Elnaz Dehghani - MSc in Midwifery, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Fatemeh Erfanian Arghavanian - a) Assistant Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran b) Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Talat Khadivzadeh - a) Associate Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran b) Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Mohammad Taghi Shakeri - Professor in Biostatistics, Department of Social Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad Iran

Background & aim: Prevention of high-risk sexual behaviors due to its prevalence among young people is an important health concern. Because of the importance of promoting young people` sexual health, the present study was conducted to investigate the effect of training high-risk sexual behaviors prevention through an educational package on sexual knowledge and attitude of students.Methods: This quasi-experimental study with a two-group pretest-posttest design was performed on ۲۰۰ eligible female undergraduate students of Mashhad University of Medical Sciences, Mashhad, Iran in ۲۰۱۶. The subjects were randomly divided into two groups of intervention and control group. In the intervention group, the participants received a prevention education program through a training package. Students' sexual knowledge and attitude were assessed using self-structured sexual knowledge and attitude questionnaires before and two weeks after the training. Paired and independent t-test, Mann-Whitney, Wilcoxon and Chi-square tests was used to analyze data by SPSS (version ۱۶).Results: Sexual knowledge mean score of intervention group was significantly higher compared to the control group (۲۹.۲۹±۱.۱۴ vs ۱۴.۴۱±۴.۲۱, P=۰.۰۰۵) after training. Mean score of students' sexual attitude although increased after training in intervention group compared to the control group (۱۳۹.۳۹±۱۳.۱۷ vs ۱۳۳.۰۱±۹.۷۹), but this difference was not significant (P=۰.۰۸۱).Conclusion: The students` sexual knowledge was increased through using sexual training package as prevention education program. This method is recommended for sexual education and counseling of students to prevent high-risk sexual behaviors and promote community health.

High-risk Sexual Behavior, Sexual knowledge, Sexual attitude, Sexual Training, Student