Sürdürülebilir Kalkınma Amaçları

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• MakaleAçık Erişim2026/r/munzur/6095
  Food Literacy, Sustainable Eating Behaviors, and Healthy Eating Index in University Students

  Yeşiltepe, Akgün; Haznedar, Nagihan Kırcalı; Macit, Arife

  Objective: This study aims to examine the relationships among food literacy, sustainable and healthy eating behaviors, and Healthy Eating Index (HEI) scores among university students. Materials and Methods: This cross-sectional study was conducted with 301 volunteer university students using a structured questionnaire which included questions about general information, a sustainable and healthy eating behaviors scale (SHEB), a food literacy scale (FOODLIT), and a 24-hour dietary recall. HEI (2015) scores were calculated for all participants using 24-hour data. The statistical analysis of the data was performed using the JASP and SPSS (version 26.0) software. Results: The mean SHEB, FOODLIT, and HEI scores of the participants were 2.93±0.82, 33.13±12.55, and 41.22±11.44, respectively. A positive and significant relationship was found between FOODLIT and SHEB scores (r=0.418; p<0.05), and FOODLIT scores were found to explain 17.5% of the variance in SHEB scores (R2=0.175). In dimension analyses, environmentally safe and selection-planning skills stood out as variables associated with HEI scores, while no significant relationship was found between HEI scores and other variables. Conclusion: In conclusion, it is considered that food literacy is associated with sustainable eating behaviors, but this relationship may not directly reflect diet quality.

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• MakaleYalnız künye2026Scopus SJRQ1/r/munzur/1465
  Happiness and Psychological Well-Being Among Fathers of Young Children: Evidence From Tunceli, Turkey

  Şen Montazerirad, Buket; Yeşiltepe, Akgün

  Fatherhood significantly influences psychological well-being and happiness, yet fathers particularly of young children are underrepresented in research. This study examines the relationship between happiness and psychological well-being in this group. This study aims to explore the relationship between happiness and psychological well-being among fathers of children in early childhood. A descriptive-correlational study was conducted with data collected online using validated self-report questionnaires on demographic characteristics, happiness, and psychological well-being from 257 participants. A statistically significant, strong, and positive relationship was found between happiness and psychological well-being (r = 0.626, p = 0.000). Regression analysis revealed that happiness explained 39.2% of the variance in psychological well-being and was a significant predictor (R2 = 0.392). Each unit increase in psychological well-being was associated with a 0.794-unit increase in happiness (β = 0.794; p < 0.05). Fathers’ happiness is a key determinant of their psychological well-being and psychosocial interventions targeting fathers may enhance both paternal and child well-being.

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• MakaleYalnız künye2026Scopus SJRQ1/r/munzur/1386
  The Effect of Women’s Menstrual Attitudes and Hygiene Practices on Self-Care Behaviors

  Yeyğel, Çiler; Yeşiltepe, Akgün

  Objective: While menstrual attitudes and hygiene practices are often examined in the literature through informational, risk-based, and cultural lenses, studies that directly address their holistic relationship to self-care behaviors remain limited. This study aims to investigate the impact of women’s menstrual attitudes and hygiene practices on their self-care behaviors. Methods: This is a cross-sectional analytical study. The study was completed between 5 October 2024 and 23 January 2025, with 700 women aged 18–49 in their reproductive period. Data were collected using a Demographic Information Form, the Menstrual Attitude Questionnaire, and the Self-Care Inventory. Spearman’s correlation analysis, the Mann-Whitney U test, and the Kruskal-Wallis test were used for data analysis. To examine nonlinear relationships and multivariable interactions, a Random Forest regression analysis was performed. Results: A positive and statistically significant relationship was found between menstrual attitudes and overall self-care (r = 0.132, p < 0.001). MAQ scores did not differ significantly across variables (p > 0.05). However, SCI scores showed significant differences based on menstrual hygiene education status, type of underwear used during menstruation, hand hygiene practices, and frequency of menstrual material use (p < 0.05). According to the Random Forest regression model, menstrual attitudes were identified as the strongest predictor of self-care behaviors. Conclusions: The results of this study supported the positive influence of women’s menstrual attitudes and hygiene practices on their self-care behaviors. The relationships between self-care and parameters such as menstrual hygiene education, frequency and type of menstrual material use, and hand hygiene during menstruation were clearly demonstrated. Given the limited number of studies in this field, randomized controlled trials and meta-analyses with high levels of evidence are recommended to generalize these results.

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• MakaleYalnız künye2026Scopus SJRQ1/r/munzur/1307
  Psychological well-being and aggression in handball players: examining the mediating role of exercise addiction

  Güler, Muhammed; Yeşiltepe, Akgün; Topcuoğlu, Ceyhun

  Objective: This study aimed to examine the relationship between psychological well-being and aggression among handball players and to determine whether exercise addiction mediates this relationship. Methods: A descriptive, cross-sectional, and correlational design was used. The population consisted of players competing in the Turkish Handball Leagues during the 2024–2025 season, and 442 athletes participated using a non-probability sampling method. Data were collected via an online survey including a personal information form, the Psychological Well-Being Scale, the Buss–Perry Aggression Questionnaire, and the Exercise Addiction Inventory. Results: Psychological well-being showed a significant negative correlation with aggression (r = −0.242, p < 0.001). Exercise addiction was positively associated with both psychological well-being (r = 0.212, p < 0.001) and aggression (r = 0.105, p = 0.027). Mediation analysis indicated that exercise addiction significantly and partially mediated the relationship between psychological well-being and aggression (indirect effect 95% CI: 0.0246–0.1654). The direct effect of psychological well-being on aggression remained significant (β = −0.7093, p < 0.001). Conclusion: Higher psychological well-being was associated with lower aggression among handball players, whereas exercise addiction was associated with both higher psychological well-being and higher aggression and emerged as a partial statistical mediator of this relationship. These findings may help inform future studies and preventive strategies focusing on athlete mental health and behavioral regulation. However, because of the cross-sectional design, causal inferences cannot be drawn.

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• MakaleAçık Erişim2026Scopus SJRQ1/r/munzur/1289
  The relationship between empathy levels of obstetrics and gynecology specialists and their attitudes toward posthumous organ donation

  ÖZBEY, Gürkan; YEŞİLTEPE, Akgün; Dokuzcan, Deniz Aslı

  Empathy is recognized as a critical factor in shaping attitudes toward organ donation among healthcare professionals. Given the continuous patient interaction and decision-making roles of obstetrics and gynecology specialists, the limited number of studies examining the link between empathy levels and attitudes toward postmortem organ donation represents a significant gap in literature. This study aims to investigate the relationship between empathy levels and attitudes toward postmortem organ donation among obstetrics and gynecology specialists. This correlational cross-sectional study included 142 obstetrics and gynecology specialists. Data were collected via Google Forms using a personal information form, the Toronto Empathy Questionnaire, and the Attitude toward Posthumous Organ Donation for Transplantation Scale. Analyses were conducted using SPSS 26 and JASP 0.19, including the Spearman’s correlation, Mann-Whitney U, Kruskal-Wallis, and Machine Learning-Random Forest regression analysis methods. 93% of the participants stated that their empathy levels influenced organ donation decisions, and 74.6% reported considering organ donation. Their mean TEQ score was 56.25 ± 7.51, while their mean APODS score was 4.37 ± 0.57. A statistically significant moderate positive correlation was found between empathy and general attitudes toward postmortem organ donation (r = 0.428, p < 0.05). Statistically significant, weak-to-moderate positive correlations were also found between empathy levels and the APODS Positive Attitudes dimension (r = 0.373 p < 0.01), Religion dimension (r = 0.266, p < 0.01), and Family Approval dimension (r = 0.352, p < 0.01) scores of the participants. Significant differences were observed in empathy scores based on gender, empathy levels, and organ donation consideration status (p < 0.05). Attitudes toward posthumous organ donation also varied significantly by empathy levels, donation consideration status, ethical/humanitarian perception of donation, and religious influence (p < 0.05). In the exploratory Random Forest model, attitudes toward organ donation had the highest relative contribution to model performance. Obstetrics and gynecology specialists exhibit moderate empathy levels and highly positive attitudes toward posthumous organ donation. Higher empathy scores were associated with more favorable attitudes toward organ donation among obstetrics and gynecology physicians. Interventions addressing empathy and donation awareness may be valuable, but their effects on attitudes and donation-related behavior should be tested in longitudinal and interventional studies.

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• MakaleAçık Erişim2026Scopus SJRQ1/r/munzur/1166
  Predictive Value of Health Literacy on Health-Promoting and Protective Behaviours in Turkish Nurses and Allied Health Workers

  Deniz Akan, Dilan; Yeşiltepe, Akgün

  Aim: This study aims to investigate the extent to which Turkish nurses and allied health workers' levels of health literacy predict health-promoting and protective behaviours. Desing: A descriptive and cross-sectional study design was used. Methods: The study was conducted with 403 Turkish nurses and allied health workers working in different regions of Türkiye between January and May 2024. JASP 0.18.3.0, Jamovi 2.3.21, and SPSS 26 and AMOS26 programs were used for data analysis. Descriptive statistics and simple and multiple regression analysis were used in the analysis of the data. Results: A positive, moderately significant relationship was found between health literacy and health-promoting and protective behaviours (r = 0.460, p < 0.001). Regression analysis results showed that health literacy explained 21.1% (R2 = 21.1) of the change in health-promoting and protective behaviours and was a significant predictor of health-promoting and protective behaviours. Patient or Public Contribution: Understanding the predictive effect of health literacy and preventive health behaviours can guide practices and policies that will improve the level of health literacy and preventive health behaviours in healthcare workers. Improving their health literacy and preventive health behaviours can help patients and the general public increase their health literacy levels and gain positive health behaviours.

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• MakaleAçık Erişim2026Scopus SJRQ2/r/munzur/1101
  Exploring Health Literacy, Anxiety, and Perception Among Nursing and Allied Health Students in Turkey: A Cross-Sectional Study

  Yeşiltepe, Akgün; Daşbilek, Ferhat; Ayhan, Mehmet Osman

  Background: Health literacy, anxiety, and perception directly affect healthcare students' readiness for professional roles. Assessing these factors is crucial to enhance both their well-being and patient care quality. This study examined health literacy, health anxiety, and health perception among Health Sciences students and their links to socio-demographic factors. Methods: A cross-sectional and descriptive design was used in accordance with the STROBE guidelines. The sample, consisting of 258 students from Munzur University Faculty of Health Sciences, was selected using stratified and simple random sampling methods. Data were collected using a Descriptive Information Form, the Health Literacy Scale, the Health Anxiety Inventory, and the Health Perception Scale. Descriptive statistics, Mann−Whitney U, Kruskal−Wallis tests with Bonferroni correction, and Spearman's correlation analysis were conducted using SPSS 26 and JASP 0.19. Results: Students demonstrated inadequate health literacy (17.75 ± 11.37) and moderate health perception (43.43 ± 6.25); the mean health anxiety score was 18.78 ± 6.14. A weak but statistically significant positive correlation was found between health literacy and health anxiety (r = 0.225, p < 0.05) and between health perception and health anxiety (r = 0.215, p < 0.05); however, no significant correlation was observed between health literacy and health perception (r = 0.090, p > 0.05). Health perception revealed statistically significant differences according to maternal education level, place of residence, and frequency of reading health-related research. Health literacy significantly differed by academic department, year of study, perceived health status, and perceived usefulness of online health information. Health anxiety varied significantly by the presence of chronic illness, chronic illness status, perceived health status, medication use, and alcohol/tobacco consumption. Conclusion: The findings highlight the complex interplay between cognitive (health literacy), emotional (health anxiety), and perceptual (health perception) dimensions of student health. Promoting digital health literacy and providing counselling services may help reduce health anxiety and enhance self-awareness among health sciences students.

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• MakaleAçık Erişim2026Scopus SJRQ1/r/munzur/1086
  Loneliness as a predictor of quality of life in older adults receiving primary health care in Türkiye: a cross-sectional study

  Atila, Dinçer; Yeşiltepe, Akgün; Çal, Ayşe

  Background: Loneliness and social isolation among older adults is a growing concern in many societies, as the aging population continues to increase. The aim of the study is to examine the relationship between loneliness and quality of life in individuals aged 65 and over who apply to primary health care institutions. Methods: This descriptive-correlational study was conducted face-to-face with 216 individuals aged 65 and over. The socio-demographic form and the Loneliness Scale for Elderly and Quality of Life Scale were used as data collection tools in the study. JASP 0.19, SPSS 26 analysis programs were used to perform t test, One Way ANOVA Bonferrroni test, Pearson correlation, and regression analysis. Results: According to Pearson correlation analysis, strong negative relationships were found between quality of life and loneliness in the elderly. As quality of life increased, levels of loneliness, social loneliness, and emotional loneliness decreased (r = −0.854, r = −0.737, r = −0.717; p <0.001). While there was a strong positive relationship between the loneliness scale for elderly and the social loneliness sub-dimension (r = 0.867, p < 0.001), there was also a positive relationship between the loneliness scale for elderly and the emotional loneliness sub-dimension (r = 0.835, p < 0.001). A statistically significant difference was found between chronic disease, educational status, income status, marital status, and both loneliness and quality of life. Conclusion: Loneliness is an important predictor of quality of life among older adults. Both social and emotional loneliness are negatively associated with quality of life, indicating that higher levels of loneliness are linked to lower quality of life in this population.

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• MakaleAçık Erişim2025Scopus SJRQ2/r/munzur/1443
  Nursing Students' Attitudes Towards Clinical Practice and Occupational Risk Perceptions

  Daşbilek, Ferhat; Yeşiltepe, Akgün; Erçel, Şeyda

  Aims and Objectives: In this study, it was aimed to determine nursing students' attitudes towards clinical practice and their perceptions of occupational risk. Method: The research is descriptive and cross-sectional. The population of this study consisted of second-, third- and fourth-year students studying in the Department of Nursing affiliated to the Faculty of Health Sciences of a university located in Turkey. The analysis was conducted using JASP 0.19.1.0 and SPSS 25 software. Mann–Whitney U and Kruskal–Wallis tests were applied. The Bonferroni test was performed to identify the group causing the difference. Results: A significant positive correlation was found between nursing students' perception of occupational risk and nursing students' attitude toward clinical practice (r = 0.434, p = 0.000). The mean score of the nursing students' perception of occupational risk in nursing students was 68.74 ± 15.04. The mean score of attitude towards clinical practice in nursing students was 100.04 ± 24.83. A statistically significant difference was found between the presence of attitude towards clinical practice in nursing students and perception of occupational risk in nursing students in the gender variable (p < 0.05), whereas a statistically significant difference was found between adequate information about the nursing profession and attitude towards clinical practice in nursing students (p < 0.05). Conclusion: In the findings of the study, nursing students' perception of occupational risk and attitudes towards clinical practice were found at a high level. A statistically significant difference was found between the presence of perception of occupational risk in nursing students and attitude towards clinical practice in nursing students in the gender variable. In addition, a statistically significant difference was found between adequate knowledge and nursing profession about the nursing profession and attitude towards clinical practice in nursing students.

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  AtıfOpenAlex1

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• MakaleAçık Erişim2025Scopus SJRQ3/r/munzur/1109
  Sexually transmitted diseases-related knowledge levels of midwifery students studying at two different universities: A comparative study

  Yeşiltepe, Akgün; Ulucan, Mihriban; Akan, Ayşenur; Can, Hafize Öztürk

  This study aimed to compare the knowledge levels of midwifery students from two universities in eastern and western Turkey regarding sexually transmitted diseases (STDs). A descriptive, comparative study was conducted with midwifery students from both regions.The average score on the STD Knowledge Test was 14.49±3.83. Students from the western university scored 14.63±3.60, while those from the eastern university scored 13.98±4.58. Among western university students, knowledge scores were significantly associated with factors such as year of study, place of residence, and prior sexual health education. For eastern university students, significant factors included age, year of study, social security status, and university-based sexual health education (p<0.05). It is recommended that educational programs be strengthened to enhance students' knowledge and improve access to accurate, reliable information. African Journal of Reproductive Health © 2025.; L'étude visait à comparer les niveaux de connaissance des étudiants sages-femmes de deux universités situées l'est et à l'ouest de la Turquie sur les maladies sexuellement transmissibles. Cette étude descriptive et comparative a été menée auprès d'étudiants des départements de sages-femmes de deux universités différentes situées dans les régions de l'est et de l'ouest de la Turquie. Le score moyen obtenu par le test de connaissances sur les maladies sexuellement transmissibles était de 14,49±3,83. Alors que le score moyen obtenu par « les participants fréquentant l'université de l'ouest de la Turquie était de 14.63±3.60, le score moyen obtenu par » les participants fréquentant l'université de l'est de la Turquie était de 13.98±4.58. Alors qu'il y avait une relation statistiquement significative entre les scores moyens obtenus au test de connaissance des maladies sexuellement transmissibles par les étudiants de l'université de l'ouest et les variables telles que l'année scolaire, le lieu de résidence, l'éducation à la santé sexuelle au lycée, l'éducation à la santé sexuelle à l'université, et la connaissance des maladies sexuellement transmissibles, il y avait une relation statistiquement significative entre les scores moyens obtenus à la même échelle par les étudiants de l'université de l'est et les variables telles que l'âge, l'année scolaire, la sécurité sociale, l'éducation à la santé sexuelle à l'université (p˂0,05). Le niveau de connaissance des étudiants sur les maladies sexuellement transmissibles est insuffisant; il est donc recommandé que les étudiants participent à des activités éducatives pour améliorer leur niveau de connaissance sur les maladies sexuellement transmissibles et pour leur permettre d'accéder à des sources précises et fiables.

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