وضعیت بهره‌مندی زنان میان‌سال متأهل از خدمات سلامت جنسی؛ یک مطالعه‌ی مقطعی

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی دکتری، کمیته‌ی تحقیقات دانشجویی، گروه مامایی و بهداشت باروری، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

2 استادیار، مرکز تحقیقات مامایی و بهداشت باروری و گروه مامایی و بهداشت باروری، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

3 استاد، گروه پرستاری، دانشکده‌ی علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران

4 استاد، مرکز تحقیقات مامایی و بهداشت باروری و گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

چکیده

مقدمه: سلامت جنسی در تمام عمر مهم است. با این حال، عمده‌ی تحقیقات و برنامه‌های بهداشتی در سنین باروری بوده و تحقیقات کمی به بررسی وضعیت سلامت جنسی زنان در میان‌سالی پرداخته است. این تحقیق، با هدف تعیین وضعیت بهره‌مندی زنان میان‌سال متأهل از خدمات سلامت جنسی انجام شد.روش‌ها: مطالعه‌ی مقطعی حاضر، در سال 1395 بر روی 326 زن میان‌سال 65-40 ساله در شهر گرگان انجام شد. داده‌ها با استفاده از پرسش‌نامه‌ی محقق ساخته‌ی پایا و روا در سه بخش دموگرافیک و مراقبت از سلامت جنسی، منابع کسب اطلاعات و محل مراجعه برای حل مشکلات جنسی جمع‌آوری گردید. داده‌ها در سطح معنی‌داری 050/0 > P با استفاده از نرم‌افزار SPSS و آزمون‌های توصیفی، پارامتریک و غیر پارامتریک تجزیه و تحلیل شد.یافته‌ها: 9/46 درصد زنان هرگز برای معاینه‌ی پستان مراجعه نکرده بودند. 9/43 درصد آنان هر 5 سال یک بار آزمایش دهانه‌ی رحم انجام نمی‌دادند. 1/41 درصد برای حل مشکل سلامت جنسی خود به مراکز بهداشتی و یا درمانی مراجعه می‌کردند. 1/22 درصد افراد، هرگز سؤالات سلامت جنسی خود را از کارکنان بهداشتی نمی‌پرسیدند. مهم‌ترین منابع کسب اطلاعات به ترتیب کارکنان بهداشتی زن (60 درصد)، کتاب‌ها و مجلات (8/32 درصد) و سپس دوستان (8/19 درصد) بودند. برخی مشخصات دموگرافیک و باروری با نمره‌ی مراقبت جنسی مرتبط بود (050/0 > P).نتیجه‌گیری: وضعیت مراقبت و بهره‌مندی از خدمات سلامت جنسی در زنان میان‌سال مطلوب نبوده و نیازمند توجه بیشتری است. انجام مطالعات کیفی، جهت بررسی عمیق و مبتنی بر بستر عوامل مؤثر پیشنهاد می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

Sexual Health Care Utilization in Married Middle Aged Women; A Cross-Sectional Study

نویسندگان [English]

  • Sedigheh Moghasemi 1
  • Giti Ozgoli 2
  • Fazlollah Ahmadi 3
  • Maasoumeh Simbar 4
1 PhD Student, Student Research Committee, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Assistant Professor, Midwifery and Reproductive Health Research Center AND Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Professor, Department of Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
4 Professor, Midwifery and Reproductive Health Research Center AND Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده [English]

Background: Sexual health is important in life course, but major researches and health programs are focused on reproductive age. This study aimed to assess sexual health care utilization in married middle aged women.Methods: A cross-sectional study was done on 326 middle-aged women (40 to 65 years old) in 2016 in Gorgan City, Iran, using Quota sampling. Data were gathered using researcher-made valid and reliable questionnaire including three parts of demographic and sexual health care, source of information, and place for sexual health help-seeking. Data were analyzed using descriptive, parametric, and nonparametric statistic tests via SPSS software at the significant level of P< 0.05.Findings: 46.9% of subjects did not have any clinical breast exam. 43.9% of them did not have Pap smear even every 5 years. 41.1% were referred to health centers for their sexual problems. 22.1% never asked their sexual problems from health care providers. The most important sexual health information sources were female health care providers (60%), books/magazines (32.8%), and friends (19.8%). Some demographic and reproductive characteristics were related to sexual health care score (P < 0.050).Conclusion: Sexual health status and utilization of sexual healthcare services in middle-aged women is not suitable and needs more attention. Conducting qualitative studies in order to deep evaluation of barriers and facilitating factors in a context-based approach is suggested.

کلیدواژه‌ها [English]

  • Sexual health
  • Middle aged
  • Women's health services
  • Help-seeking behavior

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مجله دانشکده پزشکی اصفهان
دوره 35، شماره 455 - شماره پیاپی 455
آذر و دی 1396
صفحه 1640-1647

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سابقه مقاله

  • تاریخ دریافت: 21 خرداد 1396
  • تاریخ بازنگری:
  • تاریخ پذیرش: 17 فروردین 1401

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