scholarly journals Adolescent Girl–Mother Communication on Sexual and Reproductive Health Issues Among Students in Fiche Town, Oromia, Central Ethiopia

2020 ◽  
Vol 11 ◽  
pp. 215013272094051
Author(s):  
Mulugeta Feyissa ◽  
Tadesse Nigussie ◽  
Yitagesu Mamo ◽  
Temesgen Aferu

Background: Adolescents who have communication about sexual and reproductive health (SRH) with their parents are less likely to participate in risky sexual behaviors and to utilize modern contraceptives. However, communication on SRH issues between adolescents and their parents continues to be below the desired goals in low- and middle-income countries. Objective: To assess SRH communication between adolescent girls and their mothers among students in secondary and preparatory schools in Fiche town, Oromia, Central Ethiopia. Method: An institution-based cross-sectional study was conducted from March 27 to March 30, 2017, using a structured self-administered questionnaire. A total of 181 adolescent female students selected from 2 schools in the town participated in the study. Data were collected on sociodemographic characteristics, student-mother communication, and knowledge about and attitudes toward SRH issues. Multivariable logistic regression analysis was performed, and variables with a P value less than .05 were considered statistically significant. Results: A total of 103 (56.9%) of the students had discussed SRH issues with their mothers. The mothers’ educational status (ie, primary school and above, adjusted odds ratio [AOR] = 10.01, 95% CI = 3.55-28.19; the student living with friends, AOR = 5.29, 95% CI = 1.09-25.47; the students’ knowledge about SRH issues, AOR = 8.57, 95% CI = 3.61-20.35; and students’ attitude toward SRH issues, AOR = 2.79, 95% CI = 1.26-6.15) were identified as independent positive predictors of student-mother communication on selected SRH issues. Conclusion: More than half of the study participants had communication on SRH issues with their mothers. SRH communication was positively associated with maternal educational status, the students’ living with friends, and the student’s knowledge of and attitude toward SRH issues.

2021 ◽  
Author(s):  
Daba Abdissa ◽  
Workitu Sileshi

Abstract BackgroundSexual and reproductive health (SRH) is at the base of young people's living and wellbeing. A significant number of young peoples are affected by avoidable SRH problems due to a lack of appropriate knowledge regarding SRH. Parent-young communication on SRH is critical in informing them about risk and protective behaviors which in turn decrease the likelihood of involvement in risky sexual behaviors. Therefore, the purpose of this study was to evaluate the parent-young communication on SRH issues among secondary and preparatory school students at Agaro town, Southwestern Ethiopia. MethodsSchool based cross-sectional study was conducted from April 13 to April 20, 2019 using stratified random sampling technique. Data were collected using pretested interviewer-administered structured questionnaire entered into Epi data version 3.1; and analyzed using SPSS version 20. A variable having a p-value of <0.25 in the bivariable logistic regression model was subjected to multivariable logistic regression analysis to avoid the confounding variable’s effect. Adjusted odds ratios were calculated at the 95% confidence interval and considered significant with a p-value of <0.05.ResultsA total of 315 students were included to the study. The mean age of the respondents was 20.2±2.6 years. The study finding showed that 61.3% of the participants were discussed on SRH issues with their parents. Educational status of mother [primary education (AOR=3.67; 95%CI=1.93,6.97),secondary education(AOR:2.86;95%CI=1.20,6.80)],educational status of father[primary education (AOR=5.8;95%CI=2.8,12.3,secondary education (AOR=3.21; 95%CI=1.55,6.59)],having family size of <5 (AOR= 6.4; 95%CI= 3.36,12.37) and having boy/girlfriend(AOR=1.99; 95%CI=1.0,3.8) were significantly associated with parent-young people communication. ConclusionAbout two third of the participants communicate with their parents about SRH issues. Parents’ educational status, family size of <5 and having boy/girlfriend were significantly associated with the parent-young people communication. The main reasons for not communicated was cultural taboos, shame and parents lack of knowledge. Therefore, it is necessary to educate and equip students and parents to address the identified problems.


2017 ◽  
Vol 7 (3) ◽  
pp. 35-41
Author(s):  
Kopila Shrestha ◽  
Shanti Awale

Background: Adolescent reproductive health is one of the component of the reproductive health. It is most important issue in the world. Reproductive capability is taking place at an earlier age and adolescents are indulging in risk taking behaviors day by day. The objective of this study is to assess knowledge regarding sexual and reproductive health among adolescents. Methods: A descriptive cross-sectional study was conducted in Kathmandu valley to assess the knowledge regarding sexual and reproductive health among adolescents. Total of 200 respondents were selected through non-probability purposive sampling technique. Self-administered written questionnaire was used for data collection. The collected data were analyzed by using descriptive statistics such as frequency, percentage, mean, standard deviation and inferential statistics such as Chi-square test. Results: The findings revealed that most of the respondents had knowledge regarding transmission and protection of HIV/AIDS and STIs but still some respondents had misconception regarding it. The statistical analysis revealed that the total mean knowledge score with standard deviation was 45.02±8.674. Nearly half of the respondents (49.5%) had moderate level of knowledge, followed by inadequate level of knowledge 29.5% and adequate level of knowledge 21.0% regarding sexual and reproductive health. There was statistically significant association of level of knowledge with area of residence (p-value 0.002). Conclusion: Nearly half of the respondents possess some knowledge about sexual and reproductive health but still effective educational intervention is required to increase their knowledge.


2020 ◽  
Vol 13 (1) ◽  
pp. 415-424
Author(s):  
Mulugeta Feyissa ◽  
Haweni Adugna ◽  
Temesgen Aferu ◽  
Tadesse Nigussie

Background: Adolescence/youth is a continuum of physical, cognitive, behavioral, and psychosocial development. Due to a lack of comprehensive knowledge regarding sexual and reproductive health, adolescents face a number of problems. Clear family communication of reproductive health issues often leads to increased awareness of reproductive health matters and reduces risky behaviors and its consequences in adolescent populations. Objective: To assess parent-adolescent/youth communication and associated factors among students attending secondary and preparatory schools in Fiche town, Oromia Regional State, Ethiopia. Methods: An institution-based cross-sectional study was conducted from March 27 to 30,2017, using a structured self-administered questionnaire. Two schools in the town were included in the study. Data were entered using epidata manager version 4.0.2.101 and exported to SPSS version 21 for analysis. Multivariable logistic regression analysis was performed, and variables with a p-value of less than 0.05 were considered statistically significant. Results: The number of students who had ever discussed sexual and reproductive health issues with their parents was 118 (31.2%). Mothers’ educational status of diploma [adjusted odds ratio (AOR)=3.52, 95%CI=1.13-10.95], fathers’ educational status of diploma [AOR=3.84, 95%CI=1.29-11.41], students’ perceived importance of sexual and reproductive health issues discussion [AOR=6.69, 95%CI=2.04-22.00], students’ knowledge about sexual and reproductive health issues [AOR=4.80, 95%CI=2.56-9.01], and students’ attitude towards sexual and reproductive health issues [AOR=3.13, 95%CI=1.76-5.57] were identified as independent predictors of parent-student sexual and reproductive health communication. Conclusion: The level of parent-student sexual and reproductive health communication is low among secondary and preparatory schools in Fiche town. Therefore, school administration, in collaboration with stakeholders, should facilitate adolescent-friendly services to enhance sexual and reproductive health-related awareness.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246917
Author(s):  
Bharat Raj Bhatta ◽  
Junko Kiriya ◽  
Akira Shibanuma ◽  
Masamine Jimba

Background Adolescents are vulnerable to various sexual and reproductive health (SRH) problems such as unintended pregnancy, HIV or other sexually transmitted infections (STIs), and unsafe abortion. Adolescent-friendly health services offer SRH services such as SRH counseling, contraceptive services, STI and HIV services, and abortion-related services, which may help prevent these risks. Parent–adolescent communication about SRH prevents adolescents from adopting unhealthy SRH practices. However, its association with the utilization of SRH services is less known. Therefore, this study examined the association between parent–adolescent communication on SRH issues and the utilization of adolescent-friendly health services in Nepal. Methods This was a school-based, cross-sectional study conducted in Kailali district, Nepal, among students aged 15–19 years in Grade 11 and 12 from seven schools. We used multivariable logistic regression analysis to examine the association between parent–adolescent communication and service utilization. Results We analyzed the data from 594 students. Students with a higher score of parent–adolescent communication on SRH were significantly more likely to use adolescent-friendly health services (adjusted odds ratio, AOR: 1.70, 95% Confidence Interval, CI: 1.29–2.23, p<0.001). Those who reported having engaged in sexual intercourse in the past year were more likely to use services than those who did not (AOR: 29.11, 95% CI: 13.65–62.08, p<0.001). Those who belonged to the Janajati ethnic group were more likely to use these services than those from the Brahmin/Chhetri ethnic group (AOR: 2.86, 95% CI: 1.28–6.42, p = 0.01). Those living alone were less likely to use services than those living with both parents (AOR: 0.12, 95% CI: 0.02–0.66, p = 0.01). Conclusion Students with a higher score on parent–adolescent communication on SRH were more likely to use adolescent-friendly health services. Thus, parental involvement in SRH communication could contribute to the use of adolescent-friendly health services and ultimately prevent negative SRH outcomes among students in late adolescence.


2018 ◽  
Vol 15 (1) ◽  
pp. 58
Author(s):  
Ivett Adriana Herrera-Zuleta ◽  
Jonathan Fernando Reyes-Salazar ◽  
Katherine Patricia Rojas-Velasco ◽  
Magda Lizeth Tipán ◽  
Carlos Andrés Torres-López ◽  
...  

Objetivo: Describir el conocimiento y las prácticas relacionadas con la Salud Sexual y Reproductiva en los estudiantes de una Universidad del Suroccidente Colombiano. Materiales y métodos: Investigación cuantitativa, descriptiva, prospectiva de corte transversal; se realizó con estudiantes matriculados en I y II semestre en el primer periodo académico 2016; el cálculo de la muestra se obtuvo utilizando la fórmula de varianza desconocida y población total conocida (3.489), obteniendo un tamaño de muestra de 415 estudiantes. Se utilizó un instrumento tipo encuesta estructurada elaborada a partir del formato de consejería del programa de salud sexual y reproductiva universitario.  Los datos se procesaron a través de Excel y el   paquete estadístico SPSS versión 22, para determinar la significación de la asociación se utilizó la prueba Chi cuadrado con una confiabilidad de 95%. Resultados: En la población estudiada se encontró un predominio masculino del 50,7%, la edad promedio fue de 19 años, encontrando que el 81% están en una etapa de adolescencia tardía, el 62% tiene un nivel de conocimientos deficientes sobre salud sexual y reproductiva, el 78% inicio vida sexual con edad promedio de 16 años, un gran porcentaje de estos estudiantes tienen entre 1 y 3 compañeros(as) sexuales al año. El 70% utilizó condón en su primera relación sexual y el 12,3% de la población utilizó la píldora de emergencia. Conclusiones: El nivel de conocimiento acerca de salud sexual y reproductiva es deficiente. La mayoría de los estudiantes encuestados utilizan al menos un método de planificación familiar en sus relaciones sexuales.Palabras clave: Sexualidad, Salud reproductiva, estudiantes, conocimientos y prácticas en salud.Sexual and reproductive health in university students: beyond knowledge andpractices AbstractObjective: To describe the knowledge and practices related to Sexual and Reproductive Health in the students of a University of the Suroccidente Colombiano. Materials and methods: Quantitative descriptive prospective cross-sectional study; was carried out in students enrolled in I and II semester in the first academic period 2016; the calculation of the sample was obtained using the formula of unknown variance and known total population (3,489), obtaining a sample size of 415 students. A structured survey-type instrument was developed based on the counseling format of the university's sexual and reproductive health program. Data were processed through Excel and the SPSS version 22 statistical package, to determine the significance of the association was used Chi square test with a reliability of 95%. Results: A male prevalence of 50.7% was found in the study population, the mean age was 19 years, and 81% were in the late teens, 62% had a poor level of knowledge about sexual health and reproductive, 78% start sexual life with average age of 16 years, a large percentage of these students have between 1 and 3 sexual partners a year. Seventy percent used a condom at their first sexual intercourse and 12.3% of the population used the emergency pill. Conclusions: The level of knowledge about sexual and reproductive health is deficient. Most students surveyed use at least one method of family planning in their sexual relationships.Saúde sexual reprodutiva em estudantes universitários: conhecimentos e práticasSumario Objetivos: Descrever os conhecimentos e práticas relacionados com a saúde sexual e reprodutiva em estudantes de uma Universidado sudoeste Colombiano. Materiais e Métodos: A pesquisa quantitativa transversal descritiva prospectiva; foi realizado em estudantes matriculados em I e II, semestre 2016; cálculo da amostra foi obtida utilizando a fórmula de variância desconhecida e a população total conhecido (3489), obtendo-se um tamanho de amostra de 415 estudantes. Foi utilizado um tipo de instrumento de pesquisa estruturada. Os dados foram processados pelo pacote estatístico Excel versão 2010 e SPSS versão 22, para determinar o significado do teste foram utilizados do qui-quadrado de associação com uma confiabilidade de 95%. Resultados: Na população estudada predominância do sexo masculino de 50,7%, a idade média dos alunos era de 19 anos, descobrindo que 81% estão em uma fase de adolescência tardia, 62% têm um nível de conhecimentos regulares saúde sexual e reprodutiva, 78% inicio vida sexual com uma idade média de 16 anos, uma grande porcentagem desses estudantes estão entre 1 e 3 parceiro (s) ano sexual. 70% usam preservativo em sua primeira relação sexual e 12,3% da população usava a pílula de emergência. Conclusões: O nível de conhecimento sobre a saúde sexual e reprodutiva é regular. A maioria dos estudantes pesquisados usar pelo menos um método de planejamento familiar em suas relações sexuais.Palavras-chave: Gestão de terapia de medicação, diagnóstico, enfermeiros, pediatria


2020 ◽  
Author(s):  
Muhammad Zakaria ◽  
Junfang Xu ◽  
Farzana Karim ◽  
Subarna Mazumder ◽  
Feng Cheng

Abstract Background: Improving the sexual and reproductive health (SRH) of adolescent girls is one of the primary agenda of the Sustainable Development Goals (SDGs). Adequate and accurate knowledge, favorable attitude, safe behavior, and regular practice contribute to the adolescent girls’ SRH, maternal, and child health. In the background, this study aims to explore the level of knowledge, attitudes, and practices (KAP) of SRH among college-going older adolescent girls in Chittagong district, Bangladesh. Methods: An institution-based cross-sectional study was conducted in four colleges among the older adolescent girls age group of 16-17 (N = 792) attending a higher secondary grade in Chittagong district. Data were collected using a structured and self-administered questionnaire. Descriptive statistics and multiple linear regression analyses were used to summarize the SRH-related KAP and identify the associated factors, respectively. Results: 62% of study participants had the awareness that both physical and psychological changes occur in the adolescence period, while only 36% knew that menstruation is not a disease. Besides, only 30% of adolescent girls were informed about taking birth control has no adverse effect on the sexual relationship of a couple. Moreover, only 40% of students were learned that HIV could not be spread through the mosquito and flea, whereas only 25% knew that transmission of HIV is unlikely from an infected person’s coughing and sneezing. Of older adolescent girls, 35% disagreed perfectly whether sexual education can lead to more sexual activity. Besides, more or less 20% of participants opined that adolescent girls should refrain from going outside even to the school, entering into the kitchen, touching anyone, brushing hair, and see in the mirror. Moreover, 52% of adolescent girls wanted to learn more details about SRH, while 48% felt timid and afraid of their puberty changes. Besides, 62.5% of adolescent girls reported their using cloth during the menstrual cycle instead of the sanitary pad. Standardized coefficients beta (β) and p value < .05 in linear regression analyses explored that adolescent girls’ study of science, urban residence, reading or watching SRH contents on the mass media appeared as the more significant predictors for outcome variables. Conclusion: Many problems related to SRH exist among older adolescent girls in Bangladesh, such as behaviors and social constraints associated with menstruation, myths, and assumptions, recognition of the value of awareness and knowledge of reproductive health. Therefore, strengthening SRH-related comprehensive education programs incorporating into the curriculum, effective use of mass media, and supplying behavioral change communication materials are essential.


Author(s):  
Dini Mei Widayanti ◽  
Mochammad Bagus Qomaruddin ◽  
Dedi Irawandi

Background: The incidence of cervical cancer in Indonesia is still high due to the poor awareness of married women about the necessity to check themselves with a pap smear/IVA test for early detection and possible cure. The implementation of the IVA examination still experiences obstacles due to lack of knowledge and fear. Design and Methods: This study aims to determine the relationship between knowledge and attitudes of mothers with IVA test, using the analytical and cross-sectional study. Data were obtained from mothers that visited the family planning section of the Maternal and Child Health (MCH) Center. Out of a total of 184 mothers, 126 samples were chosen by purposive sampling technique. Results: The results showed that 59.5% of respondents had scarce knowledge on IVA tests, 66.7% had unsupportive attitudes towards it, and 54.8% were not willing to carry out the tests. This study explains that there is a significant relationship between knowledge and attitude with a P-value of 0.000.Conclusions: In conclusion, various factors influence the participation of IVA examination, namely lack of knowledge, inability to access information, and fear.


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