Abstract
Aim: One proposed strategy to improve youth health is needs assessment, a process for determining and addressing the needs of individual groups. The aim of this study was to explore the attitudes and perceptions of Iranian university students toward reproductive health needs, in order to promote the provision of reproductive health services.
Methods: Using an anonymous self-administered questionnaire, a cross-sectional survey was conducted among 548 students who were randomly selected from eight universities in Sari City, Iran. Topics covered the participants’ attitudes towards reproductive health needs as well as their opinion about proper sources of information in this area, as measured using a 5-point Likert scale.
Results: The mean age of participants was 21.57 years, and 57.82% were female. The maximum score of perceived reproductive health needs was related to “Be informed about appropriate behavior with my spouse”, and the majority of students (82.82%) supported family-based reproductive health education with emphasis on the mothers’ role. Although 65.14% of the participants agreed that “When a young has been raped, it’s better that she/he counsel with her/his family”, 11.67% of them stated that she/he must hide the problem. Finally, we found that 60.40% of the students preferred someone in a health care center as the one to explain how to use any contraception that may be provided for them.
Conclusion: Taken as a whole, these findings support the critical importance of programming for university students as part of a comprehensive strategy to improve the health and development of young adults.
Acknowledgments
We gratefully acknowledge the participation of students as well as university staff, whose contribution helped in the completion of this study.
References
1. UNFPA: State of world population 2012. Available at: http://www.unfpa.org/webdav/site/global/shared/swp/2012/EN_SWOP2012_Report.pdf 2012.Search in Google Scholar
2. WHO: Maternal, newborn, child and adolescent health International Youth Day 12 August. Available at: www.who.int/child_adolescent_health/news/archive 2011.Search in Google Scholar
3. Shaw D. Access to sexual and reproductive health for young people: bridging the disconnect between rights and reality. Int J Gynaecol Obstet 2009;106:132–6.10.1016/j.ijgo.2009.03.025Search in Google Scholar
4. Bearinger LH, Sieving RE, Ferguson J, Sharma V. Global perspectives on the sexual and reproductive health of adolescents: patterns, prevention, and potential. Lancet 2007;369:1220–31.10.1016/S0140-6736(07)60367-5Search in Google Scholar
5. Laski L, Wong S. Addressing diversity in adolescent sexual and reproductive health services. Int J Gynaecol Obstet 2010;110:510–2.10.1016/j.ijgo.2010.04.011Search in Google Scholar
6. DeJong J, El-Khoury G. Reproductive health of Arab young people. BMJ 2006;333:849–51.10.1136/bmj.38993.460197.68Search in Google Scholar
7. DeJong J, Jawad R, Mortagy I, Shepard B. The sexual and reproductive health of young people in the Arab countries and Iran. Reprod Health Matter 2005;13:49–59.10.1016/S0968-8080(05)25181-9Search in Google Scholar
8. Asadi-Lari M, Gray D. Health needs assessment tools: progress and potential. Int J Technol Assess 2005;21:288–97.10.1017/S0266462305050385Search in Google Scholar PubMed
9. Asadi-Lari M, Packham C, Gray D. Need for redefining needs. Health Qual Life Out 2003;1:34–8.10.1186/1477-7525-1-34Search in Google Scholar PubMed PubMed Central
10. Shirpak KR, Ardebili HE, Mohammad K, Maticka-Tyndale E, Chinichian M, et al. Developing and testing a sex education program for the female clients of health centers in Iran. Sex Education 2007;7:333–49.10.1080/14681810701636044Search in Google Scholar
11. Vakilian K, Khadijeh Mirzaii N. Reproductive health in Iran. International Conference on Population and Development Goals. Oman Med J 2011;26:143–7.10.5001/omj.2011.36Search in Google Scholar PubMed PubMed Central
12. AliSoleimani M. Sexual health challenges of adolescents in Iran: a review article. J School Public Health Inst Public Health Res 2013;10:1–16.Search in Google Scholar
13. Ramezanzadeh F, Haghollahi F, Shariat M, Mahmood AM, Hosseini H, et al. Reproductive health service centers for youth in Iran. J School Public Health Inst Public Health Res 2010;7:1–10.Search in Google Scholar
14. Mohammadi MR, Mohammad K, Farahani FK, Alikhani S, Zare M, et al. Reproductive knowledge, attitudes and behavior among adolescent males in Tehran, Iran. Int Fam Plan Perspect 2006;35–44.10.1363/3203506Search in Google Scholar PubMed
15. Tavakol M, Torabi S, Gibbons C. A quantitative survey of knowledge of reproductive health issues of 12–14-year-old girls of different ethnic and religious backgrounds in Iran: implications for education. Sex Edu 2003;3:231–9.10.1080/1468181032000119113Search in Google Scholar
16. Simbar M, Tehrani F, Hashemi Z. Reproductive health knowledge, attitudes and practices of Iranian college students. East Mediterr Health J 2005;11(5–6):888–97.Search in Google Scholar
17. Aghajanian A, Mehryar AH. Fertility transition in the Islamic Republic of Iran: 1976–1996. Asia Pac Popul J 1999;14:21–42.10.18356/6f0f2778-enSearch in Google Scholar
18. Shahhosseini Z, Simbar M, Ramezankhani A, Majd H. An inventory for assessment of the health needs of Iranian female adolescents. EMHJ 2012;18:850–6.10.26719/2012.18.8.850Search in Google Scholar PubMed
19. Pourmarzi D, Rimaz S, Khoii M, Al-sadat E, Razi M, et al. Comparative survey of youth’s sexual and reproductive health educational needs in two stages before and after marriage, Tehran 2011. Razi J Med Sci 2013;20:30–9.Search in Google Scholar
20. Vakili M, Rahai Z, Mohammi S. Assessing causes of marital conflict as a threat against marital mental health in view of the newly-wed couples in Yazd (2003–2005). Toloo eBehdasht 2007;6:52–9.Search in Google Scholar
21. Farnam F, Pakgohar M, Mirmohamadali M, Mahmoodi M. Effect of sexual education on sexual health in Iran. Sex Education 2008;8:159–68.10.1080/14681810801981043Search in Google Scholar
22. Reis M, Ramiro L, Matos MGD, Diniz JA. The effects of sex education in promoting sexual and reproductive health in Portuguese university students. Procedia Soc Behav Sci 2011;29:477–85.10.1016/j.sbspro.2011.11.266Search in Google Scholar
23. Askun D, Ataca B. Sexuality related attitudes and behaviors of Turkish university students. Arch Sex Behav 2007;36:741–52.10.1007/s10508-007-9186-zSearch in Google Scholar PubMed
24. Addo VN, Tagoe-Darko ED. Knowledge, practices, and attitudes regarding emergency contraception among students at a university in Ghana. Int J Gynaecol Obstet 2009;105:206–9.10.1016/j.ijgo.2009.01.008Search in Google Scholar PubMed
25. Chen B, Lu YN, Wang HX, Ma QL, Zhao XM, et al. Sexual and reproductive health service needs of university/college students: updates from a survey in Shanghai, China. Asian J Androl 2008;10:607–15.10.1111/j.1745-7262.2008.00413.xSearch in Google Scholar PubMed
26. Agampodi SB, Agampodi TC. Adolescents perception of reproductive health care services in Sri Lanka. BMC Health Serv Res 2008;8:98–105.10.1186/1472-6963-8-98Search in Google Scholar PubMed PubMed Central
27. Shahhosseini Z, Simbar M, Ramezankhani A, Majd HA. Supportive family relationships and adolescent health in the socio-cultural context of Iran: a qualitative study. Ment Health Fam Med 2013;9:251–6.Search in Google Scholar
28. Klein JD, Sabaratnam P, Pazos B, Auerbach MM, Havens CG, et al. Evaluation of the parents as primary sexuality educators program. J Adolescent Health 2005;37:S94–9.10.1016/j.jadohealth.2005.05.004Search in Google Scholar PubMed
29. Rahbari L. Violence in premarital relationships: an exploratory research in Iran. URL: http://www.inter-disciplinary.net/probing-the-boundaries/wp-content/uploads/2013/05/rahbari_v11wpaper.pdf.Search in Google Scholar
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