Aktif Dinleme - Iletisim Kursu, Kirikkale - Ocak 2005

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FACTORS EFFECTING CONTRACEPTIVE KNOWLEDGE OF
TURKISH ADOLESCENTS
Aktürk Z, Dagdeviren N, Set T
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Background

• Population of Turkey 73 million

Republic of Turkey, Prime Ministry State
Institute Of Statistics. http//nkg.die.gov.tr/gos
ter.asp?aile1
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• 50 of the Turkish population is below 25 y.

UNFPA Turkey. http//www.un.org.tr/unfpa_tur/popul
ationdynamics1turkey.asp
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• 3 of females and
• 6 of males have higher education

The Turkish Higher Education Council.
http//www.yok.gov.tr.
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• Limited place for sexual education in the current
  undergraduate education
• Only reproductive health issues

Akin A, Özvaris SB. Factors effecting the sexual
health of adolescents. Ankara, 2004.
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• Sexual issues are even not discussed in the
  families
• More than 80 of university students do not talk
  about sex with their parents

Akin A, Özvaris SB. Factors effecting the sexual
health of adolescents. Ankara, 2004.
7

• Knowledge of youth on family planning and
  sexuality is limited

Dagdeviren N et al. The sources of knowledge of
the Turkish teenages about sexual issues how
reliable are they?, 2001
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Hypotheses

• Contraceptive knowledge is limited among
  university students
• Sexual knowledge changes with
• gender,
• time,
• geographical origin
• learning background

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Methods

• Questionnaire study
• Subjects students applying for higher education
• Population size 33.547
• Sample 2001 8.906, 2002 7.099, 2003
  8.596, 20048.946
• Total 17.634 (52.5 )

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Variables

• Independent variables
• Study year
• Gender
• Geographical origin
• Applied program
• Dependent variables
• Having received any sexual education
• The source of education?
• Knowing at least one contraceptive method

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Results

• 65.5 of the adolescents received sexual
  education
• Boys 5476/8346 65,6 ,
• Girls 4797/7429 64,6 (plt0,05)

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• Education increases with time
• 2001 33.7 ,
• 2002 45.0 ,
• 2003 85.8,
• 2004 86.1 (p lt0,001).

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• Education changes with geographic origin (p
  lt0.001)

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49,0
67,3
59,9
57,2
58,8
59,5
55,1
59,4
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• Sexual education changes with regard to the
  applied licence programmes (p lt0.001)

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Resources for Sexual Education
Source Girls () Boys ()
School 48,8 36,7
Family 35,1 25,4
Health professional 12,3 10,5
Media (TV, newspaper) 26,1 31,1
Peers 17,5 20,7
Erotic media 1,3 9,7
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Resources for Sexual Education
Source 2001 2002 2003 2004
School 65,7 69,6 29,8 39,2
Family 43,9 40,1 23,2 29,4
Health professional 31,7 9,1 9,0 8,5
Media (TV, newspaper) 21,2 24,1 30,2 31,0
Peers 17,7 11,2 19,4 22,6
Erotic media 7,5 3,0 6,0 6,4
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Source Foreign Black S. East SouthE Middle Medit. Aegean Marm.
School 54,9 47,9 48,6 50,4 49,1 42,8 52,8 40,9
Family 34,1 31,5 27,6 29,3 34,5 34,8 34,9 30,1
Health p 16,6 11,6 10,9 13,8 15,1 17,2 16,3 10,7
Media 21,7 26,7 28,3 30,1 25,0 30,4 26,7 29,8
Peers 22,9 17,7 15,9 14,6 16,0 18,0 21,1 19,5
Erotic 3,4 5,8 3,6 ,8 4,4 3,2 5,3 5,8
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Knowing at least one contraceptive method (modern
or traditional)

• Gender
• Girls 1264/6921 18,3
• Boys 1328/8109 16,4 (p0,002)
• Study year
• 2001 826/3484 23,7
• 2002 538/3988 13,5
• 2003 804/4200 19,1
• 2004 465/3752 12,4 (plt0,001)

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Contraceptive Knowledge

• Geographic origin (plt0,001)
• 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

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Contraceptive Knowledge
14,3
17,6
15,2
13,6
19,0
27,6
16,3
20,5
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• Applied program
• 2-year 1428/9560 14,9
• 4-year 985/4604 21,4
• Medical faculty 114/309 36,9

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Discussion

• This study confirms the previous ones in
  demonstrating the insufficiency of sexual
  education of adolescents.
• However, the level of education is increasing
  each year.
• Regional differences in sexual knowledge should
  be attributed to the sociocultural differences in
  Turkey.

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• Priority should be given especially to eastern
  provinces.