Ülkemizde yeni gelişen ve önemli bir kavram olan sağlık okuryazarlığı ile ilgili araştırmaların sınırlı sayıda olması sebebiyle meslek yüksekokulu öğrencilerinde sağlık okuryazarlığı düzeyinin ve ilişkili faktörlerin belirlenmesi amaçlanmıştır. Kesitsel türde planlanan bu araştırmanın evrenini oluşturan Fırat Üniversitesi Sağlık Bilimleri Meslek Yüksek Okulu’ndaki öğrencilerin %86,6’sı (n=1299) araştırmaya katılmıştır. Katılımcılar Sağlık Okuryazarlığı Anketi, sosyodemografik veri formu, kişisel sağlık algısı, sağlık çıktıları ve sağlık hizmetleri ile ilgili soruları yanıtlamışlardır. Veriler SPSS v 25.00 paket programı ile değerlendirilmiştir. Öğrencilerin Genel Sağlık Okuryazarlığı (SOY) İndeksi puan ortalaması 33,81±7,81 olup kadınlarda, ekonomik durumu iyi olanlarda, annenin öğrenim durumu ‘üniversite ve üzeri’ olanlarda, sigara kullanmayanlarda istatistiksel olarak anlamlı düzeyde daha yüksek bulunmuştur. Genel olarak toplumumuzda düşük olan sağlık okuryazarlığı düzeyi çalışmamıza katılan gençlerde de benzer olarak görülmektedir. Genel SOY düzeyini etkileyen faktörler arasında cinsiyet, anne öğrenim durumu, gelir durumu ve sigara kullanımı saptanmıştır. SOY düzeyinin “hastalıktan korunma” ve “sağlığın iyileştirilmesi” başlıkları altında en düşük olduğu görülmektedir. Bu da birincil korunma kapsamında sağlığın geliştirilmesi için çok sektörlü sağlık yaklaşımına ihtiyaç duyulduğunu ortaya koymaktadır. Gençlerin sağlık okuryazarlığı hakkında farkındalıklarının artırılmasına yönelik akran eğitimleri, programlar, projeler geliştirilmelidir.

Objective: As our society ages, the incidence of acute and chronic diseases increases, and so does chronic drug use and polypharmacy. This study was intended to examine the medication behaviors of the elderly who lived in the nursing homes in the Elazig and Malatya provinces, located in eastern Turkey, and in the Kayseri province located in Central Anatolia. Materials and methods: The population of this cross-sectional study included people over the age of 60 years (n=310) who lived in the nursing homes in the Elazig, Malatya, and Kayseri provinces. The entire population was included in the research without sampling, of which 255 (82.2%) people participated. Data were collected using a survey form, and the survey was conducted through face-to-face interviews. The data were reported in numbers, percentages, and averages. Results: Of the studied population, 87.8% were treated through polypharmacy, using various drugs. The most commonly used drugs were antihypertensives (52.2%). Females over 60 years used more polypharmacy than men (p<0.05). Of the elderly studied, 97.3% used drugs as recommended, 95.3% did not know about the side effects of the drugs they used, and 93.7% did not read the prospectuses of the drugs. Also, 82.7% stated that their drugs did not have any side effects and 70.2% said that the health care personnel did not educate them about their drugs. Of the elderly who were informed about their drugs, 55.3% obtained the information from the nurse and 44.7% from the physician. Of the elderly, 51.3% received education on the duration they would need to take the drug, 30.3% were educated on the intended use of the drugs, 7.9% received education on their drug dose, and 6.6% were educated on the side effects of the drugs. Conclusion: The results of this study showed that the majority of the elderly studied used more than one drug (polypharmacy) and the most used drug group was antihypertensives.

The tetanus vaccine is not routinely given to Turkish adults. Protective tetanus immunity decreases with age. Health-care personnel (HCPs), who are role models in the field of health, are a target group in order to achieve a higher rate of tetanus vaccination in the community. This study was designed to evaluate attitudes and coverage regarding tetanus vaccination among a large sample of Turkish HCPs. This cross-sectional epidemiologic study was conducted from July to August 2019. A questionnaire was sent to HCPs using social media. Of the 10,644 HCPs included in the study, 65% were female. Overall, the tetanus vaccination coverage (TVC) among HCPs was 78.5% (95% CI: 77.7%-79.3%). TVC was significantly higher among physicians [83.4% (95% CI: 82%-84.6%); p < .001] compared with all other HCPs except nurses. Older age (≥40 years) and length of professional experience were significantly correlated with TVC. Of the 8353 HCPs who received tetanus vaccines during their lifetime, 73.03% received tetanus vaccination in the past 10 years. The self-vaccination rate for protection against tetanus was 13.1%. Acute injuries (25.42%) and pregnancy (23.9%) were the most common reasons for having the tetanus vaccine. One-third (33.7%) of HCPs did not have information about whether pregnant women could receive tetanus vaccinations. This survey study provided excellent baseline information about HCPs’ coverage rates and attitudes regarding tetanus vaccination. The present results suggested that tetanus boosters for HCPs should be established as soon as possible, and revealed that the HCPs younger than 30 years with relatively less professional experience and all other HCPs except nurses and physicians should be identified as the target population for future intervention programs.

Meme ve serviks kanserleri kadınlarda sık görülen kanserler olup, Kanser Erken Teşhis, Tarama ve Eğitim Merkezi (KETEM)’de tarama programı kapsamındadır. Bu çalışmanın amacı, 2016 ve 2017 yıllarını kapsayan süreçte, meme ve serviks kanseri taraması amacıyla yapılan başvuruları, tetkikleri ve bu doğrultuda alınmış olan anamnez formlarını retrospektif olarak değerlendirmektir. Kesitsel, retrospektif olan bu çalışmada meme ve serviks kanseri taraması için 2016 ve 2017 yıllarında Elazığ KETEM’e yapılan 632 başvuru değerlendirilmiştir. Veriler SPSS 22.0 programıyla değerlendirilmiş, normal dağılım için Kolmogrov-Smirnov testi kullanılmıştır. İstatistiksel değerlendirmelerde Mann Whitney U ve ki-kare testleri kullanılmış, p<0,05 istatistiksel anlamlılık olarak kabul edilmiştir. 632 kadın katılımcının yaş medyanı 50 (min:40, maks:66) idi. 17 kişinin (%2,7) smear sonucunda servikal prekanseröz lezyon saptanmıştır. Mamografi sonucu BI-RADS 1, 2 ve 3 olan %42,6 (269 kişi)’dir. Yapılan ileri tetkikler ve biyopsi sonucu BI-RADS 4, 5 olan 25 kişinin yapılan biyopsi sonucu 17 (%2,7) kişide meme kanseri tespit edilmiştir. Tarama sonucu elde edilen sonuçlar kişilerin sosyo-demografik özellikleri ile ilişkili bulunmamıştır. Tarama testleri kanser erken teşhisinde önemli yere sahip olup erken teşhis mortalite ve morbiditeyi azaltmaktadır. Mamografi ve Pap smear testi ucuz, kolay uygulanabilir, kolay ulaşılabilir, toplum tarafından kabul edilebilir tarama testleridir. Bu tarama programlarının tanıtımı arttırılarak halk katılım için teşvik edilmelidir.

Objective: The vaccine is a solution that stimulates the immune system in order to prevent diseases. This study aimed to investigate the knowledge, attitudes and behaviors of family physicians working in primary care about the vaccine. Methods: The population of this descriptive study consisted of family physicians working in Elazig provinces and districts. We reached 88.7% of family physicians. A questionnaire including demographic questions, 12 knowledge, 13 attitude and 5 behavior questions was applied to family physicians. The data were evaluated with SPSS 22 program. In statistical evaluations, Chi-square, Mann-Whitney U, Kruskal Wallis and Spearinan's correlation tests were used. Statistical significance was set as p<0. Results: Of the 165 family physicians participating in the study, 66.7% were male, and the mean age was 40.67 a, 8.85. The correct answer rate of the 13 questions about the knowledge was 7.59 +/- 2.17 on average. The flu vaccine, of which 15.8% of the participants had the most hesitation in administration, was the vaccine that 52.6% applied to themselves and their relatives most. 'there was no significant difference between the correct answers of those with and without children (p> 0.05). The attitude score was higher in married people than singles (p = 0.006) and people with children compared to those without children (p 0.012). The behavioral score of the 46-55 age group was higher than that of married people (p <0.001), those who had no children (p <0.001), and those who did research (p 0.05). Conclusions: We determined that family physicians who were primarily responsible for vaccination had misinformation about the vaccine, that the researchers' behavior score was high, and that age and attitude and behavior score were positively related.