Analysis of the Relation Between the Students’ Knowledge on Sexual Health, Opinions on Sexual Myths and Level of Health Literacy

Funda Kocaay; Hilal Melis Altıntaş

doi:10.18521/ktd.1347600

Araştırma Makalesi

Analysis of the Relation Between the Students’ Knowledge on Sexual Health, Opinions on Sexual Myths and Level of Health Literacy

Yıl 2023, Cilt: 15 Sayı: 3, 403 - 411, 20.10.2023

Funda Kocaay Hilal Melis Altıntaş

https://doi.org/10.18521/ktd.1347600

Öz

Introduction: From the public health perspective, young people are considered as a priority group in terms of sexually transmitted diseases and sexual habits. Sexual dimension among adolescents and young adults can be influenced by their overall and sexual health due to its impact on intellectual growth and development and their level of knowledge can significantly affect their reproductive health. The study aims to measure university students’ health literacy, sexual health knowledge and sexual myths and in this way explore the relationship between these variables and among various demographic variables.
Materials and Methods: The sample of the study is comprised of 559 female and 282 male university students. In the first part, demographic information scale, in the second part sexual health knowledge test, in the third part sexual myths scale, in the fourth part health literacy in Turkey scale were implemented.
Results: In the analysis across the sexes, it was revealed that males have more sexual myths than females (p<0,05). In the analysis across the faculties, it was unearthed that students in medical and dental faculties obtained similar points from the scales, but medical faculty students received the highest point and social sciences students received the lowest point. Besides, it was observed that health literacy and sexual health knowledge significantly predicted sexual myths (p<0,005).
Conclusions: To this end, it is recommended that consulting services be provided for parents, educational programs be planned for all the departments at university, peer education and supporting programs be implemented and more scientific research be conducted.

Anahtar Kelimeler

Health literacy, sexual health knowledge, sexual myths, University student

Kaynakça

1. Govender D, Naidoo S, Taylor M. Knowledge, attitudes and peer influences related to pregnancy, sexual and reproductive health among adolescents using maternal health services in Ugu, KwaZulu-Natal, South Africa. BMC Public Health. 2019;19(1):1–16.
2. Hamdanieh M, Ftouni L, Al Jardali B, Ftouni R, Rawas C, Ghotmi M, et al. Assessment of sexual and reproductive health knowledge and awareness among single unmarried women living in Lebanon: a cross-sectional study. Reprod Health. 2021;18(1):1–12.
3. Guan M. Sexual and reproductive health knowledge, sexual attitudes, and sexual behaviour of university students: Findings of a Beijing-Based Survey in 2010-2011. Archives of Public Health. 2021;79(1):1–17.
4. Dabiri F, Hajian S, Ebadi A, Zayeri F, Abedini S. Sexual and reproductive health literacy of the youth in Bandar Abbas. AIMS Med Sci. 2019;6(4):318–25.
5. Vongxay V, Thongmixay S, Stoltenborg L, Inthapanyo A, Sychareun V, Chaleunvong K, et al. Validation of the Questionnaire on Sexual and Reproductive Health Literacy for Adolescents Age 15 to 19 Years in Lao People’s Democratic Republic. Health Lit Res Pract. 2022;6(1):e37–50.
6. Soleymani S, Abdul Rahman H, Lekhraj R, Mohd Zulkefli NA, Matinnia N. A cross-sectional study to explore postgraduate students’ understanding of and beliefs about sexual and reproductive health in a public university, Malaysia. Reprod Health. 2015;12(1):1–7.
7. Finer LB, Philbin JM. Sexual initiation, contraceptive use, and pregnancy among young adolescents. Pediatrics. 2013;131(5):886–91.
8. Daniels K, Jones J, Abma JC. Use of emergency contraception among women aged 15-44, United States, 2006-2010. US Department of Health and Human Services, Centers for Disease Control and Prevention; 2013. [Cited 2023 May 4]. Available from: https://www.cdc.gov/nchs/products/databriefs/db112.htm#:~:text=In%202006%E2%80%932010%2C%20among%20sexually,%25)%20or%20twice%20(24%25).
9. Abacıgil F Harlak H, Okyay P. Avrupa Sağlık Okuryazarlığı Ölçeği Türkçe uyarlaması. Okyay, P. ve Abacıgil, F. (Ed.) Türkiye Sağlık Okuryazarlığı Ölçekleri güvenilirlik ve geçerlilik çalışması. Ankara: T.C. Sağlık Bakanlığı Yayın No: 1025. 2016; 21-41.
10. Gil-García E, Martini JG, Porcel-Gálvez AM. Alcohol consumption and risky sexual practices: the pattern of nursing students from the Spanish University. Rev Lat Am Enfermagem. 2013;21:941–7.
11. Ünal Toprak F, Turan Z. The effect of sexual health courses on the level of nursing students’ sexual/reproductive health knowledge and sexual myths beliefs in Turkey: A pretest-posttest control group design. Perspect Psychiatr Care. 2021;57(2):667–74.
12. Farih M, Khan K, Freeth D, Meads C. Protocol study: Sexual and reproductive health knowledge, information-seeking behaviour and attitudes among Saudi women: A questionnaire survey of university students. Reprod Health. 2014;11(1):1–5.
13. Evcili F, Golbasi Z. The effect of peer education model on sexual myths of Turkish university students: An interventional study. Perspect Psychiatr Care. 2019;55(2):239–48.
14. Villanueva LA, Campos R, del Milagro Pérez-Fajardo M. Contraception knowledge and practices in pregnant adolescents. Ginecol Obstet Mex. 2001;69:239–42.
15. Long L, Yuan T, Wang M, Xu C, Yin J, Xiong C, et al. Factors associated with condom use among male college students in Wuhan, China. PLoS One. 2012;7(12):e51782.
16. Feng W, Ren P, Shaokang Z, Anan S. Reproductive health status, knowledge, and access to health care among female migrants in Shanghai, China. J Biosoc Sci. 2005;37(5):603.
17. Sørensen K, van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12(1):1–13.
18. Durusu Tanrıöver, M Yıldırım, HH, Demiray Ready N, Çakır B, Akalın, EH. Türkiye sağlık okuryazarlığı araştırması, 2012, http://www.sagliksen.org.tr/ MediaContent/vYcK-1419245270-mA5r.pdf. Availeble from: 21 May 2023.
19. Bora Başara B, Soytutan Çağlar İ, Aygün A, Özdemir Ta, Kulali B. Sağlık istatistikleri yıllığı [Internet]. Available from: https://sbsgm.saglik.gov.tr/Eklenti/40564/0/saglik-istatistikleri-yilligi-2019pdf.pdf. 20. Zhang L, Gao X, Dong Z, Tan Y, Wu Z. Premarital sexual activities among students in a university in Beijing, China. Sex Transm Dis. 2002;29(4):212–5.
21. Zhou X, Wildschut T, Sedikides C, Chen X, Vingerhoets AJJM. Heartwarming memories: Nostalgia maintains physiological comfort. Emotion. 2012;12(4):678.
22. Zhou H, Wang X ye, Ye F, Gu H hua, Zeng X pei L, Wang Y. Contraceptive knowledge, attitudes and behavior about sexuality among college students in Beijing, China. Chin Med J (Engl). 2012;125(06):1153–7.
23. Regmi P, Simkhada P, van Teijlingen E. “Boys remain prestigious, girls become prostitutes”: Socio-cultural context of relationships and sex among young people in Nepal. Glob J Health Sci. 2010;2(1):60–72.
24. Williamson LM, Parkes A, Wight D, Petticrew M, Hart GJ. Limits to modern contraceptive use among young women in developing countries: a systematic review of qualitative research. Reprod Health. 2009;6(1):1–12.
25. Aytepe, UE, Donmez, E. Türkiye’de Kolorektal Kanser Tarama Davranışları, Etkileyen Faktörler ve Taramaya Katılmama Nedenleri: Sistematik Derleme . Halk Sağlığı Hemşireliği Dergisi. 2022;4(1): 56-76.
26. Berberoğlu U, Öztürk O, İnci MB, Ekerbiçer HÇ. Bir Aile Sağlığı Merkezine Kayıtlı 18-65 Yaş Grubu Bireylerdeki Sağlık Okuryazarlığı Durumunun Değerlendirilmesi. Sakarya Tıp Dergisi. 2018;8(3):575-81.
27. Navarro M, Nicolas A, Ferrandez A, Lanas A. Colorectal cancer population screening programs worldwide in 2016: An update. World Jounal of Gastroenterology. 2017; 23(20):3632-42.
28. Yılmaz M, Karataş B. Opinions of student nurses on sexual myths; a phenomenological study. Sex Disabil. 2018;36(3):277–89.
29. Lohrmann C, Välimäki M, Suominen T, Muinonen U, Dassen T, Peate I. German nursing students’ knowledge of and attitudes to HIV and AIDS: two decades after the first AIDS cases. J Adv Nurs. 2000;31(3):696–703.
30. Özcan H, Kızılkaya Beji N, Karadağ A, Emlik K. Üniversite öğrencilerinin üreme ve cinsel sağlığa yönelik bilgi düzeyleri. Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi. 2016;7(6):83-97.
31. Soleymani S, Abdul Rahman H, Lekhraj R, Mohd Zulkefli NA, Matinnia N. A cross-sectional study to explore postgraduate students’ understanding of and beliefs about sexual and reproductive health in a public university, Malaysia. Reprod Health. 2015;12(1):1–7.
32. Kocagöz SZ. Cinsel işlev bozukluğu tipleri ve cinsel mitler arasındaki ilişki. [Yayınlanmamış uzmanlık tezi]. Uludağ Üniversitesi Tıp Fakültesi Bursa;2008. [Cited 2023 May 4]. Available from: https://acikerisim.uludag.edu.tr/handle/11452/2710.

Öğrencilerin Cinsel Sağlık Bilgileri, Cinsel Mitler Hakkındaki Görüşleri ve Sağlık Okuryazarlığı Düzeyleri Arasındaki İlişkinin İncelenmesi

Yıl 2023, Cilt: 15 Sayı: 3, 403 - 411, 20.10.2023

Funda Kocaay Hilal Melis Altıntaş

https://doi.org/10.18521/ktd.1347600

Öz

Amaç: Halk sağlığı açısından gençler, cinsel yolla bulaşan hastalıklar ve cinsel alışkanlıklar açısından öncelikli bir grup olarak kabul edilmektedir. Ergenler ve genç yetişkinler arasındaki cinsel boyut, entelektüel büyüme ve gelişme üzerindeki etkisi nedeniyle genel ve cinsel sağlıklarından etkilenebilir ve bilgi düzeyleri üreme sağlıklarını önemli ölçüde etkileyebilir. Çalışma, üniversite öğrencilerinin sağlık okuryazarlığı, cinsel sağlık bilgisi ve cinsel mitlerini ölçmeyi ve bu şekilde bu değişkenler ile çeşitli demografik değişkenler arasındaki ilişkiyi keşfetmeyi amaçlamaktadır.
Metod: Araştırmanın örneklemini 559 kadın ve 282 erkek üniversite öğrencisi oluşturmaktadır. Birinci bölümde demografik bilgi ölçeği, ikinci bölümde cinsel sağlık bilgisi testi, üçüncü bölümde cinsel mitler ölçeği, dördüncü bölümde Türkiye'de sağlık okuryazarlığı ölçeği uygulanmıştır.
Bulgular: Cinsiyetler arası analizde erkeklerin kadınlara göre daha fazla cinsel mite sahip olduğu ortaya çıktı (p<0,05). Fakülteler genelinde yapılan analizlerde tıp ve diş fakültesi öğrencilerinin ölçeklerden benzer puanlar aldıkları ancak en yüksek puanı tıp fakültesi öğrencilerinin, en düşük puanı ise sosyal bilimler öğrencilerinin aldığı ortaya çıktı. Ayrıca sağlık okuryazarlığı ve cinsel sağlık bilgisinin cinsel mitleri anlamlı düzeyde yordadığı görülmüştür (p<0,005).
Sonuç: Bu amaçla velilere yönelik danışmanlık hizmetlerinin verilmesi, üniversitedeki tüm bölümlere yönelik eğitim programlarının planlanması, akran eğitimi ve destekleyici programların uygulanması ve daha fazla bilimsel araştırma yapılması önerilmektedir.

Anahtar Kelimeler

Sağlık okuryazarlığı, cinsel sağlık bilgisi, cinsel mitler, Üniversite öğrencisi

Kaynakça

1. Govender D, Naidoo S, Taylor M. Knowledge, attitudes and peer influences related to pregnancy, sexual and reproductive health among adolescents using maternal health services in Ugu, KwaZulu-Natal, South Africa. BMC Public Health. 2019;19(1):1–16.
2. Hamdanieh M, Ftouni L, Al Jardali B, Ftouni R, Rawas C, Ghotmi M, et al. Assessment of sexual and reproductive health knowledge and awareness among single unmarried women living in Lebanon: a cross-sectional study. Reprod Health. 2021;18(1):1–12.
3. Guan M. Sexual and reproductive health knowledge, sexual attitudes, and sexual behaviour of university students: Findings of a Beijing-Based Survey in 2010-2011. Archives of Public Health. 2021;79(1):1–17.
4. Dabiri F, Hajian S, Ebadi A, Zayeri F, Abedini S. Sexual and reproductive health literacy of the youth in Bandar Abbas. AIMS Med Sci. 2019;6(4):318–25.
5. Vongxay V, Thongmixay S, Stoltenborg L, Inthapanyo A, Sychareun V, Chaleunvong K, et al. Validation of the Questionnaire on Sexual and Reproductive Health Literacy for Adolescents Age 15 to 19 Years in Lao People’s Democratic Republic. Health Lit Res Pract. 2022;6(1):e37–50.
6. Soleymani S, Abdul Rahman H, Lekhraj R, Mohd Zulkefli NA, Matinnia N. A cross-sectional study to explore postgraduate students’ understanding of and beliefs about sexual and reproductive health in a public university, Malaysia. Reprod Health. 2015;12(1):1–7.
7. Finer LB, Philbin JM. Sexual initiation, contraceptive use, and pregnancy among young adolescents. Pediatrics. 2013;131(5):886–91.
8. Daniels K, Jones J, Abma JC. Use of emergency contraception among women aged 15-44, United States, 2006-2010. US Department of Health and Human Services, Centers for Disease Control and Prevention; 2013. [Cited 2023 May 4]. Available from: https://www.cdc.gov/nchs/products/databriefs/db112.htm#:~:text=In%202006%E2%80%932010%2C%20among%20sexually,%25)%20or%20twice%20(24%25).
9. Abacıgil F Harlak H, Okyay P. Avrupa Sağlık Okuryazarlığı Ölçeği Türkçe uyarlaması. Okyay, P. ve Abacıgil, F. (Ed.) Türkiye Sağlık Okuryazarlığı Ölçekleri güvenilirlik ve geçerlilik çalışması. Ankara: T.C. Sağlık Bakanlığı Yayın No: 1025. 2016; 21-41.
10. Gil-García E, Martini JG, Porcel-Gálvez AM. Alcohol consumption and risky sexual practices: the pattern of nursing students from the Spanish University. Rev Lat Am Enfermagem. 2013;21:941–7.
11. Ünal Toprak F, Turan Z. The effect of sexual health courses on the level of nursing students’ sexual/reproductive health knowledge and sexual myths beliefs in Turkey: A pretest-posttest control group design. Perspect Psychiatr Care. 2021;57(2):667–74.
12. Farih M, Khan K, Freeth D, Meads C. Protocol study: Sexual and reproductive health knowledge, information-seeking behaviour and attitudes among Saudi women: A questionnaire survey of university students. Reprod Health. 2014;11(1):1–5.
13. Evcili F, Golbasi Z. The effect of peer education model on sexual myths of Turkish university students: An interventional study. Perspect Psychiatr Care. 2019;55(2):239–48.
14. Villanueva LA, Campos R, del Milagro Pérez-Fajardo M. Contraception knowledge and practices in pregnant adolescents. Ginecol Obstet Mex. 2001;69:239–42.
15. Long L, Yuan T, Wang M, Xu C, Yin J, Xiong C, et al. Factors associated with condom use among male college students in Wuhan, China. PLoS One. 2012;7(12):e51782.
16. Feng W, Ren P, Shaokang Z, Anan S. Reproductive health status, knowledge, and access to health care among female migrants in Shanghai, China. J Biosoc Sci. 2005;37(5):603.
17. Sørensen K, van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12(1):1–13.
18. Durusu Tanrıöver, M Yıldırım, HH, Demiray Ready N, Çakır B, Akalın, EH. Türkiye sağlık okuryazarlığı araştırması, 2012, http://www.sagliksen.org.tr/ MediaContent/vYcK-1419245270-mA5r.pdf. Availeble from: 21 May 2023.
19. Bora Başara B, Soytutan Çağlar İ, Aygün A, Özdemir Ta, Kulali B. Sağlık istatistikleri yıllığı [Internet]. Available from: https://sbsgm.saglik.gov.tr/Eklenti/40564/0/saglik-istatistikleri-yilligi-2019pdf.pdf. 20. Zhang L, Gao X, Dong Z, Tan Y, Wu Z. Premarital sexual activities among students in a university in Beijing, China. Sex Transm Dis. 2002;29(4):212–5.
21. Zhou X, Wildschut T, Sedikides C, Chen X, Vingerhoets AJJM. Heartwarming memories: Nostalgia maintains physiological comfort. Emotion. 2012;12(4):678.
22. Zhou H, Wang X ye, Ye F, Gu H hua, Zeng X pei L, Wang Y. Contraceptive knowledge, attitudes and behavior about sexuality among college students in Beijing, China. Chin Med J (Engl). 2012;125(06):1153–7.
23. Regmi P, Simkhada P, van Teijlingen E. “Boys remain prestigious, girls become prostitutes”: Socio-cultural context of relationships and sex among young people in Nepal. Glob J Health Sci. 2010;2(1):60–72.
24. Williamson LM, Parkes A, Wight D, Petticrew M, Hart GJ. Limits to modern contraceptive use among young women in developing countries: a systematic review of qualitative research. Reprod Health. 2009;6(1):1–12.
25. Aytepe, UE, Donmez, E. Türkiye’de Kolorektal Kanser Tarama Davranışları, Etkileyen Faktörler ve Taramaya Katılmama Nedenleri: Sistematik Derleme . Halk Sağlığı Hemşireliği Dergisi. 2022;4(1): 56-76.
26. Berberoğlu U, Öztürk O, İnci MB, Ekerbiçer HÇ. Bir Aile Sağlığı Merkezine Kayıtlı 18-65 Yaş Grubu Bireylerdeki Sağlık Okuryazarlığı Durumunun Değerlendirilmesi. Sakarya Tıp Dergisi. 2018;8(3):575-81.
27. Navarro M, Nicolas A, Ferrandez A, Lanas A. Colorectal cancer population screening programs worldwide in 2016: An update. World Jounal of Gastroenterology. 2017; 23(20):3632-42.
28. Yılmaz M, Karataş B. Opinions of student nurses on sexual myths; a phenomenological study. Sex Disabil. 2018;36(3):277–89.
29. Lohrmann C, Välimäki M, Suominen T, Muinonen U, Dassen T, Peate I. German nursing students’ knowledge of and attitudes to HIV and AIDS: two decades after the first AIDS cases. J Adv Nurs. 2000;31(3):696–703.
30. Özcan H, Kızılkaya Beji N, Karadağ A, Emlik K. Üniversite öğrencilerinin üreme ve cinsel sağlığa yönelik bilgi düzeyleri. Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi. 2016;7(6):83-97.
31. Soleymani S, Abdul Rahman H, Lekhraj R, Mohd Zulkefli NA, Matinnia N. A cross-sectional study to explore postgraduate students’ understanding of and beliefs about sexual and reproductive health in a public university, Malaysia. Reprod Health. 2015;12(1):1–7.
32. Kocagöz SZ. Cinsel işlev bozukluğu tipleri ve cinsel mitler arasındaki ilişki. [Yayınlanmamış uzmanlık tezi]. Uludağ Üniversitesi Tıp Fakültesi Bursa;2008. [Cited 2023 May 4]. Available from: https://acikerisim.uludag.edu.tr/handle/11452/2710.

Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	İngilizce
Konular	Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm	Makaleler
Yazarlar	Funda Kocaay 0000-0003-4352-4675 Hilal Melis Altıntaş 0000-0002-0801-0233
Yayımlanma Tarihi	20 Ekim 2023
Kabul Tarihi	20 Eylül 2023
Yayımlandığı Sayı	Yıl 2023 Cilt: 15 Sayı: 3

Kaynak Göster

APA	Kocaay, F., & Altıntaş, H. M. (2023). Analysis of the Relation Between the Students’ Knowledge on Sexual Health, Opinions on Sexual Myths and Level of Health Literacy. Konuralp Medical Journal, 15(3), 403-411. https://doi.org/10.18521/ktd.1347600
AMA	Kocaay F, Altıntaş HM. Analysis of the Relation Between the Students’ Knowledge on Sexual Health, Opinions on Sexual Myths and Level of Health Literacy. Konuralp Medical Journal. Ekim 2023;15(3):403-411. doi:10.18521/ktd.1347600
Chicago	Kocaay, Funda, ve Hilal Melis Altıntaş. “Analysis of the Relation Between the Students’ Knowledge on Sexual Health, Opinions on Sexual Myths and Level of Health Literacy”. Konuralp Medical Journal 15, sy. 3 (Ekim 2023): 403-11. https://doi.org/10.18521/ktd.1347600.
EndNote	Kocaay F, Altıntaş HM (01 Ekim 2023) Analysis of the Relation Between the Students’ Knowledge on Sexual Health, Opinions on Sexual Myths and Level of Health Literacy. Konuralp Medical Journal 15 3 403–411.
IEEE	F. Kocaay ve H. M. Altıntaş, “Analysis of the Relation Between the Students’ Knowledge on Sexual Health, Opinions on Sexual Myths and Level of Health Literacy”, Konuralp Medical Journal, c. 15, sy. 3, ss. 403–411, 2023, doi: 10.18521/ktd.1347600.
ISNAD	Kocaay, Funda - Altıntaş, Hilal Melis. “Analysis of the Relation Between the Students’ Knowledge on Sexual Health, Opinions on Sexual Myths and Level of Health Literacy”. Konuralp Medical Journal 15/3 (Ekim 2023), 403-411. https://doi.org/10.18521/ktd.1347600.
JAMA	Kocaay F, Altıntaş HM. Analysis of the Relation Between the Students’ Knowledge on Sexual Health, Opinions on Sexual Myths and Level of Health Literacy. Konuralp Medical Journal. 2023;15:403–411.
MLA	Kocaay, Funda ve Hilal Melis Altıntaş. “Analysis of the Relation Between the Students’ Knowledge on Sexual Health, Opinions on Sexual Myths and Level of Health Literacy”. Konuralp Medical Journal, c. 15, sy. 3, 2023, ss. 403-11, doi:10.18521/ktd.1347600.
Vancouver	Kocaay F, Altıntaş HM. Analysis of the Relation Between the Students’ Knowledge on Sexual Health, Opinions on Sexual Myths and Level of Health Literacy. Konuralp Medical Journal. 2023;15(3):403-11.

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