Sexual and reproductive health services utilization and associated factors among secondary school students in Nekemte town, Ethiopia.
Sexual and reproductive health services utilization and associated factors among secondary school students in Nekemte town, Ethiopia.
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DOI：
10.1186/s12978-018-0501-z
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发表时间：
2018-04-17
影响因子：
3.4
通讯作者：
Sinaga M
中科院分区：
文献类型：
--
作者：
Binu W;Marama T;Gerbaba M;Sinaga M
尽管采取了政策行动和战略努力，以促进埃塞俄比亚青年对性健康和生殖健康服务的接受，但其利用率仍然很低，几乎没有发现关于内坎普镇在校青年利用现有生殖健康服务的程度的信息。本研究的目的是评估性与生殖健康（SRH）服务的利用情况及其相关因素，在埃塞俄比亚Nekemte镇的中学生。以学校为基础的横断面研究设计于2016年4月18日至22日进行。本研究采用多阶段整群抽样法，抽取768名中学生为研究对象。性健康和生殖健康服务的利用情况采用一个项目来衡量，即询问他们在过去一年中是否使用过性健康和生殖健康服务的任何一个组成部分。使用EpiData Manager with Entry Client输入数据，并使用SPSS 21版软件进行进一步分析。采用描述性统计、交叉表法、双因素和多因素Logistic回归分析。所有变量均设定为p值小于0.05，并通过调整后比值比及其95%CI报告。在768名研究受试者中，739名参与者接受了所有研究组成部分，应答率为96%。大约157名（21.2%）在校青年报告说，他们利用了性健康和生殖健康服务。调整其他变量后的多变量logistic回归分析，与卫生工作者讨论（AOR 3.0，95%CI [1.7-5.2]），既往有感知的性传播感染（STI）症状史（AOR 2.6，95%CI [1.2-5.5]），有过性经历（AOR 5.9，95%CI [3.4-10.2]）和从学校教师那里获得信息（AOR 0.36，95%CI [0.2-0.6]）是中学生利用性和生殖服务的独立决定因素。不方便的时间，缺乏隐私，宗教，文化和父母的禁令是学校青年引用的性健康和生殖健康服务的障碍。该镇在校青年对性和生殖服务的总体利用率很低。与卫生工作者的讨论、自觉性传播疾病症状史、性经验和性知识是中学生性与生殖服务利用的相关因素。
Despite policy actions and strategic efforts made to promote sexual and reproductive health service uptake of youths in Ethiopia, its utilization remains very low and little information was found on the extent to which school youths utilize available reproductive health services in Nekempt town. This study was aimed to assess utilization of Sexual and Reproduactive Health (SRH) services and its associated factors among secondary school students in Nekemte town, Ethiopia. A school based cross-sectional study design was conducted from April 18 to 22, 2016. Multistage cluster sampling technique was used to select a total of 768 students who attended secondary schools. Sexual and reproductive health services utilization was measured using one item asking whether they had used either of sexual and reproductive health services components during the last one year or not. The data was entered using EpiData Manager with Entry Client and further analysis was done using SPSS version 21 software. Descriptive statistics, cross tabulations, biviarate and multivariate logistic regression analyses were used. All variables were set by p-values less than 0.05 and reported by Adjusted Odds Ratio with its 95%CI. Out of the 768 study subjects, 739 participants underwent all the study components giving response rate of 96%. About 157 (21.2%) school youths reported that they utilized SRH services. On multivariable logistic regression analysis after adjusting for other variable, discussion with health workers (AOR 3.0, 95%CI [1.7–5.2]), previous history of perceived Sexually transmitted infections (STIs) symptoms (AOR 2.6, 95%CI [1.2–5.5]), being ever sexually experienced (AOR 5.9, 95%CI [3.4–10.2]) and exposure to information from school teachers (AOR 0.36, 95%CI [0.2–0.6]) were found to be independent determinants of sexual and reproductive services utilization among secondary school youths. Inconvenient times, lack of privacy, religion, culture, and parent prohibition were barriers to SRH service uptake cited by the school youths. The overall utilization of sexual and reproductive services was low among school youths in the town. Discussion with health workers, history of perceived STIs symptoms, sexual experience and information were the association factors of sexual and reproductive service utilization among secondary school youths.
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影响因子：
2.8
作者：
Abajobir AA;Seme A
通讯作者：
Seme A
影响因子：
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作者：
Abebe, M.;Tsion, A.;Netsanet, F.
通讯作者：
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作者：
Gelaye, Amha Admasie;Taye, Kalemelekot Nigussie;Mekonen, Tesfa
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