scholarly journals Parent-Adolescent Sexual and Reproductive Health Communication Is Very Limited and Associated with Adolescent Poor Behavioral Beliefs and Subjective Norms: Evidence from a Community Based Cross-Sectional Study in Eastern Ethiopia

PLoS ONE ◽  
2015 ◽  
Vol 10 (7) ◽  
pp. e0129941 ◽  
Author(s):  
Yadeta Dessie ◽  
Yemane Berhane ◽  
Alemayehu Worku
2020 ◽  
Author(s):  
Daniel Bekele ◽  
Abdi Deksisa ◽  
Wondu Abera ◽  
Getu Megersa

Abstract Background: Parents’ communication on sexual and reproductive health (SRH) issues with their adolescent plays a great role in preventing morbidity and mortality associated with sexual behavior. However lack of parent to adolescent communication was a serious problem in Ethiopia resulted in teenage pregnancy, unsafe abortions, sexually transmitted infections (STIs), school problems, and other sexual risk behaviors. Therefore, the aim of this study was to investigate the level of parent-adolescent communication and affecting factors on SRH issues in Ethiopia.Methods: A community based cross- sectional survey was conducted on 347 randomly selected parents of 10–19 year old teenagers. A random sampling was used to sample the study participants. A pre-tested and structured questionnaire as used to collect data. A binary and multivariable logistic regression analysis was conducted for adjusted odds ratio (AOR) at 95% confidence interval (CI), variables at a P-value < 0.05 were considered as significant association.Results: The study showed that, 23.1% of parents had communication on SRH issues with their adolescents. Factors computed for adjusted odds ratio [AOR], such as parents completed some form of education (being grades 9–12 [AOR = 2.42, 95% CI: 1.06–5.53]; diploma and above [AOR = 4.78, 95% CI: 2.03–11.21]; having good knowledge [AOR = 3.08, 95% CI: 1.89–5.39]; and being having positive attitudes [AOR 3.03, 95% CI: 1.37–6.70] were significantly affect the communication.Conclusion: This study revealed that a low proportion of parents’ communication on SRH issues with their adolescents and multifaceted factors appear to determine their discussion. Thus, promotion of parent to adolescent communication, parents training and addressing the importance of parent to young people communication to all parents along with health care providers was important.Plain English summary Parent-adolescent sexual and reproductive health (SRH) communication is one of the potential sources of information for adolescents on the issues. Agreed that adolescents in Ethiopia are faced with increasing SRH-related risks, it is important to understand how parents communicate about SRH to their adolescents from the parents’ perspectives. A community based cross-sectional study targeting parents was conducted at eight kebeles of Asella town, Arsi zone, Ethiopia based on interview survey. Three hundred forty seven (347) parents having children of 10-19 years in selected household were included. The majority of the parents 82.4%, agreed on the need of discussions with their adolescents and 72% had the good knowledge of SRH issues. However in this study, the level of parent-adolescent discussion on SRH issues was very low, 23.1%. The find showed that the main reason for not talking with their adolescents; perceived it may initiate adolescent for sexual practice, culturally unacceptable, shame/taboo, lack of awareness and being too busy. Also, the probability of discussion was found to be significantly higher among parents who had completed some form of education, parents who had good knowledge and positive attitude towards SRH issues as compared with those who didn’t have good knowledge and positive attitude on the topic. This study suggests for conducting qualitative research investigating the socio-cultural context within which the SRH communications happen.


2021 ◽  
Author(s):  
Daniel Bekele ◽  
Abdi Deksisa ◽  
Wondu Abera ◽  
Getu Megersa

Abstract Background: Parents’ communication on sexual and reproductive health issues with their adolescent plays a great role in preventing morbidity and mortality associated with sexual behavior. However lack of parent to adolescent communication was a serious problem in Ethiopia resulted in teenage pregnancy, unsafe abortions, sexually transmitted infections, school problems, and other sexual risk behaviors. Parents have high responsibility on cultivating their son and daughter regarding to sexual and reproductive health issues. Therefore, the objective of this study was to determine the magnitude of parent’s communication with their adolescents and affecting factors in Ethiopia. Methods: A community- based cross-sectional study was conducted on 347 respondents. A systematic sampling method was used to select the study participants. Data were collected by trained interviewers using a structured questionnaire, entered into Epi- Info version 7.1.2 and exported to SPSS version 23 for analysis. Descriptive statistics, bivariate and multivariate logistic regression analyses were used. Variables at P-value <0.05 were considered as significant association. Results: Slightly more than one-fifth of the parents (21.3%) had communicated with their adolescents on sexual and reproductive health issues. Associated factors like: having good knowledge [AOR =3.08, 95% CI: 1.89-5.39] and being having positive attitudes [AOR 3.03, 95% CI: 1.37-6.70] towards sexual and reproductive health issues were significantly associated with communication.Conclusion: Overall a low proportion of parental communication with their children was identified on sexual and reproductive health issues. This was affected by multidimensional factors to determine their discussion. Thus, promotion of parent to adolescent communication, parents training and addressing the importance of parent to young people communication along with health care providers was important.


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.


2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Hirbo Shore Roba ◽  
Addisu Shunu Beyene ◽  
Melkamu Merid Mengesha ◽  
Behailu Hawulte Ayele

Background. Hypertension is a major cardiovascular risk factor that is linked with fatal complications and is an overwhelming global challenge. Primary prevention is a key to control hypertension with identification of major risk factors. This study was aimed at assessing the prevalence and factors associated with hypertension. Methods. Community-based cross-sectional study was conducted among 903 adults aged 25 to 64 years in Dire Dawa City, East Ethiopia. Data were collected using World Health Organization (WHO) STEPwise approach to Surveillance (STEPS) for non-communicable disease (NCD) standard survey tool. Multivariate logistic regression models were used to identify relative effects of distal, proximal, and immediate risk factors of hypertension, and all statistical tests were declared significantly at P-value<0.05. Results. The average SBP and DBP were 124.98±17.18 mmHg and 78.92±10.13 mmHg, respectively. The prevalence of hypertension was 24.43% (95% CI: 21.57, 27.28). Majority (51.64%) of adults were not aware of their elevated blood pressure status. hypertension was significantly associated with the age group 30-44 (aOR 3.61, 95% CI: 2.0, 6.55), 45-54 (aOR 5.36, 95% CI: 2.62, 10.91), and 55-64 (aOR 9.38, 95% CI: 4.73, 18.59), being unemployed (aOR 1.68, 95%CI: 1.03, 2.77), ever smoking (aOR 1.89, 95% CI: 1.04, 2.23), having abdominal obesity (aOR 1.72, 95% CI: 1.13, 2.64), and BMI≥25 kg/m2 (aOR 1.48, 95%CI: 1.01, 2.15). Conclusion. Moderately high prevalence of hypertension was observed among adults in study setting demonstrating a major public health problem. Majority of adults with hypertension in study setting were not aware of their elevated BP status highlighting the burden of the hidden morbidity and subsequent complications. Community level intervention and routine assessment of sociodemographic, behavioral, and biophysiological risk factors, screening, and diagnosis of NCDs should be institutionalized to address the occult burden.


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