Document Type : Original Article
Authors
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
CONTEXT: Young people play major roles in the future of a society and face major challenges in
the field of reproductive health during this period. Therefore, it is particularly important to investigate
their educational needs for the reproductive health self‑care.
AIMS: The present study aimed to provide a needs assessment and determine the educational
needs of reproductive health self‑care in female students.
SETTINGS AND DESIGN: Isfahan University of Medical Sciences. The present research was
descriptive cross‑sectional.
SUBJECTS AND METHODS: Data were collected from 96 female students who were selected
using quota sampling and also 15 providers of reproductive health services. Data collection tool
was a researcher‑made questionnaire comprising two parts of the demographic information and
the reproductive health needs assessment. The content and face validity were determined by the
cooperation of ten reproductive health and adolescence health experts, and Cronbach’s alpha
coefficient was used to determine the reliability of the questionnaires.
STATISTICAL ANALYSIS USED: Data analysis was done by descriptive statistics (mean and
frequency distribution) and one‑sample t‑test using the SPSS 20 version.
RESULTS: The total mean of needs for reproductive health education was 3.51 out of 5 in female
students. Apart from the high‑risk behavior, mean scores of other fields were significantly greater
than the average (3). Three educational priorities included cervical cancer, violence against women,
and ovarian cysts. In addition, among the popular educational methods, most people chose the
non‑attendance method and mostly mobile applications and then educational booklets.
CONCLUSIONS: Results indicated that female students had a great need for self‑care education
in different fields of reproductive health; hence, it seems essential to implement the educational
programs in accordance with their needs by taking advantage of the available learning opportunities in
universities, particularly universities of medical sciences for their health promotion and empowerment
to acquire self‑care skills. Furthermore, the present research emphasized the need to pay attention
to education using the Internet applications.
Keywords
- Statistical Centre of Iran. Detailed results of the Population and
Housing Census 2016. Tehran: Statistical Centre of Iran Office of
the Head, Public Relations and International Cooperation. [Cited
2018 June 28]. Available from: https://www.amar.org.ir/
Portals/0/Files/fulltext/1395/n_ntsonvm_95‑v2.pdf
2. Abbasi‑Shavazi MJ. Demographic and Socio‑economic Status
of Youth in IR. Iran. Tehran: UNFPA; 2013. [Cited 2018 June 28]
Available from: https://iran.unfpa.org/sites/default/files/
pub‑pdf/Youth%20in%20I.R.%20Iran_1.pdf
3. United Nations. Report of the International Conference on
Population and Development. New York: United Nation;
1994. [Cited 2018 June 28] Available from: https://www.un.org/
en/development/desa/population/events/pdf/expert/27/
SupportingDocuments/A_CONF.171_13_Rev. 1.pdf
4. DeJong J, Jawad R, Mortagy I, Shepard B. The sexual and
reproductive health of young people in the Arab countries and
Iran. Reprod Health Matters 2005;13:49‑59.
5. Yari F, Moghadam ZB, Parvizi S, Nayeri ND, Rezaei E,
Saadat M. An evaluation of the effectiveness of a reproductive
health education program for nonmedical students in Iran:
A quasi‑experimental pre‑test, post‑test research. Shiraz E Med J
2016;17:e34772.
6. Zangiabadi Zade M. The study effect of teaching contraceptive
and preventive methods of sexual diseases on female students’
knowledge and attitudes toward reproductive and sexual health.
J Jiroft University Med Sci 2014;1:152‑61.
7. Rafieefar S, Ahmadzad Asl M, Sharifi M, Dejpasand S,
Moradi‑Lakeh M, Naderpoor N, et al. Comprehensive System of
Health Education to Patient in Iran. 1st ed. Tehran: Communication
and Health Education Office, Health Deputy, Ministry of Health
and Medical Education; 2005.
8. Rafieefar S, Soleymanian A, Sarbandi F, Ardestani M, Javadi M,
Nasiri A, et al. Executive Instruction of National Self‑Care
Program. Tehran: Mojasameh; 2015. [Cited 2018 June 28] Available
from: https://pishva.sbmu.ac.ir/uploads/self_care‑dastoramal.
pdf
9. Bozorgi N, Shahhosseini Z. The effective techniques to promote
self‑care behaviors in women of reproductive age: A narrative
review study. Current Res Med Sci 2017;2:19‑30.
10. Tavakoli M, Shiri M, Karimi MR, Alizadeh T, Rassafiani MR,
Nasiri M, et al. Community Health Need Assessment. Tehran:
Tandis; 2017.
11. Pourmarzi D, Rimaz S, Khoii AS, Razi M, Shokoohi M.
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.
12. Youth Health Department. National Youth Health Document.
Tehran: Ministry of Health and Medical Education; 2015.
13. Salehifar D, Lotfi R, Akbari KM. Knowledge about cervical
cancer, human papilloma virus and attitude towards acceptance
of vaccination among female students. Payesh Health Monitor
2015;2:217‑26.
14. Fakor F, Mahfouzi L, Heirati D, Fatemeh S, Graili S. Knowledge
and attitudes of medical students about human papilloma
virus (HPV) vaccination and associated factors. J Holistic Nurs
Midwifery 2016;26:71‑9.
15. Ghojazadeh M, Azar ZF, Saleh P, Naghavi‑Behzad M, Azar NG.
Knowledge and attitude of Iranian university students toward
human papilloma virus. Asian Pac J Cancer Prev 2012;13:6115‑9.
16. Ghotbi N, Anai A. Assessment of the knowledge and attitude
of female students towards cervical cancer prevention at an
international university in Japan. Asian Pac J Cancer Prev
2012;13:897‑900.
17. Tapera R, Manyala E, Erick P, Maswabi TM, Tumoyagae T,
Letsholo B, et al. Knowledge and attitudes towards cervical cancer
screening amongst university of Botswana female students. Asian
Pac J Cancer Prev 2017;18:2445‑50.
18. Ghazi Tabatabaei M. Violence against women. The Final Report
of National Proposal Regarding Violence Against Women: In the
National Library; 2004.
19. Nasta A, Shah B, Brahmanandam S, Richman K, Wittels K,
Allsworth J, et al. Sexual victimization: Incidence, knowledge
and resource use among a population of college women. J Pediatr
Adolesc Gynecol 2005;18:91‑6.
20. Straus MA. Prevalence of violence against dating partners by
male and female university students worldwide. Violence Against
Women 2004;10:790‑811.
21. Shams M, Kianfard L, Parhizkar S, Mousavizadeh A. Needs
assessment in married women for designed empowerment
program to prevent domestic violence against women in Ahvaz.
Tolooebehdasht 2017;16:88‑100.
22. Panahandeh Z, Pakzad Z, Ashouri R. Survey the prevalence,
knowledge and practice of Guilan University students about
dysmenorrhea. J Guilan University Med Sci 2008;17:87‑94.
23. Ghaderi F, Asghari Jafarabadi M, Mohseni Bandpei MA.
Dysmenorrhea and self‑care strategies in Iranian female students:
A regression modeling of pain severity and underlying factors.
Int J Adolesc Med Health 2016;29. pii:/j/ijamh. 2017.29.issue‑6/
ijamh‑2016‑0017/ijamh‑2016‑0017.xml.
24. Kabirian A, Abedian Z, Mazloum SR, Kabirian M. The effect of
self‑care behaviors based on evidence‑based education on the
severity of dysmenorrhea amongst girls. J Torbat Heydariyeh
University Med Sci 2017;5:26‑31.
25. Farrokh‑Eslamlou HR, Nabilou B, Oshnouei S, Akbari E. The
prevalence of premenstrual syndrome and its associated factors
among medical students of Urmia University of medical sciences.
Urmia Med J 2013;24:702‑10.
26. Mahmoodi Z, Shahpoorian F, Bastani F, Parsay S, Hoseini F,
Amini L, et al. The prevalence and severity of premenstrual
syndrome (PMS) and its’ associated signs and symptoms among
college students. Aust J Basic Appl Sci 2010;4:3005‑9.
27. Elnagar MA, Awed HA. Self care measures regarding
premenstrual syndrome among female nursing students. Int J
Nurs Didactics 2015;5:1‑10.
28. Fayazi S, Aarabi M, Bagheri M, Latifi SM, Basiri G. A study on
knowledge, attitude and practice of breast self‑examination
among female students in the Ahvaz University of Medical
Sciences. Jentashapir J Health Res 2013;4:73‑9.
29. Torki Zadeh S, Soltanian Z, Davari Dolatabadi N. Awareness
of female nursing, midwifery and para medicine students of
Hormozgan University of medical sciences in relation to the risk
factors, prognosis and prevention of breast cancer. J Mod Med
Inf Sci 2017;3:22‑8.
30. Afrashteh S, Ghaem H, Abbasi‑Ghahramanloo A, Tabatabaee HR.
Clustering and combining pattern of high‑risk behaviors among
Iranian university students: A latent class analysis. J Res Health
Sci 2017;17:e00398.
31. Sajjadi H, Jorjoran Shushtari Z, Shati M, Salimi Y, Dejman M,
Vameghi M, et al. An indirect estimation of the population size of
students with high‑risk behaviors in select universities of medical
sciences: A network scale‑up study. PLoS One 2018;13:e0195364.
32. Kazemzadeh Y, Shokoohi M, Baneshi MR, Haghdoost AA. The
frequency of high‑risk behaviors among Iranian college students
using indirect methods: Network scale‑up and crosswise model.
Int J High Risk Behav Addict 2016;5:e25130.
33. Rahmati Najarkolaie F, Khobdel M, Ghasemi M, Farmanbar R,
Jafari MR, Kamli Khah T. Knowledge and high risk behaviors of
newly entered students to Tehran University toward HIV/AIDS.
J Holistic Nurs Midwifery 2013;23:35‑44.
34. Alipour Z, Eskandari N, Mokhah S. Evaluation of knowledge
and attitude of non‑medical students about AIDS. J Holistic Nurs
Midwifery 2016;26:10‑20. - 35. Latifnejad Roudsari R, Nouri MJ, Hasanpour M, Hazaveyi SM,
Taghipour A. The necessity of sexual‑health education for Iranian
female adolescents: a qualitative study. Iran J Obstet Gynecol
Infertil 2012;15:7‑17.
36. Shahhosseini Z, Abedian K. Iranian university students’
perceived reproductive health needs. Int J Adolesc Med Health
2014;26:339‑44.
37. Bazarganipour F, Foroozanfard F, Taghavi SA, Hekmatzadeh F,
Sarviye M, Hosseini N, et al. Evaluation of female youth
educational needs about reproductive health in non‑medical
students in the city of Qom. J Family Reprod Health 2013;7:67‑72.
38. Saeidifar A. The Study of Prevalence of Sexually Transmitted
Infection Symptoms and their Related Factors and the Pattern
of Care Seeking among Students Residing in the Dormitories of
Kerman University of Medical Sciences in 2015. Kerman: Kerman
University of Medical Sciences; 2017.
39. Bostani‑Khalesi Z, Simbar M, Azin SA. An explanation of
empowerment‑based sexual health education strategies:
A qualitative study. J Q Res Health Sci 2017;6:253‑65.
40. Bostani Khalesi Z, Ghanbari Khanghah A. Perception and
experience of married women of reproductive age about the
importance of sexual health education: A content analysis study.
Iran J Obstet Gynecol Infertil 2015;18:7‑17.
41. Esmaeil MotlaghM, Rejaei L, Jonidi‑Jafari A, Ardalan G, DorouziJ,
Sartipizadeh M, et al. Priorities in health education needs of youth
based on needs assessment and stakeholder involvement, in areas
covered by the health departments of Iran University of medical
sciences. J Educ Community Health 2016;3:51‑7.
42. Kelishadi R, Esmaeil Motlagh M, Rajaei L, Massoudi S, Ardalan G,
Roudbari M, et al. Needs assessment for health status and Self‑care
ability of youths aged 18‑29 years in selected provinces of Iran.
J Health Care 2017;19:152‑68.
43. Panahi R, Ramezankhani A, Tavousi M, Osmani F, Ghazanfari E,
Niknami S. Evaluation of health literacy and its influencing factors
on dormitory students of Shahid Beheshti University of medical
sciences in Tehran. J Educ Community Health 2016;3:30‑6.
44. Ebrahimi TM, Ghofranipour F, Hajizadeh E, Abedini M,
Montazeri A. Information source, educational needs and favorite
training methods of reproductive age women with vaginitis.
Payesh (Health Monitor) 2016;4:432‑42.
45. Sheikhizade S, Ahmadipour H. Self‑care activities among women
referred to health care centers in Kerman. J Health Based Res
2016;2:55‑67.
46. Khankolabi M, Rahimi F, Soleimaninejad M, Shirvandehi S. What
is the role of internet on self‑care in women staffs of Tehran
medical science University? J North Khorasan Univ Med Sci
2014;6:277‑87.
47. Luxton DD, McCann RA, Bush NE, Mishkind MC, Reger GM.
Health for mental health: Integrating smartphone technology in
behavioral healthcare. Prof Psychol Res Pract 2011;42:505‑12.
48. Dehghani E, Erfanian F, Khadivzadeh T, Shakeri MT. The impact
of a high‑risk sexual behavior prevention program via mobile
application on sexual knowledge and attitude of female students.
J Midwifery Reproduc Health 2019;7:1491‑8.
49. Moreira MD, Lima da Nóbrega MM, Tabosa da Silva MI. Written
communication: contribution for the elaboration of educational
material in health. Rev Bras Enfermagem 2003;56:184‑8.
50. Ibrahim H, Sabar Ismail M. The effect of an educational booklet
about menstruation on female nursing students’ knowledge,
practices and beliefs. IOSR J Nurs Health Sci 2019;8:17‑29.
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