Document Type : Original Article


1 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

2 Department of Public Health, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran

3 Department of Environmental Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

4 The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran

5 Non-Communicable Diseases Research Center, Research Center for Health Sciences, Institute of Health, Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran


Background and aims: Violence is recognized as a significant public health problem throughout the world. The present study aimed to evaluate the prevalence of violence-related behaviors and its relationship with other risky behaviors, family support, and religiosity among students in Bushehr.
Methods: This cross-sectional study was conducted on a total of 977 students in Bushehr city, southern Iran, in 2016. Required data were collected using a self-administered questionnaire on violence-related behaviors and other risky behaviors. The validity of the questionnaire was measured by MPH students with a Cronbach’s alpha of 0.90. Additionally, family support scale and religious belief questionnaire were applied. Data analysis was performed using chi-square, t test, and logistic regression model in SPSS version 16.0.
Results: The overall prevalence rates of weapon carrying and physical fighting were reported to be 9.1% and 7.1%, respectively. The findings of this study revealed that hookah use (OR: 2.93), physical fight (OR: 5.64), and having unsafe sex (OR: 2.42) were associated with weapon carrying (P < 0.001). Moreover, male gender (OR: 3.36), illicit drug use (OR: 3.64), weapon carrying (OR: 5.24), and family support (OR: 0.97) were shown to be associated with physical fight (P < 0.001).
Conclusion: The results of the present study suggested co-occurrence nature of risky behaviors. Given the high prevalence of violence-related behaviors, the implementation of preventive interventions for college students is of great importance.


1.dos Santos Silva RJ, Soares NM, Cabral de Oliveira AC. Factors associated with violent behavior among adolescents in northeastern Brazil. ScientificWorldJournal. 2014;2014:863918. doi: 10.1155/2014/863918. 
2.Romo ND, DuPont-Reyes M, Fry D, Stockwell MS, Davidson LL. The association of regular exercise with violence related behaviors in urban adolescents. Ann Public Health Res. 2017;4(3):1064. 
3.Krug EG, Mercy JA, Dahlberg LL, Zwi AB. The world report on violence and health. Lancet. 2002;360(9339):1083-8. doi: 10.1016/s0140-6736(02)11133-0. 
4.Hildenbrand AK, Daly BP, Nicholls E, Brooks-Holliday S, Kloss JD. Increased risk for school violence-related behaviors among adolescents with insufficient sleep. J Sch Health. 2013;83(6):408-14. doi: 10.1111/josh.12044. 
5.Lee LK, Chen PC, Lee KK, Kaur J. Violence-related behaviours among Malaysian adolescents: a cross sectional survey among secondary school students in Negeri Sembilan. Ann Acad Med Singap. 2007;36(3):169-74. 
6.Peltzer K, Pengpid S. Correlates of physical fighting among university students in 25 low and middle income and emerging economy countries. Mediterr J Soc Sci. 2014;5(27):916-23. doi: 10.5901/mjss.2014.v5n27p916. 
7.Djerboua M, Chen BE, Davison CM. Physical fighting, fighting-related injuries and family affluence among Canadian youth. BMC Public Health. 2016;16:199. doi: 10.1186/s12889-016-2886-3. 
8.Schwartz JA, Beaver KM, Barnes JC. The association between mental health and violence among a nationally representative sample of college students from the United States. PLoS One. 2015;10(10):e0138914. doi: 10.1371/ journal.pone.0138914. 
9.Nalah AB, Audu G. Substance Use and Violent Behaviour of Students in Nasarawa State University, Keffi–Nigeria. Eur Acad Res. 2014;1(10):3418-37. doi: 10.1037/rnSV0000004. 
10.Sadeghi S, Farajzadegan Z, Kelishadi R, Heidari K. Aggression and violence among Iranian adolescents and youth: a 10-year systematic review. Int J Prev Med. 2014;5(Suppl 2):S83-96. doi: 10.4103/2008-7802.157663. 
11.Ahadi Z, Qorbani M, Kelishadi R, Ardalan G, Taslimi M, Mahmoudarabi M, et al. Regional disparities in psychiatric distress, violent behavior, and life satisfaction in Iranian adolescents: the CASPIAN-III study. J Dev Behav Pediatr. 2014;35(9):582-90. doi: 10.1097/dbp.0000000000000103. 
12.Muula AS, Rudatsikira E, Siziya S. Correlates of weapon carrying among high school students in the United States. Ann Gen Psychiatry. 2008;7:8. doi: 10.1186/1744-859x-7-8. 
13.Salas-Wright CP, Vaughn MG, Maynard BR. Religiosity and violence among adolescents in the United States: findings from the national survey on drug use and health 2006-2010. J Interpers Violence. 2014;29(7):1178-200. doi: 10.1177/0886260513506279. 
14.Amin-Esmaeili M, Rahimi-Movaghar A, Yunesian M, Sahimi-Izadian E, Moinolghorabaei M. Trend of smoking among students of Tehran University of Medical Sciences: results from four consecutive surveys from 2006 to 2009. Med J Islam Repub Iran. 2013;27(4):168-78. 
15.Aneshensel CS, Sucoff CA. The neighborhood context of adolescent mental health. J Health Soc Behav. 1996;37(4):293-310. 
16.Farhadinasab A, Allahverdipour H, Bashirian S, Mahjoub H. Lifetime pattern of substance abuse, parental support, religiosity, and locus of control in adolescent and young male users. Iran J Public Health. 2008;37(4):88-95. 
17.Kendler KS, Liu XQ, Gardner CO, McCullough ME, Larson D, Prescott CA. Dimensions of religiosity and their relationship to lifetime psychiatric and substance use disorders. Am J Psychiatry. 2003;160(3):496-503. doi: 10.1176/appi.ajp.160.3.496. 
18.Afrashteh S, Ghaem H, Abbasi-Ghahramanloo A, Tabatabaee HR. Clustering and combining pattern of high-risk behaviors among Iranian university students: a latent class analysis. J Res Health Sci. 2017;17(4):e00398. 
19.Acquah EO, Lloyd JK, Davis L, Wilson ML. Adolescent physical fighting in Ghana, their demographic and social characteristics. Soc Sci. 2014;3(2):227-41. doi: 10.3390/ socsci3020227. 
20.Saiphoklang OA, Wongboonsin K, Wongboonsin P, Perngparn U, Cottler LB. The association between weapon carrying and health risk behaviors among adolescent students in Bangkok, Thailand. J Interpers Violence. 2017;32(20):3111-30. doi: 10.1177/0886260515596977. 
21.Rahmati-Najarkolaei F, Kamalikhah T, Goldoust- Marandy F, Jafari M. A Comparative Study of Health-risk Behaviors of Boys and Girls of Freshmen Year at Tehran University, Iran. Iran J Health Sci. 2014;2(3):15-23. doi: 10.18869/acadpub.jhs.2.3.15. 
22.Abbasi-Ghahramanloo A, Heshmat R, Safiri S, Esmaeil Motlagh M, Ardalan G, Mahdavi-Gorabi A, et al. Risk-taking behaviors in Iranian children and adolescents: a latent class analysis approach: CASPIAN IV study. J Res Health Sci. 2018;18(4):e00428. 
23.Perera UAP, Abeysena C. Prevalence and associated factors of risky sexual behaviors among undergraduate students in state universities of Western Province in Sri Lanka: a descriptive cross sectional study. Reprod Health. 2018;15(1):105. doi: 10.1186/s12978-018-0546-z. 
24.Sibai T, Tohme RA, Beydoun HA, Kanaan N, Sibai AM. Violent behavior among adolescents in post-war Lebanon: the role of personal factors and correlation with other problem behaviors. J Public Health (Oxf). 2009;31(1):39-46. doi: 10.1093/pubmed/fdn100. 
25.Thurnherr J, Michaud PA, Berchtold A, Akré C, Suris JC. Youths carrying a weapon or using a weapon in a fight: what makes the difference? Health Educ Res. 2009;24(2):270-9. doi: 10.1093/her/cyn017. 
26.Reinhardt J, Clements-Nolle K, Yang W. Physical fighting among male and female adolescents of military families: results from a representative sample of high school students. J Interpers Violence. 2019;34(1):115-34. doi: 10.1177/0886260516640546. 
27.Peltzer K, Pengpid S. Physical fighting and social correlates among in-school adolescents in the Caribbean. Mediterr J Soc Sci. 2014;5(14):531. doi: 10.5901/mjss.2014.v5n14p531. 
28.Al Romaihi HE, Qotba H, Salama RE, Ismail MS, Selim NA. Health risk behaviors among adolescents in Qatar. World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine. 2016;99(3177):1-0. 
29.Yang L, Zhang Y, Xi B, Bovet P. Physical fighting and associated factors among adolescents aged 13-15 years in six Western Pacific countries. Int J Environ Res Public Health. 2017;14(11). doi: 10.3390/ijerph14111427. 
30.Rudatsikira E, Muula AS, Siziya S. Prevalence and correlates of physical fighting among school-going adolescents in Santiago, Chile. Braz J Psychiatry. 2008;30(3):197-202. doi: 10.1590/s1516-44462008000300004. 
31.Miczek KA, DeBold JF, Haney M, Tidey J, Vivian J, Weerts EM. Alcohol, drugs of abuse, aggression, and violence. In Reiss AJ, Roth JA, Eds. Understanding and preventing violence: Vol.3, Social influences. Washington, DC: National Academy Press; 1994: 377–570. 
32.Mattson RE, O’Farrell TJ, Lofgreen AM, Cunningham K, Murphy CM. The role of illicit substance use in a conceptual model of intimate partner violence in men undergoing treatment for alcoholism. Psychol Addict Behav. 2012;26(2):255-64. doi: 10.1037/a0025030. 
33.Brecht ML, Herbeck D. Methamphetamine use and violent behavior: user perceptions and predictors. J Drug Issues. 2013;43(4):468-82. doi: 10.1177/0022042613491098. 
34.Cunningham RM, Murray R, Walton MA, Chermack ST, Wojnar M, Wozniak P, et al. Prevalence of past year assault among inner-city emergency department patients. Ann Emerg Med. 2009;53(6):814-23.e15. doi: 10.1016/j. annemergmed.2009.01.016. 
35.Peltzer K, Pengpid S. Prevalence and correlates of physical fighting among school going students aged 13-15 in the Association of Southeast Asian Nations (ASEAN) member states. Iran J Pediatr. 2017;27(5):e8170. doi: 10.5812/ ijp.8170. 
36.Abbasi-Ghahramanloo A, Rahimi-Movaghar A, Zeraati H, Fotouhi A. Pattern of substance use among students of medical sciences in Tehran, Iran: a latent class analysis. J Subst Use. 2018;23(6):648-54. doi: 10.1080/14659891.2018 .1489007. 
37.Woodford MR, Krentzman AR, Gattis MN. Alcohol and drug use among sexual minority college students and their heterosexual counterparts: the effects of experiencing and witnessing incivility and hostility on campus. Subst Abuse Rehabil. 2012;3:11-23. doi: 10.2147/sar.s26347.