{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T03:20:19Z","timestamp":1771989619323,"version":"3.50.1"},"reference-count":54,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:00:00Z","timestamp":1747353600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Bam University of Medical Sciences"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>This study explores the dominant discourses surrounding policies related to high-risk sexual behaviors, drug use, and alcohol abuse among Iranian adolescents, as well as the prevailing discourse among the adolescents themselves who engage in these behaviors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Using a qualitative approach, we conducted interviews with 36 Iranian adolescents exhibiting high-risk behaviors and analyzed high-level documents on adolescent health from 1979 to 2023.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The dominant discourse in policy documents is rooted in religious principles, emphasizing that social structures should align with the ultimate goal of human life, which is nearness to God. In contrast, the dominant discourse among adolescents\u2019 centers on material desires and personal pleasure, valuing social structures that promote joy and individualism.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>This study reveals a significant discourse gap between policymakers and adolescents, which could undermine the effectiveness of current policies and interventions. Policymakers in Iran and other ideologically driven countries should recognize this gap and take steps to bridge it. By incorporating the perspectives of adolescents and tailoring policies to align more closely with their values, there is a greater likelihood of enhancing the effectiveness of these initiatives.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pubmed\/fdaf058","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T08:28:06Z","timestamp":1747384086000},"page":"e365-e373","source":"Crossref","is-referenced-by-count":2,"title":["Decoding the discourse: a closer look at high-risk behaviors among Iranian adolescents"],"prefix":"10.1093","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2024-8866","authenticated-orcid":false,"given":"Saeid","family":"Mirzaei","sequence":"first","affiliation":[{"name":"Non-Communicable Diseases Research Center , Bam University of Medical Sciences, Sardaran Shahid Square, Shahid Rajaei Boulevard, Bam 7616913555,","place":["Iran"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2412-9277","authenticated-orcid":false,"given":"Mohammad Hossein","family":"Mehrolhassani","sequence":"additional","affiliation":[{"name":"Medical Informatics Research Center , Institute for Futures Studies in Health, Kerman University of Medical Sciences, Medical University Campus, Haftbagh Highway, Kerman 7616911320,","place":["Iran"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8009-470X","authenticated-orcid":false,"given":"Vahid","family":"Yazdi-Feyzabadi","sequence":"additional","affiliation":[{"name":"Health Services Management Research Center , Institute for Futures Studies in Health, Kerman University of Medical Sciences, Medical University Campus, Haftbagh Highway, Kerman 7616911320,","place":["Iran"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4628-4849","authenticated-orcid":false,"given":"AliAkbar","family":"Haghdoost","sequence":"additional","affiliation":[{"name":"Health Modeling Research Center , Institute for Futures Studies in Health, Kerman University of Medical Sciences, Medical University Campus, Haftbagh Highway, Kerman 7616911320,","place":["Iran"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3278-3647","authenticated-orcid":false,"given":"Nadia","family":"Oroomiei","sequence":"additional","affiliation":[{"name":"Non-Communicable Diseases Research Center , Bam University of Medical Sciences, Sardaran Shahid Square, Shahid Rajaei Boulevard, Bam 7616913555,","place":["Iran"]},{"name":"Bam University of Medical Sciences , Sardaran Shahid Square, Shahid Rajaei Boulevard, Bam 7616913555,","place":["Iran"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"key":"2025082909334675200_ref1","doi-asserted-by":"publisher","first-page":"1307","DOI":"10.1007\/s00431-021-04322-6","article-title":"Risky behaviors, substance use, and other lifestyle correlates of energy drink consumption in children and adolescents: a systematic review","volume":"181","author":"Marinoni","year":"2022","journal-title":"Eur J Pediatr"},{"key":"2025082909334675200_ref2","author":"United Nations Children Funds","year":"2011"},{"key":"2025082909334675200_ref3","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1016\/j.cden.2021.06.008","article-title":"Oral health implications of risky behaviors in adolescence","volume":"65","author":"Hill","year":"2021","journal-title":"Dent Clin"},{"key":"2025082909334675200_ref4","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1186\/s12961-023-01050-1","article-title":"Agenda-setting in policies related to high-risk sexual behaviours, stimulants, and alcohol abuse in Iranian adolescents","volume":"21","author":"Mirzaei","year":"2023","journal-title":"Heal Res Policy Syst"},{"key":"2025082909334675200_ref5","doi-asserted-by":"publisher","DOI":"10.5812\/ijhrba-123294","article-title":"The first 1000 days of life and the risk of future drug consumption","volume":"11","author":"Mirzaei","year":"2022","journal-title":"Int J High Risk Behav Addict"},{"key":"2025082909334675200_ref6","author":"New Delhi: World Health Organization, R. 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