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Effect of the premarital sexual health/reproductive health training on knowledge level and marital adjustment of the newly married women

Year 2020, Volume: 45 Issue: 3, 899 - 909, 30.09.2020
https://doi.org/10.17826/cumj.677397
https://izlik.org/JA43GN62RP

Abstract

Purpose: This study was conducted in order to determine the effect of the premarital Sexual Health/Reproductive Health Training on the knowledge level, marital adjustment and sexual satisfaction of the newly married woman.
Materials and Methods: This study was an experimental study based on the design of pretest-posttest with control group. The study was performed with 149 women.
Results: In the pretest measurements of the study, total score of The Assessment Form on Sexual Knowledge Level of the experimental group was 65.19 ± 9.88 and total score of The Assessment Form on Sexual Knowledge Level of the control group was 63.33 ± 11.51, and it is observed that total scores were similar between the groups. It was determined that the posttest total score was significantly higher in the experimental group (74.08 ± 11.98) compared to the control group (62.33 ± 12.57). It was determined that Marital Adjustment Scale, Golombok Rust Inventory of Sexual Satisfaction and The Marital Beliefs and Attitudes Scale; Health Belief Model total scores of the women in the experimental and the control groups did not show a statistically significant difference.
Conclusion: The training was effective in increasing the knowledge levels of the women on sexual matters but it did not affect their marital adjustment and sexual satisfaction in a four-month period. 

Project Number

TYL-2017-7467

References

  • REFERENCES 1. Budak S. Psychology Dictionary. 3th ed. Ankara, TR: Science and Art Publications; 2005.
  • 2. Vural BK, Temel AB. Belıefs and attıtudes towards marrıage: Analysıs of valıdıty and relıabılıty of health belıef model ınstrument for turkısh socıety. Journal of Ege University Nursing Faculty. 2007;23(2):31-50.
  • 3. Kahraman Z. The effect of a marriage and family life education program to marital adjustment and family system for married women [PhD Thesis]. Istanbul, Marmara Üniversitesi, 2011.
  • 4. Kayma Güneş D. To determinate the correlation between family relationship and problem solving abilities of the couples? who are at the process of divorce [PhD Thesis]. Ankara, Hacettepe Üniversitesi, 2007. 5. Gülsün M, Ak M, Bozkurt A. Marriage and sexuality from a psychiatric point of view. Current Approaches In Psychıatry. 2009;1(1): 68-79.
  • 6. Cohen O, Finzi-Dottan R. Reasons for divorce and mental health following the breakup. Journal of Divorce & Remarriage. 2012;53(8): 581-601. doi:https://doi.org/10.1080/10502556.2012.719413
  • 7. Abalı S. Considering the sexual life as a cause of divorce by women [PhD Thesis]. Istanbul, Marmara Üniversitesi, 2006.
  • 8. Brezsnyak M, Whisman M. Sexual desire and relationship functioning: The effects of marital satisfaction and power. Journal Of Sex&Marital Therapy. 2004; 30(3):199-217. doi:https://doi.org/10.1080/00926230490262393.
  • 9. Erbek E, Beştepe E, Akar H, Alpkan L, Eradamlar N. The association between sexuality and dyadic adjustment: A comparative study in three groups of couples. The Journal of Psychiatry and Neurological Sciences. 2005;18(2): 72-81.
  • 10. Şen B. A group of fiance couples' who applied to get marry, the evaluations, idea and knowledge that are releated to the marriage and 'pre-marital couple education [PhD Thesis]. Ankara, Hacettepe Üniversitesi, 2009.
  • 11. Öztürk CŞ, Arkar H. The relationships between marital adjustment and sexual satisfaction in married couples. Literatür Sempozyum. 2014;1(3):16-24.
  • 12. Demir A. Evaluation of the knowledge of individuals related to sexually transmitted disease, family planning methods and baby care before marriage [PhD Thesis]. Edirne, Trakya Üniversitesi, 2013.
  • 13. Turkish Statistical Institute (TSIP). Evlenme ve Boşanma İstatistikleri [Internet].
  • http://www.tuik.gov.tr/PreHaberBultenleri.do?id=24642. Published March 2017. Accessed 25 February 2018.
  • 14. Wong LP. Qualitative inquiry into premarital sexual behaviours and contraceptive use among multiethnic young women: implications for education and future research. Plos One. 2012;7:12. doi:https://doi.org/10.1371/journal.pone.0051745.
  • 15. Ghodsi Z, Hojjatoleslami SA. Survey on use of methods and knowledge about contraceptive in married women. Procedia-Social And Behavioral Sciences. 2012;46:3031-3035. doi:https://doi.org/10.1016/j.sbspro.2012.06.004.
  • 16. Moodi M, Miri MR, Sharifirad R. The effect of instruction on knowledge and attitude of couples attending pre-marriage counseling classes. Journal of Education and Health Promotion. 2013;2:52. doi:https://dx.doi.org/10.4103%2F2277-9531.119038.
  • 17. Hacettepe University Institute of Population Studies (TDHS). Turkey Demographic and Health Survey [Internet]. http://www.hips.hacettepe.edu.tr/eng/TDHS_2013_main.report.pdf. Published November 2014. Accessed 30 January 2017.
  • 18. Deniz Ü, Kurt M, Önder Ö, Acuner A. The views of university students on sexually transmitted infections. Journal of HIVAIDS. 2004; 7(2);6368.
  • 19. 19. Khan MA, Rahman M, Khanam PA, Khuda B, Kane TT, Ashraf A. Awareness of sexually transmitted disease among women and service providers in rural Bangladesh. International Journal of STD & AIDS. 2015;8:688- 696. doi:https://doi.org/10.1258/0956462971919066
  • 20. Şükür N. The effect of womens productive attitude of reproductive system for having vaginal douching [PhD Thesis]. İstanbul, Haliç Üniversitesi, 2012.
  • 21. Kırmızıgül Eİ. Opinions on marriage and reproductive health knowledge and requirements of the couples to be married [PhD Thesis]. Ankara, Yıldırım Beyazıt Üniversitesi, 2014.
  • 22. Metin Z. The levels of knowledge of the senior University students in terms of sexual and reproductive health. [PhD Thesis]. İstanbul, Okan Üniversitesi, 2015.
  • 23. Stanley H, Bartle-Haring S, Day RD, Gangamma R. Couple communication, emotional and sexual intimacy, and relationship satisfaction. Journal of Sex & Marital Therapy. 2014;40(4): 275–293. doi:https://doi.org/10.1080/0092623X.2012.751072
  • 24. Sullivan TK, Pasch L, Cornelıus T, Cirigliano E. Predicting participation in premarital prevention programs: The health belief model and social norms, family process. Health and Medical Complete. 2004; 43(2):175-193. doi:https://doi.org/10.1111/j.1545-5300.2004.04302004.x
  • 25. Tuğrul C, Öztan N, Kabakçı E. Standardization of Golombok-Rust Sexual Satisfaction Inventory. Turkish Journal of Psychiatry. 1993;4(2): 83-88.
  • 26. Kışlak Tutarel Ş. Reliability and validity of the marital adjustment test (MAT). Journal of 3P. 1999;7(1): 50-57. 27. Doğan S, Varol Saraçoğlu G. The assessment of sexual knowledge, marital characteristics, sexual function and satisfaction in women with lifelong vaginismus. Balkan Medical Journal. 2009;26(2):151-158.
  • 28. Kısa S, Zeyneloğlu S, Yılmaz D, Verim E. Knowledge and beliefs related to sexuality of couples doing marriage preparation. TAF Prev Med Bull. 2013;12(3):297-306. doi:https://dx.doi.org/10.5455/pmb.1-1341926050
  • 29. Audu BM, Yahya SJ, Bassi A. Knowledge, attitude and practice of natural family planning methods in a population with poor utilisation of modern contraceptives. Journal of Obstetrics and Gynaecology. 2006;26(6): 555-560. doi:https://doi.org/10.1080/01443610600811482
  • 30. Doherty WJ, Anderson JR. Community marriage ınitiatives. Family Relations. 2004;53(5): 425-432.
  • 31. Stanley SM, Amato PR, Johnson CA, Markman HJ. Premarital education, marital quality and marital stability: findings from a large, random household survey. Journal of Family Psychology. 2006;20(1): 117-126. doi:https://doi.org/10.1037/0893-3200.20.1.117
  • 32. Sehat F, Sehat N, Shahsiah M, Mohebi S, Abaraie Y. The effect of sex education on sexual satisfaction increase of couples' in Isfahan. Life Sci J . 2013;10(5): 31-35.
  • 33. Khazaeia M, Rostamib R, Zaryabic A. The relationship between sexual dysfunctions and marital satisfaction in Iranian married students procedia. Social and Behavioral Sciences. 2011;30:783-785. doi:https://doi.org/10.1016/j.sbspro.2011.10.152
  • 34. Canel NA. Problem solving in family, marital satisfaction and evaluation of a group work case [PhD Thesis]. Istanbul, Marmara Üniversitesi, 2007.
  • 35. Wilmoth J. A survey of marriage preparation provided by assemblies of god pastors in Oklohoma. Journal of Sex and Marital Therapy. 2004;2(5): 20-33.
  • 36. Eroğlu Ş. Comparison of women married under 20 years old and over 20 years old in terms of their life satisfaction, marital adjustment, and sexual satisfaction [PhD Thesis]. Ankara, Beykent Üniversitesi, 2017.
  • 37. Ayatollahi M. An investigation of the predictive role of demographic and psychological variables on sexual satisfaction [PhD Thesis]. Ankara, Ankara Üniversitesi, 2014.
  • 38. Gölbaşı Z. The effectiveness of school-based reproductive health education for adolescent girls [PhD Thesis]. Ankara, Hacettepe Üniversitesi, 2002.

Evlilik öncesi cinsel sağlik/üreme sağlığı eğitiminin yeni evli kadınların bilgi düzeyi ve evlilik uyumuna etkisi

Year 2020, Volume: 45 Issue: 3, 899 - 909, 30.09.2020
https://doi.org/10.17826/cumj.677397
https://izlik.org/JA43GN62RP

Abstract

Amaç: Bu çalışma, evlilik öncesi Cinsel Sağlık/Üreme Sağlığı Eğitiminin yeni evli kadının bilgi düzeyi, evlilik uyumu ve cinsel memnuniyeti üzerindeki etkisini belirlemek amacıyla yapılmıştır.
Gereç ve Yöntem: Bu araştırma öntest-sontest kontrol gruplu desene dayanan deneysel bir araştırmadır. Çalışma 149 kadınla yapılmıştır.
Bulgular: Çalışmanın ön testinde, deney grubunun Cinsel Konular ile İlgili Bilgi Düzeyine İlişkin Değerlendirme Formu toplam puanı 65.19 ± 9.88, kontrol grubunun toplam puanı 63.33 ± 11.51 olup toplam puanların gruplar arasında benzer olduğu görülmüştür. Son test toplam puanının deney grubunda (74.08 ± 11.98) kontrol grubuna (62.33 ± 12.57) göre anlamlı derecede yüksek olduğu tespit edilmiştir. Deney ve kontrol gruplarındaki kadınların Evlilik Uyum Ölçeği, Golombok-Rust Cinsel Doyum Ölçeği - Kadın Formu ve Evliliğe Yönelik İnanç ve Tutumlar Ölçeği; Sağlık İnanç Modeli toplam puanları arasında ise istatistiksel olarak anlamlı bir fark bulunmamıştır.
Sonuç: Evlilik öncesi eğitimin kadınların cinsel konulardaki bilgi düzeylerinin artırılmasında etkili olduğu ancak dört aylık dönemde evlilik uyumlarını ve cinsel doyumlarını etkilemediği sonucuna varılmıştır.

Supporting Institution

Bu çalışma; Erciyes Üniversitesi Bilimsel Araştırma Projeleri Birimi tarafından desteklenmiştir

Project Number

TYL-2017-7467

References

  • REFERENCES 1. Budak S. Psychology Dictionary. 3th ed. Ankara, TR: Science and Art Publications; 2005.
  • 2. Vural BK, Temel AB. Belıefs and attıtudes towards marrıage: Analysıs of valıdıty and relıabılıty of health belıef model ınstrument for turkısh socıety. Journal of Ege University Nursing Faculty. 2007;23(2):31-50.
  • 3. Kahraman Z. The effect of a marriage and family life education program to marital adjustment and family system for married women [PhD Thesis]. Istanbul, Marmara Üniversitesi, 2011.
  • 4. Kayma Güneş D. To determinate the correlation between family relationship and problem solving abilities of the couples? who are at the process of divorce [PhD Thesis]. Ankara, Hacettepe Üniversitesi, 2007. 5. Gülsün M, Ak M, Bozkurt A. Marriage and sexuality from a psychiatric point of view. Current Approaches In Psychıatry. 2009;1(1): 68-79.
  • 6. Cohen O, Finzi-Dottan R. Reasons for divorce and mental health following the breakup. Journal of Divorce & Remarriage. 2012;53(8): 581-601. doi:https://doi.org/10.1080/10502556.2012.719413
  • 7. Abalı S. Considering the sexual life as a cause of divorce by women [PhD Thesis]. Istanbul, Marmara Üniversitesi, 2006.
  • 8. Brezsnyak M, Whisman M. Sexual desire and relationship functioning: The effects of marital satisfaction and power. Journal Of Sex&Marital Therapy. 2004; 30(3):199-217. doi:https://doi.org/10.1080/00926230490262393.
  • 9. Erbek E, Beştepe E, Akar H, Alpkan L, Eradamlar N. The association between sexuality and dyadic adjustment: A comparative study in three groups of couples. The Journal of Psychiatry and Neurological Sciences. 2005;18(2): 72-81.
  • 10. Şen B. A group of fiance couples' who applied to get marry, the evaluations, idea and knowledge that are releated to the marriage and 'pre-marital couple education [PhD Thesis]. Ankara, Hacettepe Üniversitesi, 2009.
  • 11. Öztürk CŞ, Arkar H. The relationships between marital adjustment and sexual satisfaction in married couples. Literatür Sempozyum. 2014;1(3):16-24.
  • 12. Demir A. Evaluation of the knowledge of individuals related to sexually transmitted disease, family planning methods and baby care before marriage [PhD Thesis]. Edirne, Trakya Üniversitesi, 2013.
  • 13. Turkish Statistical Institute (TSIP). Evlenme ve Boşanma İstatistikleri [Internet].
  • http://www.tuik.gov.tr/PreHaberBultenleri.do?id=24642. Published March 2017. Accessed 25 February 2018.
  • 14. Wong LP. Qualitative inquiry into premarital sexual behaviours and contraceptive use among multiethnic young women: implications for education and future research. Plos One. 2012;7:12. doi:https://doi.org/10.1371/journal.pone.0051745.
  • 15. Ghodsi Z, Hojjatoleslami SA. Survey on use of methods and knowledge about contraceptive in married women. Procedia-Social And Behavioral Sciences. 2012;46:3031-3035. doi:https://doi.org/10.1016/j.sbspro.2012.06.004.
  • 16. Moodi M, Miri MR, Sharifirad R. The effect of instruction on knowledge and attitude of couples attending pre-marriage counseling classes. Journal of Education and Health Promotion. 2013;2:52. doi:https://dx.doi.org/10.4103%2F2277-9531.119038.
  • 17. Hacettepe University Institute of Population Studies (TDHS). Turkey Demographic and Health Survey [Internet]. http://www.hips.hacettepe.edu.tr/eng/TDHS_2013_main.report.pdf. Published November 2014. Accessed 30 January 2017.
  • 18. Deniz Ü, Kurt M, Önder Ö, Acuner A. The views of university students on sexually transmitted infections. Journal of HIVAIDS. 2004; 7(2);6368.
  • 19. 19. Khan MA, Rahman M, Khanam PA, Khuda B, Kane TT, Ashraf A. Awareness of sexually transmitted disease among women and service providers in rural Bangladesh. International Journal of STD & AIDS. 2015;8:688- 696. doi:https://doi.org/10.1258/0956462971919066
  • 20. Şükür N. The effect of womens productive attitude of reproductive system for having vaginal douching [PhD Thesis]. İstanbul, Haliç Üniversitesi, 2012.
  • 21. Kırmızıgül Eİ. Opinions on marriage and reproductive health knowledge and requirements of the couples to be married [PhD Thesis]. Ankara, Yıldırım Beyazıt Üniversitesi, 2014.
  • 22. Metin Z. The levels of knowledge of the senior University students in terms of sexual and reproductive health. [PhD Thesis]. İstanbul, Okan Üniversitesi, 2015.
  • 23. Stanley H, Bartle-Haring S, Day RD, Gangamma R. Couple communication, emotional and sexual intimacy, and relationship satisfaction. Journal of Sex & Marital Therapy. 2014;40(4): 275–293. doi:https://doi.org/10.1080/0092623X.2012.751072
  • 24. Sullivan TK, Pasch L, Cornelıus T, Cirigliano E. Predicting participation in premarital prevention programs: The health belief model and social norms, family process. Health and Medical Complete. 2004; 43(2):175-193. doi:https://doi.org/10.1111/j.1545-5300.2004.04302004.x
  • 25. Tuğrul C, Öztan N, Kabakçı E. Standardization of Golombok-Rust Sexual Satisfaction Inventory. Turkish Journal of Psychiatry. 1993;4(2): 83-88.
  • 26. Kışlak Tutarel Ş. Reliability and validity of the marital adjustment test (MAT). Journal of 3P. 1999;7(1): 50-57. 27. Doğan S, Varol Saraçoğlu G. The assessment of sexual knowledge, marital characteristics, sexual function and satisfaction in women with lifelong vaginismus. Balkan Medical Journal. 2009;26(2):151-158.
  • 28. Kısa S, Zeyneloğlu S, Yılmaz D, Verim E. Knowledge and beliefs related to sexuality of couples doing marriage preparation. TAF Prev Med Bull. 2013;12(3):297-306. doi:https://dx.doi.org/10.5455/pmb.1-1341926050
  • 29. Audu BM, Yahya SJ, Bassi A. Knowledge, attitude and practice of natural family planning methods in a population with poor utilisation of modern contraceptives. Journal of Obstetrics and Gynaecology. 2006;26(6): 555-560. doi:https://doi.org/10.1080/01443610600811482
  • 30. Doherty WJ, Anderson JR. Community marriage ınitiatives. Family Relations. 2004;53(5): 425-432.
  • 31. Stanley SM, Amato PR, Johnson CA, Markman HJ. Premarital education, marital quality and marital stability: findings from a large, random household survey. Journal of Family Psychology. 2006;20(1): 117-126. doi:https://doi.org/10.1037/0893-3200.20.1.117
  • 32. Sehat F, Sehat N, Shahsiah M, Mohebi S, Abaraie Y. The effect of sex education on sexual satisfaction increase of couples' in Isfahan. Life Sci J . 2013;10(5): 31-35.
  • 33. Khazaeia M, Rostamib R, Zaryabic A. The relationship between sexual dysfunctions and marital satisfaction in Iranian married students procedia. Social and Behavioral Sciences. 2011;30:783-785. doi:https://doi.org/10.1016/j.sbspro.2011.10.152
  • 34. Canel NA. Problem solving in family, marital satisfaction and evaluation of a group work case [PhD Thesis]. Istanbul, Marmara Üniversitesi, 2007.
  • 35. Wilmoth J. A survey of marriage preparation provided by assemblies of god pastors in Oklohoma. Journal of Sex and Marital Therapy. 2004;2(5): 20-33.
  • 36. Eroğlu Ş. Comparison of women married under 20 years old and over 20 years old in terms of their life satisfaction, marital adjustment, and sexual satisfaction [PhD Thesis]. Ankara, Beykent Üniversitesi, 2017.
  • 37. Ayatollahi M. An investigation of the predictive role of demographic and psychological variables on sexual satisfaction [PhD Thesis]. Ankara, Ankara Üniversitesi, 2014.
  • 38. Gölbaşı Z. The effectiveness of school-based reproductive health education for adolescent girls [PhD Thesis]. Ankara, Hacettepe Üniversitesi, 2002.
There are 37 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynaecology
Journal Section Research Article
Authors

Özlem Kaplan 0000-0003-1050-8804

Tülay Bülbül 0000-0001-5166-0074

Project Number TYL-2017-7467
Acceptance Date May 20, 2020
Publication Date September 30, 2020
DOI https://doi.org/10.17826/cumj.677397
IZ https://izlik.org/JA43GN62RP
Published in Issue Year 2020 Volume: 45 Issue: 3

Cite

MLA Kaplan, Özlem, and Tülay Bülbül. “Effect of the Premarital Sexual Health Reproductive Health Training on Knowledge Level and Marital Adjustment of the Newly Married Women”. Cukurova Medical Journal, vol. 45, no. 3, Sept. 2020, pp. 899-0, doi:10.17826/cumj.677397.