Zeliha Yelda Özer

Purpose: This study aimed to examine the relationship between perceptions of infectious diseases and digital health literacy among adults attending a primary care setting and to explore the potential implications of these findings for patient education and medical education.Materials and Methods: This cross-sectional descriptive study was conducted at an Educational Family Health Center affiliated with a university department of family medicine between May and August 2024. A total of 324 adults were included. Data were collected using a sociodemographic questionnaire, the Perceptions of Infectious Diseases Scale, and the Digital Health Literacy Scale. Results: The mean age of the participants was 33.9 ± 11.3 years, and 59.3% were female. Healthcare professionals were reported as the primary source of health information by 66.4% of participants, whereas 94.4% stated that they had never searched for health-related information online. A weak positive correlation was identified between total scores on the Perceptions of Infectious Diseases Scale and the Digital Health Literacy Scale. Higher digital health literacy levels were associated with higher educational attainment and better self-rated health status. PConclusion: These findings highlight the potential importance of strengthening physicians’ roles as digital health educators within medical education curricula to support patient education, reduce misinformation, and improve infectious disease prevention strategies.

Aim: This study aimed to examine the relationship between digital fatigue and academic procrastination among preclinical medical students and to evaluate learning-related behavioral patterns such as screen time, study habits, break frequency, and perceived academic achievement.Methods: This two-center, cross-sectional, quantitative study was conducted among first- to third-year medical students at Çukurova University and İzmir Katip Çelebi University during the 2025–2026 academic year. Data were collected via an online questionnaire. The level of digital fatigue was measured using the Digital Fatigue Scale (DFS), and academic procrastination was assessed with the Turkish short form of the Tuckman Procrastination Scale (TPS). Descriptive statistics, Pearson correlation analysis, independent samples t-test, and one-way analysis of variance (ANOVA) with Tukey post-hoc tests were used for statistical analysis. A significance level of p < 0.05 was adopted.Results: A total of 268 preclinical medical students participated in the study. A strong positive correlation was found between digital fatigue and academic procrastination (r = 0.595, p < 0.001). Among the subscales, the association between digital dependency and academic procrastination was the strongest (r = 0.601, p < 0.001). Students from Çukurova University had significantly higher DFS and TPS scores than those from İzmir Katip Çelebi University (p < 0.01). Students with regular study habits demonstrated significantly lower levels of digital fatigue (p < 0.001). Increasing daily screen time was associated with higher levels of both digital fatigue (r = 0.292, p < 0.001) and academic procrastination (r = 0.221, p < 0.001). Lower perceived academic achievement corresponded to higher DFS and TPS scores (p ≤ 0.003). No significant difference was found based on neuropsychiatric diagnosis or treatment status (p > 0.05). Although differences across break frequency groups were not statistically significant, an increasing trend in fatigue and procrastination scores was observed with more frequent breaks.Conclusion: There is a strong and significant relationship between digital fatigue and academic procrastination among preclinical medical students. Increased screen exposure, irregular study habits, and lower perceived academic achievement appear to be associated with higher levels of both digital fatigue and procrastination. These findings highlight the importance of educational approaches that enhance students’ self-regulation skills and promote digital hygiene practices within increasingly digitalized learning environments.

We aimed to investigate factors associated with post-earthquake coping strategies and to examine the relationship between coping styles and post-traumatic stress disorder (PTSD) symptom levels. This multicenter cross-sectional study was conducted among individuals presenting to 22 primary health centers in the Adana and Osmaniye provinces of Türkiye between 13 and 17 March 2023. Data were collected using a structured sociodemographic form, the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5), and the Coping with Earthquake Stress Scale. The mean age of the participants (n = 434) was 38.27 ± 13.84 years, and 63.4% were female. The prevalence of probable PTSD was 32.95%. A weak negative correlation was found between PCL-5 scores and positive reappraisal scores (r = −0.192, p < 0.01), whereas no significant associations were observed between PTSD symptom scores and other coping strategies. Positive reappraisal scores were positively correlated with both religious coping (r = 0.248) and seeking social support (r = 0.316) (p < 0.01). Individuals who experienced family-related losses reported higher religious coping scores. These findings suggest that positive reappraisal may be associated with lower PTSD symptom levels in the early post-disaster period, highlighting the potential importance of adaptive cognitive coping strategies in primary care settings.

Background/Aim: This study aimed to describe experiences of ageism and to explore related perceptions among older adults registered at an Education Family Health Centre (EFHC) in Türkiye. Methods: This mixed-methods study was conducted with 83 older adults registered with the education family health center (EFHC). In the quantitative part of the study, surveys (the Sociodemographic data form and the Ageism Survey, which evaluates the negative aspects of ageism) were administered face-to-face. In the qualitative section, four semi-structured questions about ageism were asked by phone. A descriptive cross-sectional survey design was used in the quantitative component of the study, and thematic analysis in the qualitative part. Results: The mean age of the participants was 69.9 ± 4.8 years. According to Ageism Survey, 79.6% of participants gave a score higher than 0 and indicated that they had experienced age discrimination at least once. Eight participants completed the qualitative section, and three themes were identified: (1) Self-directed ageism, (2) Increasing health problems and social isolation with age, and (3) Ageism. Conclusions: In this EFHC-based sample, the majority of participants reported at least one experience of ageism. Social awareness about ageism needs to be increased. Educational interventions can be planned at the micro, meso, and macro levels to raise awareness and combat ageism. Family physicians who serve with a holistic approach can play a pivotal role in this regard.

The increasing integration of smartphones into daily life has given rise to partner phubbing – being ignored in favor of a partner phone use – which may impact mental health and family dynamics. Although phubbing has been explored in various relational contexts, empirical evidence on its association with depression and family functioning in primary care populations remains limited. This cross-sectional study was conducted among 222 married individuals aged 18 and above who visited a university-affiliated Family Health Center in Turkey between July and September 2024. Participants completed validated measures including the Phubbing Exposure Scale, Patient Health Questionnaire-2 and -9 (PHQ-2 and PHQ-9), and the Family Adaptability, Partnership, Growth, Affection, Resolve Scale. Statistical analyses included Mann–Whitney U , Kruskal–Wallis, chi-square, and correlation tests, with significance set at P < .05. Phubbing exposure was significantly higher among participants with positive PHQ-2 screenings for depressive symptoms ( P < .01) and those with a history of psychiatric medication use ( P < .01). Although PHQ-9 scores were not significantly associated with phubbing, early depressive symptoms measured by PHQ-2 were. Women reported higher phubbing exposure than men, and younger participants had higher perceived phubbing levels. Interestingly, individuals with low family functioning reported lower Phubbing Exposure Scale scores compared to those with moderate or high family functioning ( P < .01), suggesting possible perceptual or relational dynamics in digitally neglected households. Partner phubbing appears to be linked with early depressive symptoms and various psychosocial characteristics, including gender, age, and psychiatric history. These findings highlight the relevance of digital neglect in clinical assessments and underscore the importance of integrating phubbing awareness into mental health and family care practices. Future research should explore longitudinal effects and develop interventions targeting smartphone-related disruptions in couple dynamics.

Objective: In recent years, especially with the increase in vaccine hesitancy due to the coronavirus disease 2019 (COVID-19) pandemic, the aim has been to study this hesitancy and some sociodemographic characteristics that may influence it among parents with children aged 0–48 months registered at the Educational Family Health Center (EFHC). Methods: This cross-sectional study included parents of children aged 0--48 months who applied to the Çukurova University Çarkıpare EFHC between 12.02.2024 and 08.03.2024. The sociodemographic data and the VVS were administered by interns to the parents who agreed to participate in the study. Results: In this study, which analyzed data from parents (n=52), 61.5% (n=32) of the participants were female. The percentage of those who had received all their vaccinations was 90.4% (n=47), whereas the percentage of those who had vaccinated their children was 92.3% (n=48). The mean total score calculated from the scale was 17.52±8.71. While there was no statistically significant difference in the mean vaccine hesitancy scores across the categories of gender, number of children, education level, income level, place of residence, whether they had been vaccinated and whether their children had been vaccinated (P > .05), a statistically significant difference in the mean vaccine hesitancy scores was found across the categories of the age variable (P < .05). Conclusion: The vaccine hesitancy score calculated in this study was not high, and among the sociodemographic characteristics examined, only age had an effect on vaccine hesitancy, with vaccine hesitancy increasing as the average age increased. It is recommended that the study be further explored through focus group discussions by increasing the number of observations.

Ülkemiz deprem kuşağında yer almaktadır. Tarih boyunca etkisi hafiften şiddetliye kadar değişen birçok deprem meydana gelmiştir. Depremlerin yarattığı fiziksel hasarlar kadar psikolojik hasarlar da bireylerin ve toplumun sağlığını olumsuz etkilemektedir. Travma Sonrası Stres Bozukluğu (TSSB), yaşanan depremler sonrası prevalansı en yüksek olan psikiyatrik hastalıklardandır. Deprem sonrası gözlenen akut stres bozukluğu ve diğer psikiyatrik hastalıklardan ayırt edilerek erken teşhis ve tedavinin sağlanması, bireylerin sağlığını korumak için önemlidir. Deprem sonrası gözlenen TSSB’ye en sık eşlik eden psikiyatrik hastalık majör depresyondur ve artmış intihar riski ile ilişkilendirilmektedir. Yapılan araştırmalarda TSSB’nin etkilerinin depremden yıllar sonra dahi devam ettiği gözlenmektedir. Aile hekimleri disiplinin ilkeleri gereği sağlık sistemi ile ilk temas noktasını oluştururlar. Hizmet almak isteyenlere açık ve sınırsız sağlık hizmeti sunarlar. Deprem travması sonrası gözlenen TSSB’nin etkili yönetilebilmesi konusunda kritik öneme sahiptir. Bu derlemenin amacı deprem sonrası gözlenen TSSB’ye ve birinci basamak odaklı çalışan aile hekimlerinin TSSB’nin yönetimindeki kritik önemine dikkat çekmektir.

Amaç: Bu çalışmanın amacı üniversite öğrencilerinde tütün kullanım yaygınlığını ve öğrencilerin halen yürürlükte olan ‘Tütün Kontrol Yasası’ ile ilgili bakışlarını değerlendirmektir. Materyal ve Metot: Çalışmanın evrenini, 2018-2019 akademik yılında Çukurova Üniversitesinde öğrenim gören lisans öğrencileri oluşturmuştur. Çalışmamıza fen bilimleri (mühendislik), sosyal bilimler (eğitim) ve sağlık bilimleri (tıp) fakülteleri dahil edilmiştir. Bu üç fakülte rastgele örneklem yoluyla seçilmiş, veriler anket yoluyla elde edilmiştir. Anketler öğrencilere sınıflarında yüz yüze açıklama yapılıp dağıtılarak uygulanmıştır. Verilerin istatistiksel değerlendirilmesinde tanımlayıcı analizler (ortalama, standart sapma ve yüzde), ki-kare analizi, student t testi, ANOVA uygulanmıştır. Bulgular: Çalışmaya Çukurova Üniversitesinde öğrenim görmekte olan toplam 1412 üniversite öğrencisi dahil edildi. Çalışmaya katılan öğrencilerin yaş ortalaması 21,78±2,81 (16-57) yıl olarak belirlenmiştir. Öğrencilerden 726’sı (%52,1) tütün veya tütün ürünü kullandığını belirtti. Fakülteler arası sigara tüketimi mühendislik öğrencilerinde daha fazla bulundu. Sigara içenlerin içinde en yakın arkadaşları arasında sigara içenlerin bulunma yüzdesi sigara içmeyenlerden anlamlı olarak yüksekti. Çalışmamızda sınıf arttıkça içiciliğin de arttığı gözlendi. Katılımcıların %43,2’si Tütün Kontrol Yasasının uygulanmadığını, %20,6’sı Tütün Kontrol Yasasından sonra bırakanlarda artış olduğunu ancak %10,3’ü yasanın uygulandığını düşünmekte idi. Sonuç: Üniversite öğrencilerinin sigara içme oranı sınıfları yükseldikçe artmaktadır. Tütün ve tütün ürünlerinin zararları hakkında bilgilendirme ve bıraktırma çalışmaları bu dönemde önem kazanmaktadır. Sigara ile mücadele stratejilerinde ve sigara bıraktırma çalışmalarında, anne, baba ve arkadaş faktörü göz önünde bulundurulmalıdır. Hem birey hem de çevresi için danışmanlık verilmelidir. Bu konuda aile hekimleri daha etkili hizmet verebilir.

Amaç: Bu çalışmada, Çukurova Üniversitesi Aile Hekimliği polikliniklerine başvuran üniversite öğrencilerinin riskli davranışlarının değerlendirilmesi ve riskli davranışların yaşam doyumu ile ilişkisinin ortaya konulması amaçlandı. Gereç ve Yöntem: Çukurova Üniversitesi Aile Hekimliği polikliniklerine 01-31 Aralık 2018 tarihleri arasında başvuran öğrenciler arasından evreni %95 güvenirlik ve %5 hata payı ile temsil eden en az örneklem büyüklüğüne basit tesadüfi örnekleme yöntemi ile ulaşıldı. Riskli Davranışlar Ö̈lçeği- Üniversite Formu, Yaşam Doyumu Ölçeği ve sosyodemografik veri toplama anketi ile toplanan veriler istatistik paket programı ile analiz edildi. Bulgular: Yaş ortalaması 20,53±1,92 (16-28) yıl olan %63,3’ü kadın 338 öğrencinin %41,4’ü devlet yurdunda kalmaktaydı. Yaşı 22 ve üzeri olan grubun sigara kullanım puanı, yaşı 20-21 olan gruba göre daha yüksek bulundu (p=0,048). Erkeklerin antisosyal davranış (p=0,000), alkol kullanımı (p=0,000), sigara kullanımı (p=0,000), okul terki (p=0,001) ve madde kullanımı (p=0,000) puanları kadınlara göre daha yüksek iken intihar eğilimi ve beslenme alışkanlıkları açısından cinsiyetler arasında istatiksel olarak anlamlı fark saptanmadı. Antisosyal davranışlar (p=0,004), alkol kullanımı (p=0,000) ve sigara kullanımı (p=0,000) puan ortalamaları “evde arkadaş ile” kalan grupta “devlet yurdunda” kalan gruba göre daha yüksekti. Alkol (p=0,000) ve sigara (p=0,000) kullanımı puan ortalamaları fen bilimlerinde öğrenim gören öğrencilerde daha yüksek iken okul terki (p=0,023) sosyal bilimlerde öğrenim gören öğrencilerde daha yüksekti. Riskli davranışların bütün alt boyutları ile yaşam doyumu arasında istatistiksel olarak anlamlı düzeyde negatif yönde ilişki bulundu. Sonuç: Aile hekimlerinin üniversite öğrencilerine hizmet verirken bu çalışmada saptanan bulguları göz önünde bulundurmaları, riskli davranışların azaltılması/önlenmesi dolayısıyla yaşam doyumunun arttırılması konusunda disipline özgü ilkelerden yararlanarak fırsatları değerlendirmeleri önerilir.