Research Article

The Relationship Between Decisional Balance and Self-Efficacy for Sexual Abstinence Among University Students

Volume: 17 Number: October, November, December 2026 November 11, 2026

The Relationship Between Decisional Balance and Self-Efficacy for Sexual Abstinence Among University Students

Abstract

Purpose: This research was conducted to determine the relationship between university students’ decision-making regarding sexual abstinence and their self-efficacy. Methods: In this analytical cross-sectional study, data were collected from 450 students proportionally selected from three faculty groups (Health Sciences, Engineering and Natural Sciences, Social/Humanities) at a private university in Istanbul between October 2024 and February 2025. Data were evaluated using the Decisional Balance Scale for Sexual Abstinence (DBSSA) and the Self-Efficacy Scale for Sexual Abstinence (SESSA). Analyses included Pearson correlation, paired and independent-samples t-tests, one-way ANOVA with Tukey post-hoc comparisons, and multiple linear regression. Results: The mean age of the participants was 21.26 ± 2.51 years, and 31.3% reported being sexually active. The mean scores for internal pros, external pros, and cons were 16.25 ± 3.67, 13.01 ± 4.01, and 20.24 ± 6.16, respectively, while the mean self-efficacy score was 23.38 ± 5.25. The mean-item scores for internal and external pros were nearly identical (3.25 ± 0.73 vs. 3.25 ± 1.00; t(449) = −0.073, p = 0.942). Self-efficacy was positively correlated with internal pros (r = 0.464) and external pros (r = 0.401) and negatively correlated with cons (r = −0.393; all p < 0.001). In the multiple regression model (R² = 0.380), internal pros (β = 0.173, p = 0.001), external pros (β = 0.176, p < 0.001), cons (β = −0.141, p = 0.003), and female gender (β = 0.316, p < 0.001) were independently associated with selfefficacy. Conclusion:Students with higher abstinence self-efficacy scored higher on the pros of abstinence and lower on the cons, and self-efficacy was higher among female students. Abstinence-related programs may be more effective when they address the internal pros, external pros, and cons together, taking students’ gender into account.

Keywords

Ethical Statement

The study was approved by the Üsküdar University Non-Interventional Research Ethics Committee (Approval No: 61351342/020-492; Date: 30.10.2024). Institutional permission was obtained prior to the study, and verbal and written informed consent was obtained from all participants. The study was conducted in accordance with the principles of the Declaration of Helsinki.

References

  1. 1. Macleod A, McCabe MP. Defining sexuality in later life: A systematic review. Australas J Ageing 2020;39(S1):6-15. https://doi.org/10.1111/ajag.12741
  2. 2. Chaudhary RK, Chalise A, Pandey S, Paudel S. Risky sexual behaviour and its determinants among undergraduate students residing in hostels of Kathmandu Metropolitan City, Nepal: a cross-sectional study. BMJ Open 2024;14(9):e084160. https://doi.org/10.1136/bmjopen-2024-084160
  3. 3. Belihu WB, Amogne MD, Herder T, Sundewall J, Agardh A. Risky sexual behavior and associated factors among university students in Ethiopia: a cross-sectional national survey. BMC Public Health 2024;24(1):1701. https://doi.org/10.1186/s12889-024-19213-2
  4. 4. Leung J, Lim C, Belete H, McClure-Thomas C, Foo S, Chan GCK. Regional and country prevalence estimates of unsafe sex among adolescents in 68 low-income and middle-income countries. Arch Sex Behav 2024;53(6):2337-2346. https://doi.org/10.1007/s10508-024-02861-1
  5. 5. Cegolon L, Bortolotto M, Bellizzi S, Cegolon A, Bubbico L, Pichierri G, et al. A survey on knowledge, prevention, and occurrence of sexually transmitted infections among freshmen from four Italian universities. Int J Environ Res Public Health 2022;19(2):897. https://doi.org/10.3390/ijerph19020897
  6. 6. Goldfarb ES, Lieberman LD. Three decades of research: The case for comprehensive sex education. J Adolesc Health 2021;68(1):13-27. https://doi.org/10.1016/j.jadohealth.2020.07.036
  7. 7. Evans R, Widman L, Stokes MN, Javidi H, Hope EC, Brasileiro J. Association of sexual health interventions with sexual health outcomes in Black adolescents: A systematic review and metaanalysis. JAMA Pediatr 2020;174(7):676-689. https://doi.org/10.1001/jamapediatrics.2020.0382
  8. 8. Uğurlu M, Karahan N. Sexual health knowledge and influencing factors among health science students at a state university in Turkey. Eur J Contracept Reprod Health Care 2022;27(1):75-82. https://doi.org/10.1080/13625187.2021.1980871

Details

Primary Language

English

Subjects

Obstetrics and Gynocology Nursing

Journal Section

Research Article

Publication Date

November 11, 2026

Submission Date

July 28, 2026

Acceptance Date

September 4, 2026

Published in Issue

Year 2026 Volume: 17 Number: October, November, December 2026

APA
Altay Günbaylı, Ş., & Akdemir, A. (2026). The Relationship Between Decisional Balance and Self-Efficacy for Sexual Abstinence Among University Students. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 17(October, November, December 2026). https://doi.org/10.31067/acusaglik.2005364
AMA
1.Altay Günbaylı Ş, Akdemir A. The Relationship Between Decisional Balance and Self-Efficacy for Sexual Abstinence Among University Students. Acibadem Univ Saglik Bilim Derg. 2026;17(October, November, December 2026). doi:10.31067/acusaglik.2005364
Chicago
Altay Günbaylı, Şeyma, and Arzu Akdemir. 2026. “The Relationship Between Decisional Balance and Self-Efficacy for Sexual Abstinence Among University Students”. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 17 (October, November, December 2026). https://doi.org/10.31067/acusaglik.2005364.
EndNote
Altay Günbaylı Ş, Akdemir A (November 11, 2026) The Relationship Between Decisional Balance and Self-Efficacy for Sexual Abstinence Among University Students. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 17 October, November, December 2026
IEEE
[1]Ş. Altay Günbaylı and A. Akdemir, “The Relationship Between Decisional Balance and Self-Efficacy for Sexual Abstinence Among University Students”, Acibadem Univ Saglik Bilim Derg, vol. 17, no. October, November, December 2026, Nov. 2026, doi: 10.31067/acusaglik.2005364.
ISNAD
Altay Günbaylı, Şeyma - Akdemir, Arzu. “The Relationship Between Decisional Balance and Self-Efficacy for Sexual Abstinence Among University Students”. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 17/October, November, December 2026 (November 11, 2026). https://doi.org/10.31067/acusaglik.2005364.
JAMA
1.Altay Günbaylı Ş, Akdemir A. The Relationship Between Decisional Balance and Self-Efficacy for Sexual Abstinence Among University Students. Acibadem Univ Saglik Bilim Derg. 2026;17. doi:10.31067/acusaglik.2005364.
MLA
Altay Günbaylı, Şeyma, and Arzu Akdemir. “The Relationship Between Decisional Balance and Self-Efficacy for Sexual Abstinence Among University Students”. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, vol. 17, no. October, November, December 2026, Nov. 2026, doi:10.31067/acusaglik.2005364.
Vancouver
1.Şeyma Altay Günbaylı, Arzu Akdemir. The Relationship Between Decisional Balance and Self-Efficacy for Sexual Abstinence Among University Students. Acibadem Univ Saglik Bilim Derg. 2026 Nov. 11;17(October, November, December 2026). doi:10.31067/acusaglik.2005364