11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 29 1 KNOWLEDGE OF FAMILY PLANNING METHODS

/ 29111th Conference of the European Society of General Practice/Family Medicine3-7 September 2005, Kos, Greece

KNOWLEDGE OF FAMILY PLANNING KNOWLEDGE OF FAMILY PLANNING METHODSMETHODS

andand

FACTORS EFFECTING FACTORS EFFECTING

CONTRACEPTIVE KNOWLEDGE OF CONTRACEPTIVE KNOWLEDGE OF

TURKISH ADOLESCENTSTURKISH ADOLESCENTS Aktürk Z, Dağdeviren N, Set T

Set T, Dagdeviren N, Eker E, Cakmak H, Tunc Z, Kilicarslan S


Sexual behaviors are changing !


Background

• Population of Turkey: 73 million

65,0

65,5

66,0

66,5

67,0

67,5

68,0

68,5

69,0

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003

Year

Po

pu

lati

on

(m

illi

on

)

Republıc of Turkey, Prıme Mınıstry State Instıtute Of Statıstıcs. http://nkg.die.gov.tr/goster.asp?aile=1


UNFPA Turkey. http://www.un.org.tr/unfpa_tur/populationdynamics1turkey.asp

• 50% of the Turkish population is below 25 y.


• 3 % of females and

• 6 % of males have higher education

The Turkish Higher Education Council. http://www.yok.gov.tr.


• 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.


• 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.


• 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


Hypotheses

1. Contraceptive knowledge is limited among university students

2. Sexual knowledge changes with; a. gender,

b. marital status

c. time,

d. geographical origin

e. learning background


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 %)


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


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)


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)


Most commonly known contraceptives

39,9

37

14

3,3 2,31,4 1,2 0,8

0

5

10

15

20

25

30

35

40

%

OC

pil l

Co

ndo

m

IUD

Inje

cta

ble

Sur

gica

l

Co

itus

int.

Ryt

hm

Dia

phra

gm


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 %


Contraceptive Knowledge14,3%

15,2%

13,6%

16,3%

20,5%

19,0%

27,6%

17,6%


Contraceptive knowledge decreases with time (p <0,001)

23,7

13,5

19,1

12,4

0

5

10

15

20

25

2001 2002 2003 2004


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).

33,745

85,8 86,1

0

10

20

30

40

50

60

70

80

90

2001 2002 2003 2004


• Sexual education changes with regard to the applied licence programmes (p <0.001)

%

63,1

68,3 68,5

60

61

62

63

64

65

66

67

68

69

Two-year program Four-year program Medical faculty


Resources for Sexual Education

48,8

35,1

12,3

26,1

17,5

1,3

36,7

25,4

10,5

31,1

20,7

9,7

0

10

20

30

40

50

60

School Family Healthprofes.

Media Peers Eroticmedia

Girls (%) Boys (%)



65,7

43,9

11,7

21,217,7

7,5

69,6

40,1

9,1

24,1

11,2

3

29,8

23,2

9

30,2

19,4

6

39,2

29,4

8,5

31

22,6

6,4

0

10

20

30

40

50

60

70

80

School Family Healthprofes.

Media Peers Eroticmedia

2001 2002 2003 2004



41,1

27,3

11,8

26,2

18,3

6,3

44,6

33,9

10,2

32,6

20,1

4,8

47,6 46,3

16,7

38,4

24

3,1

0

5

10

15

20

25

30

35

40

45

50

School Family Health profes. Media Peers Erotic media

2-Year 4-Year Medicine


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 %

14,9

21,4

36,9

0

5

10

15

20

25

30

35

40

2-Year 4-Year Medicine


Contraceptive knowledge changes with marriage (p=0,012)

%

26,6

73,4

17,4

82,6

0

20

40

60

80

100

married single

Knows Does not know

%


• Education changes with geographic origin (p <0.001)

49

59,9 57,2 55,158,8 59,4 59,5

67,3

0

10

20

30

40

50

60

70

80

Foreigh

ner

Black

see

East

South

eas

t

Midd

le

Med

iterra

nean

Aegea

n

Mar

mara


49,0%

59,9%

57,2%

55,1%

59,4%

58,8%59,5%

67,3%


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


• Young people try to get more sexual knowledge with time but professionals can not act as the primary resource.

• Students applying for medical education are more knowledged and they use more reliable resources.


• Regional differences in sexual knowledge can be attributed to the sociocultural differences.

• Priority should be given especially to eastern regions in planning sexual education.

Documents

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 29 1 KNOWLEDGE OF FAMILY PLANNING METHODS