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    An intervention study to assess knowledge and attitude about reproductive health among Turkish Armed Forces
    (Pakistan Medical Association, 2016) Kokcu, Alper Tunga; Sayligil, Omur
    Objective: To evaluate the influence of reproductive health training given in Turkish Armed Forces on recruits' knowledge. Methods: This interventional study was conducted at the Basic Military Training Centre, Kutahya, Turkey, from September to October 2009, and comprised recruits of armed forces. Data was collected and assessed before and after the training sessions. The intervention programme consisted of education focusing on anatomy of the reproductive system, contraceptive methods, sexually transmitted infections, responsible parenthood, gender and violence against women. A knowledge evaluation form of 25 true-false questions and an attitude scale of 20 Likert-type items were used to collect data. SPSS 15 was used to analyse data. Results: Of the 1,218 forms distributed, 1,109(91%) were returned duly filled. The overall mean age of the participants was 20.8±1.8 years (range: 20-30 years). The knowledge score mean was 66.57±12.28 before the training, and increased to 80.89±12.66 after the training with an increase of 14.32% (p<0.001). The attitude score mean was 3.72±0.45 before the training and increased to 3.95±0.49 after the training with an increase of 5.75% (p<0.001). Conclusion: The reproductive health training increased knowledge level of recruits in a military setting. © 2016, Pakistan Medical Association. All rights reserved.
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    Öğe
    General practitioners' approach to malingering in basic military training centres
    (Bmj Publishing Group, 2017) Kokcu, Alper Tunga; Kurt, E.
    Objectives Malingering can be defined as the abuse of the right to benefit from the health services. In this study, the frequency of the malingering cases in Basic Military Training Centres (BMTCs) and the behaviours and the attitudes of the military physicians towards the recruits who are suspected malingerers were described. Method A total of 17 general practitioners in nine different BMTCs in different regions of Turkey constitute the universe of this descriptive study. In the questionnaire, there were a total of 30 questions about the descriptive characteristics of the participants and their attitudes and behaviours towards malingering. Informed consent form and a questionnaire were applied through the intranet via participants' emails. In the study, 15 physicians were reached with a response rate of 88.2%. Results All of the physicians suspected malingering in some of the soldiers who were examined. A total of 80% of the physicians (n= 12) suspected malingering in at least 10% of the patients they examined. Only 13.3% of the physicians (n= 2) had officially diagnosed a case of malingering in the last training period. All of the participants stated that they did not report the official decision for every soldier suspected of malingering. Instead of reporting official decision for malingering, the military physicians apply alternative procedures for suspected malingerers. Conclusions In countries where the military service is compulsory, prevalence of malingering is estimated to be higher (approximately 5-25%). The problem of malingering is often underestimated due to the fact it is usually overlooked. Malingering remains a problem for the entire military healthcare system, due to the difficulties in exact diagnosis. Therefore, it can be useful to take some practical administrative measures for the soldiers who are prone to malingering, in order to discourage the behaviour.