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Öğe The Development of the Sexual Health Literacy Scale(Springer, 2025) Ölmez Yalazı, Rüveyda; Arslan Tarus, Hamide; Gündüz, Ceyda Su; Demirci, NurdanThe objective of this study is to develop a Sexual Health Literacy Scale with the purpose of evaluating individual levels of sexual health literacy.The scale items were constructed through an extensive literature review and expert evaluation.An online survey was conducted in which 333 participants rated 33 items on a 5-point Likert scale.An exploratory factor analysis was performed to establish the initial structure of the scale, followed by a confirmatory factor analysis to test the model's fit. The results of the study identified four factors with high reliability: evaluating sexual health information, using and applying sexual health information, contacting an organisation about sexual health, and understanding sexual health information.The confirmatory factor analysis confirmed the model's good fit, thus validating the Sexual Health Literacy Scale as a statistically and theoretically sound tool for measuring individual sexual health literacy levels.Further testing is needed to evaluate the validity and reliability of the scale and to determine the appropriateness of its use in other populations.Öğe Evaluation of the Effectiveness of Sexual and Reproductive Health Education Given to University Students: A Randomized Controlled Trial(Routledge Journals, Taylor & Francis Ltd, 2025) Öz, Tuğba; Arslan Tarus, Hamide; Ölmez Yalazı, Rüveyda; Demirci, NurdanObjectivesYoung people in the university period, known as the transition phase from adolescence to adulthood, are at serious risk in terms of risky sexual behaviors (first sexual intercourse, use of contraceptives, sexually transmitted infections, unwanted pregnancy, maternal mortality, sexual violence). The fact that young people actively use social media and have not received adequate sexual and reproductive health education until the university period is an indication that they are a risky group in terms of sexual and reproductive health when they enter university. It is difficult to access accurate, complete and effective information through digital means, both on social media and other platforms. This study was conducted to evaluate the effectiveness of sexual and reproductive health education methods given to university students. MethodA randomized controlled study was conducted with 165 students at a state university in Istanbul between May and July 2022. In the implementation phase of the study, the students were divided into three different groups: 55 students received QR code-supported face-to-face training (intervention group 1), 55 students received face-to-face training (intervention group 2), and 55 students received on-line training (control group). ResultsThe mean age of the students was 21.6 +/- 1.87 and 66.7% of them were female. When the effect of education in the groups was examined, it was determined that there was a significant difference between the pretest and post-test of the sexual health knowledge test, QR code supported face-to-face, on-line and face-to-face groups. The level of participation in the statements related to education also differed significantly according to the groups (p < .05). ConclusionsThe post-test mean of the Sexual Health Knowledge test was significantly higher than the pretest mean. There was no significant difference in the pre-training and post-training means of the Reproductive Health Scale. The level of participation of the QR code-supported face-to-face group and the face-to-face group to the statements related to education is significantly higher than the on-line group. In our study, it was concluded that students were more interactive and more comfortable in the face-to-face education model.Öğe The relationship between loneliness perception and breastfeeding self-efficacy and breastfeeding behaviors in mothers(Wiley, 2025) Demir, Rukiye; Kaya Odabaş, Resmiye; Taşpınar, AytenBackground Breast milk and breastfeeding affect the health of the child, the mother, and indirectly the public. Therefore, it is important to determine the breastfeeding self-efficacy of mothers, breastfeeding behaviors, and the factors affecting them, and to eliminate the factors that negatively affect breastfeeding. Aim The study was conducted to examine the relationship between the perception of loneliness in mothers and breastfeeding self-efficacy and breastfeeding behaviors. Methods This descriptive and correlational study was conducted in Turkey between March and November 2024 with 382 mothers (n = 382). The data were collected using the Descriptive Information Form, Breastfeeding Self-Efficacy Scale (BSES), and Social and Emotional Loneliness Scale (SELSA-S). Results The mean total score of the mothers in the study was 43.72 +/- 11.13 and the mean total score of SELSA-S was 59.67 +/- 13.25. In the study, it was found that those who were university graduates, were employed, received education about breastfeeding, were currently breastfeeding, as well as those who exclusively breastfed for the first 6 months, received spousal support while breastfeeding, had statistically significantly higher mean total scores on the BSES and lower mean total scores on the SELSA-S than the others. Additionally, receiving general social support and specifically from their spouses also contributed to these higher scores. In addition, a high-level negative linear relationship was found between the BSES and SELSA-S total and sub-dimensions (p < 0.001). Conclusions It was concluded that the perception of social and emotional loneliness negatively affected breastfeeding self-efficacy and some breastfeeding behaviors in mothers with infants aged 0-24 months.Öğe The relationship of marital adjustment with mothers' postpartum comfort and adjustment to the postpartum period in Turkiye: A cross-sectional study(John Wiley and Sons Inc, 2025) Demir, Rukiye; Akçar, PelinAim: The aim of this study is to examine the relationship between marital adjustment and mothers' postpartum comfort and adjustment to the postpartum period in Turkiye. Methods: The cross-sectional study was conducted in a public hospital in Turkey between October 2023 and 2024. The population of the study consisted of women who gave birth in this hospital between the dates of the study, and the sample consisted of 200 women (n = 200). The data were collected through face-to-face interviews using the personal information form, marital adjustment scale, postpartum comfort scale, and postpartum self-assessment scale. Results: The mean total score of the mothers who participated in the study was 41.78 ± 7.96 on the Marital Adjustment Scale [MAS], 174.08 ± 11.80 on the Postpartum Comfort Scale (PCS), and 100.12 ± 3.62 on the Postpartum Self-Assessment Scale. It was determined that the mean total scores of the mothers with high mean total scores on the MAS were higher (186.06 ± 7.53 and 129.28 ± 5.38, respectively) than those with low mean total scores on the MAS (154.16 ± 10.83 and 96.28 ± 3.62, respectively) (p < 0.05). A strong positive correlation was found between the mothers' MAS and PCS and PSAS (r = 0.542, p = 0.000 and r = 0.234, p = 0.021, respectively). Conclusion: In the study, it was concluded that marital adjustment increased the postpartum comfort level of mothers and their adaptation to this period. © 2025 Japan Society of Obstetrics and Gynecology.Öğe Investigation into the Relationship Between Women's Thoughts, Stigmatizing Attitudes, Beliefs, and Behaviors on Voluntary Abortion and Spiritual Well-Being in Turkiye(Sage Publications Inc, 2024) Demir, Rukiye; Odabaş, Resmiye KayaIntroduction: Although abortion can be implemented within the framework of legal rules and practices, the issue of abortion in socio-cultural, philosophical, and religious terms is one of the crucial issues that has been discussed since the existence of humanity. This study aims to examine the relationship between women's thoughts on voluntary abortion, their stigmatizing attitudes, beliefs, behaviors, and their spiritual well-being in Turkiye. Method: The sample of this analytical-cross-sectional study consisted of 300 women between the ages of 18 to 49 who had a telephone. Data were collected with the Questionnaire Form, Functional Assessment of Chronic Illness Therapy Spirituality Well-Being (FACIT-Sp), and the Stigmatizing Attitudes, Beliefs and Actions Scale Toward Abortion (SABAS).Results: The findings showed that 30.3% of the women participating in this study had voluntary abortions. The FACIT-Sp total score of women who had voluntary abortion (12.58 +/- 7.99) was significantly lower than those who did not have an abortion (29.02 +/- 6.36), and the SABAS total score was not associated with having a voluntary abortion. A weak, positive linear relationship was found between FACIT-Sp and SABAS total scores (r = .115, p < .05). Discussion: Study findings showed that there was a significant relationship between having had a voluntary abortion and a lower spiritual well-being score and there was a positive relationship between spiritual well-being and stigmatizing attitudes, beliefs, and behaviors toward abortion.Öğe The relationship between orthorexia nervosa and cyberchondria levels in nurses: A cross-sectional study*(W.B. Saunders, 2024) Cangöl Söğüt, Seda; Atsizata, MervePurpose: The study was conducted with the aim of investigating the relationship between orthorexia nervosa and cyberchondria levels among nurses. Methods: This cross-sectional study was conducted with 399 nurses through face-to-face interviews. The data were collected using a participant information form, the Cyberchondria Severity Scale, and the Orthorexia Nervosa-11 scale (ORTO-11). Results: The mean score of the nurses' cyberchondria severity scale was 73.95 ± 18.53, while the mean score of the Orthorexia Nervosa-11 scale was 28.23 ± 4.76. In the study, a low negative correlation was found between the cyberchondria and orthorexia nervosa levels (p < 0.05). Conclusions: The increase in the level of cyberchondria among nurses increases the risk of orthorexia nervosa. Therefore, it is recommended that nurses receive proper nutritional education and psychosocial support to reduce their tendency towards orthorexia nervosa and cyberchondria.Öğe Anxiety and attitudes of midwifery students toward scientific research(Scientia Socialis Ltd, 2023) Arslan, Şeyda FerahThe attitudes of midwifery students, who are being trained to perform the profession of midwifery in the future, toward doing scientific research are determining factors in increasing the quality of midwifery and strengthening evidence-based practices. Undergraduate education is an important stage in which basic research-related perspectives and skills are gained for health professions. This descriptive study aims to determine the anxiety and attitudes of midwifery students toward scientific research and to examine the variables that affect them. It was conducted at a public university in western Türkiye and included 246 undergraduate midwifery students. Midwifery students’ anxiety toward scientific research was found to be low and their attitudes toward scientific research were positive. The attitudes of students who have experience in doing scientific research, participated in scientific congresses/symposia, have the desire to do scientific research under the guidance of a consultant and follow periodicals, were found to be more positive. Anxiety and positive attitude toward scientific research were found to be negatively related. The results of the regression analysis showed that the students’ Research Anxiety affected their Attitude Toward Scientific Research. Students’ experiences of conducting scientific research reduce anxiety and affect attitudes positively. Therefore, undergraduate students should be actively involved in scientific research and activities.Öğe Traditional and Complementary Medicines Methods Used by Patients Diagnosed with Covid-19(S. Karger AG, 2023) Tarus, Hamide Arslan; Ölmez Yalazı, Rüveyda; Karadeniz, Hilal; Gürkan, Özlem CanAim: This study aimed to determine traditional and complementary medicines (T&CM) methods used by patients before and after being diagnosed with COVID-19. Methods: This descriptive cross-sectional study was carried out between 27 March 2021 and 2 July 2021, in the community health services unit of Düzce Province, Central District, in the western Black Sea region. 547 people participated in the study. Two forms prepared by the researchers, the "Participant Identification Form"and the "Assessment Form for the Use of Traditional and Complementary Medicine Methods,"were used to collect the data. Results: Before the diagnosis of COVID-19, patients reported that they consumed the highest rate of medicinal plants (56.1%) and fruits (40.4%) and prayed (40.4%) to prevent disease. After the diagnosis of COVID-19, they stated that they consumed the highest percentage of medicinal plants (68.4%) and fruit (53.0%) and prayed (48.4%) to reduce disease symptoms. It was seen that herbal products/herbal mixtures (medicinal plants [p < 0.001], fruits [p < 0.001], and fruit vinegars [p < 0.001]), and T&CM methods such as supplements like C, E, D, and other vitamins (p < 0.001), prayer (p < 0.001), massage (p < 0.001), and apitherapy (p < 0.001) were found to be statistically significant after COVID-19 diagnosis compared to before. Conclusion: In this study, it was determined that the patients often used T&CM methods such as herbal products (especially medicinal plants and fruits) and prayer before and after COVID-19 diagnosis, and the use of these T&CM methods increased significantly after diagnosis.Öğe The Psychometric Property Evaluation of the Turkish Version of the Osteoporosis Awareness Scale(Turkish Osteoporosis Society, 2021) Aktürk, Sibel Ocak; Meseri, Reci; Özentürk, Melek GülsünObjective: This study aimed to determine the validity and reliability of the Turkish version of the Osteoporosis Awareness Scale (OAS) developed to assess people's osteoporosis awareness. Materials and Methods: This methodological study was designed to investigate the validity and reliability of the "OAS" in Turkish society. This study included healthcare workers who worked in Community Health and Family Health Centers (n=346). Numbers, percentages, t-test, correlation analysis, Cronbach's alpha reliability coefficient, and factor analysis methods were used to analyze the data. Results: The Cronbach's alpha reliability coefficient was 0.94 for the overall OAS and 0.86, 0.82, 0.88, 0.88, 0.85 for its bone physiology, preventive behaviors, risk factors, exercise, and characteristics of osteoporosis sub-dimensions, respectively. The exploratory factor analysis demonstrated that the scale explained 66.16% of the total variance. According to the confirmatory factor analysis, factor loadings of the scale ranged between 0.64 and 0.82, and CMIN(x2)/df was 3.384, goodness-of-fit index was 0.85, normed fit index was 0.83, comparative fit index was 0.88, and RMSEA was 0.08. Conclusion: Results indicate that the Turkish version of the OAS highly valid and reliable, which can be administered in future studies.Öğe The relationship between internet addiction and risky health behaviors in university students: A cross-sectional study in Turkey(John Wiley and Sons Inc, 2022) Özarıcı, Emine; Cangöl Sögüt, SedaPurpose:The study was carried out to determine the relationship between internet addictionand risky health behaviors in university students.Design and Methods:The study, which is cross‐sectional research, was conducted with606 university students in the 2019–2020 academic year and used face‐to‐face interviews.Findings:It was determined that 7.15% of the students had internet addiction with limitedsymptoms. A positive and significant relationship was found between internet addiction andrisky health behaviors (p< 0.05).Practice Implications:To reduce internet addiction and risky health behaviors, counseling,planning peer education programs, and creating an environment where students can expressthemselves should be provided. It is also recommended that students develop relationshipswith their social environment and participate in social activities.Öğe The relationship between COVID-19 knowledge levels and anxiety states of midwifery students during the outbreak: A cross-sectional web-based survey(Wiley, 2021) Söğüt, Seda; Dolu, İlknur; Cangöl, EdaPurpose To determine the relationship between the anxiety states and knowledge levels of female midwifery students about COVID-19 during the outbreak. Design and Methods This cross-sectional study carried out with online participation of 972 female midwifery students. Findings The anxiety levels of the female midwifery students were high among those visiting the hospital during the pandemic and having parents or relatives who had chronic diseases. Female midwifery students had a high level of knowledge regarding COVID-19. Practice Implications Female midwives of the future will take part in primary health care services in the protection and promotion of health as an important occupational group in the public health system. To determine mental health and psychological needs of them during the outbreak will greatly contribute to the pandemic management process.Öğe Investigation of Intercultural Sensitivity and Ethnocentrism Levels of Midwife Candidates in Turkey Sample: A Cross-Sectional Study(SAGE Publications, 2021) Güner, Sevil; Ocak Aktürk, Sibel; Öner Aydın, Semra; Karaca Saydam, BirsenIntroduction: As women experience cultural practices during their lifespan, midwives’ displaying a culture-specific approach from the school years is of great importance for the quality of care. This study was conducted to determine the intercultural sensitivity and ethnocentrism levels of midwife candidates in Turkey. Method: This cross-sectional study was conducted with 1,616 midwifery students who studied in seven different regions of Turkey in the 2018–2019 academic year. Data were collected through a questionnaire, Intercultural Sensitivity Scale, and Ethnocentrism Scale. Results: It was determined that the variables such as the region where the midwife candidates grew up and location of the university, their years at school, and having friends from different cultures were effective on their intercultural sensitivity and ethnocentrism levels (p <.05). Discussion: Consequently, it is concluded that international student exchange programs and culture-sensitive-based care approaches during midwifery education will increase the intercultural sensitivity levels of students and contribute to reducing ethnocentrism levels.
