Knowledge of Polycystic Ovarian Syndrome, Its Complications, and Management among Lebanese Women: A Cross-Sectional Survey

Introduction Polycystic ovarian syndrome (PCOS) is a multi-spectrum disease where a failure to address it correctly can result in various clinical complications. This study aimed to assess the Lebanese women's knowledge and perceptions of PCOS and its management. Materials and Methods This cross-sectional study included women whose ages ranged between 18 and 45 years. Women's demographic characteristics, reproductive health, knowledge, and perception of PCOS were analyzed through an online validated questionnaire. Results Among the 450 included women, 196 (43.6%) had good knowledge about PCOS. The majority of participants were aware that menstrual irregularity is a symptom of PCOS, 327 (72.7%), while only 231 (51.3%) women knew that PCOS may lead to infertility. Almost two-thirds of women were aware of the contribution of metformin, diet, and exercise in refining the progress of the disease. More than 60% of participants believed that PCOS patients need social support and have a low body image. Married women (p < 0.001) and those with undergraduate/ postgraduate degrees (p < 0.001) had better PCOS knowledge. Conclusion A significant percentage of Lebanese women have inadequate knowledge of PCOS and its complications.

Description of Knowledge About Reproductive Health in Youth at Muhammadiyah University Jakarta 2021

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.

PERSONAL HYGIENE AND REPRODUCTIVE HEALTH KNOWLEDGE AMONG ADOLESCENTS AT KAMPUNG BELAJAR, SURABAYA

Health knowledge is fundamental for everyone, including children. This knowledge provides understanding for children in preparation for entering puberty. However, health education which discusses personal hygiene, anemia, puberty, and healthy relationships, as well as reproductive health is still very limited in formal schools. Because of these limitations, children need to get informal education. One of the ways this is done is through health education activities at Kampung Belajar. The research objective was to analyze health knowledge on personal hygiene, anemia, puberty, healthy relationships, and reproductive health taught through health education at Kampung Belajar in Jambangan, Surabaya. This study used secondary data sources obtained from the teaching team at the learning village. The data obtained were the result of evaluating learning activities related to health knowledge. The research subjects were 22 students from grade 1 to 7. The results of this study were 0.031 with p < 0.05. It can be concluded that there was a difference in health knowledge, which included personal hygiene, anemia, puberty, healthy relationships, and reproductive health in the study group after receiving health education provided by the teaching team at Kampung Belajar.

Reproductive Health Knowledge, Attitude and Practice Among Adolescents Attending Secondary Schools in Asmara, Eritrea

Background: Adolescent reproductive health problems are a great threat to adolescent’s warfare and such problems are associated with inadequate knowledge. In Eritrea, as adolescent reproductive health is not given much attention the knowledge is expected to be poor, which could lead adolescents to become victims of adolescence related reproductive health problems and limit their opportunity to build a better future. Therefore, this study was carried out with the aim of investigating the reproductive health knowledge, attitude and practice among secondary school students in Asmara, the capital of Eritrea. Methods: A cross sectional study design was conducted on 428 adolescent high school students with the age range of 14 to 19 years. Sample size was determined by using a single population proportion formula. Initially, population size of each school and each grade was taken and proportional sample size was determined from each school and then from each grade. The list of students was used and participants were selected using simple random sampling. Data was collected through a structured self-administered questionnaire. Descriptive and inferential analysis were made using SPSS (version 22). Statistical significance level was set at P<0.005.Results: The median age of the study participants was 15 (IQR=2), in which 88.8% were between age of 14 to 16 years with 53% of them being females. The level of knowledge of the students regarding RH was low, with moderate to good attitude. Sexual practice was very low (3.5%) with usage of 86.7% of contraceptive use. Meanwhile, the usage of sexually explicit material was relatively higher (53%). Conclusions: Reproductive health knowledge was low almost in all variables. Meanwhile, significant number of students are already engaged in heterosexual romantic relationships and use of sexually explicit material. Adolescents need to be knowledgeable about themselves and the people they relate to, need sound information about the physical, psychological and social changes that take place through childhood to adolescence.

Analysis on the Factors Related to the Accidental Pregnancy in 98 Teenage Girls

Objective: To understand the general information of adolescent girls with unplanned pregnancy and the information about abortion and reproductive health knowledge, analyze the influencing factors of unplanned pregnancy and explore the preventive measures. Methods: Using epidemiological investigation method, the adolescent females (age <19 years old) who volunteered requested pain deprivation in our hospital from January 2018 to December 2019 were examined by questionnaire with informed consultation, and the results were analyzed. Results: After screening, 98 valid questionnaires were received. The average age of girls were 16.81 years old, and the youngest was 13 years old. Employed girls accounted for 54.0%, students for 23.5% and unemployed people for 22.5%. Non-earners accounted for 38.8%, and those with monthly income less than 3,000 yuan accounted for 86.8%. 78.6 of those aged 16-18 had sex for the first time. The age of first sexual intercourse ?15 years old accounted for 21.4%. The first abortion patients accounted for 84.7%, repeated abortion accounted for 15.3%. years old accounted for 19.05%. First abortion in the age ?15 There was no statistical difference between the reproductive health knowledge mastery score and the family economic status, parents’ occupation, parents’ marital status, parents’ sex education (P >0.05). The score of reproductive health knowledge was statistically different from that of school sex education and hospital sex education (P <0.05). Conclusions: The primary cause of unintended pregnancy is the lack of knowledge of contraception and reproductive health. Schools and hospitals are effective in sex education for adolescent girls. Relevant government departments, schools, families and hospitals should pay more attention to sex education and strengthen efforts to improve the quality of education, so as to further reduce the harm caused by accidental pregnancy of adolescent girls.

High Risk Behavior, Knowledge and Attitudes of Adolescent Health: A Study from Rajshahi City Corporation Area of Bangladesh

Background: Adolescence is one of the most dynamic stages of human growth and development. It is an important issue in Bangladesh as well as in the world. Reproductive health of adolescents is strongly affected by sociodemographic factors. The purpose of this study was to establish the factors that influence on high-risk behavior, knowledge and attitudes of adolescent, which were regarded as determinants. Data and Methods: Socio-demographic, health related behavior was collected from 1084 adolescence girls in Rajshahi City Corporation (RCC) area, Bangladesh. Bivariate analysis has been used to show the association between the reproductive health knowledge with some socio-demographic and health related characteristics. In multivariate analysis, binary logistic regression analysis was used to determine the effects of the various factors to reproductive health knowledge among female adolescent. Findings: Education is an important determinant of adolescent health. Most the respondent is secondary level of education, which was 64.2%. The study result shows that 37.6% adolescent girl has knowledge about adolescent health care. It also shown that very few numbers of adolescent have idea about abortion, reproductive health knowledge about pregnancy avoids method and family planning method but maximum respondent heard about idea about sex, marriage and knowledge about HIV/AIDS. Logistic regression analysis findings specify that respondent in the age group 15-19 years is more expected to in turn ever having accomplished knowledge about adolescent health. Sexual violence is directly related to the duration of marriage. Married respondents have 0.221 (27.9%) times lower experienced to knowledge about adolescent health than that of the unmarried respondents. Conclusion: This study needs to strengthen public-private sector partnership and stakeholder participation, active involvement of adolescents in their reproductive health matters. Respondent educational qualification has positively significant effect on knowledge about adolescent reproductive health. Age of respondents, Idea about pregnancy, Idea about abortion, Physical problem during menstruation, knowledge about pregnancy has also significant effect on knowledge about adolescent reproductive health. The most effective interventions are probably structural changes to improve people daily life with families and peers and access to improve education.

P–492 Knowledge about reproductive health among cohort of oocyte donors in Spain

Study question What degree of reproductive health knowledge have oocyte donors? Summary answer The results of this study reveal that although oocyte donors are aware of the risks of possible fertility disorders, reproductive health knowledge is insufficient What is known already Sterility affects approximately 15% of the population of reproductive age, that is, young people. However, the information that young people have about fertility is scarce. Gamete donors are a group especially involved in reproductive issues since they help many people to solve their fertility problems and must undergo numerous tests before being accepted as such. However, there are no studies in Spain that deal with the knowledge that young people and, more specifically, donors, have about reproductive health and fertility Study design, size, duration A prospective, cross-sectional multicenter study including oocyte donors at ten fertility clinics performing gamete donation treatment in Spain. During a 2-month period (September-October 2020), 63 donors aged between 19 and 35 years old were recruited consecutively and a total of 63 oocyte donors were included as sample population. Most of them (78%) had not donated before Participants/materials, setting, methods 54% oocyte donors had secondary education and 43% have achieved university studies. Participants anonymously completed a questionnaire containing 41 questions divided into three sections: sociodemographic characteristics (11 items), knowledge on fertility and reproduction (22 items) and with a Likert scale, response to determine general reproductive health information as well as known risks for fertility disorders (8 items). Besides descriptive statistics, statistical analysis was performed with Chi square test. p &lt; 0.05 was considered significant Main results and the role of chance In the survey 96.8% of the participants reported that they had already known the tests for fertility disorders. The increasing age of the women was correctly assessed by the participants of the study as a decisive risk factor for fertility, but it was found that exact knowledge was lacking: the decrease of a woman’s fertility by 39.7% was stated to occur on average at the age of 35–40 and by 30% at 40–45. Nevertheless, 66% of donors considered that fertility preservation should be carried out before the age of 35. 61.1% of the non-university donors reported that fertility can drop as a woman ages due to the decreasing number and quality of the remaining eggs. Among university donors, this percentage increases to 92,6% (p:0,034). Merely 47% of the participants informed what they understood that ovarian reserve is and 47.6% of donors believed that women create new eggs every month. Regarding the known risk factors for fertility, lifestyle was mentioned most frequently by all participants (91,2%), followed by chemo/radiotherapy (83,8%) and smoking, alcohol, and drugs (82,4%). Concerning the influence of the body mass index on fertility, differences were found between non-university (61%) and university donors (88,9%) (p:0,012). Limitations, reasons for caution Financial compensation has been found to be a motivating factor for oocyte donors and therefore one could question the representativeness of the participating oocyte donors. It would be of great interest to explore the significance of the financial compensation further. Wider implications of the findings: The present study reveals an existing requirement for information among oocyte donors, which is not only important for the success of prevention plans but also provides a foundation for possible strategies for the prevention of fertility disorder. Trial registration number Not applicable

Spatial Disparity of Knowledge Levels on Reproductive Health among Indonesia’s Adolescents: Spatial Analysis of 2017 IDHS Data

The high number and percentage of Indonesia’s adolescent population cannot be separated from the problems related to adolescent reproductive health, especially the lack of knowledge about reproductive health among Indonesia’s adolescents in. This study aims to analyze the spatial distribution of knowledge on adolescent reproductive health in Indonesia. This study is a quantitative study using secondary data of 2017 IDHS data. Adolescent reproductive health knowledge is measured in a composite index by taking into account the five indicators, including knowledge of signs of puberty, fertile period and risk of pregnancy, anemia, HIV/ AIDS, and other sexually transmitted infections. This study used a comparative spatial analysis. The results confirmed that there were differences in the spatial distribution of the adolescents’ knowledge level related to reproductive health in each province based on the adolescents’ characteristics, including sex, age, and education level.

Early marriage and spousal age difference: predictors of preconception health of young married women in Delhi, India

PurposeThis study aims to assess the associations of early marriage and spousal age difference (independent of early marriage) with reproductive and sexual health and autonomy in decision-making among married women before conception.Design/methodology/approachThe present study was a part of a three-year community intervention to improve the preconception health of young married women (20–35 years) in the West Delhi district of India. The six key outcomes assessed were: knowledge of reproductive health, discussions related to sexual health, history of anemia, use of contraceptives by women, frequency of consumption of meals per day and the autonomy in decision-making for household expenditures. Unadjusted and adjusted logistic regression models were used to explore the associations between the two key predictors (early marriage or spousal age difference), sociodemographic variables and six outcomes. The results were expressed as odds ratio (OR) and 95% confidence interval (CI). A total of 2,324 women, enrolled from four wards in the district using cluster-based sampling, were interviewed.FindingsAround 17% of women were married by the exact age of 18, and 20% were elder or just one year younger than their husbands. Women who were married early had low reproductive health knowledge (OR (95% CI): 0.48 (0.38–0.60)) and a lower probability of expressing autonomy (OR (95% CI): 0.78 (0.62–0.97)). However, women older than men or younger by just one year in the married relationship had higher reproductive health knowledge (OR (95% CI): 1.25 (1.01–1.54)) than women younger than men more than two years.Originality/valueUnder the umbrella of the preconception care domain, frontline workers should emphasize counseling girls and young women to marry late and delay the first pregnancy.