Toumi Dhekra, Mohamed Chayma Cheikh, Dhouib Wafa, Ghaddab Imen, Zouari Ines, Medemagh Malak, Mohamed Khaoula Ben, Belghaieb Ichrak, Farhat Imen Ben, Zoukar Olfa, Bergaoui Haifa, Faleh Raja
Department of Gynecology, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.
Department of Epidemiology and Preventive Medicine, University of Monastir, Monastir, Tunisia.
BMC Public Health. 2025 Sep 24;25(1):3072. doi: 10.1186/s12889-025-23030-6.
In today's post-revolution era, with demographic, cultural, and social changes, Tunisian society is witnessing several transformations: There's a rise in young single mothers and early sexual activity. A quarter of the population comprises young Tunisians who struggle with limited access to education and healthcare. Only 19.1% know how to prevent Sexually Transmitted Diseases (STDs), and 16% lack access to contraception. This insufficient sexual health knowledge exposes them to risks such as STDs, unintended teenage pregnancies, unsafe abortions, infertility, and even death. This study aims to assess young Tunisians' understanding of contraception, sexual behavior, information-seeking methods, and STD prevention.
A cross-sectional survey involving 100 high school students aged 15-18 was conducted from February to March 2022. It gathered information on their knowledge of contraceptives, sexual health, experiences, and access to services and products. The survey used hard-copy questionnaires. All statistical analyses were performed using SPSS (Statistical Package for the Social Sciences) software, version 26.0 IBM.
A total of 100 participants were included, with a sex ratio of 0.92. most of them (35%) were 18 years old. Results showed that the majority (86%) of the students confirmed that they had not received any courses on contraception. Most students, 84%, said they obtained information about contraceptive methods from websites, while 63% mentioned friends as their source. The majority of participants, 62%, reported not using contraception, while 15% had used methods like condoms or withdrawal before. Both genders were mostly aware of the pill (89%) and male condom (85%) as common contraceptive methods. Over two-thirds of the participants stated that the male condom was the contraceptive method effective in preventing STD.
The majority of the adolescents displayed misconceptions regarding contraceptive methods and the prevention of STDs. The use of these methods remains significantly restricted. This study emphasizes the importance of increasing awareness of sexual health among adolescents. It recommends establishing accessible centers offering comprehensive services and guidance on contraception, sexuality, and pregnancy planning.
在当今的后革命时代，随着人口、文化和社会的变化，突尼斯社会正在经历诸多变革：年轻单身母亲的数量有所增加，且存在过早性行为的现象。四分之一的人口是年轻的突尼斯人，他们在获取教育和医疗保健方面面临困难。只有19.1%的人知道如何预防性传播疾病（STD），16%的人无法获得避孕措施。这种性健康知识的不足使他们面临诸如性传播疾病、意外少女怀孕、不安全堕胎、不孕甚至死亡等风险。本研究旨在评估突尼斯年轻人对避孕、性行为、信息获取方式以及性传播疾病预防的理解。
2022年2月至3月对100名年龄在15 - 18岁的高中生进行了横断面调查。收集了他们关于避孕知识、性健康、经历以及获取服务和产品情况的信息。调查使用纸质问卷。所有统计分析均使用IBM SPSS（社会科学统计软件包）26.0版软件进行。
共纳入100名参与者，性别比为0.92。其中大多数（35%）为18岁。结果显示，大多数（86%）学生确认他们没有接受过任何避孕课程。大多数学生（84%）表示他们从网站获取避孕方法的信息，63%提到从朋友处获取信息。大多数参与者（62%）报告未使用避孕措施，而15%之前使用过避孕套或体外射精等方法。两性大多知晓避孕药（89%）和男用避孕套（85%）是常见的避孕方法。超过三分之二的参与者表示男用避孕套是预防性传播疾病有效的避孕方法。
大多数青少年对避孕方法和性传播疾病的预防存在误解。这些方法的使用仍然受到显著限制。本研究强调了提高青少年性健康意识的重要性。建议设立可提供避孕、性健康和妊娠规划综合服务及指导的便利中心。
