Research Article
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Erkek Askeri Personelin Cinsel Yolla Bulaşan Hastalıklar Hakkındaki Bilgi Düzeyinin İncelenmesi

Year 2019, Volume: 14 Issue: 3, 152 - 159, 01.10.2019
https://doi.org/10.33719/yud.507149

Abstract

Amaç:
Bu çalışmada periyodik muayene amacıyla polikliniğimize başvuran erkek askeri personelin
cinsel yolla bulaşan hastalıklar (CYBH) hakkındaki bilgi düzeyleri, partner
sayıları, kondom kullanım verileri ve sosyodemografik değişkenlerin bu verilere
olan etkileri araştırıldı.

Gereç ve Yöntemler:
Çalışmaya Haziran 2018 – Aralık 2018 tarihleri arasında Ürolojik hastalık
geçmişi veya aktif şikayeti olmayıp, periyodik muayene için kliniğimize
başvuran 2314 kişiden, 1107 gönüllü erkek  katıldı. Katılımcılara kişisel
tanıtıcı bilgi anketi ve 40 soruluk STI/HIV Pretest’ten Türkçeye valide edilen
Cinsel Yolla Bulaşan Hastalıklar ile İlgili Bilgi Testi (CYBH Bilgi Testi) yüz
yüze görüşme yöntemiyle uygulandı.

Bulgular: Çalışma
grubu 19 ile 42 yaş arasında erkeklerden oluşmakta olup yaş ortalaması
24.8±7.08 idi. Katılımcıların %93.5’i 20-29 yaş grubu olup, %76.5’i üniversite
mezunu, %86’sı bekâr idi. Katılımcıların % 98.5’i CYBH ile ilgili bilgi sahibi
olduğunu bildirmiştir. Çalışma grubumuzun tamamı cinsel aktif çağda olmasına
rağmen yaklaşık %54’ünün son bir yıl içerisinde cinsel ilişki yaşadığı
görülmektedir. Bu grubun sadece %42.2’si CYBH’dan korunma amacıyla kondom
kullanmıştır.
Partner sayısı ile kondom kullanımının korelasyonuna bakıldığında;
partner sayısı artışı ile kondom kullanım sıklığının azalması arasında
istatistiksel olarak anlamlı korelasyon bulunmuştur (r=0,65; p=0,0001).
En yüksek 36 puan alınabilen CYBH Bilgi Testi’nde
katılımcıların doğru cevap ortalaması 18.97 (0-35)±6.73 olup, üniversite
mezunlarında anlamlı derecede yüksek bulunmuştur.

Sonuç:
CYBH ile ilgili olarak yüksek risk grubunu oluşturan erkek askeri personelin,
 özellikle bu hastalıkların tedavisi ve korunma
yöntemlerine yönelik yeterli bilgi düzeyine sahip olmadığı görülmektedir.
Özellikle bu grupta CYBH için koruyucu
sağlık hizmeti, tedavi edici hizmetten daha önemli olabilir.
Cinsel
sağlık eğitiminin askeri eğitim programından önce Sağlık Bakanlığı ve
hekimler ile koordineli olarak
planlanıp, uygulanmasının son derece yararlı olacağı kanaatindeyiz.




References

  • 1. Nunes BBS, Mendes PC. Reproductive health public policies: historical context and implications to maternity in Uberlândia -MG. Caminhos Geogr. 2015 [cited Ago 15, 2016];16(53) 81-100.
  • 2. Cooper HL, Caruso B, Barham T, Embry V, Dauria E, Clark CD, et.al. Partner incarceration and African-American women’s sexual relationships and risk: A longitudinal qualitative estudy. J Urban Health. 2015 [cited Dec 15, 2016 ]; 92:(3)527-54.
  • 3. Ramesh S, Ganju D, Mahapatra B, Mishra RM, Saggurti N. Relationship between mobility, violence and HIV/STI among female sex workers in Andhra Pradesh, India. BMC Public Health 2012 [cited Nov 29, 2016]; 12(1):2-8.
  • 4. Adler MW. ABC Of Sexually Transmitted Diseases. 4th Ed.London: BMJ Publishing Group;1999;5-12.
  • 5. Akın L. Epidemiology of sexually transmitted infection: review. Turkiye Klinikleri J Med Sci 2006, 26:655-665.
  • 6. Reproductive Health Programme in Turkey: Situation Analysis on the STI-HIV/AIDS Surveillance System In Turkey”; 3rd Progress Report, Rep. Of Turkish – European Commission 2005. p. 25-27.
  • 7. Agacfidan A, Moncada J, Aydin D, Onel M, Alp T, Isik N, Badur S, Ang O. Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in Turkey among men With Urethritis. Sex Transm Dis. 2001;28(11):630-2.
  • 8. UNDP, Human Development Report Turkey 2001, Ankara: Dumat Printing Industry Inc; 2002. p.22-27.
  • 9. Martins DC, Pesce GB, Silva GMD, Fernandes CAM. Sexual behavior and sexually transmitted diseases among the female partners of inmates. Rev Lat Am Enfermagem. 2018 Oct 11;26:e3043.
  • 10. Siyez DM, Siyez E. Evaluation of the knowledge levels of university students about sexually transmitted diseases. Turkish Journal of Urology 2009;35(1):49-55.
  • 11. World Health Organization. Global health sector strategy on Sexually Transmitted Infections 2016-2021 towards ending STIs [Internet]. Geneva: WHO Document Production Services; 2016.
  • 12. Thato R, Daengsaard E, Sukrak N. The effect of a Brief HIV Prevention Program on Risk Reduction Behaviors among Thai Men Diagnosed with Sexually Transmitted Infections. Asian Nurs Res (Korean Soc Nurs Sci). 2018 Oct 17. pii: S1976-1317(18)30200-7.
  • 13. Chang SJ, Choi S, Kim SA, Song M. Intervention strategies based on InformationMotivation-Behavioral Skills Model for health behavior change: a systematic review. Asian Nurs Res. 2014;8(3):172-181.
  • 14. Fisher JD, Fisher WA, Shuper PA. Social psychology and the fight against AIDS: an Information-Motivation-Behavioral Skills Model for the prediction and promotion of health behavior change. Adv Exp Soc Psychol. 2014;50:105-93.
  • 16. Gokengin D, Yamazhan T, Ozkaya D, Aytug S, Ertem E, Arda B, Serter D Türkiye’deki öğrencilerin cinsel bilgileri, tutumlar ve riskli davranışları. J Sch Health 2003;73:258-63.
  • 17. Khan SJ, Anjum Q, Khan NU, Nabi FG. Awareness abo¬ut common diseases in selected female collage students of Karachi. J Pak Med Assoc 2005;55:195-8.
  • 18. Obiechina NJ, Diwe K, Ikpeze OC. Knowledge, awa¬reness and perception of sexually transmitted diseases (STDs) among Nigerian adolescent girls. J Obstet Gyna¬ecol 2002;22:302-5.
  • 19. Rothwell MAD, Villarroel MA, Grieb SD, Latkin CA. Norms, atitudes, and sex behavions among women witc incarcered main partners. J Urban Health 2013 [cited Nov 19, 2015]; 90(6):1151-65.
  • 20. Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64(RR3):1-137.
  • 21. Akbulut G, Ozgen N. The education status of population in Turkey according to geographical regions. International Journal of Social Science Volume 5 Issue 7, p. 15-26, December 2012.
  • 22. Salgado AM, Cheetham N. The sexual and Reproductive Health of Youth: A Global Snapshot. Advocates for Youth, 2003.

Evaluation of Male Military Staff's Level of Knowledge About Sexually Transmitted Diseases

Year 2019, Volume: 14 Issue: 3, 152 - 159, 01.10.2019
https://doi.org/10.33719/yud.507149

Abstract

Objective:
In this study, level of knowledge about sexually transmitted diseases (STDs),
number of partners, condom use data of male military staff applying to our
outpatient clinic for periodic examination and effect of their sociodemographic
variables on these data were invastigated.

Material and Methods:
Between June 2018 and December 2018, 1107 volunteers of 2314 male military staff
which had no history of urological diseases and no complaint but applying to
our outpatient clinic for periodic examination were included. A personel identifier
information survey and knowledge test for sexually transmitted diseases
validated to Turkish from 40 item STI/HIV Pretest were performed as face to
face interview method to participants.

Results:
Study group consisted between 19-42 aged males and mean age was 24.8±7.08.
%93.5 of participants was 20-29 aged group, %76.5 was graduated from a
university, %86 was single. %98.5 of participants reported having knowledge of
STDs. Although all of our study group was in sexually active age, approximately
%54 of them had no sexual intercourse in last year. Only %42.2 of this group
used condom for prevention from STDs. When correlation between number of
partners and condom use was considered, a statistically significant correlation
was found between the increase in the number of partners and the decrease in
the frequency of condom use (r=0.65; p=0.0001). Maximum right answer was 36 in knowledge test for
STDs, in this study mean right answer was 18.97 (0-35)±6.73 and it was found
significantly higher in participants graduated from a university.

Conclusion:
It is seen that male military staff which is high risk group about STDs have no
enough level of knowledge about prevention methods from STDs and treatment of
STDs. Especially in this group, preventive health care can be more important
than therapeutic health care. We believe that creating and applying of a sexual
health education plan in coordination with the Ministry of Health and
physicians will be extremely efficient.




References

  • 1. Nunes BBS, Mendes PC. Reproductive health public policies: historical context and implications to maternity in Uberlândia -MG. Caminhos Geogr. 2015 [cited Ago 15, 2016];16(53) 81-100.
  • 2. Cooper HL, Caruso B, Barham T, Embry V, Dauria E, Clark CD, et.al. Partner incarceration and African-American women’s sexual relationships and risk: A longitudinal qualitative estudy. J Urban Health. 2015 [cited Dec 15, 2016 ]; 92:(3)527-54.
  • 3. Ramesh S, Ganju D, Mahapatra B, Mishra RM, Saggurti N. Relationship between mobility, violence and HIV/STI among female sex workers in Andhra Pradesh, India. BMC Public Health 2012 [cited Nov 29, 2016]; 12(1):2-8.
  • 4. Adler MW. ABC Of Sexually Transmitted Diseases. 4th Ed.London: BMJ Publishing Group;1999;5-12.
  • 5. Akın L. Epidemiology of sexually transmitted infection: review. Turkiye Klinikleri J Med Sci 2006, 26:655-665.
  • 6. Reproductive Health Programme in Turkey: Situation Analysis on the STI-HIV/AIDS Surveillance System In Turkey”; 3rd Progress Report, Rep. Of Turkish – European Commission 2005. p. 25-27.
  • 7. Agacfidan A, Moncada J, Aydin D, Onel M, Alp T, Isik N, Badur S, Ang O. Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in Turkey among men With Urethritis. Sex Transm Dis. 2001;28(11):630-2.
  • 8. UNDP, Human Development Report Turkey 2001, Ankara: Dumat Printing Industry Inc; 2002. p.22-27.
  • 9. Martins DC, Pesce GB, Silva GMD, Fernandes CAM. Sexual behavior and sexually transmitted diseases among the female partners of inmates. Rev Lat Am Enfermagem. 2018 Oct 11;26:e3043.
  • 10. Siyez DM, Siyez E. Evaluation of the knowledge levels of university students about sexually transmitted diseases. Turkish Journal of Urology 2009;35(1):49-55.
  • 11. World Health Organization. Global health sector strategy on Sexually Transmitted Infections 2016-2021 towards ending STIs [Internet]. Geneva: WHO Document Production Services; 2016.
  • 12. Thato R, Daengsaard E, Sukrak N. The effect of a Brief HIV Prevention Program on Risk Reduction Behaviors among Thai Men Diagnosed with Sexually Transmitted Infections. Asian Nurs Res (Korean Soc Nurs Sci). 2018 Oct 17. pii: S1976-1317(18)30200-7.
  • 13. Chang SJ, Choi S, Kim SA, Song M. Intervention strategies based on InformationMotivation-Behavioral Skills Model for health behavior change: a systematic review. Asian Nurs Res. 2014;8(3):172-181.
  • 14. Fisher JD, Fisher WA, Shuper PA. Social psychology and the fight against AIDS: an Information-Motivation-Behavioral Skills Model for the prediction and promotion of health behavior change. Adv Exp Soc Psychol. 2014;50:105-93.
  • 16. Gokengin D, Yamazhan T, Ozkaya D, Aytug S, Ertem E, Arda B, Serter D Türkiye’deki öğrencilerin cinsel bilgileri, tutumlar ve riskli davranışları. J Sch Health 2003;73:258-63.
  • 17. Khan SJ, Anjum Q, Khan NU, Nabi FG. Awareness abo¬ut common diseases in selected female collage students of Karachi. J Pak Med Assoc 2005;55:195-8.
  • 18. Obiechina NJ, Diwe K, Ikpeze OC. Knowledge, awa¬reness and perception of sexually transmitted diseases (STDs) among Nigerian adolescent girls. J Obstet Gyna¬ecol 2002;22:302-5.
  • 19. Rothwell MAD, Villarroel MA, Grieb SD, Latkin CA. Norms, atitudes, and sex behavions among women witc incarcered main partners. J Urban Health 2013 [cited Nov 19, 2015]; 90(6):1151-65.
  • 20. Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64(RR3):1-137.
  • 21. Akbulut G, Ozgen N. The education status of population in Turkey according to geographical regions. International Journal of Social Science Volume 5 Issue 7, p. 15-26, December 2012.
  • 22. Salgado AM, Cheetham N. The sexual and Reproductive Health of Youth: A Global Snapshot. Advocates for Youth, 2003.
There are 21 citations in total.

Details

Primary Language English
Subjects Surgery
Journal Section Research Article
Authors

Serkan Akan 0000-0002-6066-0401

Caner Ediz 0000-0001-9717-1209

Yunus Emre Kızılkan This is me

Hasan Hüseyin Tavukçu This is me 0000-0003-0956-7460

Hüseyin Hayit This is me

Ömer Yılmaz This is me 0000-0002-4433-9431

Publication Date October 1, 2019
Published in Issue Year 2019 Volume: 14 Issue: 3

Cite

Vancouver Akan S, Ediz C, Kızılkan YE, Tavukçu HH, Hayit H, Yılmaz Ö. Evaluation of Male Military Staff’s Level of Knowledge About Sexually Transmitted Diseases. New J Urol. 2019;14(3):152-9.