Related Factors of Sexual Abstinence Behavior of College Women: A Transtheoretical Model Based Examination

Yıl 2021, Cilt: 11 Sayı: 4, 787 - 793, 26.10.2021

Özlem Karatana Ayşe Ergün

https://doi.org/10.33808/clinexphealthsci.910384

Öz

Objective: This research was carried out to determine the relationship between college women's transtheoretical model stages of change and their sexual health knowledge, decisional balance, and self-efficacy towards sexual abstinence behavior.
Methods: The sample of this descriptive study consisted of 559 college women. Data were collected using the Socio-Demographic Form, Stages of Change for Sexual Abstinence, Sexual Health Knowledge Test, Decisional Balance Scale, and Self-Efficacy Scale. The data were analyzed using frequency (n), percentage distributions (%), chi-square test, Mann-Whitney U Test, Kruskal-Wallis Test, and Spearman’s correlation.
Results: The mean age of the sample is 19.88±1.42 (Min-Max: 17-24). It was determined that the students who had no sexual experience had higher the internal and external pros perception and self-efficacy scores and lower cons perception scores (p<0.05). The internal and external pros perceptions and self-efficacy of the students in the precontemplation stage were found lower than those in the contemplation stage (p<0.05). At the same time, it was determined that the external pros perceptions of the students in the contemplation stage were lower than those in the action stage (p<0.05).
Conclusion: It was found that the perception of internal and external pros and self-efficacy increased with the progress towards the action stage among the sexual abstinence stages of change. Decisional balance and self-efficacy were found to be important components for the effectiveness of planned sexual health education.

Anahtar Kelimeler

Sexuality, Sexual Health, Sex Education, Transtheoretical model, College Women

Kaynakça

• 1. Goldsberry J, Moore L, MacMillan D, Butler S. Assessing the effects of a sexually transmitted disease educational intervention on fraternity and sorority members’ knowledge and attitudes toward safe sex behaviors. J Am Assoc Nurse Pract 2016;28(4):188-195. doi:10.1002/2327-6924.12353.
• 2. Taffa N, Haimanot R, Desalegn S, Tesfaye A, Mohammed K. Do parents and young individuals communicate on sexual matters. Ethiop J Heal Dev 2017;13(3):1-7.
• 3. Yared A, Sahile Z, Mekuria M. Sexual and reproductive health experience, knowledge and problems among university students in Ambo, central Ethiopia. Reprod Health 2017;14:14-41.
• 4. Moore EW, Smith WE. What college students do not know: Where are the gaps in sexual health knowledge? J Am Coll Heal 2012;60(6):436–442.
• 5. Roberson PNE, Olmstead SB, Fincham FD. Hooking up during the college years: Is there a pattern? Cult Heal Sex 2015;5(5):576–591.
• 6. Olmstead SB, Conrad KA, Davis KN. First-year college students’ experiences of a brief sexual health seminar. Sex Educ 2020;20(3):300-315.
• 7. Gürsoy E, Gençalp N. Cinsel sağlık eğitiminin önemi. Aile ve Toplum 2010;6(23):29-36.
• 8. Kirby DB. The impact of abstinence and comprehensive sex and STD/HIV education programs on adolescent sexual behavior. Sex Res Soc Policy 2008;5(3):18-27. doi:10.1525/srsp.2008.5.3.18.
• 9. Prochaska JO, Redding CA, Evers KE. The Transtheoretical Model and Stages of Change. In: Glanz. Jossy-Bass; 2015.
• 10. Vela C, Ortega C. Adoption of change: A systematic review of the transtheoretical model. Sport Exerc Med Open J 2020;6(1):27-38.
• 11. Bandura A. Self-Efficacy: The Exercise of Control. Freeman; 1997.
• 12. Kleis RR, Hoch MC, Hogg-Graham R, Hoch JM. The Effectiveness of the Transtheoretical Model to Improve Physical Activity in Healthy Adults: A Systematic Review. J Phys Act Heal 2021;18(1):94-108. doi:10.1123/jpah.2020-0334.
• 13. Nakabayashi J, Melo GR, Toral N. Transtheoretical model-based nutritional interventions in adolescents: a systematic review. BMC Public Health 2020;20(1):1543. doi:10.1186/s12889-020-09643-z.
• 14. Hulton LJ. Application of the transtheoretical of change to adolescent decision-making. Issues Compr Pediatr Nurs 2001;24(2):95-115. doi:10.1080/01460860118376.
• 15. Wang RH, Hsu HY. Correlates of sexual abstinence among adolescent virgins dating steady boyfriends in Taiwan. J Nurs Scholarsh 2006;38(3):286-291. doi:10.1111/j.1547-5069.2006.00115.x.
• 16. Karatana Ö, Ergün A, Beyhan A. Cinsellikten kaçınma karar dengesi ve öz yeterlilik ölçeklerinin türkçe uyarlaması: Geçerlik ve güvenirlik çalışması. İnönü Üniversitesi Sağlık Hizmetleri Mesl Yüksek Okulu Derg 2021;9(1):28-41. doi:10.33715/inonusaglik.812268.
• 17. Evcili F, Golbasi Z. Cinsel Sağlık Bilgi Testi: Geliştirme, Geçerlik ve Güvenirlik Çalışması. ACU Sağlık Bilim Derg 2017;1:29-33.
• 18. Erenoğlu R, Bayraktar E. Sexual attitudes of nursing students and the affecting factors. J Hum Sci 2017;14(2):1745–1756.
• 19. Karabulutlu Ö, Yılmaz D. Üniversite öğrencilerinde cinsiyete göre cinsel mitler. Sürekli Tıp Eğitimi Derg 2018;27(3):155-164.
• 20. Yanıkekrem E, Üstgörül S. Cinsel sağlık dersi alan ve almayan hemşirelik öğrencilerinin cinsel sağlık eğitimi hakkında görüşleri. İnönü Üniversitesi Sağlık Hizmetleri Mesl Yüksekokulu Derg 2019;7(1):12-27.
• 21. Di̇şsi̇z M, Akkurt YA, Sümer G, Tavşan C, Dede S, Durmuş Ş, Ayaz K, Fuli̇n G, Ünsal M. Hemşirelik öğrencilerinin cinsel sağlık konusundaki bilgi düzeyleri ve görüşleri. Zeynep Kamil Tıp Bülteni. 2020;51(2):78-83. doi:10.16948/zktipb.691007
• 22. Prat F, Planes M, Gras M, Sullman M. Stages of change and decisional balance for condom use with a romantic partner. J Health Psychol 2012;17(8):1193-1202. doi:10.1177/1359105311433911.
• 23. Lipschitz JM, Fernandez AC, Larson HE, Blaney CL, Meier KS, Redding CA, Prochaska JO, Paiva AL. Validation of decisional balance and self-efficacy measures for HPV vaccination in college women. Am J Heal Promot 2013;27(5):299-307. doi:10.4278/ajhp.110606-QUAN-240.
• 24. Yusufov M, Orchowski LM. Readiness to engage in assertive responding, self-protective dating behaviors, and sexual communication: A transtheoretical model-based analysis of college women. J Am Coll Heal 2020;6:1-12. doi:10.1080/07448481.2020.1719111.
• 25. Tung WC, Granner M, Lu M, Sohn J. Demographics, self-efficacy, benefits/barriers, stages of adopting pap testing among Korean American women. J Obstet Gynaecol (Lahore) 2019;39(4):510-515. doi:10.1080/01443615.2018.1525693.
• 26. Assarzadeh R, Bostani Khalesi Z, Jafarzadeh-Kenarsari F. Sexual Self-Efficacy and Associated Factors: A Review. Shiraz E-Medical J 2019;20(11). doi:10.5812/semj.87537.
• 27. Golmakani N, Zare Z, Khadem N, Shareh H, Shakeri M. The effect of pelvic floor muscle exercises program on sexual self-efficacy in primiparous women after delivery. Iran J Nurs Midwifery Res 2015;20:347-353.
• 28. Addoh O, Sng E, Loprinzi PD. Safe sex self-efficacy and safe sex practice in a Southern United States College. Heal Promot Perspect 2017;7(2):74-79. doi:10.15171/hpp.2017.14.
• 29. Widman L, Golin CE, Grodensky CA, Suchindran C. Do Safer Sex Self-Efficacy, Attitudes toward Condoms, and HIV Transmission Risk Beliefs Differ among Men who Have Sex with Men, Heterosexual Men, and Women Living with HIV? AIDS Behav 2013;17(5):1873-1882. doi:10.1007/s10461-011-0108-7.
• 30. Khodayarian M, Farajkhoda T, Aryaeenezhad A, Sharifi M. Predicting factors of mammography adherence among Iranian women based on transtheoretical model. J Res Dev Nurs Midw 2020;17(2):28-31.
• 31. Moghadam ZB, Rezaei E, Yalegonbadi FK, Montazeri A, Arzaqi SM, Tavakol Z, et al. The effect of sexual health education program on women sexual function in Iran. J Res Health Sci 2015;15(2):124-128.
• 32. Alomair N, Alageel S, Davies N, Bailey JV. Factors influencing sexual and reproductive health of Muslim women: a systematic review. Reprod Health 2020;17(1):33. doi:10.1186/s12978-020-0888-1.
• 33. Horanieh N, Macdowall W, Wellings K. Abstinence versus harm reduction approaches to sexual health education: views of key stakeholders in Saudi Arabia. Sex Educ 2020;20(4):425-440. doi:10.1080/14681811.2019.1669150.
• 34. Santelli JS, Kantor LM, Grilo SA, Speizer IS, Lindberg LD, Heitel J, Schalet AT, Lyon ME, Mason-Jones AJ, McGovern T, Heck CJ, Rogers J, Ott M. Abstinence-only-until-marriage: an updated review of U.S. Policies and programs and their ımpact”. J Adolesc Heal 2017;61(3):273–280.
• 35. Sümer ZH. Gender, religiosity, sexual activity, sexual knowledge and attitudes toward controversial aspects of sexuality. J Reli Heal 2015;54:2033–2044.