Ayehu Atitegeb, Kassaw Teketo, Hailu Getachew
Students Clinic, Debre Markos University, PO Box: +251-269, Debre Markos, Ethiopia.
Department of Public Health, College of Medicine and Health Sciences, Debre Markos University, PO Box: +251-269, Debre Markos, Ethiopia.
Reprod Health. 2016 Mar 8;13:19. doi: 10.1186/s12978-016-0143-y.
In Ethiopia besides the very low health seeking behavior of young people, they do not have access to sexual and reproductive health information and even the existing health services are adult-centered. Furthermore, health providers are not well equipped in addressing young people sexual and reproductive health needs. Therefore, parent-young people discussion about sexual and reproductive health issues are crucial in increasing their awareness and reduces their risky sexual behaviors. This study was aimed to assess young people's parental discussion about sexual and reproductive health issues and its associated factors in Awabel woreda, Northwest Ethiopia.
A community based cross-sectional study was conducted among 781 young people aged 10-24 years in Awabel Woreda, Northwest Ethiopia. A pre-tested structured interview administered questionnaire was used for the data collection. The collected data were entered using Epi Data 3.1 and analyzed using SPSS for windows version 21.
In the past 6 months, about one quarter, 25.3% of young people had a parental discussion about sexual and reproductive health issues. Young people who reside in urban areas were more likely to discuss on sexual and reproductive health issues with their parents [AOR = 2.44, 95% CI: 1.54-3.89]. Similarly, being male was more likely to have a parental discussion about sexual and reproductive health issues than females [AOR = 1.63, 95% CI: 1.11-2.38]. Furthermore, the odds of parent-young people discussion about SRH matters was more likely among young people aged 20-24 years [AOR = 4.57, 95% CI: 2.13-9.82], living with fathers [AOR = 2.46, 95% CI: 1.20-5.04] and had attained a primary level of education [AOR = 2.89, 95% CI: 1.22-6.87]. Parents lack of interest to discuss, feeling ashamed and culturally not acceptable to talk about sexual matters were found to deter young people's in discussing sexual and reproductive health matters.
Parent-young people discussion about sexual and reproductive health is very low and there are different hindering factors. And therefore, young people's sexual and reproductive health programs or policies should be designed in addressing the cultural and societal factors besides the individual or behavioral factors.
在埃塞俄比亚，年轻人寻求医疗服务的行为非常少，他们无法获取性与生殖健康信息，而且现有的医疗服务是以成年人为中心的。此外，医疗服务提供者在满足年轻人性与生殖健康需求方面能力不足。因此，父母与年轻人就性与生殖健康问题进行讨论对于提高他们的认识和减少他们危险的性行为至关重要。本研究旨在评估埃塞俄比亚西北部阿瓦贝尔县年轻人与父母关于性与生殖健康问题的讨论情况及其相关因素。
在埃塞俄比亚西北部阿瓦贝尔县对781名年龄在10 - 24岁的年轻人进行了一项基于社区的横断面研究。使用经过预测试的结构化访谈问卷进行数据收集。收集到的数据使用Epi Data 3.1录入，并使用SPSS for windows版本21进行分析。
在过去6个月中，约四分之一（25.3%）的年轻人与父母讨论过性与生殖健康问题。居住在城市地区的年轻人更有可能与父母讨论性与生殖健康问题[AOR = 2.44，95% CI：1.54 - 3.89]。同样，男性比女性更有可能与父母讨论性与生殖健康问题[AOR = 1.63，95% CI：1.11 - 2.38]。此外，年龄在20 - 24岁的年轻人、与父亲同住的年轻人以及接受过小学教育的年轻人与父母讨论性与生殖健康问题的几率更高[AOR分别为4.57，95% CI：2.13 - 9.82；AOR = 2.46，95% CI：1.20 - 5.04；AOR = 2.89，95% CI：1.22 - 6.87]。父母缺乏讨论兴趣、感到羞耻以及在文化上谈论性问题不可接受被发现会阻碍年轻人讨论性与生殖健康问题。
父母与年轻人关于性与生殖健康的讨论非常少，并且存在不同的阻碍因素。因此，年轻人性与生殖健康项目或政策的设计除了考虑个人或行为因素外，还应解决文化和社会因素。
