Role of Parents in Adolescent Sexual Activity And Contraceptive Use in Four African Countries
Role of Parents in Adolescent Sexual Activity And Contraceptive Use in Four African Countries
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DOI：
10.1363/ipsrh.35.072.09
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发表时间：
2009-06-01
影响因子：
4.4
通讯作者：
Bankole, Akinrinola
中科院分区：
文献类型：
--
作者：
Biddlecom, Ann;Awusabo-Asare, Kofi;Bankole, Akinrinola
上下文父母对青少年的性健康和生殖健康有影响，但撒哈拉以南非洲的证据有限。更好地了解不同层面的养育和最近的性活动和避孕药具的使用之间的关系是需要在region.METHODS：数据收集在2004年在布基纳法索，加纳，马拉维和乌干达的12-19岁的全国代表性调查。双变量分析比较了15-19岁未婚青少年中两种结局的性别差异-在过去12个月内有过性行为，以及在此期间有过性行为的人中，最后一次性行为时使用避孕药具。多变量Logistic回归分析确定这些结果之间的关联，并与父母或父母的数字，父母的监控和亲子communication.RESULTS：未婚青少年报告中度到高度的父母的监控和低水平的亲子沟通有关性问题。在所有国家中，报告低监测的青少年痣在过去一年中发生性行为的风险较高（比值比，2.4-5.4），其中三个国家的女性同行也是如此（6.9-7.7）。马拉维男性和乌干达女性（分别为2.2和1.5）与父母的沟通与性活动呈正相关。父母的监测与避孕药具的使用在最后的性行为，而亲子沟通与加纳女性（3.0）和乌干达青少年的性别（1.9-2.0）。结论：计划，以改善青少年的性和生殖健康应包括父母的参与，可以加强该计划的具体行为改变目标的尺寸。性与生殖健康的国际视角，2009，35（2）：72-81
CONTEXT. Parents have an influence on the sexual and reproductive health of adolescents, but evidence from Sub-Saharan Africa is limited. A better understanding of the relationship between different dimensions of parenting and recent sexual activity and contraceptive use is needed in the region.METHODS:Data were collected in 2004 in nationally representative surveys of 12-19-year-olds in Burkina Faso, Ghana, Malawi and Uganda. Bivariate analysis compared gender differences for two outcomes among unmarried 15-19-year-olds-having had sexual intercourse in the last 12 months and, among those who had had sex in this period, contraceptive use at last sex. Multivariate logistic regression analysis identified associations between these out comes and coresidence with parents or parent figures, parental monitoring and parent-child communication.RESULTS: Unmarried adolescents reported moderate to high levels of parental monitoring and low levels of parent-child communication about sexual matters. In all countries, adolescent moles who reported low monitoring were at elevated risk of having had sex in the last year (odds ratios, 2.4-5.4), as were their female counterparts in three of the countries (6.9-7.7). Communication with parents was positively associated with sexual activity among Malawian males and Ugandan females (2.2 and 1.5, respectively). Parental monitoring was not associated with contraceptive use at last sex, whereas parent-child communication was associated with such use among Ghanaian females (3.0) and among Ugandan adolescents of both genders (1.9-2.0).CONCLUSIONS: Programs to improve adolescent sexual and reproductive health should include dimensions of parental involvement that can strengthen the program's specific behavior change goals. International Perspectives on Sexual and Reproductive Health, 2009,35(2):72-81