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大学生生殖健康与性行为评估:来自伊斯坦布尔的案例研究

Evaluation of reproductive health and sexual behaviors of university students: case study from Istanbul.

作者信息

Rathfisch Gulay, Aydin Merve, Pehlivan Meral Dereli, Bozurt Begum Sivik, Kaplica Isil

机构信息

Florence Nightingale School of Nursing, Istanbul University, Istanbul, Turkey.

出版信息

Contemp Nurse. 2012 Dec;43(1):47-55. doi: 10.5172/conu.2012.43.1.47.

DOI:10.5172/conu.2012.43.1.47
PMID:23343232
Abstract

BACKGROUND

Young people are affected to a higher extent by early and unprotected sexual relations in Turkey. They do not have healthy sexual attitudes, are ignorant about reproductive health and engage in risky practices and behavior. It is therefore necessary to provide effective and confidential reproductive health services to young people.

OBJECTIVE

This study was designed to evaluate the reproductive health behaviors of male and female university students.

METHODS

This descriptive study was conducted between January and May 2008. The study population was composed of university students from Istanbul University, Florence Nightingale Nursing High School, Faculty of Forestry and Department of Science Teachers' Training, as well as students residing at the Students Dormitory of the Regional Directory of Forestry. Questionnaires were distributed in envelopes during the breaks in the university buildings, cafeterias and in the dormitories. Completed questionnaires were also collected under cover in envelopes. The data were collected by four students from the nursing school.

RESULTS

A total of 647 students were enrolled. Among the participants, 75% (N = 490) were female students and 24.3% (N = 157) were male students. The mean age was 21.38 (SD = 1.92). The rate of sexually active participants was 26% (N = 169) and the rate of participants who masturbated was 36% (N = 233). The rate of using a family planning method was determined as 25% (N = 163) and the most frequently used family planning method was use of condoms (67.4%). The rate of pregnancy was determined as 1.5% and the rate of abortion was 1.4%. In 69% of the students, the main source of knowledge on sexuality was the internet. The rate of students stating that sexually transmitted diseases are transmitted by sexual intercourse and via blood was 72.6%, and the percentage of students who were vaccinated against Hepatitis B was 61.8%.

CONCLUSION

Twenty-six percent of the students are sexually active and students are unable to reach information on reproduction and sexual health through reliable sources. These results indicate the need for organization of health education programs for university students with regard to reproductive and sexual health.

摘要

背景

在土耳其,年轻人更容易受到过早及无保护性行为的影响。他们没有健康的性观念,对生殖健康知识匮乏,且有危险行为。因此,有必要为年轻人提供有效且保密的生殖健康服务。

目的

本研究旨在评估男女大学生的生殖健康行为。

方法

这项描述性研究于2008年1月至5月进行。研究对象包括来自伊斯坦布尔大学、弗洛伦斯·南丁格尔护理高中、林业学院和理科教师培训系的大学生,以及居住在林业区域管理局学生宿舍的学生。问卷在大学教学楼课间休息时、食堂和宿舍以信封形式发放。填写好的问卷也在信封掩护下收集。数据由四名护理学校学生收集。

结果

共招募了647名学生。参与者中,75%(N = 490)为女生,24.3%(N = 157)为男生。平均年龄为21.38岁(标准差 = 1.92)。有性行为的参与者比例为26%(N = 169),自慰的参与者比例为36%(N = 233)。使用计划生育方法的比例为25%(N = 163),最常用的计划生育方法是使用避孕套(67.4%)。怀孕率为1.5%,流产率为1.4%。69%的学生获取性知识的主要来源是互联网。表示性传播疾病通过性交和血液传播的学生比例为72.6%,接种乙肝疫苗的学生比例为61.8%。

结论

26%的学生有性行为,且学生无法通过可靠渠道获取生殖和性健康信息。这些结果表明有必要为大学生组织关于生殖和性健康的健康教育项目。

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