scholarly journals Knowledge, attitudes and practices among the youth in Bosnia and Herzegovina relevant for reproductive health

2017 ◽  
Vol 70 (9-10) ◽  
pp. 289-296 ◽  
Author(s):  
Azra Hadzimehmedovic ◽  
Mahira Jahic ◽  
Selma Muratovic

Introduction. The aim of this study was to investigate the sexual behavior, attitudes and knowledge on contraception, sexually transmitted infections and reproductive health among the youth in Bosnia and Herzegovina. Material and Methods. A prospective study included a sample of 6.000 subjects, aged 19-24, of both sexes, investigating the sexual behavior of the youth in Bosnia and Herzegovina in the period 2007 - 2009. Results. Of the interviewed examinees, 61% were sexually active, of which 56.4% had sexual intercourse with one partner (z = 28.51; p < 0.001). The average age of sexarche was significantly lower in males 17.34 ? 1.77 years, than in females 18.20 ? 1.84 years (z = -14.44; p < 0.001). Contraception was used by 67.6% at first intercourse, and by 70.4% at the last intercourse. The most common method of contraception was male condom (74%), coitus interruptus (11.1%), and oral hormonal contraceptives (14.9%). The examined subjects had inadequate knowledge (51.6%) about contraceptive methods, and it was significantly higher in males (64.6%) than in females (42.2%) (z = 10.17; p < 0.001). Some 4.9% of the sexually active females had intentional abortions. Up to 51.7% of females had never had a pelvic examination, and Pap test was done by 37.2%. The examinees obtained information about contraception and sexually transmitted infections from peers 50.7% and parents 9.7%. Only 28% of females had a positive attitude towards oral hormonal contraceptives. Conclusion. The interviewed young people in Bosnia and Herzegovina keep traditional sexual behavior patterns, attitudes and practices. However, more effort should be put into the improvement of knowledge on contraception, sexually transmitted infections, and healthcare protection.

2020 ◽  
Vol 1 ◽  
pp. 11
Author(s):  
Esther Simon Yiltok ◽  
Augustine Odo Ebonyi ◽  
Emeka Uba Ejeliogu

Objectives: Adolescents grow to experience both emotional and sexual changes that occur at this stage in life. During this stage, these adolescents have increased experimentation, including sexuality, this also affects HIV-positive adolescents. The aim of this study was to evaluate the sexual and reproductive health of HIV-positive adolescents. Material and Methods: A semi-structured interviewer-administered questionnaire was used to obtain relevant information from adolescents who were enrolled into the study over a 6 months period. Information obtained included the bio-data, menstruation, sexual activity, HIV status of partner, use of contraceptives, abortion, and treatment of sexually transmitted infections (STIs). Data were analyzed using SPSS version 23. Results: One hundred and forty-seven HIV-positive adolescents were recruited into the study, males were 56 (38.1%), while females were 91 (61.9%). Fifty-nine (64.8%) of the females have started menstruating, out of which nine (6.1%) of them were sexually active. All those that were sexually active did not know the HIV status of their partners. Four (44.4%) of those who were sexually active use contraceptives, while three became pregnant out of wedlock and one had an abortion. Three (33.3%) of the sexually active adolescents had sexually transmitted infection. None of the 46 early adolescents was sexually active, but three out of the 71 middle adolescents and 6 out of the 30 late adolescents were sexually active. Conclusion: HIV-positive adolescents engage in sexual activities which are sometimes risky, just like other adolescents. The consequences of such acts include unplanned pregnancies and abortions in addition to sexually transmitted infections. Therefore, additional programs/interventions should be put in place to address these observations as well as prepare them as they transit to adulthood.


Author(s):  
Juan P Aguilar Ticona ◽  
Huma Baig ◽  
Nivison Nery Jr. ◽  
Simon Doss-Gollin ◽  
Gielson A Sacramento ◽  
...  

Abstract In order to understand the disease burden of sexually transmitted Zika virus (ZIKV), we prospectively followed a cohort of 359 adult and adolescent residents of an urban community in Salvador, Brazil through the 2015 ZIKV epidemic. Later, in 2017, we used a retrospective survey to associate sexual behavior during the epidemic with ZIKV infection as defined by IgG3-NS1 ELISA. We found that males who engaged in casual sexual encounters during the epidemic were more likely (ORa=6.2; 95%CI 1.2–64.1) to be ZIKV positive, suggesting that specific groups may be at increased risk of sexually transmitted infections.


2007 ◽  
Vol 39 (2) ◽  
pp. 383-396
Author(s):  
Biljana Stankovic

Premature sexual activity of the young, before reaching physical and psycho-social maturity, brings along the risk of jeopardizing their reproductive health, mostly because it can lead to sexually transmitted infections or pregnancy, which is mostly unwanted in adolescence. The starting assumption of the promotion of reproductive health of the young is understanding and acceptance of their sexuality and relevant needs in social environment in which they live. Primarily in the family, the media, healthcare institutions and school. During the period of childhood and youth, school possesses the unique possibility to enable a large number of young people to acquire knowledge and skills related to sexuality and reproductive health and shape their values, attitudes and beliefs. The complexity of the process of making the decision about becoming sexually active, as well as the space for action towards its postponement to older age, are also indicated by the results of the research conducted in Belgrade, on the sample of one hundred and eleven female adolescents aged fourteen to twenty, who became sexually active at the age sixteen and earlier. These are primarily those results which refer to the meaning of love and sex in their value system, motives, feelings and attitudes related to becoming sexually active.


Healthline ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 72-81
Author(s):  
Anita Punia ◽  
Jyoti Yadav ◽  
Babita ◽  
Sanjay Kumar Jha ◽  
Sanjeet Singh ◽  
...  

Introduction: Reproductive Tract Infections (RTIs) and Sexually transmitted infections (STIs) continue to be a major public health problem and affecting women's health. Objectives: To estimate the prevalence of RTIs/STIs among married women aged 18-49 years in rural areas and to determine the factors associated with these conditions. Method: A community-based cross-sectional study was carried out among 308 eligible married women aged 18-49 years in rural areas in District Sonipat, Haryana using the WHO-Syndromic Approach for diagnosis of RTIs/STIs. Results: The mean age of study subjects in our study was 32.1 years (SD = ± 8.3 years) with a range from 18 to 49 years. The overall RTIs/STIs prevalence was 49.3%. The most frequent symptom was vaginal discharge (55.3%) followed by pain during micturition (34.2%), dyspareunia (26.9%), pain lower abdomen (24.3%) and vulval itching (16.4%). RTI/STI symptoms were found significantly more among women who had history of any chronic disease, who had irregular menstrual cycles, used cloths as sanitary pads and among those whose husbands were substance users. Conclusions: This study revealed a high prevalence (49.3%) of RTIs/STIs. Awareness about symptoms of RTIs, menstrual and personnel hygiene, raising literacy level of women, drive against use of addictive substances etc. by husbands is needed for control and prevention of RTIs. Primary health care services in respect of reproductive health should be strengthened and raising awareness among women about reproductive health issues through suitable communication strategies in order to bring about a positive behavior change for effective control of STIs.


Author(s):  
Andi Bunga ◽  
Ranti Salsabila ◽  
Rehan Aula ◽  
Shania Maharani

Reproductive health is a state of complete physical, mental and social well-being. The main problem of Indonesian youth is ignorance of the actions that must be taken, especially reproductive health problems. This is indicated by the low knowledge of adolescents about reproductive health. This study aims to determine the description of reproductive health knowledge in adolescents, Muhammadiyah University, Jakarta. This type of research is descriptive using a qualitative approach. The subjects in the study were 4 adolescent informants. Data collection techniques with in-depth interviews and observation. Adolescent knowledge about reproductive health is obtained through the internet and courses. In maintaining the health of their reproductive organs, teenagers live a healthy life and avoid risky sexual behavior. As a result of risky sexual behavior that can be exposed to sexually transmitted diseases such as HIV / AIDS and others. In controlling their reproductive health, adolescents have never been examined by health services. The view of teenagers regarding deviant sexual behavior is that it is illegal which if done is a big sin and can interfere with brain health.


Author(s):  
Pamela Mda ◽  
Don O’Mahony ◽  
Parimalarani Yogeswaran ◽  
Graham Wright

Background: In South Africa the teenage fertility rate is high. About 42% of women have their sexual debut by 18 years of age and 5% by 15. These young women are also at risk of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) infection. Despite widespread availability of contraception, 18% of sexually active teenagers do not use any. Previous research on the knowledge of, attitudes to and practices of contraception by teenagers has focused on older adolescents.Objectives: This study explored knowledge, attitudes and practices about contraception amongst 12–14 year old unmarried schoolgirls with a view to inform planning of programmes to assist in reducing teenage pregnancies.Methods: A qualitative study design with purposive sampling was used to select participants from two government-run schools in King Sabata Dalindyebo Municipality. In-depth and focus group interviews were conducted after obtaining written consent from parents and assent from participants. Interviews were audiotaped, transcribed verbatim, translated and analysed thematically.Findings: Participants reported that young adolescents were sexually active, which included high risk sexual behaviour such as multiple partners and casual and transactional sex. Knowledge about contraceptives varied widely. Condoms were the most preferred method of contraception, but it is unknown whether they ever used condoms as they professed to talk about the behaviour of others rather than themselves. Injectable contraceptives were believed to have long-term negative effects. Common sources of contraceptive information were friends or peers, school curriculum and to a lesser extent family members.Conclusions: Findings of the study suggest that young adolescents are sexually active and have inadequate knowledge and misconceptions about contraception. These findings should inform educational programmes about risks of early sexual activity and about contraception.


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