Ebelik ve Hemşirelik Bölümü Öğrencilerinin Cinsel Sağlık Okuryazarlığı ve Cinsel Sağlığa Yönelik Tutumlarının Belirlenmesi

Yıl 2024, Cilt: 13 Sayı: 1, 48 - 54, 27.03.2024

Yeşim Yeşil Hıdır Apak

https://doi.org/10.37989/gumussagbil.1410112

Öz

Bu araştırma, bir devlet üniversitesinin Sağlık Bilimleri Fakültesi'nde ebelik ve hemşirelik bölümünde öğrenim gören öğrencilerin cinsel sağlık okuryazarlığı düzeyini ve cinsel sağlığa yönelik tutumlarını belirlemek amacıyla gerçekleştirilmiştir.
Kesitsel tipte olan araştırmanın evrenini, 5-15 Aralık 2023 tarihleri arasında ilgili bölümlerde öğrenim gören toplam 616 öğrenci oluşturmuştur. Herhangi bir örneklem yöntemi seçilmemiş olup, evrenin tamamına ulaşılması planlanmış ancak 412 kişiyle sınırlı bir katılımcı sayısına ulaşılmıştır.
Araştırmanın verileri, araştırmacılar tarafından literatür incelenerek oluşturulan sosyo-demografik özellikleri kapsayan soru formu, Cinsel Sağlık Okuryazarlık Ölçeği (CSOY) ve Cinsel Sağlığa Yönelik Tutum Ölçeği (CSYT) kullanılarak yüz yüze görüşme tekniği ile toplanmıştır.
Verilerin istatistiksel analizinde frekans ve yüzde dağılımları, pearson korelasyon analizi ile değişkenler arasındaki ilişki incelenmiş, bağımsız değişkenli t-testi ile iki grup arasındaki farklar değerlendirilmiş ve tek yönlü varyans analizi (ANOVA) ile üç veya daha fazla grup arasındaki istatistiksel farklılıklar değerlendirilmiştir.
Bu araştırmada, ebelik bölümünde okuyan, bir partneri olan (evli/sevgili/flört), cinsel sağlık eğitimi almış, cinsel sağlık bilgileri yeterli olan ve cinsel sağlık okuryazarlığı kavramını bilen öğrencilerin CSOY ve CSYT ölçeği puan ortalamalarının daha yüksek olduğu belirlenmiştir.

Anahtar Kelimeler

Cinsel sağlık, Ebe-Hemşire, Öğrenciler, Sağlık okuryazarlığı, Sağlık tutumu

Determination of Sexual Health Literacy and Attitudes Towards Sexual Health of Midwifery and Nursing Department Students

Öz

This study was conducted to determine the level of sexual health literacy and attitudes towards sexual health of students studying in the midwifery and nursing departments of the Faculty of Health Sciences of a state university.
The population of the cross-sectional study consisted of a total of 616 students studying in the relevant departments between December 5-15 December 2023.
No sampling method was selected and it was planned to reach the entire population, but the number of participants was limited to 412.
The data of the study were collected by face-to-face interview technique using a questionnaire covering socio-demographic characteristics, Sexual Health Literacy Scale (SHLS) and Attitudes Towards Sexual Health Scale (AHSS).
In the statistical analysis of the data, frequency and percentage distributions, the relationship between variables was examined with Pearson correlation analysis, the differences between two groups were evaluated with independent variable t-test, and statistical differences between three or more groups were evaluated with one-way analysis of variance (ANOVA).
In this study, it was determined that the mean scores of the SHLS and SHAS scales were higher in students who were studying in the midwifery department, had a partner (married/relationship/flirt), received sexual health education, had adequate sexual health knowledge and knew the concept of sexual health literacy.

Anahtar Kelimeler

Sexual health, Midwife-Nurse, Students, Health literacy, Attitude to Health

Kaynakça

• 1. World Health Organization. (2022). “Developing Sexual Health Programmes”. Erişim adresi: https://apps.who.int/iris/bitstream/handle/10665/70501/WHO_RHR_HRP_10.22_eng.pdf?sequence=1 (Erişim tarihi: 6 Aralık 2023).
• 2. Centers for Disease Control and Prevention. (2014). “Youth Risk Behavior Surveillance, United States, 2013”. Morb Mortal Wkly Rep, 63 (4), 1–168.
• 3. Finer, L.B. and Zolna, M.R. (2016). “Declines in Unintended Pregnancy in the United States, 2008-2011”. The New England Journal of Medicine, 374 (9), 843–852. https://doi.org/10.1056/NEJMsa1506575
• 4. Smith, P.D., and Roberts, C.M. (2009). “American College Health Association Annual Pap Test and Sexually Transmitted Infection Survey: 2006”. Journal of American College Health, 57 (4), 389–394. https://doi.org/10.3200/JACH.57.4.389-394
• 5. Sonfield, A. and Kost, K. (2013). “Public Costs From Unintended Pregnancies and The Role of Public İnsurance Programs in Paying for Pregnancy and İnfant Care: Estimates For 2008”. Erişim adresi: https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=b34efff20dae607e8e53cec0d32aecefaadefee8 (Erişim tarihi: 6 Aralık 2023).
• 6. Vamos, C.A., Thompson, E.L., Logan, R.G., Griner, S.B., Perrin, K.M., Merrell, L.K. and Daley, E.M. (2020). “Exploring College Students' Sexual and Reproductive Health Literacy”. Journal of American College Health, 68 (1), 79–88. https://doi.org/10.1080/07448481.2018.1515757
• 7. World Health Organization. (2016). “Sexual and Reproductive Health Literacy and the SDGs”. Available from: https://www.who.int/teams/health-promotion/enhanced-wellbeing/ninth-global-conference/health-literacy (Erişim tarihi: 7 Aralık 2023).
• 8. Banister, E.M., Begoray, D.L. and Daly, L.K. (2011). “Responding to Adolescent Women's Reproductive Health Concerns: Empowering Clients Through Health Literacy”. Health Care for Women International, 32 (4), 344–354. https://doi.org/10.1080/07399332.2010.536603
• 9. Ghaddar, S.F., Valerio, M.A., Garcia, C.M. and Hansen, L. (2012). “Adolescent Health Literacy: The Importance of Credible Sources for Online Health Information”. The Journal of School Health, 82 (1), 28–36. https://doi.org/10.1111/j.1746-1561.2011.00664.x
• 10. Fennell, R. and Grant, B. (2019). “Discussing Sexuality in Health Care: A Systematic Review”. Journal of Clinical Nursing, 28 (17-18), 3065–3076. https://doi.org/10.1111/jocn.14900
• 11. Jamali, B, Maasoumi, R, Tavousi, M. and Haeri Mehrizi, A. A. (2020). “Women’s Sexual Health Literacy and RRelated factors: A Population-Based Study From Iran”. International Journal of Sexual Health, 32 (4), 433-442.
• 12. Panahi, R, Kheiri, M, Daronkolaei, Z.A, Arjeini, Z, Taherpour, M, Dehghankar, L. and Valinezhad, S. (2021). “The Effect of Sexual Health Literacy on the Sexual Life Quality of Women Referring to Healthcare Centers in Qazvin, Iran”. Journal of Education and Health Promotion, 10, 391. https://doi.org/10.4103/jehp.jehp_1484_20
• 13. Güdül Öz, H, Balcı Yangın, H. and Ak Sözer, G. (2022). “Attitudes and Beliefs of Nursing Students Toward Sexual Healthcare: A Descriptive Study”. Perspectives in Psychiatric Care, 58 (1), 266–272. https://doi.org/10.1111/ppc.12780
• 14. Üstgörül, S. (2022). “Cinsel Sağlık Okuryazarlık Ölçeğinin Geliştirilmesi: Geçerlik ve Güvenirlik Çalışması”. Ankara Sağlık Bilimleri Dergisi, 11 (2), 164-176. https://doi.org/10.46971/ausbid.1086403
• 15. Areskoug-Josefson, K, Juuso, P, Gard, G., Rolander, B. and Larsson, A. (2016). “Health Care Students' Attitudes Toward Addressing Sexual Health in their Future Profession: Validity and Reliability of a Questionnaire”. International Journal of Sexual Health, 28 (3), 243- 250. https://doi.org/10.1080/19317611.2016.1199453
• 16. Işık, K. and Yıldırım, H. (2021). “Psychometric Assessment of the Nursing and Midwifery Students’ Attitudes Towards Sexual Health Scale”. Turkiye Klinikleri J Nurs Sci, 13 (2), 251-7. https://doi.org/10.5336/nurses.2020-77475
• 17. Simpson, S, Clifford, C, Ross, K, Sefton, N, Owen, L, Blizzard, L. ve Turner, R. (2015). “Sexual Health Literacy of the Student Population of the University of Tasmania: Results of the RUSSL Study”. Sexual health, 12 (3), 207–216. https://doi.org/10.1071/SH14223
• 18. Vongxay, V, Albers, F, Thongmixay, S, Thongsombath, M, Broerse, J.E.W, Sychareun, V. and Essink, D.R. (2019). “Sexual and Reproductive Health Literacy of School Adolescents in Lao PDR”. PloS One, 14 (1), e0209675. https://doi.org/10.1371/journal.pone.0209675
• 19. Moghasemi, S, Ozgoli, G, Simbar, M. and Nasiri, M. (2018). “Middle-Aged Iranian Women's Accounts of Their Sexual Health Care Practices: A Conventional Content Analysis”. International Perspectives on Sexual and Reproductive Health, 44 (3), 91–99. https://doi.org/10.1363/44e6718
• 20. Bdair, I.A. ve Maribbay, G.L. (2020). “Perceived Knowledge, Practices, Attitudes and Beliefs of Jordanian Nurses Toward Sexual Health Assessment of Patients with Coronary Artery Diseases”. Sex Disabil, 38, 491–502. https://doi.org/10.1007/s11195-020-09639-y
• 21. Senturk Erenel, A. and Cicek Ozdemir, S. (2020). “Attitude and Behaviors of Senior Nursing Students in Assessment of Sexual Health”. Sex Disabil, 38, 503–514. https://doi.org/10.1007/s11195-020-09642-3
• 22. Mitsutake, S, Shibata, A, Ishii, K. and Oka, K. (2016). Associations of eHealth Literacy With Health Behavior Among Adult Internet Users. Journal of Medical Internet Research, 18 (7), e192. https://doi.org/10.2196/jmir.5413
• 23. Huang, C.Y, Tsai, L.Y, Tseng, T.H, Li, C.R. and Lee, S. (2013). “Nursing Students' Attitudes Towards Provision of Sexual Health Care in Clinical Practice. Journal of Clinical Nursing, 22 (23-24), 3577–3586. https://doi.org/10.1111/jocn.12204
• 24. Aker, M.N, Uslu, E, Tunç Tuna, P ve Molu, B. (2018). “Hemşirelik Öğrencilerinin Cinsel Sağlık Bakımı Vermeye İlişkin Tutum ve İnançları”. Ankara Sağlık Bilimleri Dergisi, 7 (1), 41-49. https://dergipark.org.tr/tr/pub/ausbid/issue/38008/438863
• 25. Gulturk, E, Akpınar, A, Sen, S.R. ve Balcı, H. (2018). “Sexuality Assessment: Nurses’ Attitudes and Beliefs Toward Sexuality”. Istanbul Bilim University Florence Nightingale J. Med, 4 (1), 63–70. https://doi.org/10.5606/fng.btd.2018.009
• 26. Durgun Ozan, Y, Duman, M. ve Çiçek, Ö. (2019). “Nursing Students’ Experiences on Assessing the Sexuality of Patients: Mixed Method Study”. Sex Disabil, 37 (4), 613–623. https://doi.org/10.1007/s11195-019-09567-6
• 27. Wang, Y.H., Rong, J.R. (2019). “Factors Associated with the Provision of Sexual Health Care by Nursing Students in Hospitals: An Analytical Cross-Sectional Study”. International Journal of Studies in Nursing, 4 (3), 71–80. https://doi.org/10.20849/ijsn.v4i3.622