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评估埃塞俄比亚西北部德布雷马科斯镇中学和预科学校学生与父母在性与生殖健康问题上的沟通情况及其相关因素。

Assessment of adolescents' communication on sexual and reproductive health matters with parents and associated factors among secondary and preparatory schools' students in Debremarkos town, North West Ethiopia.

机构信息

Department of Midwifery, College of Health and Medical Sciences, Haramaya University, Haramaya, Ethiopia.

出版信息

Reprod Health. 2014 Jan 8;11(1):2. doi: 10.1186/1742-4755-11-2.

DOI:10.1186/1742-4755-11-2
PMID:24401028
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3892069/
Abstract

BACKGROUND

Sexuality and reproductive health are among the most fundamental aspects of life. Poor parental involvement in preparing young people for safe sexual life and good reproductive health was part of the blame for the lack of skills on sexual decision making. Despite the growing needs, there is no adequate health service or counseling specifically suitable for this specific age group and research on the role of parents in this process has yielded inconsistent results.

OBJECTIVE

The objective of the study is to assess adolescents' communication on sexual and reproductive health issues with parents and associated factors among secondary and preparatory schools students in Debremarkos town.

METHODS

School based study was conducted among secondary and preparatory schools students in Debremarkos town, from April 8 to 21, 2012. Multistage sampling and self administered questionnaires were employed.

RESULTS

The proportion of the students who had discussion on sexual & reproductive health issues with their parent was found to be 254 (36.9%). Mother who able to read and write (AOR = 2; 95% CI 1.3 to 3.1), adolescents accepting discussion of sexual & reproductive health issues (AOR = 2.5 95% CI 1.3 to 4.5), adolescents who ever got SRH information (AOR = 2; 95% CI 1.4 to 2.9), adolescents who ever had sexual intercourse (AOR = 1.7; 95% CI 1.1 to 2.6) were found to have significant positive associations, and being grade 12 students (AOR = 0.4; 95% CI 0.2 to 0.7) and having less than three family size (AOR = 0.5; 95% CI 0.2 to 0.9) showed significant negative associations.

CONCLUSION AND RECOMMENDATION

Study unveils that parent -adolescent communications on sexual and reproductive health issues is low, only about one third of the students were communicating on SRH issues. Therefore; there is a need to equip and educate parents on different sexual & reproductive health issues. Comprehensive family life education should also be initiated for the students and parents.

摘要

背景

性与生殖健康是生命中最基本的方面之一。父母在为年轻人准备安全的性生活和良好的生殖健康方面参与不足,这也是年轻人在性决策方面缺乏技能的部分原因。尽管需求不断增长,但目前没有专门针对这一年龄段的适当卫生服务或咨询,而关于父母在这一过程中作用的研究结果也不一致。

目的

本研究旨在评估德布雷马科斯镇中学和预科学校学生与父母就性与生殖健康问题进行沟通的情况,并分析相关因素。

方法

2012 年 4 月 8 日至 21 日,在德布雷马科斯镇的中学和预科学校进行了一项基于学校的研究。采用多阶段抽样和自我管理问卷进行调查。

结果

发现与父母讨论性与生殖健康问题的学生比例为 254 人(36.9%)。能够读写的母亲(比值比[OR] = 2;95%置信区间[CI] 1.3 至 3.1)、接受讨论性与生殖健康问题的青少年(OR = 2.5;95% CI 1.3 至 4.5)、曾获得性与生殖健康信息的青少年(OR = 2;95% CI 1.4 至 2.9)、曾有过性行为的青少年(OR = 1.7;95% CI 1.1 至 2.6)与积极的关联显著,而 12 年级学生(OR = 0.4;95% CI 0.2 至 0.7)和家庭规模小于等于 3 人的青少年(OR = 0.5;95% CI 0.2 至 0.9)与消极的关联显著。

结论和建议

研究表明,父母与青少年就性与生殖健康问题进行沟通的情况较低,只有约三分之一的学生在就这些问题进行沟通。因此,需要对父母进行不同的性与生殖健康问题的培训和教育。也应针对学生和家长开展全面的家庭生活教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c22d/3892069/af4517f58956/1742-4755-11-2-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c22d/3892069/76bb142e8425/1742-4755-11-2-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c22d/3892069/af4517f58956/1742-4755-11-2-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c22d/3892069/76bb142e8425/1742-4755-11-2-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c22d/3892069/af4517f58956/1742-4755-11-2-2.jpg

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