Araştırma Makalesi
BibTex RIS Kaynak Göster

An Examination of the Effectiveness of Various Intervention Programs in Increasing Sexual Health Knowledge and Behaviors in Adolescents: A Meta-analysis Study

Yıl 2019, Cilt: 8 Sayı: 1, 299 - 321, 01.02.2019
https://doi.org/10.14686/buefad.402829

Öz

The
aim of this meta-analysis study is to examine the effectiveness of various
intervention programs in the promotion of sexual health knowledge / behaviors
in adolescents. In the context of this research, which meta-analysis method was
used, as a result of the review of literature conducted by using various
databases, 28 studies were reached between the years 2007-2017, 13 of which
were included meta-analysis. For the mentioned 13 intervention programs, the
country / culture (individualist / collectivist) and the measured sexual health
component (knowledge level / behavior) were determined as hypothetical
moderator variables. The findings of the analysis using the random effect model
showed that the intervention programs applied were highly effective in increasing
sexual health knowledge / behaviours in adolescents. It was determined that two
of the hypothetical moderator variables function as moderator variable. It was
reached that the intervention programs conducted in individualist countries
have improved further and programs that aim to promote healthy sexual behavior
are more successful at a higher level when compared to programs that aim to
promote sexual health knowledge.

Kaynakça

  • Aras, Ş., Günay, T., Özan, S., & Orçın, E. (2007). Risky behaviours among high school students in İzmir. Anatolian Journal of Psychiatry, 8(3), 186-196.Aycan, Z., & Kanungo, R. N. (2000). Effects of social culture on organizational culture and human resources practices. Ankara: Turkish Psychology Association Publishing.
  • Beale, J., Dusseldorp, E., & Maes, S. (2001). Condom use self-efficacy: Effect on intended and actual condom use in adolescents. Journal of Adolescent Health, 28(5), 421-431.
  • *Bull, S. S., Levine, D. K., Black, S. R., Schmiege, S. J., Santelli, J. (2012). Social media-delivered sexual health intervention. American Journal of Preventive Medicine, 43(5) 467–474.
  • Centers for Disease Control and Prevention (2015). HIV surveillance report. Date: 20.12.2017, https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2015-vol-27.pdf
  • *Cheng, Y., Lou, C. H., Mueller, L. M., Zhao, S. L., Yang, J. H., Tu, X. W., & Gao, E. S. (2008). Effectiveness of a school-based AIDS education program among rural students in HIV high epidemic area of China. Journal of Adolescent Health, 42(2), 184-191.
  • Crocket, L. J., Raffaelli, M., & Moilanen, K. L. (2006). Adolescent sexuality: Behavior and meaning. In G. R. Adams, & M. D. Berzonsky (Eds.). Blackwell handbook of adolescence (ss. 371-392). USA: Blackwell Publishing.
  • *DiClemente, R. J., Wingood, G. M., Rose, E. S., Sales, J. M., Lang, D. L., Caliendo, A. M., Hardin, W. J., & Crosby, R. A. (2009). Efficacy of sexually transmitted disease/human immunodeficiency virus sexual risk–reduction intervention for African American adolescent females seeking sexual health services: A randomized controlled trial. Archives of Pediatrics & Adolescent Medicine, 163(12), 1112-1121.
  • *Doyle, A. M., Ross, D. A., Maganja, K., Baisley, K., Masesa, C., Andreasen, A., Plummer, L. M., Obasi, N. I. A., Weiss, A. H., Kapiga, S., Watson-Jones, D., Changalucha, J., & Hayes, J. R. (2010). Long-term biological and behavioural impact of an adolescent sexual health intervention in Tanzania: follow-up survey of the community-based MEMA kwa Vijana Trial. PLoS medicine, 7(6), 1-14.
  • *Esen, E., & Siyez, D. M. (2017). Effect of sexual health education programme on 9 th grade students’ sexual health knowledge and attitude. Hacettepe University Journal of Education, 32(3), 560-580.
  • Espada, J. P., Escribano, S., Morales, A., & Orgiles, M. (2017). Two-year follow-up of a sexual health promotion program for Spanish adolescents. Evaluation & the Health Professions, 40(4), 483-504.
  • Fonner, V. A., Armstrong, K. S., Kennedy, C. E., O'Reilly, K. R., & Sweat, M. D. (2014). School based sex education and HIV prevention in low-and middle-income countries: a systematic review and meta-analysis. PloS one, 9(3), 1-18.
  • *Givaudan, M., Leenen, I., Van De Vijver, F. J., Poortinga, Y. H., & Pick, S. (2008). Longitudinal study of a school based HIV/AIDS early prevention program for Mexican adolescents. Psychology, Health and Medicine, 13(1), 98-110.
  • Halpern-Felsher, B. L., Kropp, R. Y., Boyer, C. B., Tschann, J. M., & Ellen, J. M. (2004). Adolescents’ self-efficacy to communicate about sex: Its role in condom attitudes, commitment and use. Adolescence, 39(155), 443-456.
  • Hyde, J. S., & DeLamater, J. D. (2011). Understanding human sexuality (11th ed.). Boston, MA: McGraw-Hill.
  • Ippoliti, N. B., & L’engle, K. (2017). Meet us on the phone: Mobile phone programs for adolescent sexual and reproductive health in low-to-middle income countries. Reproductive Health 14(11), 2-8.
  • *Jemmott, J. B., Jemmott, L. S., & Fong, G. T. (2010). Efficacy of a theory-based abstinence-only intervention over 24 months: a randomized controlled trial with young adolescents. Archives of pediatrics & adolescent medicine, 164(2), 152-159.
  • Kohler, P. K., Manhart, L. E., & Lafferty, W. E. (2008). Abstience-only and comprehensive sex education and the initiation of sexual activity and teen pregnancy. Journal of Adolescent Health, 42, 344-351.
  • Kürtüncü, M., Uzun, M., Ayoglu, F. N. (2015). The effect of adolescent training program on risky healthy behaviours and health perception. Journal of Higher Education and Science, 5(2), 187-195.
  • Lee, Y. M., Florez, E., Tariman, J., McCarter, S., & Riesche, L. (2015). Factors related to sexual behaviors and sexual education programs for Asian-American adolescents. Applied Nursing Research, 28(3), 222-228.
  • McCluskey, A., & Lovarini, M. (2005). Providing education on evidence-based practice improved knowledge but did not change behaviour: a before and after study. BMC Medical Education, 5(1), 40-52.
  • *Morales, A., Espada, J. P., & Orgilés, M. (2015). A 1-year follow-up evaluation of a sexual-health education program for Spanish adolescents compared with a well-established program. The European Journal of Public Health, 26(1), 35-41.
  • Ng, M. L. (1992). Cultural factors in psychiatric rehabilitation in Hong Kong. International Journal of Mental Health, 21(4), 33-38.
  • Özcebe, H., Ünalan, T., Türkyılmaz, S., & Coşkun, Y. (2007). Türkiye gençlerde cinsel sağlık ve üreme sağlığı araştırması. (Research of sexual health and reproductive health in youth in Turkey). Ankara: Demography Association Publishing.
  • Romo, L. F., Bravo, M., & Tschann, J. M. (2014). The effectiveness of a joint mother–daughter sexual health program for Latina early adolescents. Journal of Applied Developmental Psychology, 35(1), 1-9.
  • Savin-Williams, R. C. (2011). Identity development among sexual minority youth. In S. J. Schwartz, K. Luyckx & V. L. Vignoles (Eds.), Handbook of identity theory and research (pp. 671-689). New York, NY: Springer.
  • Schuster, M. A., Corona, R., Elliott, M. N., Kanouse, D. E., Eastman, K. L., Zhou, A. J., & Klein, D. J. (2008). Evaluation of talking parents, healthy teens, a new worksite based parenting programme to promote parent-adolescent communication about sexual health: randomised controlled trial. British Medical Journal, 337, 1-9.
  • Serowoky, M.L., George, N., Yarandi, H., (2015). Using the Program Logic Model to Evaluate ¡Cu´ıdate!: A Sexual Health Program for Latino Adolescents in a School-Based Health Center . Worldviews on Evidence-Based Nursing, 12:5, 297–305
  • *Sieving, R. E., McMorris, B. J., Beckman, K. J., Pettingell, S. L., Secor-Turner, M., Kugler, K., Garwick, W. A., Resnick, D. M., & Bearinger, L. H. (2011). Prime Time: 12-month sexual health outcomes of a clinic-based intervention to prevent pregnancy risk behaviors. Journal of Adolescent Health, 49(2), 172-179.
  • *Sieving, E., McRee, A. L., Secor-Turner, M., Garwick, A. W., Bearinger, L. H., Beckman, K. J., McMorris, B. J., & Resnick, M. D. (2014). Prime time: Long-term sexual health outcomes of a clinic-linked intervention. Perspectives on Sexual and Reproductive Health, 46(2), 91–100.
  • *Thato, R., Jenkins, R. A., & Dusitsin, N. (2008). Effects of the culturally‐sensitive comprehensive sex education programme among Thai secondary school students. Journal of Advanced Nursing, 62(4), 457-469.
  • *Tortolero, S. R., Markham, C. M., Peskin, M. F., Shegog, R., Addy, R. C., Escobar-Chaves, S. L., & Baumler, E. R. (2010). It's Your Game: Keep It Real: Delaying sexual behavior with an effective middle school program. Journal of Adolescent Health, 46(2), 169-179.
  • Van Ryzin, M. J., Johnson, A. B., Leve, L. D., & Kim, H. K. (2011). The number of sexual partners and health-risking sexual behavior: Prediction from high school entry to high school exit. Archives of Sexual Behavior, 40(5), 939-949.
  • *Wolfe, D. A., Crooks, C., Jaffe, P., Chiodo, D., Hughes, R., Ellis, W., Stitt, L., & Donner, A. (2009). A school-based program to prevent adolescent dating violence: A cluster randomized trial. Archives of pediatrics & adolescent medicine, 163(8), 692-699.
  • *Studies included in meta-analysis

Ergenlerde Cinsel Sağlık Bilgisinin ve Davranışlarının Artmasında Çeşitli Müdahale Programlarının Etkililiğinin İncelenmesi: Bir Meta-analiz

Yıl 2019, Cilt: 8 Sayı: 1, 299 - 321, 01.02.2019
https://doi.org/10.14686/buefad.402829

Öz

Bu meta-analiz çalışmasının amacı, ergenlerde cinsel sağlık bilgisinin/davranışlarının artmasında çeşitli müdahale programlarının etkililiğinin incelenmesidir. Meta-analiz yönteminin kullanıldığı bu araştırma kapsamında, çeşitli veri tabanları kullanılarak yapılan literatür taraması sonucunda, 2007-2017 yılları arasında yürütülmüş ve 13 tanesi meta-analize dahil edilen toplam 28 çalışmaya ulaşılmıştır. Söz konusu 13 müdahale programı için araştırmanın gerçekleştirildiği ülke/kültür (bireyci/kolektivist) ve ölçülen cinsel sağlık unsuru (bilgi düzeyi/davranış), hipotez moderatör değişkenler olarak belirlenmiştir. Sabit etki modeli (Cohen’s d) kullanılarak yapılan analiz sonuçları, uygulanan müdahale programlarının ergenlerde cinsel sağlık bilgisinin/davranışlarının artmasında yüksek düzeyde etkisinin olduğunu göstermiştir. Bireyci ülkelerde uygulanan müdahale programlarının daha fazla iyileşme sağladığı ve bilgi düzeyini arttırma ile kıyaslandığında sağlıklı cinsel davranışı arttırmayı hedefleyen programların daha yüksek seviyede başarılı olduğu sonucuna ulaşılmıştır.

Kaynakça

  • Aras, Ş., Günay, T., Özan, S., & Orçın, E. (2007). Risky behaviours among high school students in İzmir. Anatolian Journal of Psychiatry, 8(3), 186-196.Aycan, Z., & Kanungo, R. N. (2000). Effects of social culture on organizational culture and human resources practices. Ankara: Turkish Psychology Association Publishing.
  • Beale, J., Dusseldorp, E., & Maes, S. (2001). Condom use self-efficacy: Effect on intended and actual condom use in adolescents. Journal of Adolescent Health, 28(5), 421-431.
  • *Bull, S. S., Levine, D. K., Black, S. R., Schmiege, S. J., Santelli, J. (2012). Social media-delivered sexual health intervention. American Journal of Preventive Medicine, 43(5) 467–474.
  • Centers for Disease Control and Prevention (2015). HIV surveillance report. Date: 20.12.2017, https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2015-vol-27.pdf
  • *Cheng, Y., Lou, C. H., Mueller, L. M., Zhao, S. L., Yang, J. H., Tu, X. W., & Gao, E. S. (2008). Effectiveness of a school-based AIDS education program among rural students in HIV high epidemic area of China. Journal of Adolescent Health, 42(2), 184-191.
  • Crocket, L. J., Raffaelli, M., & Moilanen, K. L. (2006). Adolescent sexuality: Behavior and meaning. In G. R. Adams, & M. D. Berzonsky (Eds.). Blackwell handbook of adolescence (ss. 371-392). USA: Blackwell Publishing.
  • *DiClemente, R. J., Wingood, G. M., Rose, E. S., Sales, J. M., Lang, D. L., Caliendo, A. M., Hardin, W. J., & Crosby, R. A. (2009). Efficacy of sexually transmitted disease/human immunodeficiency virus sexual risk–reduction intervention for African American adolescent females seeking sexual health services: A randomized controlled trial. Archives of Pediatrics & Adolescent Medicine, 163(12), 1112-1121.
  • *Doyle, A. M., Ross, D. A., Maganja, K., Baisley, K., Masesa, C., Andreasen, A., Plummer, L. M., Obasi, N. I. A., Weiss, A. H., Kapiga, S., Watson-Jones, D., Changalucha, J., & Hayes, J. R. (2010). Long-term biological and behavioural impact of an adolescent sexual health intervention in Tanzania: follow-up survey of the community-based MEMA kwa Vijana Trial. PLoS medicine, 7(6), 1-14.
  • *Esen, E., & Siyez, D. M. (2017). Effect of sexual health education programme on 9 th grade students’ sexual health knowledge and attitude. Hacettepe University Journal of Education, 32(3), 560-580.
  • Espada, J. P., Escribano, S., Morales, A., & Orgiles, M. (2017). Two-year follow-up of a sexual health promotion program for Spanish adolescents. Evaluation & the Health Professions, 40(4), 483-504.
  • Fonner, V. A., Armstrong, K. S., Kennedy, C. E., O'Reilly, K. R., & Sweat, M. D. (2014). School based sex education and HIV prevention in low-and middle-income countries: a systematic review and meta-analysis. PloS one, 9(3), 1-18.
  • *Givaudan, M., Leenen, I., Van De Vijver, F. J., Poortinga, Y. H., & Pick, S. (2008). Longitudinal study of a school based HIV/AIDS early prevention program for Mexican adolescents. Psychology, Health and Medicine, 13(1), 98-110.
  • Halpern-Felsher, B. L., Kropp, R. Y., Boyer, C. B., Tschann, J. M., & Ellen, J. M. (2004). Adolescents’ self-efficacy to communicate about sex: Its role in condom attitudes, commitment and use. Adolescence, 39(155), 443-456.
  • Hyde, J. S., & DeLamater, J. D. (2011). Understanding human sexuality (11th ed.). Boston, MA: McGraw-Hill.
  • Ippoliti, N. B., & L’engle, K. (2017). Meet us on the phone: Mobile phone programs for adolescent sexual and reproductive health in low-to-middle income countries. Reproductive Health 14(11), 2-8.
  • *Jemmott, J. B., Jemmott, L. S., & Fong, G. T. (2010). Efficacy of a theory-based abstinence-only intervention over 24 months: a randomized controlled trial with young adolescents. Archives of pediatrics & adolescent medicine, 164(2), 152-159.
  • Kohler, P. K., Manhart, L. E., & Lafferty, W. E. (2008). Abstience-only and comprehensive sex education and the initiation of sexual activity and teen pregnancy. Journal of Adolescent Health, 42, 344-351.
  • Kürtüncü, M., Uzun, M., Ayoglu, F. N. (2015). The effect of adolescent training program on risky healthy behaviours and health perception. Journal of Higher Education and Science, 5(2), 187-195.
  • Lee, Y. M., Florez, E., Tariman, J., McCarter, S., & Riesche, L. (2015). Factors related to sexual behaviors and sexual education programs for Asian-American adolescents. Applied Nursing Research, 28(3), 222-228.
  • McCluskey, A., & Lovarini, M. (2005). Providing education on evidence-based practice improved knowledge but did not change behaviour: a before and after study. BMC Medical Education, 5(1), 40-52.
  • *Morales, A., Espada, J. P., & Orgilés, M. (2015). A 1-year follow-up evaluation of a sexual-health education program for Spanish adolescents compared with a well-established program. The European Journal of Public Health, 26(1), 35-41.
  • Ng, M. L. (1992). Cultural factors in psychiatric rehabilitation in Hong Kong. International Journal of Mental Health, 21(4), 33-38.
  • Özcebe, H., Ünalan, T., Türkyılmaz, S., & Coşkun, Y. (2007). Türkiye gençlerde cinsel sağlık ve üreme sağlığı araştırması. (Research of sexual health and reproductive health in youth in Turkey). Ankara: Demography Association Publishing.
  • Romo, L. F., Bravo, M., & Tschann, J. M. (2014). The effectiveness of a joint mother–daughter sexual health program for Latina early adolescents. Journal of Applied Developmental Psychology, 35(1), 1-9.
  • Savin-Williams, R. C. (2011). Identity development among sexual minority youth. In S. J. Schwartz, K. Luyckx & V. L. Vignoles (Eds.), Handbook of identity theory and research (pp. 671-689). New York, NY: Springer.
  • Schuster, M. A., Corona, R., Elliott, M. N., Kanouse, D. E., Eastman, K. L., Zhou, A. J., & Klein, D. J. (2008). Evaluation of talking parents, healthy teens, a new worksite based parenting programme to promote parent-adolescent communication about sexual health: randomised controlled trial. British Medical Journal, 337, 1-9.
  • Serowoky, M.L., George, N., Yarandi, H., (2015). Using the Program Logic Model to Evaluate ¡Cu´ıdate!: A Sexual Health Program for Latino Adolescents in a School-Based Health Center . Worldviews on Evidence-Based Nursing, 12:5, 297–305
  • *Sieving, R. E., McMorris, B. J., Beckman, K. J., Pettingell, S. L., Secor-Turner, M., Kugler, K., Garwick, W. A., Resnick, D. M., & Bearinger, L. H. (2011). Prime Time: 12-month sexual health outcomes of a clinic-based intervention to prevent pregnancy risk behaviors. Journal of Adolescent Health, 49(2), 172-179.
  • *Sieving, E., McRee, A. L., Secor-Turner, M., Garwick, A. W., Bearinger, L. H., Beckman, K. J., McMorris, B. J., & Resnick, M. D. (2014). Prime time: Long-term sexual health outcomes of a clinic-linked intervention. Perspectives on Sexual and Reproductive Health, 46(2), 91–100.
  • *Thato, R., Jenkins, R. A., & Dusitsin, N. (2008). Effects of the culturally‐sensitive comprehensive sex education programme among Thai secondary school students. Journal of Advanced Nursing, 62(4), 457-469.
  • *Tortolero, S. R., Markham, C. M., Peskin, M. F., Shegog, R., Addy, R. C., Escobar-Chaves, S. L., & Baumler, E. R. (2010). It's Your Game: Keep It Real: Delaying sexual behavior with an effective middle school program. Journal of Adolescent Health, 46(2), 169-179.
  • Van Ryzin, M. J., Johnson, A. B., Leve, L. D., & Kim, H. K. (2011). The number of sexual partners and health-risking sexual behavior: Prediction from high school entry to high school exit. Archives of Sexual Behavior, 40(5), 939-949.
  • *Wolfe, D. A., Crooks, C., Jaffe, P., Chiodo, D., Hughes, R., Ellis, W., Stitt, L., & Donner, A. (2009). A school-based program to prevent adolescent dating violence: A cluster randomized trial. Archives of pediatrics & adolescent medicine, 163(8), 692-699.
  • *Studies included in meta-analysis
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Makaleler
Yazarlar

Serdar Körük 0000-0003-3170-4302

Ayşe Aypay 0000-0001-5292-4270

Kadir Burak Salimoğlu Bu kişi benim 0000-0002-2420-3334

Safiye Yılmaz Dinç Bu kişi benim 0000-0002-2857-6373

Yayımlanma Tarihi 1 Şubat 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 8 Sayı: 1

Kaynak Göster

APA Körük, S., Aypay, A., Salimoğlu, K. B., Dinç, S. Y. (2019). An Examination of the Effectiveness of Various Intervention Programs in Increasing Sexual Health Knowledge and Behaviors in Adolescents: A Meta-analysis Study. Bartın University Journal of Faculty of Education, 8(1), 299-321. https://doi.org/10.14686/buefad.402829
All the articles published in the journal are open access and distributed under the conditions of CommonsAttribution-NonCommercial 4.0 International License
 88x31.png