The relationship between individuals' knowledge of human papillomavirus, attitudes towards HPV vaccination, and vaccine hesitancy: A cross-sectional study.

There are more than 207 types of Human Papillomavirus (HPV), most of which do not cause symptoms, lesions, or warts, and cause more than 600,000 cases of cancer annually. Purpose:This study was planned to elucidate the relationship between individuals' HPV knowledge, attitudes towards the HPV vaccine, and vaccine hesitancy. The research was conducted with 1011 people using a descriptive and correlational research design. Data collection tools included socio-demographic information survey, HPV Knowledge Scale, Carolina HPV Vaccination Attitudes Scale, and Vaccine Hesitancy Scale. The data was analyzed using the SPSS 26.0 package program. The average score was 11.68±7.23 on the HPV Knowledge Scale, 30.76±7.31 on the HPV Vaccine Attitude Scale, and 27.90±11.10 on the Vaccine Hesitancy Scale. While there was a very weak negative relationship between the participants HPV knowledge and HPV Vaccine Attitude scores, a weak positive relationship was found with vaccine hesitancy. A weak positive relationship was also detected between vaccine attitude and vaccine hesitancy (p<0.05). According to the regression model created in the study, HPV vaccination attitude was explained by the HPV Knowledge Scale and vaccine hesitancy at a rate of 22.5%. In line with the results, healthcare professionals need to raise awareness in the society and increase vaccination rates.

Il existe plus de 207 types de papillomavirus humain (HPV), dont la plupart ne causent pas de symptômes, de lésions ou de verrues, mais entraînent plus de 600 000 cas de cancer chaque année. Objectif : Cette étude a été planifiée pour élucider la relation entre les connaissances des individus sur le HPV, leurs attitudes envers le vaccin contre le HPV et l'hésitation vaccinale. La recherche a été menée auprès de 1011 personnes en utilisant un plan de recherche descriptif et corrélationnel. Les outils de collecte de données comprenaient un sondage d'informations sociodémographiques, l'Échelle de Connaissances sur le HPV, l'Échelle des Attitudes envers la Vaccination contre le HPV de la Caroline et l'Échelle d'Hésitation Vaccinale. Les données ont été analysées à l'aide du programme SPSS 26.0. Le score moyen était de 11,68 ± 7,23 à l'Échelle de Connaissances sur le HPV, de 30,76 ± 7,31 à l'Échelle des Attitudes envers la Vaccination contre le HPV, et de 27,90 ± 11,10 à l'Échelle d'Hésitation Vaccinale. Bien qu'il y ait eu une très faible relation négative entre les connaissances des participants sur le HPV et les scores d'attitude envers le vaccin contre le HPV, une faible relation positive a été trouvée avec l'hésitation vaccinale. Une faible relation positive a également été détectée entre l'attitude envers la vaccination et l'hésitation vaccinale (p<0,05). Selon le modèle de régression créé dans l'étude, l'attitude envers la vaccination contre le HPV était expliquée par l'Échelle de Connaissances sur le HPV et l'hésitation vaccinale à un taux de 22,5 %. Conformément aux résultats, les professionnels de la santé doivent sensibiliser la société et augmenter les taux de vaccination.

The relationship between earthquake risk perceptions, religious orientation, spiritual well-being in individuals with and without earthquake experience: a cross-sectional study.

The physical and psychological effects of earthquakes on individuals with their experience dimension are important. This study aimed to examine the relationship between earthquake risk perception, religious orientation, and spiritual well-being among individuals with and without earthquake experience. The data collection instruments included a socio-demographic information questionnaire, earthquake risk perception scale, religious orientation scale, and three-factor spiritual well-being scale. Statistical evaluations were performed using independent samples t test, one-way ANOVA test, Mann-Whitney U test, Kruskal-Wallis test (Levene), Pearson correlation, and multiple linear regression analyses. About 59.9% of the participants had experienced an earthquake. Individuals with earthquake experience scored 33.04 ± 7.80 on the earthquake risk perception scale, 100.65 ± 20.80 on the religious orientation scale, and 119.66 ± 18.87 on the three-factor spiritual well-being scale. Those without earthquake experience scored 31.57 ± 7.74, 96.70 ± 18.46, and 114.09 ± 18.04 on the respective scales. The average scores on the earthquake risk perception scale were found to be statistically significant with respect to gender, while the average scores on the religious orientation scale and the three-factor spiritual well-being scale were found to be statistically significant with respect to both gender and substance use. The regression analysis revealed that religious orientation and three-factor spiritual well-being significantly predicted 13.5% of the variance in earthquake risk perception. Studies to increase individuals' risk perception are important in minimizing the destructive effects of earthquakes in countries in the earthquake zone.

The impact of social media addiction on healthy lifestyle beliefs in adolescents.

OBJECTIVE: This study was designed to examine the impact of social media addiction on healthy lifestyle beliefs in adolescents. METHOD: The study is a descriptive correlational study. The study was conducted with 722 students at middle and high school levels in a city in the eastern part of Turkey. Data were collected using the Socio-Demographic Information Form, Short Form of Social Media Addiction Scale for Adolescents, Adolescent Healthy Lifestyle Belief Scale. The data were reported using numbers, percentages, means, standard values, linear and hierarchical regression. RESULTS: The mean age of adolescents was 14.44 ± 2.62 and their body mass index was 20.16 ± 3.72. Adolescents scored 14.43 ± 2.63 on the social media addiction scale and 55.23 ± 16.80 on the healthy lifestyle belief scale. Social media addiction explains 8.9% of the total variance in healthy lifestyle beliefs. An increase in social media addiction was found to have a statistically significant effect on healthy lifestyle beliefs. The model established for the impact of age, weight, height, and BMI added to social media addiction on healthy lifestyle beliefs was significant, and the explanatory power of the model was 11.6%. CONCLUSION: It was concluded that social media addiction has an impact on healthy lifestyle beliefs in adolescents and that creating awareness, maintaining balance, promoting alternative activities, and fostering family-school cooperation are important in this regard. PRACTICE IMPLICATIONS: In order to increase healthy lifestyle beliefs in adolescents, it is necessary to reduce social media addiction levels. Nursing interventions to be implemented for this purpose are important in improving and protecting adolescent health.

The effect of intercultural sensitivity and ethnocentrism on health tourism awareness level in nurses: Analysis with machine learning approach.

PURPOSE: In this study, the effects of intercultural sensitivity and ethnocentrism on health tourism awareness levels in nurses were examined. DESIGN AND METHODS: This quantitative cross-sectional study was conducted in Turkey between November 2022 and March 2023. Intercultural sensitivity scale, ethnocentrism scale, and health tourism awareness scale were used to collect the data. R programming language 4.1.3, G*Power 3.1 and SPSS-22 program were used in the analysis of the study. RESULTS: This study was conducted with 386 nurses. Intercultural sensitivity has a positive and significant effect on health tourism awareness levels (ß = 0.141; t(384) = 2.784, p = 0.006). Ethnocentrism has a positive and significant effect on health tourism awareness levels (ß = 0.184; t(384) = 3.659, p = 0.001). Random Forest regression was found to be the best performing algorithm among the machine learning algorithms for predicting the Health Tourism Awareness variable. Looking at the contributions of the variables to the model, according to the SHAP value (Shapley Additive Explanations), it was seen that the most important variable that should be in the model to predict the health tourism awareness variable is the ethnocentrism variable. CONCLUSION: It was determined that as the level of intercultural sensitivity and ethnocentrism of nurses increased, their awareness of health tourism increased. Longitudinal studies on health tourism awareness in nurses are recommended.

Relationship between people's hopeless, intolerance of uncertainty, and their attitude towards violence against women in Turkey.

The purpose of this research to determine the attitudes of individuals living in rural and urban areas on hopelessness, intolerance of uncertainty and violence against women. The research was carried out with 1112 individuals randomly selected from two family health centers determined by lot in a province located in the east of Turkey. This descriptive study utilized the Beck Hopelessness Scale, Intolerance of Uncertainty Scale, the ISKEBE Attitude Scale for Violence against Women. An independent groups t test and multiple regression were used in analysis of the data. It was found that the participants' level of hopelessness was moderate, the level of intolerance to uncertainty was above moderate, and attitudes towards violence against women were high. It was determined that hopelessness and intolerance to uncertainty significantly predicted the attitudes towards violence against women. It is recommended to conduct more research on violence against women, to bring violence against women to the agenda through the media, to give deterrent punishments to individuals when there is an action on the subject, and to provide education on violence against women starting from school age.

Turkish airline cabin crew members' attitudes towards protection from infectious diseases in the context of their health responsibilities and health perceptions.

INTRODUCTION: This paper investigated Turkish Airline cabin crew members' attitudes towards protection from infectious diseases in the context of their health responsibilities and health perceptions. MATERIALS AND METHODS: The study adopted a descriptive research design. The sample consisted of 686 cabin crew members. Data were collected online using a sociodemographic characteristics questionnaire, a scale of attitudes towards infectious diseases, the Health Perception Scale(HPS), and the Health Responsibility subscale(HRS) of the Healthy Lifestyle Behaviors Scale(HLBS). The data were analyzed using the Statistical Package for Social Sciences (SPSS, v. 20.0). Number, percentage, mean, standard deviation, t-test, f test, and correlation were used for analysis. RESULTS: Participants had a mean HPS and HRS score of 56.12 ± 8.22 and 24.50 ± 7.05, respectively. The difference between the participants' marital status, position in the workplace, age group, number of children, occupational experience, exposure to communicable diseases, training on prevention from communicable diseases, voluntary vaccination status, and HPS and HRS scores were statistically significant(p < .05). CONCLUSION: There was a strong correlation between HPS and HRS scores(r = 0.664). Cabin crew members' health perceptions and health responsibilities were affected by numerous factors. Suggestions were made to cabin crew members pertaining to infectious diseases and ways of protecting from them.

The impact of an Education-Based Intervention Program (EBIP) on dyspnea and chronic self-care management among chronic obstructive pulmonary disease patients. A randomized controlled study.

OBJECTIVES: To evaluate the impact of dyspnea and chronic self-care management outcomes of an Education-Based Intervention Program (EBIP) compared to routine care. Methods: The population of the study consisted of self-care management scale of 61 patients diagnosed with chronic obstructive pulmonary disease (COPD) stage 2 and within one month after discharge. A total of 51 conforming patients were divided into experimental and control groups for a single-blind randomized trial. Data were collected using an introductory information form, the baseline dyspnea index (BDI), pulmonary function test (PFT), the self-care management process in chronic illness (SCMP-G) scale and body mass index (BMI). There were no addition interventions to the control group. The intervention group underwent a 3-month EBIP intervention that included education, house visits and follow-ups through phone calls between March 2019 and June 2019. The data were analyzed using Kolmogorov-Smirnov and Shapiro-Wilk tests, χ2, Mann Whitney U and Wilcoxon signed-rank tests. p less than 0.05 was statistically significant. Results: The study was completed with a total of 40 COPD patients. The effect of the EBIP training program on BDI, PFT, and SCMP-G scores in the intervention group was statistically proven (p less than 0.05). However, the differences between the groups in the BDI sub-dimension of functional impairment and PFT were not statistically significant (p greater than 0.05).  Conclusion: Providing patients with illness-related education through EBIP provided a partial improvement in dyspnea and a significant improvement in chronic care management among COPD patients.