Evaluation of knowledge level of couples referring to marriage consultation centers about proper (safe, responsible, enjoyable) sexual relation


Evaluation of knowledge level of couples referring to

marriage consultation centers about proper (safe, responsible, enjoyable) sexual


Parsay sousan (Ph.D.), Nahidi shizar (M.D), Modarresi jabiz (M.D)

Department of public health & social medicine, faculty of

medicine, Shahid Beheshti university of medical sciences, Evin avenue, Tehran,


Objective: Marriage is the most basic, essential and

sacred form of human relationship, which in its correct definition consists of

dynamic physical and psychological communication between couples. A unique

aspect of marriage is safe, enjoyable and responsible sexual relation, and human

sexual behaviors have become tremendously complicated. Ever since the

international population and development conference (Beijing 1995) which made it

mandatory for, the world to provide the youth with the appropriate information

about sexual relation and the lack of proper knowledge about the issue may lead

to unwanted pregnancies, STD, anxiety, dissatisfaction and divorce. In this

regards the final priority seems to have reliable statistical evaluation of the

knowledge of target population about these matters. This study was designed to

equip us with the necessary information for further research and educational

program in Iran.

Design and methods: A cross sectional study was performed

to ascertain the knowledge level of the couples referring to marriage

consultation centers in Tehran about proper sexual relation. 150 couples were

selected randomly. The information was gathered by a questionnaire with 31

questions. Gender, age group, educational level and knowledge score and level

were the main variables under the study. All the information was considered

confidential. The knowledge level was measured by coding method and information

was analyzed by SPSS.

Results: The average knowledge score of male cases below

12 point was considered very poor and that of women’s were even lower. The

highest average level belonged to the couples whose educational level was higher

than high school diploma. Most of the participants obtain their knowledge from

unreliable sources (70.3% for women and 64.7% for men). The lowest knowledge

scores belonged to the cases younger than 25 years of age. Only 15% of women and

9% of men spend no time of thinking about sexual matters at all. The fear of

sexual relation was six times higher in women compared to men subjects and about

4% of cases considered sexual matters with aliens as sin.

Conclusion: In this study it has been proven that both

women and all subjects under 25 years of age were more at risk of being deprived

from enjoying a proper sexual relation. The knowledge of sexual issue for even

educated woman was less than predicted. So by focusing on female education and

informing them of the subject matter during high school and before marriage, the

quality of life could be improved. Both sexes gain most of their knowledge from

unreliable sources mainly because sharing such information with others seemed

religious taboo. But surprisingly 86% of participants stated that there was an

urgent need for gaining information from authorized health personnel. It was

also made evident that providing couple with basic pieces of information about

proper sexual relation, STD and more details about effective contraceptive

methods were critical necessities.

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