School-Level Efforts to Address Sexual Health and Risky Sexual Behavior Among Students in Texas Alternative High Schools

2020 ◽  
pp. 105984052095043
Author(s):  
Karen E. Johnson ◽  
Kathryn L. Conn ◽  
Cynthia Osborne ◽  
Kelly L. Wilson ◽  
Lynn Rew
Keyword(s):  
High Schools ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual Risk ◽  
Risk Behaviors ◽  
Sexuality Education ◽  
Sexual Risk Behaviors ◽  
Alternative High Schools ◽  
Reproductive Health Services ◽  
Sexual Reproductive Health

We compared sexual/reproductive health services and sexuality education topics provided in Texas alternative high schools (AHSs) with the prevalence of sexual risk behaviors among students in AHS. Using cross-sectional data from convenience samples of 14 principals, 14 lead health educators, and 515 students, we calculated descriptive statistics for 20 services and 15 sexuality education topics provided by AHSs and seven sexual risk behaviors among students in AHS. AHSs provided few sexual/reproductive health services and limited educational content, despite high levels of sexual risk taking among students. For example, no AHSs taught students about proper condom use, yet 84% of students have had sex. Findings provide preliminary evidence of unmet needs for school-based sexual/reproductive health services and comprehensive sexuality education in AHS settings. Future investigation with larger, representative samples is needed to assess the provision of sexual/reproductive health services and sexuality education in AHSs and monitor sexual risk behaviors in the AHS population.

scholarly journals Perceptions and barriers toward sexual reproductive health services accessibility, availability and quality among adolescents in selected cities of Rwanda

2020 ◽  
Author(s):  
Pacifique Ndayishimiye ◽  
Roseline Dzekem Dine ◽  
Aline Dukuze ◽  
Isabelle Kubwimana ◽  
Jean Baptiste Nyandwi ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health Services Accessibility ◽  
Community Outreach ◽  
Health Facilities ◽  
School Level ◽  
Female Participant ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Sexual Reproductive Health

Abstract Background: A fifth of the global population is made up of adolescents. Sexual reproductive health needs for young people is largely ignored by existing health, education and other social programs. In Rwanda, there is still an increase in teen pregnancies, HIV/ STIs as well as reports on the lack of access to accurate SRH information. The study aimed to explore the perceptions and barriers toward sexual reproductive health services accessibility, availability and quality among adolescents in the second cities of Rwanda.Methods: Cross-sectional study was conducted in six selected cities of Rwanda. In-depth interviews were conducted using semi-structured questionnaires among 121 adolescents aged 10-19 years old living in six selected cities.Results : Majority of the participants were female 62.8% and aged between 15-17 years old 32.8%. Females adolescents were more aware, and adolescents with primary school level 62.5% were not aware about SRH services provision at health facilities. Adolescents were mostly aware about the availability of HIV testing and circumcision services at 102 ( 86.4%). Results indicate that utilization of SRH services remains low (34.7%) among adolescents. A recent utilization of a particular service was linked to a use in the past: “I am aware of my HIV status because I was tested when I was going to receive a transfusion at a hospital” (Female participant, Rwamagana). Family, socio-cultural, religious influences and lack of privacy, high costs for the services, unavailability of some services at private facilities as well as lack of comfortable separated rooms, were the barriers reported by adolescents that prevented them from utilising SRH services.Conclusion : Accessibility to SRH services for adolescents remains low and SRH services provision doesn’t offer confidentiality to adolescents who seek services at health facilities. Family influences, socio-cultural stigma and religious barriers remain a burden to adolescents’ SRH services utilization. Increasing community outreach and adolescent’s engagement is needed to enable access to accurate SRH information. Multidisciplinary stakeholders should collaborate and cooperate to address the stigma associated with access to SRH services for adolescents.

scholarly journals Use of sexual health services at hospitals by cleaning workers in Bogotá D.C. 2016

2018 ◽  
Vol 66 (4) ◽  
pp. 617-622
Author(s):  
Diana Marcela Hernández-Pérez ◽  
María Natalia Moreno-Ruíz ◽  
Anderson Iván Rocha-Buelvas ◽  
Arsenio Hidalgo-Troya
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual Health ◽  
Risk Behaviors ◽  
Sexual And Reproductive Health ◽  
Negative Impact ◽  
Bivariate Analysis ◽  
Reproductive Health Services ◽  
Sexually Transmitted

Introduction: Poverty and social inequalities together with sexually transmitted diseases have a negative impact on women’s health, which is considered to be a public health problem.Objective: To analyze barriers to accessing sexual and reproductive health services in cleaning workers.Materials and methods: A survey was administered to a sample of 37 female cleaning workers at a hospital in Bogotá D.C. A bivariate analysis was performed with chi-square test, as well as a multivariate analysis with binomial logistic regression.Results: Need factors showed greater association with non-use of sexual health services. All married women had accessed the service over the past 12 months, but there were 5.9 less possibilities of using sexual and reproductive health services when there was no awareness about risk behaviors of sexually transmitted diseases.Conclusion: The determining factor for the utilization of sexual health services is the health care need factor. Variables such as perception of risk behaviors and appropriateness of health care significantly influence the use of the service.

Adolescent Sexual Reproductive Health Services in Bindura Urban of Zimbabwe

2019 ◽  
Vol 9 (2) ◽  
pp. 1-20
Author(s):  
Jeffrey Kurebwa
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Healthcare Providers ◽  
Cultural Norms ◽  
Service Utilisation ◽  
Reproductive Health Services ◽  
Factors Associated ◽  
Moral Framework ◽  
Sexual Reproductive Health ◽  
Norms And Values

This study seeks to understand the capacity of adolescent-friendly reproductive health services (AFRHS) in promoting sexual reproductive health (SRP) among adolescents in Bindura Urban of Zimbabwe. The data collection methods used allowed the researcher to get insight on adolescents' experience and the factors associated with their accessing SRH services from AFRHS, the meaning of AFRHS for adolescents, healthcare providers' attitudes towards adolescents seeking SRH services, and community perceptions and readiness to accept AFRHS. The findings showed that both socio-cultural and health facility factors influence utilisation of SRH services. Many of these factors stem from the moral framework encapsulated in socio-cultural norms and values related to the sexual health of adolescents and healthcare providers' poor value clarification. This study provides an empirical understanding of the reasons and factors associated with SRH service utilisation, which goes much deeper than program provision of AFRHS in Zimbabwe.

scholarly journals HIV Prevalence among High School Learners – Opportunities for School-based HIV Testing Programmes and Sexual Reproductive Health Services*

2012 ◽  
Vol 13 (4) ◽  
pp. 43-50 ◽  
Author(s):  
Ayesha Kharsany ◽  
Mukelisiwe Mlotshwa ◽  
Janet Frohlich ◽  
Nonhlanhla Zuma ◽  
Natasha Samsunder ◽  
...  
Keyword(s):  
High School ◽  
Reproductive Health ◽  
Health Services ◽  
Hiv Testing ◽  
Hiv Prevalence ◽  
Reproductive Health Services ◽  
School Based ◽  
Sexual Reproductive Health

Sexual risk behaviors and influencing factors among Muslim adolescents on southern border of Thailand

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Fusiyah Hayee ◽  
Warunee Fongkaew ◽  
Chawapornpan Chanprasit ◽  
Thanee Kaewthummanukul ◽  
Joachim G. Voss
Keyword(s):  
Environmental Factors ◽  
Sexual Risk ◽  
Risk Behaviors ◽  
Parental Monitoring ◽  
Sexuality Education ◽  
Cultural Practices ◽  
Sexual Risk Behaviors ◽  
Cultural Norms ◽  
Contraceptive Pills ◽  
Southern Border

AbstractObjectivesTo describe individual, interpersonal, and environmental factors and sexual risk behaviors among Thai Muslim adolescents.MethodsWe recruited adolescents from four schools and one vocational college on the Southern border of Thailand during October 2018 to January 2019. We used password-protected online questionnaires for each respondent to protect their privacy.ResultsWe recruited N = 700 participants of which 9% were sexually experienced. Of those participants, many had never used a condom (41.3%) or considered taking contraceptive pills (71.4%). Moreover, 54% of them have had sexual intercourse more than once. Some had been infected with an STI (17.5%), and (14.3%) became pregnant more than once. Adolescents reported individual factors such as high religiosity (58.7%), and (47.6%) practiced Islam daily with no differences between boys and girls. Girls had significantly higher refusal of sex self-efficiency than boys (96 vs. 119.5, p < 0.05). In the interpersonal factors, boys had more uninvolved parenting style, lower parental monitoring, higher parental approval of sex, and higher perceived peer norm than girls. The environmental factors besides cultural norms impacted girls and boys equally.ConclusionsWe showed low rates of sexual activity, but in those adolescents who were sexually active we showed high rates of lack of knowledge and higher rates of sexual risk behaviors. Individual, interpersonal, and environmental factors all influenced sexual risk behaviors. We recommend comprehensive sexuality education that includes Islamic context for adolescents and their parents embedded in policy, religious, and community cultural practices.

Sexual Reproductive Health Challenges and Health-Care-Seeking Behaviour Among Children Who Live on the Streets in Harare

2021 ◽  
pp. 002190962110439
Author(s):  
Nelson Muparamoto ◽  
Tsitsi Batsirai Chakanya ◽  
Isabel Shamu
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Care Seeking ◽  
Reproductive Health Services ◽  
Health Seeking ◽  
Maternal Complications ◽  
Group Discussions ◽  
Sexual Reproductive Health ◽  
Health Care Seeking Behaviour ◽  
And Gender

Drawing on interviews and focus group discussions with 26 participants aged between 10 and 17, the paper describes sexual reproductive health problems, health-seeking behaviour, access to and utilisation of sexual reproductive health services among children living on the street in Harare. An intersectionality approach showed how participants’ social location, age and gender created vulnerabilities leading to STIs, maternal complications and sexual violence among others. Additionally, these factors contributed to challenges in accessing sexual reproductive health services among children living on the street. Thus there is need for tailor-made interventions to influence better health outcomes among children living on the street.

scholarly journals Sexual risk behaviors among HIV-infected South Indian couples in the HAART era: implications for reproductive health and HIV care delivery

AIDS Care ◽  
2011 ◽  
Vol 23 (6) ◽  
pp. 722-733 ◽  
Author(s):  
Kartik K. Venkatesh ◽  
A.K. Srikrishnan ◽  
Steven A. Safren ◽  
Elizabeth W. Triche ◽  
E. Thamburaj ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual Risk ◽  
Risk Behaviors ◽  
Care Delivery ◽  
Sexual Risk Behaviors ◽  
Hiv Care ◽  
South Indian
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