SAĞLIK BİLİMLERİ ÖĞRENCİLERİ ARASINDA CİNSEL SAĞLIK BİLGİSİ VE ETKİLEYEN FAKTÖRLERİN ANALİZİ: BİR ÖZEL ÜNİVERSİTE ÖRNEĞİ

Öz

Bu çalışma, sağlık bilimleri fakültesi öğrencilerinin cinsel sağlık bilgi düzeylerini ve bu bilgi düzeyini etkileyen faktörleri incelemek amacıyla yapılmıştır. Çalışma, 2023-2024 akademik yılı içerisinde, Türkiye’de Akdeniz Bölgesinde bulunan özel bir üniversitenin Sağlık Bilimleri Fakültesi’nde gerçekleştirilmiştir. Araştırmaya 208 öğrenci katılmış ve veriler, öğrenci bilgi formu ile Cinsel Sağlık Bilgi Testi aracılığıyla toplanmıştır. Öğrencilerin ortalama Cinsel Sağlık Bilgi Testi puanı 25.93±7.87 olup, bu sonuç genel olarak orta düzeyde cinsel sağlık bilgisine işaret etmektedir. Yaş (p<0.001), bölüm (p<0.001), sınıf düzeyi (p<0.001) ve cinsel sağlık eğitimi almış olma durumu (p<0.001), Cinsel Sağlık Bilgi Testi puanlarını anlamlı şekilde etkilemiştir. Ayrıca, öğrencilerin cinsel sağlık bilgilerini kimlerden aldıkları (p=0.01) ve cinsel deneyimleride (p<0.001) Cinsel Sağlık Bilgi Testi puanları üzerinde anlamlı bir etkiye sahip bulunmuştur. Bulgular, cinsel sağlık eğitiminin üniversitelerde müfredata dahil edilmesi gerektiğini ve cinsel yolla bulaşan enfeksiyonlar gibi kritik konulara daha fazla önem verilmesi gerektiğini ortaya koymaktadır.

Anahtar Kelimeler

• cinsel sağlık eğitimi
• cinsel sağlık bilgisi
• cinsel yolla bulaşan enfeksiyonlar
• üniversite öğrencisi

ANALYSIS OF SEXUAL HEALTH KNOWLEDGE AND INFLUENCING FACTORS AMONG HEALTH SCIENCES STUDENTS: A CASE STUDY OF A PRIVATE UNIVERSITY*

Öz

This study aimed to assess the sexual health knowledge levels of health sciences faculty students and examine the factors influencing this knowledge. The research was conducted during the 2023-2024 academic year at a private university in the Mediterranean region of Turkey, specifically in the Faculty of Health Sciences. A total of 208 students participated, and data was collected through a student information form and the Sexual Health Knowledge Test. The students' average Sexual Health Knowledge Test score was 25.93 ± 7.87, indicating a generally moderate level of sexual health knowledge. Age (p<0.001), department (p<0.001), class level (p<0.001), and having received sexual health education (p<0.001) significantly influenced Sexual Health Knowledge Test scores. Furthermore, the source of students’ sexual health information (p=0.01) and their sexual experience (p<0.001) also significantly impactedSexual Health Knowledge Testscores. The findings highlight the need to integrate sexual health education into university curricula, with particular emphasis on critical topics such as sexually transmitted infections.

Anahtar Kelimeler

• sexual health education
• sexual health knowledge
• sexually transmitted infections
• university students

Kaynakça

1. Patton GC, Sawyer SM, Santelli JS, et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016;387(10036):2423-2478.
2. Muslu GK, Aygün Ö. Ergenlerin riskli sağlık davranışlarının ve etkileyen faktörlerin belirlenmesi. DEUHFED. 2017;10(4):242-250.
3. World Health Organization (WHO). Defining sexual health: Report of a technical consultation on sexual health. 2006. Accessed January 25, 2024. https://www.who.int/teams/sexual-and-reproductive-health-and-research/key-areas-of-work/sexual-health/defining-sexual-health.
4. Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health. 2018;2(3):223-228. doi:10.1016/S2352-4642(18)30022-1.
5. Kirby D, Laris BA, Rolleri LA. Sex and HIV education programs: Their impact on sexual behaviors of young people throughout the world. J Adolesc Health. 2007;40(3):206-217. doi:10.1016/j.jadohealth.2006.11.143
6. World Health Organization (WHO). International technical guidance on sexuality education. 2018. Accessed June 22, 2024. https://www.who.int/publications/m/item/9789231002595.
7. UNICEF. Sexual and reproductive health. 2023;. Accessed January 25, 2024. https://data.unicef.org/topic/gender/sexual-and-reproductive-health/
8. Çuhadaroğlu A. The effects of sex education on psychological counselling students in Turkey. Sex Educ. 2017;17(2):209-219. doi:10.1080/14681811.2016.1164132.

9. Goldfarb ES, Lieberman LD. Three decades of research: The case for comprehensive sex education. J Adolesc Health. 2021;68(1):13-27. doi:10.1016/j.jadohealth.2020.07.036.
10. Santelli JS, Kantor LM, Grilo SA, et al. Abstinence-only-until-marriage: An updated review of US policies and programs and their impact. J Adolesc Health. 2017;61(3):273-280. doi:10.1016/j.jadohealth.2017.05.031.
11. Evcili F, Gölbaşı Z. Cinsel Sağlık Bilgi Testi: Geliştirme, Geçerlik ve Güvenirlik Çalışması. AUHSJ. 2017;1:29-33.
12. Evcili F, Gölbaşı Z. Sexual myths and sexual health knowledge levels of Turkish university students. Sex Cult. 2017;21:976-990. doi:10.1007/s12119-017-9436-8.
13. Uğurlu M, Karahan N. Sexual health knowledge and influencing factors among health science students at a state university in Turkey. Eur J Contracept Reprod Health Care. 2022;27(1):75-82. doi:10.1080/13625187.2021.1980871
14. Esin A, Mıhçıokur S, Demir C, Kanal G. Türkiye’de Cinsel Sağlık ve Üreme Sağlığı Durum Analizi Raporu. Published 2021. Accessed [1.10.2014]. https://dspace.ceid.org.tr/items/66cab216-a033-49da-bcbb-e68bc0854ec7
15. Ogul Z, Sahin NH. The effect of an educational peer-based intervention program on sexual and reproductive health behavior. J. Adolesc. 2024;96(7):1642-1654. doi:10.1002/jad.12371
16. Dişsiz M, Yalçıntürk AA, Sümer G, et al. (2020). Hemşirelik öğrencilerinin cinsel sağlık konusundaki bilgi düzeyleri ve görüşleri. Zeynep Kamil Tıp Bülteni. 2020;51(2): 78-83. doi:10.16948/zktipb.691007.
17. Yeşil Y, Apak H. Ebelik ve Hemşirelik Bölümü Öğrencilerinin Cinsel Sağlık Okuryazarlığı ve Cinsel Sağlığa Yönelik Tutumlarının Belirlenmesi. Saglik Bilim. Derg. 2024;13(1):48-54.
18. Warner C, Carlson S, Crichlow R, Ross MW. Sexual health knowledge of US medical students: A national survey. J Sex Med. 2018;15(8):1093-1102.doi:10.1016/j.jsxm.2018.05.019.
19. Özkan H, Taşğın ZDÜ, Apay SE. Cinsellikle ilgili eğitim alan ve almayan öğrencilerin cinsel sağlık bilgi düzeylerinin karşılaştırılması. J Midwifery and Health Sci. 2020;3(1):11-21.
20. Işık HK, Aytekin MŞ, Kahraman A, Öcalan D. Ebelik bölümü öğrencilerinin cinsellik ve cinsel sağlıkla ilişkili bilgi düzeylerinin değerlendirilmesi. Anatolian J Health Res. 2023;4(3):125-131. doi:10.29228/anatoljhr.72354.
21. Wasserheit JN, Aral SO. The dynamic topology of sexually transmitted disease epidemics: implications for prevention strategies. J Infect Dis. 1996;174(Suppl 2). doi:10.1093/infdis/174.Supplement_2.S201
22. Torre ALD, Dacillo HBB, Babao AD, Batiancila MJQ. Examining the association of sexual health knowledge and sexual attitude of Filipino college students. EIKI JETM. 2024; 2(1).doi:10.59652/jetm.v2i1.152.
23. Centers for Disease Control and Prevention (CDC). Sexually Transmitted Infections Surveillance, 2022. Accessed January 25, 2024. https://www.cdc.gov/sti-statistics/media/pdfs/2024/11/2022-STI-Surveillance-Report-PDF.pdf
24. World Health Organization (WHO). "Sexually Transmitted Infections (STIs)." Accessed January 25, 2024. https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)
25. American Psychological Association (APA). Guidelines for psychological practice with lesbian, gay, and bisexual clients. Am Psychol. 2012;67(1):10-42. doi:10.1037/a0024659.
26. Soto-Fernández I, Fernández-Cézar R, Aguiar Frias AM, et al. Sexual education for university students and the community in a European project: study protocol. BMC Nurs. 2023;22(1):192. doi:10.1186/s12912-023-01350-5.
27. Baldwin-White A. College students and their knowledge and perceptions about sexual assault. Sex Cult. 2021;25(1):58-74. doi:10.1007/s12119-020-09757-x.
28. Haberland NA. The case for addressing gender and power in sexuality and HIV education: a comprehensive review of evaluation studies. Int Perspect Sex Reprod Health. 2015;41(1):31-42. doi:10.1363/4103115.
29. Ross MW, Bayer CR, Shindel A, Coleman E. Evaluating the impact of a medical school cohort sexual health course on knowledge, counseling skills and sexual attitude change. BMC Med Educ. 2021;21(1):1-10.doi:10.1186/s12909-020-02482-x.
30. Guan M. Sexual and reproductive health knowledge, sexual attitudes, and sexual behaviour of university students: findings of a Beijing-based survey in 2010–2011. Arch Public Health. 2021; 79:39. doi:10.1186/s13690-021-00739-5.
31. Vamos CA, Thompson EL, Logan RG, et al. Exploring college students' sexual and reproductive health literacy. J Am Coll Health. 2020;68(1):79-88.doi:10.1080/07448481.2018.1515757.
32. Kashefi F, Bakhtiari A, Pasha H, Amiri FN, Bakouei F. Student attitudes about reproductive health in public universities: a cross-sectional study. Int Q Community Health Educ. 2021;41(2):133-142. doi:10.1177/0272684X2091659.
33. Dağ H, Dönmez S, Şirin A, Kavlak O. University youth reproductive and sexual health knowledge and peer education. J Anatolia Nurs Health Sci. 2012;15(1):10-17.
34. Fortenberry JD. Puberty and adolescent sexuality. Horm Behav. 2013;64(2):280-287.doi:10.1016/j.yhbeh.2013.03.007.