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A GROUP OF MALE STUDENTS’ APPROACH TOWARDS UNWANTED PREGNANCIES?. Aslan D*, Akın A* , Saka G**. *Hacettepe University, Faculty of Medicine, Department of Public Health **Dicle University, Faculty of Medicine, Department of Public Health.
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A GROUP OF MALE STUDENTS’ APPROACH TOWARDS UNWANTED PREGNANCIES? Aslan D*, Akın A*, Saka G**. *Hacettepe University, Faculty of Medicine, Department of Public Health **Dicle University, Faculty of Medicine, Department of Public Health
This project was supported by World Health Organization (WHO/HRP) project number: A05153 “Situation of and Influencing Factors on Sexual and Reproductive Health of Adolescents in Turkey”
Background-1 • Unsafe abortion is a serious public health problem and one of the major causes of preventable maternal deaths1 • It is typically males who are the key decision-makers on the timing of sexual activity and contraceptive usage2 • Studies from several countries showed that significant percent of sexually active adolescent boys reported causing pregnancy3
Background-2 • Contradiction between men’s refusal to take responsibility for contraception is a key factor for unwanted pregnancies4 • People are usually quite aware of medical risks of abortion5 • Socio-cultural teaching of gender roles of the communities has influence on the sexual behaviors of the individuals 5
Objective: • to determine the first grade male students’ approach towards unwanted pregnancy.
Study design and sample-1 • The study was carried out in 2001-2002 in two cities (Ankara, Diyarbakır).
Study design and sample-2 • The first year students of Hacettepe University Beytepe Campus (Ankara) and Dicle University Campus (Diyarbakır) composed the research group. • Qualitative and quantitative research methods were used. • Qualitative part was conducted to form the questionnaire.
Study design and sample-3 • The study population for quantitative researchwas 2179 in Hacettepe University and 2163 in Diyarbakır Dicle University. The response rates were 82.1% (Hacettepe) and 86.8% (Dicle). • 718 male students at Hacettepe University (HU) and 1185male students at Dicle University (DU) were surveyed.
Table1.Sex and age group of the students (HU, DU, May- 2001) *14 students at HU and 39 students at DU did not report age.
Table2.Selected characteristics of the male students (HU, DU, May- 2001)
Table 3.Selected characteristics of the male students (HU, DU, May- 2001)
Table 4.Sexual experinces of the male students (HU, DU, May- 2001)
Table 5.Thoughts of the male students’ about unwanted pregnancy (HU, DU, May- 2001)
Conclusion • Different approaches with regard to “unwanted pregnancy” observed between the two universities. • Cultural factors might have influenced students’ perceptions and behaviors. • Although there were differences, the males’ perspectives in both universities about unwanted pregnancy need to be improved. • Acccess to sexual education is evidently the most effective means against unwanted pregnancy. • Young male population should be reached for their S/RH education
Recommendation • Acccess to sexual education is evidently the most effective means against unwanted pregnancy5. • For this reason, this opportunity should be provided to the students for favourable changes in their behaviors and attitudes related to unwanted pregnancy.
What has been done after the study? • Youth Counselling Units were established at two universities... • These units provide counseling and clinical services on sexual and reproductive health for the students... • Some other in-depth studies have been carried out to find the ways how to increase “male involvement in RH”
The Authors thanks to the other members of our study team: Prof. Şevkat Bahar-Özvarış Assoc. Prof. Melikşah Ertem Assoc. Prof. Nalan Şahin-Hodoğlugil Çiğdem Esin Kezban Çelik
Selected references • Faundes A, Duarte GA, Neto JA, Souse MH. The Closer You Are, the Better You Understand: The Reaction of Brazilian Obstetrician-Gynaecologists to Unwanted Pregnancy. Reproductive Health Matters 2004; 12 (24 Supp): 47-56. • Nzoika C. Perspectives of Adolescent Boys on the Risk of Unwanted Pregnancy and Sexually Transmitted Infections: Kenya. Reproductive Health Matters 2001; 9 (17): 108-117. • Erulkar AS, Karueru JPM, Kaggwa G et al. Adolescent Experiences and Lifestyles in Central Province, Kenya. New York, Population Council. • Yang X, Yukun H, LiJunB, Xiuhua J. Determinants of Unwanted Pregnancy and Abortion in Beijing, China. Reproductive Health Matters 1995; 3 (5): 95-103. • Berglund S, Liljestrand J, Marin FDM, Salgado N, Zeleya E. The Background of Adolescent Pregnancies in Nicaragua: A Qualitative Approach. Soc. Sci Med 1997; 44(1): 1-12.
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