The relationship between sexual health literacy and sexual assertiveness in married women: A quantitative study in southern Iran - Payesh (Health Monitor)
Mon, Nov 25, 2024
OPEN ACCESS
Volume 21, Issue 1 (January - February 2022)                   Payesh 2022, 21(1): 59-67 | Back to browse issues page

Ethics code: IR.MODARES. 1398.199


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bahrampour B, Lamyian M, shahali S. The relationship between sexual health literacy and sexual assertiveness in married women: A quantitative study in southern Iran. Payesh 2022; 21 (1) :59-67
URL: http://payeshjournal.ir/article-1-1737-en.html
1- Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
Abstract:   (2952 Views)
Objective (s): Sexual assertiveness is defined as one of the most important components of sexual life and as a psychosocial feeling towards one's personal interpretation of how to express oneself in a marital relationship. The aim of this study was to investigate the relationship between sexual health literacy levels and Sexual assertiveness in married women of reproductive age.
Methods: This study was performed with a sample size of 200 married women in reproductive age who were referred to Banaruyeh health center in the south of Fars province, Iran through available sampling method. The instruments used in the study included a researcher-made demographic reproductive questionnaire, sexual health literacy for adults (SHELA) questionnaire, and the Sexual Assertiveness Hulbert. The data obtained from this study were analyzde through descriptive and inferential statistics using SPSS software version 21. 
Results: The mean age of participants was 31.65 ±5.95 years. The   mean score sexual assertiveness was 58.9 ± 6.95. A quarter of women had excellent sexual health literacy. The results of analysis of covariance showed that people with inadequate, not enough and sufficient sexual health literacy levels had lower mean sexual assertiveness scores than those with excellent sexual health literacy levels (p˂0.05). There was a statistically significant relationship between sexual fulfillment score and occupation, spouse occupation, economic status and delivery history and between sexual assertiveness score with age, age of spouse, number of pregnancies, number of abortions, inverse and statistically significant relationship (p ˂0/05).
Conclusion: The results showed that higher levels of sexual health literacy were associated with higher scores of sexual assertiveness. Necessary educational and counseling interventions for women of reproductive age need to be designed and implemented to improve sexual health literacy.
Full-Text [PDF 1001 kb]   (980 Downloads)    
type of study: Descriptive | Subject: Public Health
Received: 2021/09/14 | Accepted: 2022/02/2 | ePublished ahead of print: 2022/02/20 | Published: 2022/03/5

References
1. Lyons M, Houghton E, Brewer G, O'Brien F. The Dark triad and sexual assertiveness predict sexual coercion differently in men and women. Journal of Interpers Violence 2020;3:1-16 [DOI:10.1177/0886260520922346]
2. López-Alvarado S, Van Parys H, Cevallos-Neira A, Enzlin P. Latin American women's beliefs, views and ideas about sexual assertiveness: a focus group study in cuenca (ecuador). Journal of Sex Research 2020;57:307-21 [DOI:10.1080/00224499.2019.1615031]
3. Sierra JC, Arcos-Romero AI, Álvarez-Muelas A, Cervilla O. The Impact of intimate partner violence on sexual attitudes, sexual assertiveness, and sexual functioning in men and women. International Journal of Environmental Research and Public Health 2021;18:594 [DOI:10.3390/ijerph18020594]
4. Santos-Iglesias P. El papel de la asertividad sexual en la sexualidad. International Journal of Clinical and Health Psychology 2010;10:553-77
5. Morokoff PJ, Quina K, Harlow LL, Whitmire L, Grimley DM, Gibson PR, et al. Sexual Assertiveness Scale (SAS) for women: development and validation. International Journal of Psychology 1997;73:790-804 [DOI:10.1037/0022-3514.73.4.790]
6. Assadi E, Fathabadi J, Mohammad Sharifi F. The Relationship between couple burnout, sexual assertiveness, and sexual dysfunctional beliefs in married women. Family Counseling and Psychotherapy 2014;3:661-692[persian]
7. Zarenezhad H, Hoseyni SM, Rahmati A. Relationships between sexual assertiveness and sexual dissatisfaction with couple burnout through the mediating role of marital conflict. Family Counseling and Psychotherapy 2019;9:1-14[persian]
8. Sayyadi F, Golmakani N, Ebrahimi M, Saki A. The Relationship between sexual assertiveness and positive feelings towards spouse in married women. Journal of Midwifery and Reproductive Health 2018;6:1314-9
9. Sayyadi F, Golmakanin N. Investigating the relationship between sexual assertiveness and sexual quality of life in married women. Journal of Nursing and Midwifery Sciences 2020;18:750-758[persian]
10. Ashdown K, Hackathorn J, Clark M. In and out of the bedroom: sexual satisfaction in the marital relationship. Journal of Integrated Social Sciences 2011;2:41-57
11. Sayyadi F, Golmakani N, Ebrahimi M, Saki A, Karimabadi A, Ghorbani F. Determination of the effect of sexual assertiveness training on sexual health in married women: A randomized clinical trial. Iranian Journal of Nursing and Midwifery Research 2019;24:274-80 [DOI:10.4103/ijnmr.IJNMR_199_17]
12. Aghdam NSZ, Chizari M, Vakilian K, Ranjbaran M. Predictors of female sexual self-disclosure in Tehran. Journal of Mazandaran University of Medical Sciences 2017;26:357-361[Persian]
13. Zerubavel N, Messman-Moore TL. Sexual victimization, fear of sexual powerlessness, and cognitive emotion dysregulation as barriers to sexual assertiveness in college women. Violence Against Women 2013;19:1518-37 [DOI:10.1177/1077801213517566]
14. Martin SP. Young people's sexual health literacy: seeking, understanding, and evaluating online sexual health information. PhD thesis, University of Glasgow 2017
15. Jones S, Norton B. On the Limits of Sexual Health Literacy: Insights From Ugandan Schoolgirls. Diaspora, Indigenous, and Minority Education 2007;1:285-305 [DOI:10.1080/15595690701563998]
16. Gilbert M, Ferlatte O, Michelow W, Martin S, Young I, Donelle L, et al. P02.05 Sexual health literacy - an emerging framework for research and intervention to improve sexual health for gay men. Sexually Transmitted Infections 2015;91: 85 [DOI:10.1136/sextrans-2015-052270.226]
17. Wong JYH, Zhang W, Wu Y, Hang Choi EP, Ming Lo HH, Wong W, et al. An interactive web-based sexual health literacy program for safe sex practice for female Chinese university students: Multicenter randomized controlled trial. Journal of Medical Internet Research 2021;23: e22564 [DOI:10.2196/22564]
18. Cohen J. ststistical power analysis for the behavioral sciences. lawrence erlbaum associates, hillsdale, new jersey. 2st Edition, Lawrence Erlbaum Associates Publishers: Department of psychology new york university: New Youk, 1988
19. Maasoumi R, Tavousi M, Zarei Z. Development and psychometric properties of sexual health literacy for adults (SHELA) questionnaire. Journal of Hayat 2019;25:56-69 [Persian]
20. Hurlbert DF. The role of assertiveness in female sexuality: A comparative study between sexually assertive and sexually nonassertive women. Journal of Sex & Marital Therapy 1991;17:183-90 [DOI:10.1080/00926239108404342]
21. Azmoude E, Firoozi M, Sadeghi Sahebzad E, Asgharipour N, Sahebzad ES, MS, et al. Relationship between Gender Roles and Sexual Assertiveness in Married Women. International Journal Community Based Nurs Midwifery 2016;4:363-73
22. NasrollahiMola N, Bahrami N, Ranjbaran M, Alimoradi Z. Predictors of sexual assertiveness in a sample of Iranian married women of reproductive age. Sexual and Relationship Therapy 2020;5:1-13 [DOI:10.1080/14681994.2020.1740672]
23. Rickert VI, Sanghvi R, Wiemann CM. Is Lack of Sexual Assertiveness among Adolescent and Young Adult Women a Cause for Concern? Perspect Sex Reprod Health 2002;34:178 [DOI:10.2307/3097727]
24. Azmoude E, Firoozi M, Sadeghi Sahebzad E, Asgharipour N, Sahebzad ES, MS, et al. Relationship between gender roles and sexual assertiveness in married women. International Journal of Community-Based Nursing and Midwifery 2016;4:363-73
25. Theiss JA. Modeling dyadic effects in the associations between relational uncertainty, sexual communication, and sexual satisfaction for husbands and wives. Communication Research 2011; 38:565-84 [DOI:10.1177/0093650211402186]
26. Moyano N, Granados R, Durán CA, Galarza C. Self-Esteem, attitudes toward love, and sexual assertiveness among pregnant adolescents. International Journal of Environmental Research and Public Health 2021;18:1270 [DOI:10.3390/ijerph18031270]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and Permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 All Rights Reserved | Payesh (Health Monitor)

Designed & Developed by : Yektaweb