Utilization of Sexual and Reproductive Health Services in Ethiopia - Does it affect sexual activity among high school students?
Utilization of Sexual and Reproductive Health Services in Ethiopia - Does it affect sexual activity among high school students?
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DOI：
10.1016/j.srhc.2014.09.009
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发表时间：
2015-03-01
影响因子：
1.8
通讯作者：
Blanco, Roman
中科院分区：
文献类型：
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作者：
Bilal, Selamawit M.;Spigt, Mark;Blanco, Roman
目标：2005年修订的千年发展目标框架中增加了一项具体目标，即青少年普遍获得性健康和生殖健康服务。然而，埃塞俄比亚并没有很好地探索青少年对性健康和生殖健康服务的利用及其性活动，结果是没有针对高中生的精心设计和可持续的学校干预措施。我们的目的是调查性健康和生殖健康服务和性活动的利用情况，并为可能的干预措施提供基于证据的信息和建议。研究设计：对埃塞俄比亚北部提格雷地区Mekelle镇14-19岁的1031名男女高中生进行了横断面调查。共有1031名学生参与。采用自填问卷。主要结果测量：使用自我填写的问卷调查了性健康和生殖健康服务的利用情况以及性活动。结果：在过去一年中，有五分之一的学生使用过性健康健康服务。访问性健康和生殖健康服务的主要原因是获取信息。第一次性行为的平均年龄为15.7岁，四分之一的学生有多个性伴侣。女学生报告了意外怀孕和堕胎。结论：学生了解并使用性健康健康服务。然而，高中生的早性行为和女学生的意外怀孕和堕胎仍然值得关注。因此，提供准确的性健康与生殖健康信息，加强家庭与学生之间的讨论，是促进青少年性健康与生殖健康的良好途径。(C) 2014 Elsevier B.V.版权所有
Objective: Universal access to Sexual and Reproductive Health (SRH) services for adolescents was added as a target to the revised Millennium Development Goals framework in 2005. However, the utilization of SRH services among adolescents and their sexual activity is not well explored in Ethiopia, with the result that there is no well-designed and sustainable school based intervention for high school students. We aimed to investigate the utilization of sexual and reproductive health services and sexual activity and, to provide evidence based information and recommendations for possible interventions.Study design: A cross-sectional survey was conducted among 1031 female and male high school students aged 14-19 years in Mekelle town, Tigray Region, North Ethiopia. A total of 1031 students participated. Self-administered questionnaire was used.Main outcome measures: Utilization of sexual and reproductive health services and sexual activity were investigated using a self-administered questionnaire.Results: One out of five students had used the SRH services in the past year. The primary reason for visiting the SRH services was to receive information. The mean age for the first sexual intercourse was 15.7 and one-quarter of the students had multiple sexual partners. Unwanted pregnancies and abortions were reported by female students.Conclusion: SRH services are known and used by students. However, sexual activity at an early age among high school students and unwanted pregnancies and abortions among female students still call for attention. Therefore, providing accurate SRH information on safe sex and enhancing family-student discussion could be a good approach to reach SRH of adolescents. (C) 2014 Elsevier B.V. All rights reserved.