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Journals / Journal of Health Sciences and Medicine / 2026 / Volume: 9 Issue: 5

Factors associated with sexual health literacy among adolescents attending private high schools in İstanbul

İrem Nur Genç(İSTANBUL OKAN ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ ENSTİTÜSÜ)0009-0001-6679-1736
Özen İnam(MALTEPE UNIVERSITY, VOCATIONAL SCHOOL, DEPARTMENT OF HEALTH PROGRAMS)0000-0002-6463-2432
Pages
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Publication Date
2026-09-19
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Integrating sexual health literacy into adolescent health and public health programs may contribute to improved long-term health outcomes.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aims: This study aimed to evaluate sexual health literacy among adolescents and examine its associations with reproductive health knowledge, family communication, avoidance of sexual health discussions, and sociodemographic characteristics.
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Key Findings & Data:Methods: This cross-sectional descriptive correlational study was conducted among 235 adolescents aged 14-18 years attending private high schools in İstanbul, Turkiye.
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Conclusion & Impact:Integrating sexual health literacy into adolescent health and public health programs may contribute to improved long-term health outcomes.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Adolescent · sexual health literacy · reproductive health

Abstract

Aims: This study aimed to evaluate sexual health literacy among adolescents and examine its associations with reproductive health knowledge, family communication, avoidance of sexual health discussions, and sociodemographic characteristics. Methods: This cross-sectional descriptive correlational study was conducted among 235 adolescents aged 14-18 years attending private high schools in İstanbul, Turkiye. Data were collected using a sociodemographic characteristics form, a researcher-developed 16-item reproductive and sexual health knowledge questionnaire, and the Sexual Health Literacy Scale. Data were analyzed using descriptive statistics, independent samples t-test, one-way ANOVA, Chi-square test, and Spearman correlation analysis. Results: Higher sexual health literacy scores were significantly associated with greater knowledge regarding hormonal changes during adolescence, the menstrual cycle, and contraceptive methods (p<0.001). Adolescents who reported open communication with family members about sexual health issues and those who did not avoid discussing sexual health topics demonstrated significantly higher literacy scores (p<0.001). Additionally, higher socioeconomic status and living in a nuclear family were associated with higher sexual health literacy levels (p<0.05). Differences in sexual attitude scores were also observed according to family structure (p<0.05). Conclusion: Sexual health literacy in adolescents is associated with reproductive health knowledge, family communication, and sociodemographic characteristics. These findings highlight the importance of family-centered and school-based interventions aimed at improving adolescents’ sexual health literacy. Future studies including adolescents from both public and private schools with more diverse socioeconomic backgrounds are needed to improve the generalizability of these findings. Integrating sexual health literacy into adolescent health and public health programs may contribute to improved long-term health outcomes.

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Cite This Article

Genç, İ. N., İnam, Ö. (2026). Factors associated with sexual health literacy among adolescents attending private high schools in İstanbul. Journal of Health Sciences and Medicine, Volume: 9 Issue: 5. https://doi.org/10.32322/jhsm.1949191

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References (36)

  1. World Health Organization. Adolescent health. Accessed July 1, 2025. https://www.who.int/health-topics/adolescent-health
  2. UNESCO. International technical guidance on sexuality education: an evidence-informed approach. Updated December 6, 2024. Accessed March 18, 2026. https://www.unesco.org/en/articles/international-technical-guidance-sexuality-education-evidence-informed-approach
  3. Hegde A, Chandran S, Pattnaik JI. Understanding adolescent sexuality: a developmental perspective. J Psychosexual Health. 2022;4(4):237-242. doi:10.1177/26318318221107598
  4. Tovia J, Godwin OJ, Abdul S, Ojoanemile OF, Marie K, Olamide JS. Biological and physiological changes in adolescence: sociocultural impact on adolescent sexual attitude and reproductive health. J Psychosexual Health. 2026;8(1):83-90. doi:10.1177/26318318251399267
  5. UNESCO, UNAIDS, UNFPA, UNICEF, UN Women, World Health Organization. International Technical Guidance on Sexuality Education: An Evidence-Informed Approach. Revised ed. UNESCO; 2018. https://unesdoc.unesco.org/ark:/48223/pf0000260770
  6. Pan American Health Organization. Sexual and reproductive health. Accessed March 18, 2026. https://www.paho.org/en/topics/sexual-and-reproductive-health
  7. Ma I, Sultan M, Kozyreva A, van den Bos W. Understanding the impact of misinformation on adolescents. Nat Hum Behav. 2026;10(1):18-28. doi:10.1038/s41562-025-02338-8
  8. Vongxay V, Albers F, Thongmixay S, et al. Sexual and reproductive health literacy of school adolescents in Lao PDR. PLoS One. 2019;14(1): e0209675. doi:10.1371/journal.pone.0209675
  9. Whitfield C, Jomeen J, Hayter M, Gardiner E. Sexual health information seeking: a survey of adolescent practices. J Clin Nurs. 2013;22(23-24): 3259-3269. doi:10.1111/jocn.12192
  10. Kirby DB, Baumler E, Coyle KK, et al. The “Safer Choices” intervention: its impact on the sexual behaviors of different subgroups of high school students. J Adolesc Health. 2004;35(6):442-452. doi:10.1016/j.jadohealth. 2004.02.006
  11. Myat SM, Pattanittum P, Sothornwit J, et al. School-based comprehensive sexuality education for prevention of adolescent pregnancy: a scoping review. BMC Womens Health. 2024;24(1):137. doi:10.1186/s12905-024-02963-x
  12. Nduhuye F, Kubana E, Matutina S, Mwesigye D, Munyaneza A, Nyirazinyoye L. The factors associated with teenage pregnancy among young women aged between 15 and 19 years in Rwanda: a retrospective cross-sectional study on the Rwanda Demographic Health Survey 2019-2020. Front Reprod Health. 2024;6:1453933. doi:10.3389/frph.2024. 1453933
  13. World Health Organization. Adolescent pregnancy. Published April 10, 2024. Accessed July 1, 2025. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy
  14. Corcoran JL, Davies SL, Knight CC, Lanzi RG, Li P, Ladores SL. Adolescents’ perceptions of sexual health education programs: an integrative review. J Adolesc. 2020;84:96-112. doi:10.1016/j.adolescence. 2020.07.014
  15. Singh S, Bankole A, Woog V. Evaluating the need for sex education in developing countries: sexual behaviour, knowledge of preventing sexually transmitted infections/HIV and unplanned pregnancy. Sex Educ. 2005;5(4):307-331. doi:10.1080/14681810500278089
  16. Ramírez-Villalobos D, Monterubio-Flores EA, Gonzalez-Vazquez TT, Molina-Rodríguez JF, Ruelas-González MG, Alcalde-Rabanal JE. Delaying sexual onset: outcome of a comprehensive sexuality education initiative for adolescents in public schools. BMC Public Health. 2021; 21(1):1439. doi:10.1186/s12889-021-11388-2
  17. Güçlü A, Özerk H. Türkiye’de 2000-2018 yılları arasında örgün eğitim kurumları kapsamında cinsel sağlık eğitimlerine ilişkin çalışmaların incelenmesi ve değerlendirilmesi. OPUS Int J Soc Res. 2021;18(39):958-982. doi:10.26466/opus.922603
  18. Zeren F, Gürsoy E. Neden cinsel sağlık eğitimi? Düzce Üniv Sağl Bil Enstit Derg. 2018;8(1):29-33.
  19. Celik N, Yesildere Saglam H. Sexual health literacy and sexual and reproductive health service seeking among young people in Türkiye: levels and determining factors. BMC Public Health. 2026;26:454. doi:10. 1186/s12889-025-26130-5
  20. United Nations Population Fund Türkiye. 2023 Türkiye Gençlik Araştırması, Nitel Araştırma. Published December 16, 2024. Accessed July 2, 2026. https://turkiye.unfpa.org/tr/2023_TR_Genclik_Arastirmasi_ Nitel_Arastirma
  21. Üstgörül S. Cinsel sağlık okuryazarlık ölçeğinin geliştirilmesi: geçerlik ve güvenirlik çalışması. Ankara Sağl Bil Derg. 2022;11(2):164-176. doi:10. 46971/ausbid.1086403
  22. Yeşil Y, Apak H. Ebelik ve hemşirelik bölümü öğrencilerinin cinsel sağlık okuryazarlığı ve cinsel sağlığa yönelik tutumlarının belirlenmesi. Gümüşhane Üniv Sağl Bil Derg. 2024;13(1):48-54. doi:10.37989/gumussagbil. 1410112
  23. Jamali B, Maasoumi R, Tavousi M, Haeri-Mehrizi AA. Women’s sexual health literacy and related factors: a population-based study from Iran. Int J Sex Health. 2020;32(4):433-442. doi:10.1080/19317611.2020.1841056
  24. Aker MN, Uslu E, Tunç Tuna P, Molu B. Hemşirelik öğrencilerinin cinsel sağlık bakımı vermeye ilişkin tutum ve inançları. Ankara Sağl Bil Derg. 2018;7(1):41-49. doi:10.46971/ausbid.438863
  25. Gültürk E, Akpınar A, Şen ŞR, Balcı H. Cinselliğin değerlendirilmesi: hemşirelerin cinsellikle ilgili tutum ve inançları. İstanbul Bilim Üniv Flor Nightingale Tıp Derg. 2018;4(1):63-70. doi:10.5606/fng.btd.2018.009
  26. Turan Z, Akcan K. Sağlık Hizmetleri Meslek Yüksekokulu öğrencilerinin cinsel sağlık okuryazarlık düzeylerinin belirlenmesi. Anat J Mental Health. 2025;2(1):4-14. doi:10.5281/zenodo.14991382
  27. Şentürk Erenel A, Çiçek Özdemir S. Attitude and behaviors of senior nursing students in assessment of sexual health. Sex Disabil. 2020;38(3): 503-514. doi:10.1007/s11195-020-09642-3
  28. Ebeoğlu M, Karacan E. Cinsellikle ilgili konularda iletişim ile evlilik öncesi cinselliğe yönelik tutum: üniversite sınıf düzeyinin ve cinsiyetin rolü. Ege Eğit Derg. 2019;20(1):1-19. doi:10.12984/egeefd.442010
  29. Bal R, Şahin SK. Never before marriage? A qualitative research on married-working women. Curr Psychol. 2025;44(7):6228-6238. doi:10. 1007/s12144-025-07600-w
  30. Karapınar Kocağ E. Gender role attitudes and happiness in Turkiye: evidence from Family Structure Survey micro data set. Paradigma İktisadi İdari Araşt Derg. 2023;12(1):18-30.
  31. Moghasemi S, Ozgoli G, Simbar M, Nasiri M. Middle-aged Iranian women’s accounts of their sexual health care practices: a conventional content analysis. Int Perspect Sex Reprod Health. 2018;44(3):91-99. doi:10.1363/44e6718
  32. Bastien S, Kajula LJ, Muhwezi WW. A review of studies of parent-child communication about sexuality and HIV/AIDS in sub-Saharan Africa. Reprod Health. 2011;8:25. doi:10.1186/1742-4755-8-25
  33. Kusi-Appouh DN. Adolescents’ Sources of Health Information and Sibling Communication in Ghana: A Mixed Methods Analysis. PhD dissertation. Cornell University; 2012. Accessed July 2, 2025. https://hdl.handle.net/1813/31014
  34. Vamos CA, Thompson EL, Logan RG, et al. Exploring college students’ sexual and reproductive health literacy. J Am Coll Health. 2020;68(1):79-88. doi:10.1080/07448481.2018.1515757
  35. Wang YH, Rong JR. Factors associated with the provision of sexual health care by nursing students in hospitals: an analytical cross-sectional study. Int J Stud Nurs. 2019;4(3):71-80. doi:10.20849/ijsn.v4i3.622
  36. Huang CY, Tsai LY, Tseng TH, Li CR, Lee S. Nursing students’ attitudes towards provision of sexual health care in clinical practice. J Clin Nurs. 2013;22(23-24):3577-3586. doi:10.1111/jocn.12204