Reproductive health knowledge and services utilization among rural adolescents in east Gojjam zone, Ethiopia: a community-based cross-sectional study.
Reproductive health knowledge and services utilization among rural adolescents in east Gojjam zone, Ethiopia: a community-based cross-sectional study.
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DOI：
10.1186/1472-6963-14-138
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发表时间：
2014-03-29
影响因子：
2.8
通讯作者：
Seme A
中科院分区：
文献类型：
--
作者：
Abajobir AA;Seme A
根据世界卫生组织的定义，青少年是指10至19岁的人；埃塞俄比亚五分之一的人口是青少年，五分之四生活在农村地区。关于青少年生殖健康知识、服务利用和相关因素的当地证据与设计适合年龄的方案干预措施和战略有关。因此，本研究评估了埃塞俄比亚西北部Machakel地区农村青少年的生殖健康知识和服务利用水平。以社区为基础的横断面研究评估了Machakel地区农村青少年的生殖健康知识和服务利用水平。本研究采用定量和定性相结合的方法。采用系统随机抽样方法，从符合条件的家庭中抽取415名青少年。数据收集采用预先测试的结构化问卷和深度访谈指南。数据录入Epi Info，用SPSS软件进行统计分析。进行了单因素、双因素和多因素分析。超过三分之二（67%）的青少年了解生殖健康知识。年龄（AOR = 3.77, 95% CI: 3.1 ~ 8.98）、居住安排（AOR = 2.21, 95% CI: 1.81 ~ 6.04）和经济状况（AOR = 3.37, 95% CI: 1.65 ~ 6.87）与生殖健康知识相关。然而，只有五分之一（21.5%）的青少年曾使用过生殖健康服务，包括计划生育、性传播感染治疗以及信息、教育和交流。生殖健康服务的利用与年龄（AOR = 2.18, 95% CI: 1.13-8.03）和生殖健康知识（AOR = 1.23, 95% CI: 1.23-4.21）显著相关。父母的反对、缺乏基本信息以及来自伴侣的压力阻碍了青少年获得和使用生殖健康服务。农村青少年的生殖健康知识和服务使用率仍然很低。年龄和经济状况与生殖健康知识显著相关；此外，生殖健康服务的利用与年龄和各自的生殖健康知识有关。社区对话与青少年之间的咨询、同伴教育和父母与青少年之间的交流应涉及敏感话题，如性教育和生活技能发展。
According to World Health Organization, adolescents are people between 10 and 19 years of age; one-fifth of Ethiopian population constitutes adolescents and four-fifth live in rural areas. Local evidence about adolescents’ reproductive health knowledge, services utilization and associated factors are relevant to design age-appropriate program interventions and strategies. Hence, this study assessed the level of reproductive health knowledge and services utilization among rural adolescents in Machakel district, Northwest Ethiopia. A community-based cross-sectional study was conducted to assess the level of reproductive health knowledge and services utilization of rural adolescents in Machakel district. The study employed both quantitative and qualitative methods. A systematic random sampling technique was used to select 415 adolescents from eligible households. Data were collected using pre-tested structured questionnaires and in-depth interview guides. The data were entered into Epi Info and analyzed by SPSS software for windows. Univariate, bivariate and multivariate analyses were done. More than two-third (67%) of the adolescents had knowledge about reproductive health. Age (AOR = 3.77, 95% CI: 3.1-8.98), living arrangement (AOR = 2.21, 95% CI: 1.81-6.04) and economic status (AOR = 3.37, 95% CI: 1.65-6.87) were associated with reproductive health knowledge. However, only one-fifth (21.5%) of the adolescents had ever used reproductive health services including family planning, sexually transmitted infections treatment and information, education and communication. Reproductive health services utilization was significantly associated with age (AOR = 2.18, 95% CI: 1.13-8.03) and knowledge for reproductive health (AOR = 1.23, 95% CI: 1.23-4.21). Parent disapproval, lack of basic information and pressure from partners were found to deter adolescents from accessing and using reproductive health services. Reproductive health knowledge and services utilization amongst rural adolescents remained low. Age and economic status were significantly associated with reproductive health knowledge; moreover, reproductive health services utilization was associated with age and respective knowledge for reproductive health. Community-conversation in line with adolescent-to-adolescent-counseling, peer education and parent-adolescent communication should address sensitive topics such as sex education and life skill development.
DOI：
10.1363/3011004
发表时间：
2004-09-01
期刊：
INTERNATIONAL FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
Rani, M;Lule, E
通讯作者：
Lule, E
影响因子：
2.1
作者：
Hughes, J;McCauley, AP
通讯作者：
McCauley, AP