Knowledge of and attitudes towards sexual and reproductive health in adults in Shiraz: a need for further education

Khajehei, Marjan; Ziyadlou, Samaneh; Ghanizadeh, A

doi:10.26719/2013.19.12.982

Cited by 15 publications

(30 citation statements)

References 16 publications

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“…Only 26 studies appeared to have a sample representative of the target population [20, 26, 27, 30-34, 36, 38, 40-42, 44, 46, 49, 53, 54, 58, 60, 64-69, 91]. Only 16 studies reported on response rate [19,20,23,26,27,38,44,49,50,53,58,[62][63][64][65][66], and one study had a low response rate of 50% [63]. Some qualitative studies provided a combination of healthcare professionals'/policy makers'/ religious leaders'/ husbands 'views in addition to women's views; and in certain instances, it was difficult to distinguish the views of women from other participants in the sample.…”

Section: Methodological Qualitymentioning

confidence: 99%

Factors influencing sexual and reproductive health of Muslim women: a systematic review

et al. 2020

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Background: In Islamic societies, issues related to sexual and reproductive health (SRH) are rarely discussed and considered sensitive subjects. This review aimed to identify any personal, religious, cultural, or structural barriers to SRH service and education among Muslim women worldwide. Methods: A search for qualitative and quantitative studies was conducted on seven electronic databases. A narrative synthesis using thematic analysis was conducted. Results: Fifty-nine studies were included from 22 countries: 19 qualitative, 38 quantitative and two mixed methods. Many Muslim women have poor SRH knowledge, and negative attitudes which influence their access to, and use of SRH services. Barriers to contraception use among Muslim women included a lack of basic reproductive knowledge, insufficient knowledge about contraception, misconceptions, and negative attitudes. Women had negative attitudes towards family planning for limiting the number of children but not for child spacing, which reflected religious views towards family planning. Religious and cultural beliefs were barriers to contraception use and access to SRH services and information. Family and the community have a significant impact on women's contraceptive use and access to SRH services. Husband and family opposition played a significant role in contraception access and use. Fear of stigmatization and being labelled as having premarital sexual relations among unmarried women acted as the main barrier to accessing contraception and seeking SRH information and services. Conclusion: The findings reveal that there are multiple levels of factors that influence Muslim women's SRH. Poor SRH knowledge and practices among Muslim women is complex matter that is affected by personal, community, cultural, religious factors and existing policies and regulations. All these factors overlap and are affected by each other. There is an urgent need for interventions addressing modifiable barriers to SRH education and services to improve knowledge, informed choice and access to services to facilitate better sexual and reproductive wellbeing for Muslim women. It is important to note that while this review aimed to report findings on Muslim women, we acknowledge that significant variations exist within every culture and religion.

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Section: Methodological Qualitymentioning

confidence: 99%

Factors influencing sexual and reproductive health of Muslim women: a systematic review

et al. 2020

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“…[22][23][24][25][26][27][28] Good quality studies had an appropriate research design and provided clear description of their methodology. Five good quality studies reported on response rates, [24][25][26][27][28] which were mostly high, except for one study with a response rate of 50%. 26 Seven quantitative studies were assessed to be of fair quality.…”

Section: Quality Appraisalmentioning

confidence: 99%

“…Knowledge, myths and misconceptions about STIs and HIV Awareness of STI and HIV Seventeen studies looked at participants' knowledge about STIs, [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] with nine specifically focused on HIV/AIDS. 22,[25][26][27]29,[33][34][35]37 A significant proportion of women studied had never heard of HIV/AIDS and many other STIs.…”

Section: Quality Appraisalmentioning

confidence: 99%

“…22,[25][26][27]29,[33][34][35]37 A significant proportion of women studied had never heard of HIV/AIDS and many other STIs. [22][23][24][25][26][27][28][29][30][31][32][33][34][35]37 Two studies conducted in Saudi Arabia reported that only about half of the participants had good knowledge about STIs (defined as having answered 60% or more of the question correctly). 22,37 In the studies that examined men's and women's knowledge about STIs, Muslim women had better knowledge about STIs compared to Muslim men, although knowledge was low for both groups.…”

Section: Quality Appraisalmentioning

confidence: 99%

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Sexually transmitted infection knowledge and attitudes among Muslim women worldwide: a systematic review

Alomair

Alageel

Davies

et al. 2020

Sexual and Reproductive Health Matters

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Extramarital sexual relations are forbidden in Islam, and sexual health information is not readily available in Islamic communities, especially for women. This review aimed to explore sexually transmitted infection (STI) knowledge and attitudes among Muslim women worldwide. A systematic review was conducted on seven electronic databases. We included qualitative and quantitative studies of female Muslim participants of reproductive age, focusing on STI knowledge and attitudes. A narrative synthesis approach was used with thematic analysis methods. Eighteen studies conducted in 13 countries were included. Three main themes were identified: poor knowledge and misconceptions; sources of sexual health information and information needs; and cultural influences on STI knowledge and attitudes. Generally, Muslim women had poor knowledge regarding STI signs and symptoms, prevention, diagnosis and treatment, in addition to many misconceptions. Negative attitudes towards people infected with HIV/AIDS were common, and attitudes were highly influenced by misconceptions and insufficient knowledge. Infected women tended to be subjected to more blame and judgement compared to men. While the review summarises knowledge and attitudes of Muslim women worldwide, we excluded studies that did not clearly state that the study participants were Muslim women, hence many countries with Muslim populations are not represented in this review. Negative attitudes towards STIs make it harder for women to access sexual health information, STI prevention and treatment. This review highlights the need for culturally sensitive sexual health education for Muslim women. Future sex education interventions would benefit from considering the wider personal and external barriers.

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“…Several studies have been conducted within the field of sexual health in Iran (6)(7)(8)(9), but these studies did not utilize endorsed and validated instruments. In fact, the absence of such instruments in Persian (the official language in Iran) presented a challenge for researchers in this field.…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the Persian Version of Sexual and Reproductive Health Illustrative Questionnaire

Khoei¹,

Motamedi

Shahbazi

et al. 2020

Preprint

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Background: Sexual health is a human right, yet there is a lack of comprehensive, standardized and culturally appropriate instruments to assess sexual health in Iran.Objectives: This study aimed to assess the psychometric properties of the Persian version of the Sexual and Reproductive Health Illustrative Questionnaire (SRH-IQ).Material and methods: This was a methodological psychometric study conducted in Tehran, Iran, during 2014–2015, with a sample of 755 men and women aged 15–49 years. The SRH-IQ was translated and adapted via the method recommended by the world health organization.. Qualitative and quantitative face and content validity were evaluated and the construct validity assessed using exploratory and confirmatory factor analysis. The internal consistency and the stability of the tool were assessed using Cronbach’s alpha, Intraclass Correlations Coefficient (ICC) and test–retest method.Results: Several items were changed in accordance with the cultural and religious beliefs of Iranians. The mean item-level content validity index (I-CVI) was 0.98; the content validity ratio (CVR) was high at 0.976; and scale-level content validity average (S-CVI/Ave) and scale level content validity universal agreement (S-CVI/UA) were found to be 0.97 and 0.94, respectively. Exploratory and Confirmatory factor analysis confirmed that all items in domains were significant, and the results supported goodness of fit indices, too. The final Cronbach’s alpha coefficients of all sub-scales were > 0.60 indicating acceptable internal consistency. Test-Retest data analysis showed that the ICC was higher than 0.88 for most items (0.75–0.99). Kappa coefficients were above 0.8 in most instances (0.65–0.99).Conclusion: Given the appropriate validity and reliability of the Persian version of the SRH Questionnaire, it can be used to assess sexual health knowledge, attitudes, behaviour and outcomes of Iranian adults.Plain English Summary Sexual health is an integral component of human right, and it is an important basis for an individual’s physical and psychological well-being, as well as the social and economic development of communities. Evaluating the sexual health needs of people is necessary to address sexual health goals. Several studies have been conducted within the field of sexual health in Iran, however, no Persian instrument is available to assess the sexual health needs of adults within the reproductive ages. In order to make it applicable within the context of Iranian culture, we have investigated the psychometric properties of the Persian version of the Sexual and Reproductive Health Illustrative Questionnaire (SRH-IQ) among Iranian men and women in reproductive age. With this aim, we have recruited 755 men and women aged between 15-49 years in urban Tehran, Iran. Several items of the questionnaire were changed in accordance with the cultural and religious beliefs of Iranians. Exploratory and Confirmatory factor analysis confirmed that all items in domains were significant, and the results supported goodness of fit indices, too. All in all, this study has given the appropriate validity and reliability of the Persian version of the SRH Questionnaire, and it can be used to assess sexual health knowledge, attitudes, behaviour and outcomes of Iranian adults.

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Knowledge of and attitudes towards sexual and reproductive health in adults in Shiraz: a need for further education

Cited by 15 publications

References 16 publications

Factors influencing sexual and reproductive health of Muslim women: a systematic review

Factors influencing sexual and reproductive health of Muslim women: a systematic review

Sexually transmitted infection knowledge and attitudes among Muslim women worldwide: a systematic review

Psychometric Properties of the Persian Version of Sexual and Reproductive Health Illustrative Questionnaire

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