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Women’s Knowledge of Sexually Transmitted Diseases in Telafer City, Iraq

*Mohmmed Qassim Baktash orcid publons  -  Department of Community Health Nursing, College of Nursing, University of Telafer, Iraq
Abdul-Aziz Ahmed Aziz  -  Department of Clinical Nursing Science, College of Nursing, University of Telafer, Iraq
Open Access Copyright (c) 2023 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: Knowledge of sexually transmitted diseases (STDs) is essential in protecting women from the devastating effects of these infections. This is the first study that attempts to assess the knowledge about one of the most embarrassing diseases in women with Islamic Turkmen culture.

Purpose: This study aimed to assess women’s knowledge of STDs in Telafer City and its association with sociodemographic factors.

Methods: This cross-sectional study involved 451 women over 18 years old from Telfer City in Iraq. The study was conducted using a convenient sampling technique from 1 December 2021 to 15 June 2022. The study’s data were collected using a STDs knowledge questionnaire. Descriptive statistics of mean, standard deviation, frequency, and percentage were used to describe sociodemographic characteristics and the level of knowledge of STDs among women. In addition, the inferential statistics of ANOVA and Fisher’s exact test were used to determine the association between the women’s characteristics and knowledge.  

Results: The study signaled that the overall mean score of knowledge of STDs was (6.67±5.85). The vast majority of participants had a low level of knowledge about STDs (73.8%; n=333). Only about (14.4%; n=64) had moderate knowledge, and approximately (11.8%; n=53) of women were highly knowledgeable about STDs. The study also proved the presence of a statistically significant positive association between women’s knowledge regarding STDs with marital status (p˂0.000) and educational level (p˂0.000).

Conclusion: The majority of respondents showed low level of knowledge about STDs. Marital status and educational level were associated with this knowledge. This study necessitates the construction and employment of a women-tailored health education program about STDs in Iraq and Telafer City.
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Keywords: Knowledge; sexual health; sexually transmitted diseases; women; Telafer City

Article Metrics:

  1. Al-Abbas, W. D. S., & Radhi, O. A. (2019). Incidence of Chlamydia trachomatis and Trichomonas vaginalis genital infections among nonpregnant women in Al-Najaf Province. Kufa Journal for Nursing Sciences, 9(1), 1-8
  2. Al-Gburi, G., Al-Shakarchi, A., Al-Dabagh, J. D., & Lami, F. (2023). Assessing knowledge, attitudes, and practices toward sexually transmitted infections among Baghdad undergraduate students for research-guided sexual health education. Frontiers in Public Health, 11, 446
  3. Al Jumaily, H. (2022). Prevalence of sexually transmitted diseases (STDs) in Iraq for the years (1999–2001) based on syndromic approach. Iraqi Journal of Community Medicine, 24 (2), 105–108. https://www.iasj.net/iasj?func=fulltext&aId=59859
  4. Albanghali, M. A., & Othman, B. A. (2020). A cross-sectional study on the knowledge of sexually transmitted diseases among young adults living in Albaha, Saudi Arabia. International Journal of Environmental Research and Public Health, 17(6), 1872. https://doi.org/10.3390/ijerph17061872
  5. Alomair, N., Alageel, S., Davies, N., & Bailey, J. V. (2020). Sexually transmitted infection knowledge and attitudes among Muslim women worldwide: A systematic review. Sexual and Reproductive Health Matters, 28(1), 1731296. https://doi.org/10.1080/26410397.2020.1731296
  6. Baldeh, A. K., & Isara, A. R. (2019). Knowledge of sexually transmitted infections amongst pregnant women attending antenatal clinics in West Coast region of The Gambia. African Journal of Reproductive Health, 23(3), 49-56. https://doi.org/10.29063/ajrh2019/v23i3.5
  7. Centers for Disease Control and Prevention. (2022, 22 August). Sexually transmitted disease surveillance, 2020. Centers for Disease Control and Prevention. https://www.cdc.gov/std/statistics/2020/default.htm
  8. Daiane de Peder, L., Mesquita da Silva, C., Nascimento, B. L., Malizan, J. A., Madeira, H. S., Horvath, J. D., Silva, E. S., & Vieira Teixeira, J. J. (2020). Prevalence of sexually transmitted infections and risk factors among young people in a public health center in Brazil: A cross-sectional study. Journal of Pediatric and Adolescent Gynecology, 33(4), 354-362. https://doi.org/https://doi.org/10.1016/j.jpag.2020.02.008
  9. Drago, F., Ciccarese, G., Zangrillo, F., Gasparini, G., Cogorno, L., Riva, S., Javor, S., Cozzani, E., Broccolo, F., Esposito, S., & Parodi, A. (2016). A survey of current knowledge on sexually transmitted diseases and sexual behaviour in Italian adolescents. International Journal of Environmental Research and Public Health, 13(4), 422. https://doi.org/10.3390/ijerph13040422
  10. Ekşi, Z., & Kömürcü, N. (2014). Knowledge level of university students about sexually transmitted diseases. Procedia: Social and Behavioral Sciences, 122, 465-472. https://doi.org/10.1016/j.sbspro.2014.01.1374
  11. Farih, M., Freeth, D., Khan, K., & Meads, C. (2015). Sexual and reproductive health knowledge and information-seeking behavior among middle eastern female university students: A systematic review. International Journal of Sexual Health, 27(4), 383-395. https://doi.org/10.1080/19317611.2015.1023961
  12. Fasciana, T., Capra, G., Lipari, D., Firenze, A., & Giammanco, A. (2022). Sexually transmitted diseases: Diagnosis and control. International Journal of Environmental Research and Public Health, 19(9), 5293. https://doi.org/10.3390/ijerph19095293
  13. Fontes, M. B., Crivelaro, R. C., Scartezini, A. M., Lima, D. D., Garcia, A. A., & Fujioka, R. T. (2017). Determinant factors of knowledge, attitudes and practices regarding STD/AIDS and viral hepatitis among youths aged 18 to 29 years in Brazil. Cien Saude Colet, 22(4), 1343-1352. https://doi.org/10.1590/1413-81232017224.12852015
  14. Garcia, M. R., & Wray, A. A. (2022). Sexually transmitted infections. StatPearls [Internet]. https://pubmed.ncbi.nlm.nih.gov/32809643/
  15. Gaydos, C. A., Manabe, Y. C., & Melendez, J. H. (2021). A narrative review of where we are with point-of-care sexually transmitted infection testing in the United States. Sexually Transmitted Diseases, 48(8S), S71-S77. https://doi.org/10.1097/OLQ.0000000000001457
  16. Gray, J. R., Grove, S. K., & Sutherland, S. (2016). Burns and grove's the practice of nursing research-E-book: Appraisal, synthesis, and generation of evidence. Elsevier Health Sciences
  17. Green, E.C. & Murphy, E. (2014). Health Belief Model. In W.C. Cockerham, R. Dingwall and S. Quah (Eds), The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society (pp.766-769). John Wiley & Sons, Ltd. https://doi.org/10.1002/9781118410868.wbehibs410
  18. Hassan, J. S. (2015). An evaluation of syphilis disease in pregnant women of Abu-Grab Province, Iraq. Canadian Journal of Pure and Applied Sciences, 9(2), 3379-3381
  19. Jaworski, B. C., & Carey, M. P. (2007). Development and psychometric evaluation of a self-administered questionnaire to measure knowledge of sexually transmitted diseases. AIDS and Behavior, 11(4), 557-574. https://doi.org/10.1007/s10461-006-9168-5
  20. Knuppe, A. J. (2023). The civilians’ dilemma: How religious and ethnic minorities survived the Islamic state occupation of Northern Iraq. The Journal of the Middle East and Africa, 14(1), 37-67. https://doi.org/10.1080/21520844.2022.2128001
  21. Kowalczyk, R., & Nowosielski, K. (2019). Impact of social factors and sexual behaviors on the knowledge of sexually transmitted infections among women who have sex with women/women who have sex with women and men. International Journal of STD & AIDS, 30(2), 163–172. https://doi.org/10.1177/0956462418802736
  22. Lee, A. S., & Cody, S. L. (2020). The stigma of sexually transmitted infections. The Nursing Clinics of North America, 55(3), 295–305. https://doi.org/10.1016/j.cnur.2020.05.002
  23. Mansor, N., Ahmad, N., & Rahman, H. A. (2020). Determinants of knowledge on sexually transmitted infections among students in public higher education institutions in Melaka state, Malaysia. PloS one, 15(10), e0240842. https://doi.org/10.1371/journal.pone.0240842
  24. Morales, A., Espada, J. P., Orgilés, M., Escribano, S., Johnson, B. T., & Lightfoot, M. (2018). Interventions to reduce risk for sexually transmitted infections in adolescents: A meta-analysis of trials, 2008-2016. Plos one, 13(6), e0199421. https://doi.org/10.1371/journal.pone.0199421
  25. Naeem, F. K., Suror, H., & Aneed, A. A. (2020). Knowledge and attitude about sexual transmitted disease among women in reproductive age in Al-Nasiriyah Governorate-Iraq. Indian Journal of Forensic Medicine & Toxicology, 14(4), 2662-2667. https://doi.org/10.37506/ijfmt.v14i4.12072
  26. National Academies of Sciences, E., & Medicine. (2021). Sexually transmitted infections: Adopting a sexual health paradigm. The National Academies Press. https://doi.org/10.17226/25955
  27. Nouraddin, A. S., & Alsakee, H. M. (2015). Prevalence of Trichomonas vaginalis infection among women in Erbil governorate, Northern Iraq: An epidemiological approach. European Scientific Journal, 11(24), 243-255
  28. Ortashi, O., Raheel, H., Shalal, M., & Osman, N. (2013). Awareness and knowledge about human papillomavirus infection and vaccination among women in UAE. Asian Pacific Journal of Cancer Prevention, 14(10), 6077-6080. https://doi.org/10.7314/apjcp.2013.14.10.6077
  29. Parenti, A. B. H., Ignácio, M. A. O., Buesso, T. S., Almeida, M. A. S., Parada, C., & Duarte, M. T. C. (2023). Knowledge of women who have sex with women about sexually transmitted infections and AIDS. Cien Saude Colet, 28(1), 303. https://doi.org/10.1590/1413-81232023281.09882022
  30. Petrova, D., & Garcia-Retamero, R. (2015). Effective evidence-based programs for preventing sexually-transmitted infections: A meta-analysis. Current HIV Research, 13(5), 432-438. http://dx.doi.org/10.2174/1570162X13666150511143943
  31. Pourmarzi, D., Taromian, S., Razi, M., & Esmaeilie Hesari, A. (2016). Validity and reliability of a Persian version of a questionnaire on knowledge of health care providers about sexually transmitted infections. Eastern Mediterranean Health Journal, 22(8), 596-602. https://doi.org/10.26719/2016.22.8.596
  32. Richner, D. C. (2022). Relationships between sexual health knowledge, self-efficacy, and trauma on sexual risk-taking among women (28775021) [Doctoral dissertation/ Idaho State University]. ProQuest
  33. Sakha, M. A., Kazerooni, P. A., Lari, M. A., Sayadi, M., Azar, F. E. F., & Motazedian, N. (2013). Effect of an educational intervention on knowledge, attitudes and preventive behaviours related to HIV and sexually transmitted infections in female sex workers in southern Iran: A quasi-experimental study. International journal of STD & AIDS, 24(9), 727-735. https://doi.org/10.1177/0956462413482424
  34. Shukla, B., & Kaur, D. (2013). A quasi-experimental study to assess the effectiveness of structured teaching programme on knowledge regarding prevention of STDs among women in the selected rural areas, Hoshiarpur. India International Research Journal, 3(2). https://doi.org/10.30574/wjarr.2022.16.2.1177
  35. Subbarao, N. T., & Akhilesh, A. (2017). Knowledge and attitude about sexually transmitted infections other than HIV among college students. Indian Journal of Sexually Transmitted Diseases AIDS, 38(1), 10-14. https://doi.org/10.4103/0253-7184.196888
  36. Teixeira, L. O., Figueiredo, V. L. M., & Mendoza-Sassi, R. A. (2015). Cross-cultural adaptation of sexually transmitted disease knowledge questionnaire to Portuguese of Brazil. Jornal Brasileiro de Psiquiatria, 64 (3), 247-256. https://doi.org/10.1590/0047-2085000000085
  37. U.S. National Library of Medicine. (2022). Sexually transmitted diseases | STD | venereal disease. MedlinePlus. https://medlineplus.gov/sexuallytransmitteddiseases.html
  38. Umami, A., Sudalhar, S., Lufianti, A., Paulik, E., & Molnár, R. (2021). Factors associated with genital hygiene behaviors in cervical cancer patients in Surakarta, Indonesia. Nurse Media Journal of Nursing, 11(1), 94-103. https://doi.org/10.14710/nmjn.v11i1.35829
  39. Volck, W., Ventress, Z. A., Herbenick, D., Hillard, P. J., & Huppert, J. S. (2013). Gynecologic knowledge is low in college men and women. Journal of Pediatric Adolescent Gynecology, 26(3), 161-166. https://doi.org/10.1016/j.jpag.2012.12.004
  40. Wang, X., & Cheng, Z. (2020). Cross-sectional studies: Strengths, weaknesses, and recommendations. Chest, 158(1, Supplement), S65-S71. https://doi.org/https://doi.org/10.1016/j.chest.2020.03.012
  41. Weaver, R. D. (2015). An assessment of sexually transmitted disease knowledge among 7th grade students [Doctoral dissertation, Walden University]. ScholarWorks. https://scholarworks.waldenu.edu/dissertations/610/
  42. Weinstein, N. D., Sandman, P. M. & Blalock, S. J. (2020). The precaution adoption process model. In K. Sweeny, M. L. Robbins and L. M. Cohen (Eds), The Wiley Encyclopedia of Health Psychology (pp. 495-506). John Wiley & Sons Ltd. https://doi.org/10.1002/9781119057840.ch100
  43. Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021). Sexually transmitted infections treatment guidelines, 2021. MMWR Recommendations and Reports, 70(4), 1–187. https://doi.org/10.15585/mmwr.rr7004a1
  44. World Health Organization. (2021.). Sexually transmitted infections. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections (stis)#:~:text=STIs%20have%20a%20profound%20impact,and%20trichomoniasis%20(156%20million)
  45. Zenebe, M. H. (2022). Sexually transmitted infections in pregnant women and congenital cytomegalovirus infections in mother-newborn pairs in Southern Ethiopia [Doctoral dissertation, Ghent University]. Ghent University Library. http://hdl.handle.net/1854/LU-8737295
  46. Zheng, Y., Yu, Q., Lin, Y., Zhou, Y., Lan, L., Yang, S., & Wu, J. (2022). Global burden and trends of sexually transmitted infections from 1990 to 2019: An observational trend study. The Lancet Infectious Diseases, 22(4), 541-551. https://doi.org/https://doi.org/10.1016/S1473-3099(21)00448-5
  47. Zin, N. M., Ishak, I., & Manoharan, K. (2019). Knowledge, attitude and practice towards sexually transmitted diseases amongst the inmates of women shelters homes at Klang Valley. BMC Public Health, 19(Suppl 4), 1-7. https://doi.org/10.1186/s12889-019-6863-5
  48. Zizza, A., Guido, M., Recchia, V., Grima, P., Banchelli, F., & Tinelli, A. (2021). Knowledge, information needs and risk perception about HIV and sexually transmitted diseases after an education intervention on Italian high school and university students. International Journal of Environmental Research and Public Health, 18(4), 2069. https://doi.org/10.3390/ijerph18042069

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