GENÇLERDE CİNSEL SAĞLIK VE ÜREME SAĞLIĞI SORUNU: DAMGALAMA

Öz

Gençlik dönemi, alışkanlıkların, cinsel davranışların şekillendiği, ihtiyaçların öncelikli ele alınması gereken dönemdir. Fakat dünyada toplumsal faktörler nedeniyle cinsel sağlık ve üreme sağlığı hizmetlerine ulaşmada sıkıntı yaşanmaktadır. Analitik tipteki bu araştırma gençlerde cinsel sağlık ve üreme sağlığı konusunda damgalama düzeylerini belirlemek amacıyla yapılmıştır. Veriler Mayıs-Temmuz 2022 tarihleri arasında online olarak “Katılımcı Bilgi Formu” ve “Genç Kadınlarda Cinsel ve Üreme Sağlığı Damgalama Ölçeği” kullanılarak toplanmış, örneklemini 275 genç kadın oluşturmuştur. Bireylerin %51,3’ünün 18-20 yaş grubunda, %47,3’ünün üniversite 2. sınıfta, %74,5’inin annesinin ilköğretim, %46,9’unun babasının ilköğretim mezunu olduğu, %80’inin annesinin çalışmadığı, %32,7’sinin babasının işçi, %60,4’ünün gelirinin-giderine denk olduğu, %46,5’inin yurtta yaşadığı belirlenmiştir. Ölçek toplam puan ortalaması 8,06+4,12, alt boyut toplam puan ortalamaları sırasıyla Dışsal Damgalama 4,02+1,87, Gerçek Olmayan Damgalama Tutumları 1,87+1,82, İçsel Damgalama 2,16+1,56’dir. Ölçek toplam ve alt boyut toplam puan ortalamalarının düşük olduğu dolasıyla bireylerin damgalama tutumlarının da düşük olduğu belirlenmiştir. Yaş, annenin çalışma durumu ve ölçek toplam puan ortalamaları arasında negatif ilişki olduğu, ekonomik durumla dışsal damgalama toplam puan ortalaması arasında anlamlı, negatif yönde fark olduğu (p<0.05) belirlenmiştir. Gençlerin damgalama ve yargılama olmadan, doğru bilgiye ulaşabilmesi ve sürdürülebilmesi için toplumun bilinçlendirilmesi, sektörler arası işbirliği ve yasal değişikliklerin yapılması gereklidir.

Anahtar Kelimeler

• Ebelik
• Cinsel sağlık
• Üreme Sağlığı
• Damgalama

SEXUAL AND REPRODUCTİVE HEALTH PROBLEM İN YOUNG PEOPLE: STİGMA

Abstract

This analytical study was conducted to determine young people’s sexual and reproductive health-related stigma level. The data were collected online between May 2022 and July 2022 using the "Participant Information Form" and the “Young Women Sexual and Reproductive Health Stigma Scale (YWSRHSS)". The sample consisted of 275 young women. Of them, 51.3% were in the age group of 18-20 years, 47.3% were in the second year of university, 60.4% had an income equal to their expenses, and 46.5% lived in the dormitory. The mean scores they obtained from the overall YWSRHSS and its External Stigma, Unreal Stigma Attitudes and Internal Stigma sub-dimensions were 8.06+4.12, 4.02+1.87, 1.87+1.82, and 2.16+1.56 respectively. These results suggest that the participants’ mean scores were low, indicating that their levels of stigmatization attitudes were also low. Moreover a significant and negative relationship between the economic status variable and the mean score for the external stigma sub-dimension (p<0.05). In order for young people to access accurate information constantly without stigma and judgment, the society’s awareness should be raised, cooperation should be established between sectors, and legal changes should be made.

Keywords

• Midwifery
• Sexual health
• Reproductive health
• Stigma

References

1. Aksoy Derya, Y., Tashan, S. T., Ucar, T., Karaaslan, T., Akbas Tunç, O. (2017). “The Effect on Sexual Taboos of Attıtudes of Towards Gender Roles.” GUSBD, 6(1), 1-8. https://dergipark.org.tr/tr/download/article-file/371787
2. Appollis, T.M., Jonas, K., Beauclair, R., Lombard, C., Duby, Z., Cheyip, M., Mathews, C. (2021). “Early Sexual Debut and the Effects on Well-Being among South African Adolescent Girls and Young Women Aged 15 to 24 Years.” International Journal of Sexual Health, 34(2), 242-253. doi: 10.1080/19317611.2021.1979162
3. Bakir, N., Vural, P. I., Demir, C. (2021). “Stigmatization in Sexual Health and Reproductive Health from The Perspective of Young Women.” Androl Bul., 23, 146-151. doi: 10.24898/tandro.2021.10438
4. Bayrakceken, E., Eryilmaz, G. (2021). “Validity and Reliability of The Turkish version of the Stigma Scale for Sexual and Reproductive Health in Young Women.” International Journal of Caring Sciences, 14(3), 961. http://www.internationaljournalofcaringsciences.org/docs/45_esra_original_14_3.pdf
5. Corrigan, P. W. (2007). “How Clinical Diagnosis Might Exacerbate the Stigma of Mental İllness.” Soc. Work, 52, 31-39. doi: 10.1093/sw/52.1.31
6. Citak, G. (2021). “Reproductive Health Problems in Adolescents and the Importance of Education”. Halic Uni J Health Sci, 93-100 doi: 10.48124/husagbilder.798730
7. Evcili, F., Golbasi, Z. (2017). “Sexual Health Information Test: Developing, Reliability and Validation.” ACU Sağlık Bil Derg, 1, 29-33. http://journal.acibadem.edu.tr/en/download/article-file/1701626
8. Gaur, K., Shukla, A., Acharya, R. (2022). “Association Between The Place of Abortion and Post-Abortion Contraceptive Adoption and Continuation: The Case of India.” Sexual and Reproductive Health Matters, 29(2), 1-16. doi: 10.1080/26410397.2021.1966983

9. Hall, K. S., Manu, A., Morhe, E., Harris, L. H., Loll, D., Ela, E., Kolenic, G., et al. (2018). “Development and Validation of a Scale to Measure Adolescent Sexual and Reproductive Health Stigma: Results From Young Women in Ghana.” J Sex Res, 55, 60-72. doi: 10.1080/00224499.2017.1292493
10. Karabulutlu, O., Yilmaz, D. (2018). “Sexual Myths Among University Students by Gender.” Sted 27(3), 155-164. https://dergipark.org.tr/tr/download/article-file/506422
11. Khanna, R., Sheth, M., Talati, P., Damor, K., Chauhan, B. (2022). “Social and Economic Marginalisation and Sexual and Reproductive Health and Rights of Urban Poor Young Women: A Qualitative Study from Vadodara, Gujarat, India.” Sexual and Reproductive Health Matters, 29(2) doi: 10.1080/26410397.2022.2059898
12. Kocak, YD., Buyukkayaci Duman, N. (2019). “Investigation of The Content of Theme Theses Related to Sexual and Reproductive Health in The Field of Nursing in Turkey” ACU Sağlık Bilimleri Derg, 10(2), 265-270. doi: 10.31067/0.2019.149
13. Koletić, G. (2017). “Longitudinal Associations Between the use of Sexually Explicit Material and Adolescents' Attitudes and Behaviors: a Narrative Review of Studies.” Journal of Adolescence 57: 119-133. doi: 10.1016/j.adolescence.2017.04.006
14. Koluacik, S., Gunes, G., Pehlivan, E. (2010). “The Knowledge of the Students of Inonu University about the Reproductive Health and their Expectations From the Services.” İnönü Üniversitesi Tıp Fakültesi Dergisi, 17(1), 7-14. https://dergipark.org.tr/tr/download/article-file/139346
15. Maas, K. M., LaBrenz, C. A., Cary, K. M., Buenabad, N. A., Parra-Cardona, J. R. (2022). “Gender, Romantic Relationships and Sexual Health in Mexico: Parents’ Experiences of Discussion with their Children.” Culture, Health & Sexuality, doi: 10.1080/13691058.2022.2097740
16. Mukherjee, D., Behal, S., Kurian, O. C. (2020). “Investing in Adolescent Health: Harnessing India’s Demographic Dividend,” ORF Special Report No. 115, July Observer Research Foundation. https://www.orfonline.org/wp-content/uploads/2020/07/ORF_Special_Report_115_AdolescentHealth.pdf
17. Ogul, Z. (2021). “Sexual and Reproductive Health in Adolescents and Youth: Affecting Factors and Problems” Journal of Women’s Health Nursing, 7(2), 149-165. https://dergipark.org.tr/tr/download/article-file/1885359
18. Ozmen, S., Erdem, R. (2018). “Conceptual Framework of The Stigmatization. Suleyman Demirel University.” The Journal of Faculty of Economics and Administrative Sciences, 23(1), 185-208. https://dergipark.org.tr/tr/download/article-file/1004031
19. Pandey, P. L., Seale, H., Razee, H. (2019). “Exploring the Factors İmpacting on Access and Acceptance of Sexual and Reproductive Health Services Provided by Adolescent-Friendly Health Services in Nepal.” Plos One, 14(8), e0220855 doi: 10.1371/journal.pone.0220855
20. Pescosolido, B. A. (2013). “The Public Stigma of Mental İllness: What do We Think; What do We Know; What Can We Prove?” J. Health Soc. Behav., 54, 1-21. doi: 10.1177/0022146512471197
21. Tiwari, A., Wu, W. J., Citrin, D., Bhatta, A., Bogati, B., Halliday, S., Goldberg, A., et al. (2022). “Our Mothers do not Tell Us: A Qualitative Study of Adolescent Girls’ Perspectives on Sexual and Reproductive Health in Rural Nepal.” Sexual and Reproductive Health Matters, 29, 2. 2068211. doi: 10.1080/26410397.2022.2068211
22. Turkey Demographic and Health Survey (TDHS). (2018). Hacettepe University Institute of Population Studies. http://www.hips.hacettepe.edu.tr/ tnsa2018/rapor/TNSA2018_ana_Rapor.pdf (Date of Access: 06.07.2022).Turkish Statistical Institute (TSI). (2022). Birth Statistics 2021.
23. https://data.tuik.gov.tr/Bulten/Index?p=Dogum-Istatistikleri-2021 45547#:~:text=Ad%C3%B6lesan%20do%C4%9Furganl%C4%B1k%20h%C4%B1z%C4%B1%2C%2015%2D19,kad%C4%B1n%20ba%C5%9F%C4%B1na%2013%20do%C4%9Fum%20d%C3%BC%C5%9Ft%C3%BC.
24. World Health Organization (WHO). (2022). Adolescent Health. https://www.who.int/health-topics/adolescent-health/#tab=tab_1
25. United Nations Population Fund (UNFPA). (2022). Motherhood in Childhood, The Untold Story.https://www.unfpa.org/sites/default/files/pub-pdf/Motherhood%20in%20Childhood%20The%20Untold%20Story_EN.pdf
26. Yildiz, M., Yildirim, M. S., Okyar, G., (2020). Determination of Sexual and Reproductive Health Stigmatization Levels of Young Women. Anatol J Family Med, 3(3), 254-259. doi: 10.5505/anatoljfm.2020.36349
27. Zeren, F., Gursoy, E. (2018). “Why Sexual Health Education?” JDU Health Sci Inst., 8(1), 29-33I https://dergipark.org.tr/tr/download/article-file/451039