Sexual Health Literacy and the Related Factors among Women in Qazvin, Iran

Panahi, Rahman; Namdar, Peyman; Nayebi, Neda; Anbari, Mohammad; Dr.yekefallah, leili; Dehghankar, Leila

doi:10.52547/jech.8.4.265

Cited by 10 publications

(12 citation statements)

References 17 publications

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“…Several studies observed that people with higher education had more sexual health literacy (awareness and correct attitude about sexual health and fertility), leading to their better sexual satisfaction (18,45,46). Change of attitude is another effect of education that may improve women's sexual satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Do Educated Women Have More Sexual Satisfaction? A Systematic Review Study

Bayat

Ozgoli

Mahmoodi

et al. 2022

Crescent J Med Biol Sci

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Objectives: Educational status affects all aspects of life, including sex life. Regarding the relationship between women’s sexual satisfaction and their education level, contradictory results have been obtained so far. This systematic review aimed to summarize the existing knowledge in this area. Methods: In this study, three electronic databases, including PubMed, Scopus, and Web of Science were searched for all the related articles published from 1 January, 2000 to 28 June, 2022. The MeSH keywords including "educational status", "education", and "sexual satisfaction" were combined with Boolean operators of AND and OR. There were no geographical constraints in this study. Inclusion criteria were all observational articles evaluating the relationship between the educational status of heterosexual, nonpregnant, and non-sick women with sexual satisfaction. The quality of articles was assessed by the Newcastle-Ottawa scale (NOS) and the data were analyzed qualitatively. Result: Out of a total of 4984 retrieved articles, nine studies with a sample size of 10488 women were included in this systematic review (2003-2021). In subjects with sexual dysfunction and mental health problems, as well as those affected by economic pressure, sexual satisfaction was predicted by the mentioned factors and not by the education level. Generally, in the studies where it was possible to compare the participants with all levels of education (illiterate to academic) and there was no sexual dysfunction, mental health problems, and economic pressure, women’s level of education was the predictor of their sexual satisfaction. Conclusions: According to our results, education was the most effective predictor of women’s sexual satisfaction in stable conditions without sexual dysfunction. Education can improve women’s educability, knowledge, and attitudes towards sexual issues, thereby increasing their sexual satisfaction. However, for a more definite conclusion, high-quality and larger studies are needed to measure the relationship between sexual satisfaction and women’s education.

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Section: Discussionmentioning

confidence: 99%

Do Educated Women Have More Sexual Satisfaction? A Systematic Review Study

Bayat

Ozgoli

Mahmoodi

et al. 2022

Crescent J Med Biol Sci

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“…The results showed that the BTS value was significant (df = 780, P < 0.001) and the KMO value was 0.969, suggesting the suitability of the data for analysis. Exploratory factor analysis determined three factors as follows: reading and understanding (9,1 0, 11,12,13,14,15,16,17,18,19,20,21,22,23,24,25), evaluation and application of information (30,31,32,33,34,35,36 ,37,38,39,40), and skills of access (1,2,3,4,5,6,7,8,26,27,28) respectively with Eigenvalues greater than 1, which together accounted for 70.85% of the variance.…”

Section: Construct Validity Exploratory Factor Analysismentioning

confidence: 99%

“…Sexual health literacy was proposed as a concept that is related to the correct knowledge of sexual health and reproductive health, along with the attitude towards sexual health and reproductive power [4]. Sexual health literacy is a context-based variable and is affected by the ecosystem or a set of cultural and social factors of every society [3,5]. Acquiring sexual health literacy leads to promoting a correct understanding of duties and responsibilities in sexual relationships, providing the right opportunity for the correct expression of sexual roles, improving the ability to understand and assess the risks related to sexual health, improving individual sexual health, making a safe sexual experience, reducing unwanted pregnancies and sexually transmitted diseases, and improving family and social health [6,7].…”

Section: Introductionmentioning

confidence: 99%

Investigating the structural validity and reliability of the sexual health literacy for adults (SHELA) questionnaire among a sample of women in Qazvin, Iran

2022

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Background The correct measurement of sexual health literacy requires an instrument with desirable psychometric properties and fitness to the sociocultural context. Despite acceptable psychometric properties of the sexual health literacy for adults questionnaire in the mixed population of men and women, the validity and reliability of this questionnaire in the female population were not determined. Therefore, considering differences in the study population, this study aimed to determine the structural validity and reliability of the questionnaire among women. Methods The present study was a methodological and psychometric study of instruments conducted among 310 women referring to healthcare centers in Qazvin, Iran in 2020. Sampling was done using a one-step cluster method. We used Cronbach's alpha coefficient, Pearson correlation coefficient, and confirmatory and exploratory factor analyses to determine the reliability, convergence validity, and construct validity of the questionnaire respectively. Also, the Sexual Quality of Life-Female questionnaire (SQOL-F) and the Female Sexual Function Index (FSFI) were used to evaluate the convergence validity. Data were analyzed using SPSS 20, and STATA 13. Results Exploratory factor analysis identified three factors including, “reading and understanding”, “evaluation and application of information”, and “skills of access” which together accounted for 70.85% of the whole variance. Based on the results of confirmatory factor analysis, this questionnaire had overall goodness of fit too. (RMSEA = 0.071, CFI = 0.928, TLI = 0.919, SRMR = 0.041, X2/df = 2.501). Convergent validity of the questionnaire showed a correlation of 0.121–0.243 between the questionnaire's dimensions with the FSFI and the SQOL-F questionnaires respectively. Also, the results showed that the questionnaire had proper internal consistency (Cronbach’s alpha was 0.981) for measuring sexual health literacy in women. Conclusions The 39-item sexual health literacy assessment questionnaire consisting of 3 factors in the present study was endowed with sufficient validity and reliability, and it can be used for precisely assessing women’s sexual health literacy.

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“…Sociocultural factors include religion, economic standing, knowledge related to sexual health and fertility, participation in sexual education programs, sexual experience, and sources of information [ 5 , 16 , 17 , 26 , 27 ]. Meanwhile, medical-fertility factors, such as contraceptive usage, familiarity with condom application, and single or multiple pregnancies, are closely linked to the level of sexual health literacy [ 25 , 26 , 28 ]. Notably, enhancing sexual health literacy among young individuals is a potent strategy for promoting positive sexual health behaviors [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Sexual health literacy level and its related factors among married medical sciences college students in an Iranian setting: a web‑based cross‑sectional study

Nematzadeh,

Shahhosseini,

Moosazadeh

et al. 2024

Reprod Health

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Background Sexual health literacy (SHL) leads to the development of personal ability, understanding, evaluation and use of information related to sexual health. The purpose of this study was to assess the sexual health literacy level and its related factors among married college students at Mazandaran University of Medical Sciences (MAZUMS). Methods A web-based cross-sectional online study was conducted on married college students at Mazandaran University of Medical Sciences between January and November 2020. All students were included in the study by census, and the study method was explained by telephone. If they agreed to participate in the study, the online link to the questionnaire, including sociodemographic and clinical information and Sexual Health Literacy for Iranian Adults (SHELIA), was emailed. The Statistical Package for the Social Sciences (SPSS) software version 26 was used for data analysis. Univariate and multivariate logistic regression tests were used to assess factors related to sexual health literacy. Results The sample consisted of 277 male and 123 female students. Sexual Health Literacy Level and all subscales are at the sufficient level (66.1–88). Among the participants, 20.5% had limited sexual health literacy. Multivariate analysis found factors related to sexual health literacy among students: economic status (OR 0.03; 95% CI 0.0–0.55) and faculty (OR 0.07; 95% CI 0.01–0.52) is related to decrease and subscription to social media for sexual health (OR 3.27; 95% CI 1.53–7.01), information source of channels and cyberspace (OR 3.23; 95% CI 1.41–7.39), educational level (OR 16.39; 95% CI 2.16–32.70), Internet search information source (OR 1.91; 95% CI 1.00–3.64) is related to increase, were statistically significant factors. Conclusion In Iran, medical sciences college students, who constitute a significant portion of the country's population, are responsible for sexual health education. Government agencies, with the collaboration of all stakeholders, should develop policies and programs for implementing and evaluating integrated and comprehensive sexual health literacy promotion programs for them.

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Sexual Health Literacy and the Related Factors among Women in Qazvin, Iran

Cited by 10 publications

References 17 publications

Do Educated Women Have More Sexual Satisfaction? A Systematic Review Study

Do Educated Women Have More Sexual Satisfaction? A Systematic Review Study

Investigating the structural validity and reliability of the sexual health literacy for adults (SHELA) questionnaire among a sample of women in Qazvin, Iran

Sexual health literacy level and its related factors among married medical sciences college students in an Iranian setting: a web‑based cross‑sectional study

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