11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 27 1 FACTORS EFFECTING CONTRACEPTIVE KNOWLEDGE OF TURKISH ADOLESCENTS Aktürk Z, Dağdeviren N, Set T

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 27 2 Background Population of Turkey: 73 million Republıc of Turkey, Prıme Mınıstry State Instıtute Of Statıstıcs.

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 27 3 UNFPA Turkey. 50% of the Turkish population is below 25 y.

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / % of females and 6 % of males have higher education The Turkish Higher Education Council.

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 27 5 Limited place for sexual education in the current undergraduate education –Only reproductive health issues… Akın A, Özvarış ŞB. Factors effecting the sexual health of adolescents. Ankara, 2004.

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 27 6 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.

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 27 7 Knowledge of youth on family planning and sexuality is limited Dağdeviren N et al. The sources of knowledge of the Turkish teenages about sexual issues: how reliable are they?, 2001

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 27 8 Hypotheses 1.Contraceptive knowledge is limited among university students 2.Sexual knowledge changes with; a.gender, b.time, c.geographical origin d.learning background

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 27 9 Methods Questionnaire study Subjects: students applying for higher education Population size: –Sample: 2001: 8.906, 2002: 7.099, 2003: 8.596, 2004:8.946; –Total: (52.5 %)

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 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

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / Results 65.5 % of the adolescents received sexual education –Boys: 5476/834665,6 %, –Girls: 4797/742964,6 % (p<0,05)

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / Education increases with time –2001: 33.7 %, –2002: 45.0 %, –2003: 85.8%, –2004: 86.1% (p <0,001).

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / Education changes with geographic origin (p <0.001)

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / ,0 % 59,9 % 57,2 % 55,1 % 59,4 % 58,8 % 59,5 % 67,3 %

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / Sexual education changes with regard to the applied licence programmes (p <0.001)

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / Resources for Sexual Education SourceGirls (%)Boys (%) School48,836,7 Family35,125,4 Health professional12,310,5 Media (TV, newspaper…)26,131,1 Peers17,520,7 Erotic media1,39,7

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 27 17

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / Resources for Sexual Education Source School 65,769,629,839,2 Family 43,940,123,229,4 Health professional 31,79,19,08,5 Media (TV, newspaper…) 21,224,130,231,0 Peers 17,711,219,422,6 Erotic media 7,53,06,06,4

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 27 19

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / SourceForeignBlack S.EastSouthEMiddleMedit.AegeanMarm. School 54,947,948,650,449,142,852,840,9 Family 34,131,527,629,334,534,834,930,1 Health p 16,611,610,913,815,117,216,310,7 Media 21,726,728,330,125,030,426,729,8 Peers 22,917,715,914,616,018,021,119,5 Erotic 3,45,83,6,84,43,25,35,8

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 27 21

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / Knowing at least one contraceptive method (modern or traditional) Gender –Girls 1264/692118,3 % –Boys1328/810916,4 %(p=0,002) Study year – /348423,7 % – /398813,5 % – /420019,1 % – /375212,4 %(p<0,001)

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / Contraceptive Knowledge Geographic origin (p<0,001) –Foreigner 42/29414,3 % –Black see 302/198715,2 % –East 124/91513,6 % –South east 31/19016,3 % –Middle174/91619,0 % –Mediterranean 75/36520,5 % –Aegean 170/61527,6 % –Marmara 1448/823217,6 %

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / Contraceptive Knowledge 14,3 % 15,2 % 13,6 % 16,3 % 20,5 % 19,0 % 27,6 % 17,6 %

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / Applied program –2-year1428/956014,9 % –4-year985/460421,4 % –Medical faculty114/30936,9 %

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / 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.

11th Conference of the European Society of General Practice/Family Medicine 3-7 September 2005, Kos, Greece / Priority should be given especially to eastern provinces.