religiosity and premarital sex  and number of sexual partners [46, 50]. We must note though that in cross-sectional studies such as ours, causal relationships are difficult to ascertain, because, for instance, religious individuals engaged in sexual relations might reassess their religious values and perceive themselves as a nonreligious individuals.
Never married respondents had more liberal attitudes than ever married participants. This cannot be due to the younger age of single participants, because after controlling the effect of age, marital status remained as a determinant of the attitude. Married respondents might consider greater negative consequences of such relations on marriage compared to unmarried ones [30, 48].
This study is a cross-sectional study and any causal interpretations should, be made with caution. Further, the study population (men and women aged 15–49 years residing in Tehran, the capital of Iran) is not representative of the whole population of Iran. Tehran is a modern and metropolitan city which is a vanguard to social changes and new ideas, these results are more indicative of people in Tehran than the whole country. Sexual attitudes of people across the country as a whole can be expected to be more conservative than these findings . Moreover, due to the sensitive nature of this study and the questions of the instrument, household based sampling was not feasible and the sample was recruited through cultural centers, hence people who attend these centers might be different in terms of education and social attitudes with the whole population. Another shortfall of this study is associated with the limitations to use explicit terms for different types of sexual relationships in the questionnaire. Since, previous research indicated that non-vaginal sex is common to preserve virginity (oral and anal sex), hence that would be ideal to ask about acceptability of vaginal penetrative sex versus non vaginal penetrative sex and non-penetrative sex. This is a limitation of this research which needs to be considered in interpretation of results. It would have been useful, if a question had been included to seek information about their participation in premarital compulsory courses about reproductive health.
Although some changes are seen in attitudes on the importance of preserving virginity for women prior to marriage, it appears that virginity is still the driver of conservative attitudes towards sexual encounters before marriage in Iranian culture. These findings highlight the importance of considering the future sexual behaviour of young people in Iran. The results of our study need to be considered in assessing sexual behaviour among younger generations and in addressing their sexual health. As sexual attitudes are closely associated with one’s sexuality-related experiences, more research is needed to explore factors affecting sexual attitudes such as access to social networks, media, peers, and family. Qualitative studies about reasons for supporting or opposing premarital sex among men and women and virginity would be useful in this context.
Information obtained from this study can provide evidence for policy makers and programme managers to inform policies and programmes. The findings from this study can also help the civil society to identify evidence-based needs by utilizing such empirical findings to help the policy makers develop and offer practical solutions for achieving the goals of sexual health awareness.
The authors are indebted to the members of the Ethics Committee of Tehran (reference: 23871) and Isfahan Universities of Medical Sciences (reference: 393460). Our special thanks to Dr. Jafar Asgari for his contributions to the development and data collection of this project. This project could not have been possible without his diligent efforts and expertise. Our special thanks to Dr. Safieh Shah, who helped the authors to establish and translate the cultural context of the study. And we cannot thank Professor Monaj Sharma enough for assisting us with the English language editing task of this paper. Finally, we would like to express our gratitude to the study participants who shared their very personal information with us.
MM was involved with this research from the beginning to the end processes including drafting the initial version of this paper. M-K was involved in design, finalizing the instrument and guided the data collection; SM contributed to the conceptualization of the study as well as to the mechanics of various drafts of this paper; R-N, SM and HA were involved in data collection as well as data analysis; KM was advised for data analysis, and K-FF guided the whole data analysis and contributed in drafting and revising the paper as corresponding author. All authors read and approved the final manuscript.
The authors declare that they have no competing interests.
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- Abbasi-Shavazi MJ, Hosseini-Chavoshi M, McDonald P. The path to below replacement fertility in the Islamic Republic of Iran. Asia-Pac Popul J. 2007;22:91–112.Google Scholar
- Abraham L. Bhai- behen true love, time pass: friendships and sexual partnerships among youth in an Indian metropolis’. Cult Health Sex. 2002;4(3):337–53.View ArticleGoogle Scholar
- Ahmadabadi Z, Panaghi L, Madanipour A, Sedaghat A, Tira M, Kamrava S, Maleki G. Cultural Scripts, Reasons for having sex, and regret: A study of Iranian Male and female university students. Sex Cult. 2015;19:561–73.View ArticleGoogle Scholar
- AIDS Quarterly Statistics, Centre for Disease Control (CDC) - Ministry of Health and Medical Education (MOHME) I. R. Iran, 2013.Google Scholar
- Afkhami M, Friedl E. In the eye of the storm: women in post-revolutionary Iran. New York: I.B.Tauris Publishers; 1994.Google Scholar
- Ajzen I. The theory of planned behaviour. Organ Behav Hum Decis Process. 1991;50:179–211.View ArticleGoogle Scholar
- Alexander M, et al. Romance and sex: premarital partnership formation among young women and men, Pune district, India. Reprod Health Matters. 2006;14(28):144–55.View ArticlePubMedGoogle Scholar
- Alexander M, et al. Correlates of premarital relationships among unmarried youth in Pune district, Maharashtra, India. Int Fam Plan Perspect. 2007;33(4):150–9.View ArticlePubMedGoogle Scholar
- Arbuthnott Katherine D. Education for sustainable development beyond attitude change. Int J Sustain High Educ. 2009;10(2):152–63. doi:10.1108/14676370910945954.View ArticleGoogle Scholar
- Azad A, Khademi H. Valuable Priorities of students in Tehran. J Cultural Res. 2004;8:8 [persian].Google Scholar
- Azad Armaki T, Sharifi-Saai MH, Isari M, Talebi S. Typology of premarital relationships patterns in Iran. Community Cult Res. 2012;2(2):1–34 [persian].Google Scholar
- BPS-Statistics. Jayapura City Young Adult Reproductive Health Survey Indonesia. 2004.Google Scholar
- Brown A d. Sexual relations among young people in developing countries: evidence from WHO case studies (D. o. R. H. a. Research, Trans.) (Vol. 4). Occasional Paper. Geneva: World Health Organization (WHO); 2001.Google Scholar
- Cleland J, Ingham R, Stone N. Asking Young People About Sexual and Reproductive Behaviours: Introduction to Illustrative Core Instruments. Special Programme of Research, Development and Research Training in Human Reproduction. Geneva: UNDP/UNFPA/WHO/World Bank; 2006.Google Scholar
- Dotson F. Social change. In: Frank III WW, editor. the encyclopedia of sociology: New and Updated. Guilford, CT: DPG Publishing; 1981. p. 258–9.Google Scholar
- Dunne M, Edwards R, Lucke J, Donald M, Raphael B. Religiosity, sexual intercourse and condom use among university students. Aust J Public Health. 1994;18(3):339–41.View ArticlePubMedGoogle Scholar
- Earle JR, Perricone PJ, Davidson JK, Moore NB, Harris CT, Cotton SR. Premarital sexual attitudes and behavior at a religiously-affiliated university: two decades of change. [Electronic version]. Sex Cult. 2007;11:39–61.View ArticleGoogle Scholar
- Fehring RH, Cheever KH, German K, Philopot C. Religiosity and Sexual Activity Among Older Adolescents. Marquett Universitye: Nursing Faculty Research and Publications; 2009.Google Scholar
- Gangestad SW, Simpson JA. Toward an Evolutionary History of Female Sociosexual Variation. J Pers. 1990;58(1):69–96.View ArticlePubMedGoogle Scholar
- GarmaroudiI GHR, Makarem J, Alavi SSH, Abbasi Z. Health Related Eisk Behaviours among High School Students in Tehran. IRAN, PAYESH. 2010;9(1):13–9.Google Scholar
- Ghaffari G. Relationships and social values of young Iranians. Science journals on the subjects of various: Youth Studies. 2007;7:32.Google Scholar
- Ghorashi Z, Merghati-Khoei E, Yousefy, A. Measuring Iranian women’s sexual behaviors: Expert opinion. J Educ Health Promot. 2014;3(80). doi: 10.4103/2277-9531.139245\
- Glasier G, et al. Sexual and reproductive health: a matter of life and death. Lancet. 2006;368:1595–607.View ArticlePubMedGoogle Scholar
- Haque MR, Soonthorndhada A. Risk perception and condom-use among Thai youths: findings from Kanchanaburi Demographic Surveillance System site in Thailand. J Health Popul Nutr. 2009;27(6):772–83.PubMedPubMed CentralGoogle Scholar
- Jaya H, Hindin M. Premarital Romantic Partnerships: Attitudes and Sexual Experiences of Youth in Delhi, India. Int Perspect Sex Reprod Health. 2009;35(2):97–104.Google Scholar
- Karimi y, Saffari niya m. Social psychology and attitude change energy consumers. Iran J Energy. 2004;22:69–83.Google Scholar
- Karimzadeh Shirazi K, Morowatisharifabad MA. Religiosity and Determinants of Safe Sex in Iranian Non-Medical Male Students. J Relig Health. 2009;48(1):29–36.View ArticleGoogle Scholar
- Khalajabadi-Farahani. Norms, attitudes and sexual conduct among female college students in Tehran: implications for reproductive health policy and research. unpublished dissertation. London: London School of Hygiene and Tropical Medicine; 2008.Google Scholar
- Khalajabadi-Farahani F, Kazempour S, Rahimi A. The Influence on Premarital Heterosexual Relationships on Marital Timing and Marital Desire among College Students in Tehran. J Fam Res. 2013;9(1):7–28 [persian].Google Scholar
- Khalajabadi Farahani F. (2015) Unmet Needs of Adolescents and Young People’s Sexual and Reproductive Health in Iran, (Editorial), Journal of Reproduction and Infertility, 2015, No. 16, Issue 3, Jul-Sep. 2015.Google Scholar
- Khalajabadi Farahani F, Cleland J. Perceived norms of premarital heterosexual relationships and sexuality among female college students in Tehran. Cult Health Sex. 2015;17(6):700-17. doi:10.1080/13691058.2014.990515. Epub 2015 Jan 14.
- Khalajabadi-Farahani, Cleland J, Mehryar AH. Associations Between Family Factors and Premarital Heterosexual Relationships Among Female College Students in Tehran’. Int Perspect Sex Reprod Health. 2011;37(1):30–9.View ArticleGoogle Scholar
- Khalajabadi-Farahani F. Systematic Review and Meta-analysis of premarital sex among youth in Iran, Final Report, National Insitute of Population Research. 2015.Google Scholar
- Kumar A, Tiwari VK. Knowledge, Attitude and Behaviour towards Pre-marital Sex: A study among Youths from Two city-slums in India. Health Popul Perspect Issues. 2003;26(4):126–34.Google Scholar
- Latifnejad R, Javadnoori M, Hasanpour M, Hazavehei S, Taghipour A. Socio-cultural challenges to sexual health education for female adolescents in Iran’. Iran J Reprod Med. 2013;11(2):101–10.Google Scholar
- Layte R, McGee H, Quail A, Rundl K, Cousins G, Donnelly C, Conroy R. The Irish Study of Sexual Health and Relationships’. (D. o. H. A. Children, Trans.). Ireland. 2006.Google Scholar
- Mahdavi. Passionate uprisings: Young people, sexuality and politics in post-revolutionary Iran. Cult Health Sex. 2007;9(5):445–57. doi:10.1080/13691050601170378.View ArticlePubMedGoogle Scholar
- Martel LD, Hawk S, Hatfield E. Sexual behavior and culture. In: Spielberger C, editor. Encyclopedia of applied psychology, 3. 3rd ed. London: Elsevier Ltd; 2004. p. 385–92.View ArticleGoogle Scholar
- Merghati-Khoei E, Abolghasemi N, Smith TG. “Children are sexually innocent”: Iranian parents’ understanding of children’s sexuality. Arch Sex Behav. 2014;43(3):587–95. doi:10.1007/s10508-013-0218-6.View ArticlePubMedGoogle Scholar
- Merghati Khoei E, Ziaei T, Salehi M, Farajzadegan Z. Comprehensive view of the human mating process among young couples in isfahan-iran: an explanatory mixed-method study’. Iran Red Crescent Med J. 2013;15(12):e10445. doi:10.5812/ircmj.10445.View ArticlePubMedPubMed CentralGoogle Scholar
- Merghati-Khoei E, Richters J. Concepts of sexuality and health among Iranian women in Australia’. Aust Fam Physician. 2008;37(3):190–2.Google Scholar
- Merghati-Khoei E. Language of love in culture of silence: Iranian women’s sexual understandings and sociocultural context. 2006. PhD, University of New South Wales.Google Scholar
- Merghati-Khoei E, Motamedi Mahnaz, Shahbaz M, Mehrdad Salehi, Rahimi-Naghani Sh. Psychometry of the Persian Version of Illustrative Questionnaire among Iranian men and women aged 15-49 years. Nurs Midwifery Stud. 2016 [in press].Google Scholar
- Ministry of Culture and Islamic Guidance, Office of National Projects.‘ Iranian Values and attitudes, the survey findings in 28 provinces, the second wave’, (Arzeshha va Negareshha-ye Iranian). Tehran. 2004, first edition, Vol. 1 [persian].Google Scholar
- Ministry of Health and Medical EducationAIDS Office, Islamic Republic of Iran, 2016, URL: http://fararu.com/fa/news/268273/
- Mohammadi MR, Mohammad K, K.A.Farahani F, Alikhani S, Zare M, Tehrani FR, Alaeddini F. Reproductive Knowledge, Attitudes and Behavior Among Adolescent Males in Tehran, Iran. Int Fam Plan Perspect. 2006;32(1):35–44.View ArticlePubMedGoogle Scholar
- Mohseni M, Pour reza A. Marriage and Family in Iran. firstth ed. Tehran, Iran: Arvan; 2003.Google Scholar
- Musavi E. Impact of premarital relationship on marital conflicts in married students of government universities in Teharan, University of Teacher Education. 2006. p. 1383–84 [persian].Google Scholar
- National Statistics Office Philippines. Philippines National Demographic and Health Survey 2013. Calverton, Maryland: National Statistics Office Philippines and ICF Macro; 2014.Google Scholar
- Nicholas L, Durrheim K. ‘Religiosity, Aids, and Sexuality Knowledge, Attitudes, Beliefs, and Practices of Black South-African First-Year University Students. Psychol Rep. 1995;77(3):1328–30.View ArticlePubMedGoogle Scholar
- Noroozi M, Merghati- Khoei EA, Taleghani F, Tavakoli M, Gholami A. How does a group of Iranian youth conceptualize their risky sexual experiences? Iran Red Crescent Med J. 2015;17(2):e18301. doi:10.5812/ircmj.18301.View ArticlePubMedPubMed CentralGoogle Scholar
- Norris P, Inglehart R. Sacred and secular: Religion and politics worldwide. New York, NY: Cambridge University Press; 2004. doi:10.1017/CBO9780511791017.View ArticleGoogle Scholar
- Oliver MB, Shibley Hyde J. Gender Differences in Sexuality: A Meta-Analysis. Psychol Bull. 1993;114(1):29–51.View ArticlePubMedGoogle Scholar
- Peplau LA, Hammen CL. Social Psychological Issues in Sexual Behavior: An Overview the J Soc Issues. 1977; 33(2), 1-6.Google Scholar
- Powwattana A. Sexual behavior model among young Thai women living in slums in Bangkok, Thailand. Asia Pac J Public Health. 2009;21(4):451–60.View ArticlePubMedGoogle Scholar
- Rafipour, & Faramarz. Development and conflict,. (Tehran: center of sahamiye enteshar). 1996; 1. [persian].Google Scholar
- Rahimi-Naghani S, Merghati-Khoei E, Shahbazi M, Khalajabadi Farahani F, Motamedi M, Salehi M, Karimi M, Hajebi A. Sexual and Reproductive Health Knowledge Among Men and Women Aged 15 to 49 Years in Metropolitan Tehran, The Journal of Sex Research. 2016. doi:10.1080/00224499.2016.1148110.PubMedGoogle Scholar
- Rahman AA, Rahman RA, Ismail SB, Ibrahim MI, Ali SH, Salleh H, Wan Muda WA. Factors associated with attitude toward premarital sexual activities among school-going adolescents in Kelantan, Malaysia. Asia Pac J Public Health. 2015 Mar;27(2):NP1549-56.doi: 10.1177/1010539512449856. Epub 2012 Jun 29.Google Scholar
- Rahmani A, Merghati-Khoei E, Moghadam-Banaem L, Hajizadeh E, Hamdieh M, Montazeri A. Development and psychometric evaluation of the Premarital Sexual Behavior Assessment Scale for Young Women (PSAS-YW): an exploratory mixed method study’. Reprod Health. 2014;11:43. doi:10.1186/1742-4755-11-43.View ArticlePubMedPubMed CentralGoogle Scholar
- Rexvid D, Schlytter A. Heroes, Hymen and Honour: A Study of the Character of Attitude Change among Male Youth with Their Roots in an Honour-Based Context. Rev Eur Stud. 2012;4(2):22–32.View ArticleGoogle Scholar
- Saeidnia M, Tehran P. Collection of laws and regulations of children and adolescents (Vol. 1). Tehran: Pejman; 2006.Google Scholar
- Sarookhani B, Sedaghati Fard M. The generation gap in Iranian families: views and insights. J Soc Sci. 2010;3(4):7–31 [persian].Google Scholar
- Schroeder, M. “Changing Social Attitudes in the United States: Increasing Acceptance of Homosexuals ” UW-L Journal of Undergraduate Research. 2004;7:1–10.Google Scholar
- Shapurian R, Hojati M. SEXUAL AND PREMARITAL ATTITUDES OF IRANIAN COLLEGE STUDENTS. Psychol Rep. 1985;57:67–74. doi:10.2466/pr0.19220.127.116.11.View ArticleGoogle Scholar
- Smith T, Son J. Trends in Public Attitudes about Sexual Morality: NORC at the University of Chicago. 2013.Google Scholar
- Sodhi G, Verma M. Seeking gratification: a study of sexual behaviour patterns of adolescents in an urban slum. In: Koenig MA, Jejeebhoy S, Cleland J, Ganatra B, editors. Reproductive health in India: New evidence. Delhi: Rawat Publications: Delhi: Rawat Publications; 2008. p. 303–22.Google Scholar
- Statiscal Center of Iran. Selected Findings of National Population and Housing Census. 4575. Tehran: Statistical Centre of Iran: Office of the Head; 2011. p. 52.Google Scholar
- Tavoosi A, Zaferani A, Enzevaei A, Tajik P, Ahmadinezhad Z. ‘ Knowledge and attitude towards HIV/AIDS among Iranian students. BMC Public Health. 2004;4(17). doi:10.1186/1471-2458-4-17.
- Twenge JM, Sherman RA, et al. Changes in American Adults’ Sexual Behavior and Attitudes, 1972–2012. Arch Sex Behav. 2015;44(8):2273–85.View ArticlePubMedGoogle Scholar
- Vakilian K, Mousavi SA, Keramat A. Estimation of sexual behavior in the 18-to-24-years-old Iranian youth based on a crosswise model study. BMC Res Notes. 2014;7:28.View ArticlePubMedPubMed CentralGoogle Scholar
- White R, Cleland J, Carael M. Links between premarital sexual behaviour and extramarital intercourse: a multi-site analysis. AIDS. 2000;14:2323–31.View ArticlePubMedGoogle Scholar
- Wellings K, Collumbien M, Slaymaker E, Susheela S, Dhaval P, Hodges M, Nathalie B. Sexual behavior in context: a global perspective. Lancet. 2006;368:1706–28.View ArticlePubMedGoogle Scholar
- WHO. Defining sexual health: Report of a technical consultation on sexual health. Geneva: World Health Organization; 2006.Google Scholar
- Zakian M. Treat ‘em mean, keep ’em keen”. The Guardian. Retrieved 2010-12-08. “If you are rejected or ignored, remember that it is not about you. Don’t focus on one person. 2009.Google Scholar