scholarly journals Adolescent-Parent Communication on Sexual and Reproductive Health issues in Ethiopia: A Systematic Review and Meta-analysis

2020 ◽  
Vol 30 (5) ◽  
Author(s):  
Akine Eshete ◽  
Sisay Shewasinad

Adolescent-parent sexual communication is an effective strategy to make healthy decisions, delay and protect from risky behavior. Thus, this systematic review and meta-analysis aimed to synthesize and estimate the level of adolescent- parent communication on sexual and reproductive health issues in Ethiopia.METHODS: Cross-sectional studies were systematically searched using databases such as PubMed, Google Scholar, Cochrane Library and gray literature. Information was extracted using a standardized form of JBI. Data were analyzed using the ‘meta’ packages of the Stata software (version 11.0). I-squared statistic was applied to check the heterogeneity of studies. Funnel plot and Egger's test were used to check for publication bias. P-value <0.05 on the Egger test was considered indicative of statistically significant publication bias.RESULTS: A total of 359 articles were identified, of which 19 were eligible for meta-analysis. Adolescent-parent communications on SRH issues were significantly reported within the range of 25.3% to 36.9% and more preferred to discuss with their friends. The overall pooled level of adolescent parent communication was 40.70 (95%CI: 34.26-47.15). Adolescents who lived in urban areas, having good knowledge of SRH issues, adolescents who agreed on the importance of discussion and adolescents who ever had sexual intercourse were more likely to discuss SRH issues with their parents.CONCLUSION: The overall pooled level of adolescent-parent communication was 40.70%, and also adolescent-parent communications were dominantly reported with the ranges of 25.3% to 36.9%. Being urban dweller, being knowledgeable, and being agreed on the importance of discussion were significantly associated with adolescent-parent communication. Cultural taboo, shame and lack of communication skills were reasons that hindered communication between parents and adolescents. Therefore, program implementers should work to increase adolescent-parent communication.

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Melaku Yalew ◽  
Bezawit Adane ◽  
Bereket Kefale ◽  
Yitayish Damtie ◽  
Mastewal Arefaynie ◽  
...  

Abstract Background There is no national representative and conclusive data regarding parent-young communication. Therefore, this study aimed to estimate the pooled prevalence of parent-young communication on sexual and reproductive health issues and its association with sex and perceptions of young people about its importance in Ethiopia, 2020. Methods The Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) was used during systematic review and meta-analysis. The study included both published and gray literatures which were searched using appropriate key terms. The articles were searched from different databases: PubMed, Cochrane Library, PsycINFO, CINAHL, Global Health, HINARI and Google scholar. Data were extracted in a Microsoft Excel sheet and STATA/SE 14 was used for meta-analysis. I2 and Egger test statistics were used to test heterogeneity and publication bias respectively. Results Twenty-nine articles were included in this systematic review and meta-analysis. The pooled prevalence of parent-young communication on sexual and reproductive health issues in Ethiopia was 42.96% [95% CI: (36.91, 49.02)]. Positive perception of young people towards parent-young communication [AOR = 3.72, 95% CI: (2.87, 4.86)] and female sex [AOR = 1.62, 95% CI: (1.12, 2.34)] were significantly associated with parent-young communication on sexual and reproductive health issues. Conclusions The prevalence of parent-young communication on sexual and reproductive health issues in Ethiopia was low as compared to other literatures conducted outside Ethiopia. Both perceptions of young people towards parent-young communication and sex were significantly associated with parent-young communication on sexual and reproductive health issues. Interventions targeting males and young who had negative perceptions regarding parent-young communication should be the primary focus of the government and their parents. Review registration The protocol of this systematic review and meta-analysis was registered in the PROSPERO International prospective of systematic reviews with a specific registration number: CRD42020161252.


2020 ◽  
Vol 46 (1) ◽  
Author(s):  
Maru Mekie ◽  
Dagne Addisu ◽  
Abenezer Melkie ◽  
Wubet Taklual

Abstract Background Every year, 1.3 million young people reported to die from preventable causes of death. Parent-adolescent communication on sexuality is critical in informing youth about risk and protective behaviors which in turn decrease the likelihood of involvement in risky sexual behaviors. This systematic review and meta-analysis was intended to assess the prevalence of parent-adolescent communication on sexual and reproductive health (SRH) issues and its associated factors in Ethiopia. Methods PubMed, EMBASE, HINARI, Google Scholar, and University repositories were used to search studies. Article search was conducted from May 20 to June 9, 2020. Critical appraisal of studies was conducted using Newcastle-Ottawa Quality Assessment Scale (NOS). Data analysis was conducted using Stata 11 software following the abstraction of data using a format prepared on Microsoft excel. The heterogeneity of studies was tested using Cochran (Q test) and I2 test statistics. Similarly, funnel plot and Egger’s regression asymmetry were used to assess publication bias. Subgroup analysis was conducted based on study Regions and sample size. Result Fourteen studies with sample of 8018 adolescents were included in this systematic review and meta-analysis. The pooled prevalence of parent-adolescent communication on SRH issues in Ethiopia was found to be 45.18% (95%, CI, 32.23, 58.13%). Adolescents’ knowledge of reproductive health matters (OR = 2.91, 95% CI:1.21, 7.01), believe on importance of discussion on SRH issues (OR = 4.18, 95% CI: 2.63, 6.65), had history of sexual exposure (OR = 1.95, 95% CI: 1.53, 2.50), parents openness to discuss SRH issues (OR = 3.39, 95% CI: (2.48, 4.62), and being female (OR = 1.60, 95% CI:1.07, 2.38) were the positive predictors of parent-adolescent communications on SRH issues. Conclusion The prevalence of parent-adolescent communication on SRH issues was found to be low. Knowledge of adolescents about reproductive health matters, believe on the importance of discussion on reproductive health issues, history of sexual exposure, parents’ openness to discuss SRH issues, and being female were found to be the positive predictors of parent-adolescent communication on SRH issues in Ethiopia. The finding our study indicated that evidence based education about reproductive health matters could significant to improve adolescent parent communication on SRH issues.


Author(s):  
Seteamlak Adane Masresha ◽  
Gedefaw Diress Alen ◽  
Israel Abraham Aberra ◽  
Dawit Koru Dender ◽  
Zekarias Abuhay Mamo ◽  
...  

Abstract Background : Adolescent today faced different health threats which are predominantly behavioral. Parent-adolescent communication about sexual matters is one of the means that encourages adolescents to adopt responsible sexual behavior. Many children in Africa is uncomfortable to have a Communication about sexual and reproductive health issues with their parents because the subject is a taboo topic in most homes. So, this study aimed to assess magnitude of communication between adolescents and parents on SRH issues and its association with gender and premarital sexual practice among school adolescents of Woldia Town. Methods : School based cross-sectional study was conducted on 368 unmarried Secondary and preparatory school adolescents (15-19 years) in Woldia Town. Simple random sampling were employed to select study participants. Self-administered questionnaire were used. Data were entered by EPI-Data version 3.0.2 and analyzed by using SPSS version 20. Result : In this study 56.3% of school adolescents had parental communication on sexual and reproductive health issues. The result of this study showed that there was a significant negative association between pre-marital sexual practice and adolescent-parent communication on SRH issues where by adolescents who had history of sexual intercourse where 64% less likely to communicate with parents (AOR: 0.36 95% CI: 0.20, 0.65). Conclusion and recommendation : This study showed that adolescent-parent communication about sexual and reproductive health issues was low in Woldia Town. Therefore, programs focusing on meeting young people sexual and reproductive health needs in the area should focus on changing the social and cultural views of communicating sexual issues in addition to working on changing individual behaviors on contraceptive use.


BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e044398
Author(s):  
Beatrice W Maina ◽  
Kenneth Juma ◽  
Emmy Kageha Igonya ◽  
Jane Osindo ◽  
Hesborn Wao ◽  
...  

IntroductionEarly sexual debut is associated with poor sexual and reproductive health outcomes across the life course. A majority of interventions aimed at delaying sexual debut among adolescents in sub-Saharan Africa (SSA) have been implemented in schools with mixed findings on the effectiveness of such interventions. This systematic review will summarise and synthesise existing evidence on the effectiveness of school-based interventions in delaying sexual debut among adolescents aged 10–19 years.Methods and analysisWe will conduct a comprehensive database search of peer-reviewed studies published in PubMed, Scopus, Science Direct, Web of Science, HINARI and EBSCO (PsycINFO, Global Health, CINAHL) and in Cochrane library, National Institute of Health and Turning Research into Practice databases for ongoing studies yet to be published. All studies conducted in SSA between January 2009 and December 2020, regardless of the study design, will be included. Two authors will independently screen all retrieved records and relevant data on sexual debut extracted.Data will be pooled using the random effects model. Dichotomous outcomes will be reported as risk ratios and continuous data as mean difference at 95% CI. Heterogeneity will be assessed using the I² statistic. Findings will be presented in tables and charts, while providing a description of all included studies, themes and concepts drawn from literature.Ethics and disseminationEthical approval is not required. The findings will be disseminated through peer-reviewed publications, presentations at relevant conferences and other convening focusing on adolescent sexual and reproductive health.


2021 ◽  
Vol 13 (5) ◽  
pp. 53
Author(s):  
Funmito O. Fehintola ◽  
Akintunde O Fehintola ◽  
Taiwo A. Olowolaju ◽  
Idowu O. Oluwagbamila ◽  
Ayobode A. Omidiji ◽  
...  

Adolescents in communicating about their sexual and reproductive health (SRH) issues are faced with the obstacles created by expected social norms and taboos related to sexuality and gender. This study aims to determine the relationship between adolescent-parent communication and its relationship with safe sex behaviour among adolescents. The study was a descriptive cross-sectional. Data was collected from 400 adolescents in Ife-East local government using a pre-tested semi-structured questionnaire. We used a multistage sampling technique to select the required study subjects. We carried out simple frequencies and chi-square. &nbsp;Fifty &ndash;five percent (55.3%) of the respondents were females, while&nbsp;44.8% are males. The mean age (&plusmn;SD) of the participants was&nbsp;15.50 &plusmn;1.55years. Of the respondents, only 37% had good knowledge of sexual and reproductive health issues, while 63% had poor knowledge of sexual and reproductive health issues. The&nbsp;predictors of adolescent parent communication among respondents are private schools (OR=2.546, P = 0.005, CI=1.327-4.885), Female sex (OR=12.128, P&lt;0.001, CI=11.590 &ndash; 25.534),&nbsp;&nbsp; family size (OR=14.772, P= 0.003, CI=13.037 &ndash;20.015) and good knowledge of sexual and reproductive health issues (OR=19.521, P= 0.007, CI=19.521 &ndash;29.078).&nbsp; There is a statistically significant relationship between adolescent parent communication and safe sexual behaviour (X&sup2;=152.998, P &lt;0.001, df = 1). The findings of our study revealed that adolescents were not communicating much with parents about sexual and reproductive health issues; and that there is an association between adolescent parent communication and safe sexual behaviour.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 2-2
Author(s):  
Sepideh Alasvand ◽  
William Bridges ◽  
Vivian Haley-Zitlin

Abstract Objectives This study examined the effect of common spices cardamom, ginger, cumin, curcuminoids and cinnamon on improving glucose levels in individuals with type 2 diabetes by systematic review and meta-analysis. Methods PubMed, FSTA, Web of Science, CINAHEL, MEDLINE and Cochrane Library database of systematic review databases were searched using keywords (fasting blood glucose OR hemoglobin A1c OR HbA1c OR homeostasis) AND (Ginger or zingiber or “zingiber officinale” or “cinnamomum zeylanicum” or “cinnamomum aromaticum” or “cinnamomum cassia” or “cinnamomum verum” or curcumin or turmeric or curcuminoids or “curcuma longa” or langas or “curcuma zedoarias” or turmeric) AND (diabetes* OR “diabetes mellitus” OR “type 2” OR “blood glucose” OR insulin* OR antidiabet* OR “glucose level”) up to January 2020. Statistical calculations used SAS software version 9.2 (SAS, Cary NC, USA). P-values &lt; 0.05 were considered significant, P-values &lt; 0.10 were considered weakly significant. Results Twenty-three studies with 2237 trial participants were selected out of a 512 study pool. Spices decreased FBG and HbA1c %. The estimated reduction in intervention change vs. control change is as follows: A1c was −0.264 mg/dl, 95% CI (−0.5503, −0.02), P value 0.069; FBG was −9.9370 mg/dl, 95% CI (−20.79, 0.91), P value 0.07. A significant heterogeneity was observed overall among the all studies, indicating that not all studies had similar levels of decrease. Conclusions A correlation between consumption of certain common spices and significant reduction in glycemic indices among diabetes patients was proved. Funding Sources Clemson University.


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