Evaluation of the Effectiveness of Sexual Health Responsibility Education Given to Gypsy Adolescents by University Students Using the Peer Education Method
Yıl 2024,
Sayı: 24, 1245 - 1258, 30.12.2024
Dilek Çelik Eren
,
Özge Öz Yıldırım
,
Ayşe Çal
,
Mehmet Korkmaz
,
İlknur Aydın Avci
Öz
Aim: This study aimed to evaluate the effectiveness of sexual health responsibility education given to gypsy adolescents by university students using the peer education method.
Method: The study has a quasi-experimental non-randomized single group pretest-posttest design. The sample of the study, which was carried out at a university in a city in the Black Sea region and in the Gypsy neighborhood of the same city, consisted of a total of 283 adolescents, including 176 university students and 59 Gypsy adolescents who were trained by 48 volunteer peer educators. The data were collected with the information form and the Sexual Health Knowledge Level Determination Form. The data were evaluated using descriptive statistics and McNemar Worker test in the SPSS 21.0 program.
Results: It was found that after peer education, there was a significant increase in the level of knowledge about talking about sexual health in adolescents, female and male reproductive organs and physiology, paying attention to reproductive health, the purpose and methods of family planning, the effects of early marriage and adolescent pregnancy on health, sexual health-related values, ways of transmission of Sexually Transmitted Diseases and ways of protection.
Conclusion: It was found that sexual health responsibility education given to Gypsy adolescents by university students through peer education method increased the sexual health knowledge of Gypsy adolescents. Adolescents should be prepared for adulthood by gaining sexual health responsibility through the promotion of peer education programs.
Kaynakça
- 1. Ozturk OM. Mental Health and Disorders. Ankara: Nobel Medical Bookstores; 2004.
- 2. Park MJ, Scott JT, Adams SH, et al. Adolescent and young adult health in the United States in the past decade: little improvement and young adults remain worse off than adolescents. J Adolesc Health. 2014;55:3-16. doi: 10.1016/j.jadohealth.2014.04.003.
- 3. Amirkhanian YA, Kelly JA, Kabakchieva E, et al. High-risk sexual behavior, HIV/STD prevalence, and risk predictors in the social networks of young Roma (Gypsy) men in Bulgaria. J Immigr Minor Health. 2013;15:172-181. doi: 10.1007/s10903-012-9596-4.
- 4. Kelly JA, Amirkhanian YA, Kabakchieva E, et al. Gender roles and HIV sexual risk vulnerability of Roma (Gypsies) men and women in Bulgaria and Hungary: an ethnographic study. AIDS Care. 2004;16:231-245. doi: 10.1080/09540120410001641075.
- 5. Tanriverdi G, Unuvar R, Yalcin M, et al. Evaluate Gypsies’ living in Çanakkale according to purnell' cultural Competence Model. Journal of Anatolia Nursing and Health Sciences. 2012;15:244-253.
- 6. UNICEF. Available at: https://data.unicef.org/topic/adolescents/adolescentdemographics/ Accessed 14.04.2020 2017.
- 7. UNDP. 2017 Regional Roma Survey: Quantitative Data Collection of Socio-Economic Position of Marginalised Roma in Western Balkans 2018.
- 8. Taylan H. Early marriage among Romani families in Sakarya. The Journal of Academic Social Science Studies. 2016;11:221-221. doi: 10.9761/JASSS4875.
- 9. Ozkan AR. Marriage among the Gypsies of Turkey. The Social Science Journal. 2006;43:461-470. doi: 10.1016/j.soscij.2006.04.003.
- 10. Gyarmathy VA, Ujhelyi E, Neaigus A. HIV and selected blood-borne and sexually transmitted infections in a predominantly Roma (Gypsy) neighbourhood in Budapest, Hungary: a rapid assessment. Central European Journal of Public Health. 2008;16:124. doi: 10.21101/cejph.a3479.
- 11. Commission E. Roma Health Report Health status of the Roma population. Data collection in the Member States of the European Union; 2014.
- 12. Asci Ö, Gokdemir F, Cicekoglu E. Efficiency of training on reproductive health provided by peer trainers to nursing students. Journal of Health Sciences and Professions. 2016;3:173. doi: 10.17681/hsp.5619.
- 13. Dag H, Dönmez S, Sirin A, et al. University youth reproductive and sexual health knowledge and peer education. Journal of Anatolia Nursing and Health Sciences. 2012;15:10-17.
- 14. Ozturk B, Siyez D. An investigation of the effectiveness of sexual education program for 6th grade students. Ege Journal of Education. 2015;16:30-55.
- 15. Ustundag A. An evaluation of the impact of sexual and reproductive health education on adolescents. Baskent University Journal of Education. 2017;4:1-10.
- 16. Unver V, Akbayrak N. Peer tutoring model in nursing education. Dokuz Eylul University E-Journal of Nursing Faculty. 2013;6:214-217.
- 17. Yasli G, Horasan DG, Bati H. The effectiveness of the peer education program on smoking control among young people. Turkish Journal of Public Health. 2012;10:59-67. ISSN: 1304-1096.
- 18. Bulduk S, Erdogan S. The effects of peer education on reduction of the HIV/sexually transmitted ınfection risk behaviors among Turkish university students. Journal of Association of Nurses in AIDS Care. 2012;23:233-243. doi: 10.1016/j.jana.2011.02.003.
- 19. Ergene T, Cok F, Tumer A, et al. A controlled-study of preventive effects of peer education and singlesession lectures on HIV/AIDS knowledge and attitudes among university students in Turkey. AIDS Educ Prev. 2005;17:268-278. doi: 10.1521/aeap.17.4.268.66533.
- 20. Karaca A, Akkus D, Sener DK. Peer education from the perspective of peer educators. Journal of Child & Adolescent Substance Abuse. 2017;27:76-85. doi: 10.1080/1067828X.2017.1411303.
- 21. Medley A, Kennedy C, O'Reilly K, et al. Effectiveness of peer education interventions for HIV prevention in developing countries: a systematic review and meta-analysis. AIDS Educ Prev. 2009;21:181-206. doi: 10.1521/aeap.2009.21.3.181.
- 22. Nestel D, Kidd J. Peer tutoring in patient-centred interviewing skills: experience of a project for first-year students. Medical Teacher. 2003;25:398-403. doi: 10.1080/0142159031000136752
- 23. Karadag O. Peer Education Educator Education Guide. UN-Europe and Middle Asia Region "Promotion and Protection of Young People's Health" Inter-Institutional Group Peer Education Subcommittee. Ankara: Semih Ofset, 2004.
- 24. Gembries A, Theuke T, Heinemann I. Children by choice? changing values, reproduction, and family planning in the 20th Century: De Gruyter Oldenbourg, 2018.
- 25. Cvorovic J, Vojinovic Z. The effect of social assistance on kin relationships: evidence from Roma communities. Biodemography Soc Biol. 2020;65:16-30. doi: 10.1080/19485565.2019.1681256.
- 26. Guclu S, Elem E, Unutkan A. An intervention to increase sexual health information levels of youth: peer education project. Journal of Research in Education and Teaching. 2015;4:156-162. ISSN: 2146-9199.
Üniversite Öğrencileri Tarafından Akran Eğitimi Yöntemi ile Roman Adölesanlara Verilen Cinsel Sağlık Sorumluluğu Eğitiminin Etkinliğinin Değerlendirilmesi
Yıl 2024,
Sayı: 24, 1245 - 1258, 30.12.2024
Dilek Çelik Eren
,
Özge Öz Yıldırım
,
Ayşe Çal
,
Mehmet Korkmaz
,
İlknur Aydın Avci
Öz
Amaç: Bu çalışmanın amacı üniversite öğrencileri tarafından akran eğitimi yöntemi ile Roman adölesanlara verilen cinsel sağlık sorumluluğu eğitiminin etkinliğinin değerlendirilmesidir.
Yöntem: Araştırma yarı deneysel, randomize olmayan tek grup ön test-son test desenine sahiptir. Karadeniz bölgesinde bulunan bir ildeki bir üniversitede ve aynı ilde ağırlıklı olarak Romanların yaşadığı bir mahallede gerçekleştirilen araştırmanın örneklemini 176 üniversite öğrencisi ve 59 Roman adölesan olmak üzere toplam 283 adölesan oluşturmuştur. Veriler bilgi formu ve Cinsel Sağlık Bilgi Düzeyi Belirleme Formu ile toplanmıştır. Veriler SPSS 21.0 programında tanımlayıcı istatistikler ve McNemar Worker testi kullanılarak değerlendirilmiştir.
Bulgular: Akran eğitimi sonrası adölesanlarda cinsel sağlığı konuşabilme, kadın ve erkek üreme organları ve fizyolojisi, üreme sağlığına ilişkin dikkat edilmesi gerekenler, aile planlamasının amacı ve kullanılan yöntemler, erken evlilik ve adölesan gebeliğin sağlık üzerine etkileri, cinsel sağlıkla ilgili değerler, cinsel yolla bulaşan hastalıkların (CYBH) bulaşma yolları ve korunma önlemleri ile ilgili bilgi düzeylerindeki artışın anlamlı olduğu görülmüştür.
Sonuç: Üniversite öğrencileri tarafından akran eğitimi yöntemi ile Roman adölesanlara verilen cinsel sağlık sorumluluğu eğitiminin Roman adölesanların cinsel sağlık bilgisini artırdığı belirlenmiştir. Akran eğitim programlarının yaygınlaştırılması yoluyla adölesan bireyler cinsel sağlık sorumluluğu kazanmış olarak yetişkinliğe hazırlanmalıdır.
Destekleyen Kurum
Türkiye Aile Sağlığı ve Planlaması Vakfı
Kaynakça
- 1. Ozturk OM. Mental Health and Disorders. Ankara: Nobel Medical Bookstores; 2004.
- 2. Park MJ, Scott JT, Adams SH, et al. Adolescent and young adult health in the United States in the past decade: little improvement and young adults remain worse off than adolescents. J Adolesc Health. 2014;55:3-16. doi: 10.1016/j.jadohealth.2014.04.003.
- 3. Amirkhanian YA, Kelly JA, Kabakchieva E, et al. High-risk sexual behavior, HIV/STD prevalence, and risk predictors in the social networks of young Roma (Gypsy) men in Bulgaria. J Immigr Minor Health. 2013;15:172-181. doi: 10.1007/s10903-012-9596-4.
- 4. Kelly JA, Amirkhanian YA, Kabakchieva E, et al. Gender roles and HIV sexual risk vulnerability of Roma (Gypsies) men and women in Bulgaria and Hungary: an ethnographic study. AIDS Care. 2004;16:231-245. doi: 10.1080/09540120410001641075.
- 5. Tanriverdi G, Unuvar R, Yalcin M, et al. Evaluate Gypsies’ living in Çanakkale according to purnell' cultural Competence Model. Journal of Anatolia Nursing and Health Sciences. 2012;15:244-253.
- 6. UNICEF. Available at: https://data.unicef.org/topic/adolescents/adolescentdemographics/ Accessed 14.04.2020 2017.
- 7. UNDP. 2017 Regional Roma Survey: Quantitative Data Collection of Socio-Economic Position of Marginalised Roma in Western Balkans 2018.
- 8. Taylan H. Early marriage among Romani families in Sakarya. The Journal of Academic Social Science Studies. 2016;11:221-221. doi: 10.9761/JASSS4875.
- 9. Ozkan AR. Marriage among the Gypsies of Turkey. The Social Science Journal. 2006;43:461-470. doi: 10.1016/j.soscij.2006.04.003.
- 10. Gyarmathy VA, Ujhelyi E, Neaigus A. HIV and selected blood-borne and sexually transmitted infections in a predominantly Roma (Gypsy) neighbourhood in Budapest, Hungary: a rapid assessment. Central European Journal of Public Health. 2008;16:124. doi: 10.21101/cejph.a3479.
- 11. Commission E. Roma Health Report Health status of the Roma population. Data collection in the Member States of the European Union; 2014.
- 12. Asci Ö, Gokdemir F, Cicekoglu E. Efficiency of training on reproductive health provided by peer trainers to nursing students. Journal of Health Sciences and Professions. 2016;3:173. doi: 10.17681/hsp.5619.
- 13. Dag H, Dönmez S, Sirin A, et al. University youth reproductive and sexual health knowledge and peer education. Journal of Anatolia Nursing and Health Sciences. 2012;15:10-17.
- 14. Ozturk B, Siyez D. An investigation of the effectiveness of sexual education program for 6th grade students. Ege Journal of Education. 2015;16:30-55.
- 15. Ustundag A. An evaluation of the impact of sexual and reproductive health education on adolescents. Baskent University Journal of Education. 2017;4:1-10.
- 16. Unver V, Akbayrak N. Peer tutoring model in nursing education. Dokuz Eylul University E-Journal of Nursing Faculty. 2013;6:214-217.
- 17. Yasli G, Horasan DG, Bati H. The effectiveness of the peer education program on smoking control among young people. Turkish Journal of Public Health. 2012;10:59-67. ISSN: 1304-1096.
- 18. Bulduk S, Erdogan S. The effects of peer education on reduction of the HIV/sexually transmitted ınfection risk behaviors among Turkish university students. Journal of Association of Nurses in AIDS Care. 2012;23:233-243. doi: 10.1016/j.jana.2011.02.003.
- 19. Ergene T, Cok F, Tumer A, et al. A controlled-study of preventive effects of peer education and singlesession lectures on HIV/AIDS knowledge and attitudes among university students in Turkey. AIDS Educ Prev. 2005;17:268-278. doi: 10.1521/aeap.17.4.268.66533.
- 20. Karaca A, Akkus D, Sener DK. Peer education from the perspective of peer educators. Journal of Child & Adolescent Substance Abuse. 2017;27:76-85. doi: 10.1080/1067828X.2017.1411303.
- 21. Medley A, Kennedy C, O'Reilly K, et al. Effectiveness of peer education interventions for HIV prevention in developing countries: a systematic review and meta-analysis. AIDS Educ Prev. 2009;21:181-206. doi: 10.1521/aeap.2009.21.3.181.
- 22. Nestel D, Kidd J. Peer tutoring in patient-centred interviewing skills: experience of a project for first-year students. Medical Teacher. 2003;25:398-403. doi: 10.1080/0142159031000136752
- 23. Karadag O. Peer Education Educator Education Guide. UN-Europe and Middle Asia Region "Promotion and Protection of Young People's Health" Inter-Institutional Group Peer Education Subcommittee. Ankara: Semih Ofset, 2004.
- 24. Gembries A, Theuke T, Heinemann I. Children by choice? changing values, reproduction, and family planning in the 20th Century: De Gruyter Oldenbourg, 2018.
- 25. Cvorovic J, Vojinovic Z. The effect of social assistance on kin relationships: evidence from Roma communities. Biodemography Soc Biol. 2020;65:16-30. doi: 10.1080/19485565.2019.1681256.
- 26. Guclu S, Elem E, Unutkan A. An intervention to increase sexual health information levels of youth: peer education project. Journal of Research in Education and Teaching. 2015;4:156-162. ISSN: 2146-9199.