Genç Bireylerin Acil Kontrasepsiyon Bilgisinin Aile Planlaması, Cinsel Sağlık ve Üreme Sağlığı Tutumları ile İlişkisi: Kesitsel Bir Çalışma

Yıl 2024, Cilt: 6 Sayı: 3, 195 - 206, 31.10.2024

Fatma Şule Bilgiç

https://doi.org/10.57224/jhpr.1471180

Öz

Amaç: Türkiye'de yaşayan ve üniversitede okuyan 18-25 yaş arası kadın ve erkeklerde acil kontrasepsiyon (AK) bilgisi ile aile planlaması ve cinsel sağlık ve üreme sağlığına (CSÜS) yönelik tutumlar arasındaki ilişkiyi araştırmak amaçlandı.
Gereç ve Yöntem: Kesitsel çalışma Ağustos-Ekim 2023 tarihleri arasında 492 katılımcı ile gerçekleştirilmiştir. Araştırmanın verileri "Veri Toplama Formu" ve "Üreme Sağlığı ve Aile Planlaması Tutum Ölçeği (ÜSAPTÖ)" aracılığıyla elde edilmiştir.
Bulgular: Kadınlarda, AK'yi duyanlar, kullanım zamanını, erişimini ve yan etkilerini bilenler ile RHFPAS arasında anlamlı bir fark vardı. Erkeklerde, AK'yi duyanlar, kullanım zamanı, erişim ve yan etkiler ile infertilite ve yardımcı üreme tedavileri arasında istatistiksel olarak anlamlı bir fark vardı. Kadın ve erkeklerde CSÜS bilgi düzeyi ile RHFPAS toplam ortalama puanı arasında zayıf ve orta düzeyde pozitif bir korelasyon vardı (p<0.05).
Sonuç: Çalışmada kadın ve erkeklerin CSÜS bilgi düzeylerinin orta düzeyde olduğu, CSÜS bilgisi ve olumlu tutum arttıkça AK hakkında bilgi düzeyinin arttığı, CSÜS konularını ailesi ve karşı cinsle konuşabilen kadın ve erkeklerde CSÜS tutumu ve cinsel yolla bulaşan enfeksiyonlar hakkında bilginin arttığı görülmüştür.

Anahtar Kelimeler

Acil kontrasepsiyon;, cinsel sağlık;, doğurganlık;, erkek;, kadın;, küretaj;, üreme sağlığı.

Etik Beyan

Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu (Etik Kurul Tarihi: 28.12.2022; Sayı: 259)

Destekleyen Kurum

Yoktur

Proje Numarası

None

Teşekkür

Yoktur

The Relationship of Emergency Contraception Knowledge of Young Individuals with Family Planning, Sexual and Reproductive Health Attitudes: A Cross-Sectional Study

Öz

Aim: To investigate the relationship between emergency contraception (EC) knowledge and attitudes towards family planning and sexual and reproductive health (SRH) among men and women aged 18-25 years living in Turkey and studying at university.
Methods: The cross-sectional study was conducted between August-October 2023 with 492 participants Turkey. The data of the study were obtained through "Data Collection Form" and "Reproductive Health and Family Planning Attitude Scale (RHFPAS)".
Results: In women, there was a significant difference between those who had heard of EC, knew the time of use, access, and side effects and RHFPAS. In men, there was a statistically significant difference between those who had heard of EC, time of use, access and side effects and infertility and assisted reproductive treatments. There was a weak moderate positive correlation between SRH knowledge level and RHFPAS total mean score in women and men(p<0.05).
Conclusion: In the study, it was observed that SRH knowledge of women and men was at a moderate level, the level of knowledge about EC increased as SRH knowledge and positive attitude increased, SRH attitude and knowledge about sexually transmitted infections increased in women and men who could discuss SRH issues with their family and opposite sex.

Anahtar Kelimeler

Curettage;, emergency contraception;, fertility;, man;, reproductive health;, sexual health, woman.

Etik Beyan

Non-Interventional Clinical Research Ethics Committee (Ethics Committee Date: 28.12.2022; No: 259)

Destekleyen Kurum

None

Proje Numarası

None

Teşekkür

None

Kaynakça

• Esin, A., Mıhçıokur, S., Demir, C., & Kanal, G. (2021). Türkiye’de Cinsel Sağlık ve Üreme Sağlığı Durum Analizi Raporu. [Internet]. [cited 2024 Jan 31]. Available from: https://scholar.google.com/scholar?hl=tr&as_sdt=0%2C5&q=Esin%2C+A.%2C+Mıhçıokur%2C+S.%2C+Demir%2C+C.%2C+%26+Kanal%2C+G.+%282021%29.+Sexual+and+Reproductive+Health+Situation+Analysis+Report+in+Turkey.+&btnG=
• Oğul Z. adölesan ve gençlerde cinsel sağlık üreme sağlığı: etkileyen faktörler ve sorunlar. Kadın Sağlığı Hemşireliği Dergisi, 2021;7(2):149-165.
• Ford J V., Ivankovich MB, Coleman E. Sexual health indicators for the United States: Measuring progress and documenting public health needs. Front Public Heal. 2023 Jan 26;10.
• Transforming our world: the 2030 Agenda for Sustainable Development | Department of Economic and Social Affairs [Internet]. [cited 2024 Jan 31]. Available from: https://sdgs.un.org/2030agenda
• Martínez-García G, Ewing AC, Olugbade Y, DiClemente RJ, Kourtis AP. Crush: A Randomized Trial to Evaluate the Impact of a Mobile Health App on Adolescent Sexual Health. J Adolesc Heal. 2023 Feb 1;72(2):287–94.
• Mills R, Mangone ER, Lesh N, Mohan D, Baraitser P. Chatbots to Improve Sexual and Reproductive Health: Realist Synthesis. J Med Internet Res. 2023;25: e46761
• Akwara E, Pinchoff J, Abularrage T, White C, Ngo TD. The Urban Environment and Disparities in Sexual and Reproductive Health Outcomes in the Global South: a Scoping Review. J Urban Heal. 2023 Jun 1;100(3):525–61.
• Ganle JK, Baatiema L, Ayamah P, Ofori CAE, Ameyaw EK, Seidu AA, et al. Family planning for urban slums in low- and middle-income countries: a scoping review of interventions/service delivery models and their impact. Int J Equity Health. 2021 Dec 1;20(1).
• Salcedo J, Cleland K, Bartz D, Thompson I. Society of Family Planning Clinical Recommendation: Emergency contraception. Contraception. 2023 May 1;121.
• BakenRa A, Gero A, Sanders J, Simmons R, Fay K, Turok DK. Pregnancy risk by frequency and timing of unprotected intercourse before intrauterine device placement for emergency contraception. Obstetrics & Gynecology, 2021;138(1):79-84.
• Chant S, Klett-Davies M, Ramalho J. Challenges and potential solutions for adolescent girls in urban settings: a rapid evidence review. 2017. https://eprints.lse.ac.uk/84297/1/Young%20Female%20Adolescents%20in%20Urban%20Areas%20RER%20FINAL.pdf
• Duminy J, Cleland J, Harpham T, Montgomery MR, Parnell S, Speizer IS. Urban family planning in low- and middle-income countries: a critical scoping review. Front Glob Women’s Heal. 2021;2:749636
• Kökcü A. TSK’nin bir eğitim birliğinde verilmekte olan üreme sağlığı ve aile planlaması eğitimlerinin bu alandaki etik sorunlar üzerine etkisi. 2010. Doktora Tezi. Eskişehir: Eskişehir Osmangazi Üniversitesi Sağlık Bilimleri Enstitüsü
• Amanu A, Birhanu Z, Godesso A. Sexual and reproductive health literacy among young people in Sub-Saharan Africa: evidence synthesis and implications. Global Health Action, 2023;16(1):2279841.
• Lohan M, Brennan-Wilson A, Hunter R, Gabrio A, McDaid L, Young H, et al. Effects of gender-transformative relationships and sexuality education to reduce adolescent pregnancy (the JACK trial): a cluster-randomised trial. Lancet Public Heal. 2022 Jul 1;7(7):e626–37.
• Manlove J, Welti K, Whitfield B, Faccio B, Finocharo J, Ciaravino S. Impacts of Re:MIX—A School-Based Teen Pregnancy Prevention Program Incorporating Young Parent Coeducators. J Sch Health. 2021 Nov 1;91(11):915–27.
• Mbizvo MT, Kasonda K, Muntalima NC, Rosen JG, Inambwae S, Namukonda ES, et al. Comprehensive sexuality education linked to sexual and reproductive health services reduces early and unintended pregnancies among in-school adolescent girls in Zambia. BMC Public Health. 2023 Dec 1;23(1).
• Miller MK, Catley D, Adams A, Staggs VS, Dowd MD, Stancil SL, et al. Brief Motivational Intervention to Improve Adolescent Sexual Health Service Uptake: A Pilot Randomized Controlled Trial in the Emergency Department. J Pediatr. 2021 Oct 1;237:250-257.e2.
• French V, Steinauer J. Sexual and reproductive health teaching in undergraduate medical education: A narrative review. Int J Gynecol Obstet. 2023 Oct 1;163(1):23–30.
• Groenewald C, Isaacs N, Qoza P. Hope, agency, and adolescents’ sexual and reproductive health: A mini review. Front Reprod Heal. 2023;5.
• Moyo S, Rusinga O. Contraceptives: Adolescents’ knowledge, attitudes and practices. A case study of rural Mhondoro-Ngezi District, Zimbabwe. Afr J Reprod Health. 2017;21(1):49–63.
• Namukonda ES, Rosen JG, Simataa MN, Chibuye M, Mbizvo MT, Kangale C. Sexual and reproductive health knowledge, attitudes and service uptake barriers among Zambian in-school adolescents: a mixed methods study. Sex Education, 2021;21(4):463-479.
• Palmer MJ, Henschke N, Villanueva G, Maayan N, Bergman H, Glenton C, et al. Targeted client communication via mobile devices for improving sexual and reproductive health. Cochrane Database Syst Rev. 2020 Aug 11;2020(8).
• Nyalela M, Dlungwane T. Men’s utilisation of sexual and reproductive health services in low- and middle-income countries: A narrative review. South African J Infect Dis. 2023 Apr 21;38(1).
• Sawalma M, Shalash A, Wahdan Y, Nemer M, Khalawi H, Hijazi B, et al. Sexual and reproductive health interventions geared toward adolescent males: A scoping review. J Pediatr Nurs. 2023 Nov 1;73:e19–26.
• Bearak J, Popinchalk A, Ganatra B, Moller AB, Tunçalp Ö, Beavin C, Alkema L. Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990–2019. The Lancet Global Health, 2020;8(9):e1152-e1161
• Walker DM, Torres P, Gutierrez JP, Flemming K, Bertozzi SM. Emergency contraception use is correlated with increased condom use among adolescents: results from Mexico. Journal of Adolescent Health, 2004;35(4):329-334.
• Panda S, Das R, Das A, Sharma N, Sharma A. A study to assess the knowledge and awareness among young doctors about emergency contraception. Journal of Family Medicine and Primary Care, 2021;10(6):2304-2312.
• Rapkin RB, Griner SB, Godcharles CL, Vamos CA, Neelamegam M, Thompson EL, Daley EM. Obstetrics and gynecology and family medicine residents' training and knowledge on emergency contraception. Journal of Women's Health, 2019;28(6):794-801.
• Stone RH, Gross S, Reardon B, Young HN. Emergency contraception access and counseling in metropolitan and nonmetropolitan pharmacies in Georgia. J Pharm Pract. 2023 Jun 1;36(3):523–31.