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KNOWLEDGE OF FAMILY PLANNING METHODS and FACTORS EFFECTING CONTRACEPTIVE KNOWLEDGE OF TURKISH ADOLESCENTS. Set T, Dagdeviren N, Eker E, Cakmak H, Tunc Z, Kilicarslan S. Akt ü rk Z, Da ğ deviren N, Set T. Sexual behaviors are changing !. Background. Population of Turkey: 73 million.
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KNOWLEDGE OF FAMILY PLANNING METHODS and FACTORS EFFECTING CONTRACEPTIVE KNOWLEDGE OF TURKISH ADOLESCENTS Set T, Dagdeviren N, Eker E, Cakmak H, Tunc Z, Kilicarslan S Aktürk Z, Dağdeviren N, Set T / 29
Background • Population of Turkey: 73 million Republıc of Turkey, Prıme Mınıstry State Instıtute Of Statıstıcs. http://nkg.die.gov.tr/goster.asp?aile=1 / 29
50% of the Turkish population is below 25 y. UNFPA Turkey. http://www.un.org.tr/unfpa_tur/populationdynamics1turkey.asp / 29
3 % of females and • 6 % of males have higher education The Turkish Higher Education Council. http://www.yok.gov.tr. / 29
Limited place for sexual education in the current high school education • Only reproductive health issues… Akın A, Özvarış ŞB. Factors effecting the sexual health of adolescents. Ankara, 2004. / 29
Sexual issues are even not discussed in the families • More than 80 % of university students do not talk about sex with their parents Akın A, Özvarış ŞB. Factors effecting the sexual health of adolescents. Ankara, 2004. / 29
Knowledge of youth on family planning and sexuality is limited • 10% of university students dont have any idea of STI’s • 44,5% do not use any protection against STI’s Dağdeviren N et al. The sources of knowledge of the Turkish teenages about sexual issues: how reliable are they?, 2001 / 29
Hypotheses • Contraceptive knowledge is limited among university students • Sexual knowledge changes with; • gender, • marital status • time, • geographical origin • learning background / 29
Methods • Questionnaire study • Subjects: students applying for higher education at Trakya University between 2001-2004 • Population size: 33.547 • Sample: 2001: 3.697/8.906 (41,5%), 2002: 3.988/7.099 (56,2%), 2003: 5.310/8.596 (61,8%), 2004: 3.763/8.946 (42,1%); • Total: 17.634 (52.5 %) / 29
Variables • Dependent variables: • Having received any sexual education • The source of education? • Knowing at least one contraceptive method • Independent variables: • Study year • Gender • Geographical origin • Applied program • Marital status / 29
Results • Age: 18,55 ± 1,57 years • Male/Female = 8859/7899 (52,9%/47,1%) • 65.5 % received sexual education • Boys:5476/8346 65,6 %, • Girls:4797/7429 64,6 % (p<0,05) / 29
Knowing at least one contraceptive method (modern or traditional) • 2592/15030 17,1 % • Girls 1264/6921 18,3 % • Boys 1328/8109 16,4 % (p=0,002) / 29
Contraceptive Knowledge • Knowledge changes with geographic origin (p<0,001) • Foreigner 42/294 14,3 % • Black see 302/1987 15,2 % • East 124/915 13,6 % • South east 31/190 16,3 % • Middle 174/916 19,0 % • Mediterranean 75/365 20,5 % • Aegean 170/615 27,6 % • Marmara 1448/8232 17,6 % / 29
Contraceptive Knowledge 14,3% 17,6% 15,2% 13,6% 19,0% 16,3% 27,6% 20,5% / 29
Having received sexual education (self report) • Education increases with time • 2001: 33.7 %, • 2002: 45.0 %, • 2003: 85.8%, • 2004: 86.1% (p <0,001). / 29
Sexual education changes with regard to the applied licence programmes(p <0.001) / 29
Contraceptive knowledge changes with applied program (p<0,001) • Applied program • 2-year 1428/9560 14,9 % • 4-year 985/4604 21,4 % • Medical faculty 114/309 36,9 % / 29
Contraceptive knowledge changes with marriage (p=0,012) % / 29
49,0% 59,9% 67,3% 57,2% 58,8% 59,5% 55,1% 59,4% / 29
Discussion • This study confirms the previous ones in demonstrating the insufficiency of sexual education of Turkish youths. • Canada: 95% of university-aged females have received information for OC[Doctors (82%), pamphlets (46%), friends (36%)] Paula C. Fletcher et al. Contraception 2001; 63:229–233 / 29
Young people try to get more sexual knowledge with time butprofessionals can not act as the primary resource. • Students applying for medical education are more knowledged and they use more reliable resources. / 29
Regional differences in sexual knowledge can be attributed to the sociocultural differences. • Priority should be given especially to eastern regions in planning sexual education. / 29