Department of Health Service Extension Program, Hossana College of Health Sciences, Hossana, Ethiopia.
School of Public and Environmental Health; department of sexual and reproductive health, Jimma University, Jimma Southwest, Ethiopia.
BMC Pediatr. 2019 Jan 7;19(1):9. doi: 10.1186/s12887-018-1388-0.
Adolescent communication with parents is paramount to reduce sexual health problems. Currently, there is a shortage of information on adolescent-parent communication in Ethiopia in general and study area in particular. Thus, this study is intended to determine adolescent-parent communication on sexual and reproductive health issues and its factors among secondary and preparatory school adolescents in Hadiya Zone, Ethiopia.
We used institution based cross-sectional study design. We stratified schools into urban and semi-urban settings. Then, a total of 8 schools were randomly selected from the strata. The sample size was allocated for each stratum. Finally, participants were randomly selected from separate sampling frames prepared for each stratum. We developed structured questionnaire from related literatures to collect data on adolescent-parent communication and its factors. We cleaned and entered data using EPI info version 3.5.3 and exported to SPSS version 20 for descriptive and logistic regression analysis.
The proportion of adolescents who had communicated with their parents was 144 (35.0%). Multivariate logistic regression analysis indicates that participants' knowledge about availability of adolescent and youth friendly sexual and reproductive health services at health facilities [AOR: 0.40, 95% CI: (0.26, 0.62),P-value = 0.001], utilization of adolescent and youth friendly sexual and reproductive health services [AOR: 0.46, 95% CI: (0.29, 0.72),P-value = 0.001] and respondents' educational status: being grade 9, [AOR: 3.21, (95% CI: ((1.16, 8.89), P-value = 0.025] and grade 11; [AOR: 2.96, (95% CI: (1.06, 8.30),P- value =0.039] were statistically associated factors affecting adolescents for not communicating with parents on sexual and reproductive health issues.
The findings of our study imply that adolescents were not communicating much with parents about sexual and reproductive health issues even though they were aware of adolescent and youth friendly sexual and reproductive health services. In addition, promotion of service availability may be important to motivate adolescents to communicate with parents. Contextual and age dependent communication barriers should be further identified. Further research is needed in the area to identify barriers particularly from parent side.
青少年与父母的沟通对于减少性健康问题至关重要。目前，一般来说，埃塞俄比亚，特别是研究地区缺乏青少年与父母之间关于性和生殖健康问题的沟通信息。因此，本研究旨在确定哈迪耶地区中学和预科学校青少年在性和生殖健康问题上与父母沟通的情况及其影响因素。
我们采用基于机构的横断面研究设计。我们将学校分为城市和半城市环境。然后，从这些层次中随机选择了 8 所学校。为每个层次分配了样本量。最后，从为每个层次准备的单独抽样框架中随机选择参与者。我们从相关文献中制定了结构化问卷，以收集关于青少年与父母沟通及其影响因素的数据。我们使用 EPI info 版本 3.5.3 清理和输入数据，并将其导出到 SPSS 版本 20 进行描述性和逻辑回归分析。
与父母沟通的青少年比例为 144 人（35.0%）。多变量逻辑回归分析表明，参与者对卫生设施中青少年和青年友好型性和生殖健康服务的可用性的知识[比值比：0.40，95%置信区间：（0.26，0.62），P 值=0.001]、对青少年和青年友好型性和生殖健康服务的利用[比值比：0.46，95%置信区间：（0.29，0.72），P 值=0.001]以及受访者的教育程度：九年级[比值比：3.21，（95%置信区间：（1.16，8.89），P 值=0.025]和十一年级[比值比：2.96，（95%置信区间：（1.06，8.30），P 值=0.039]是影响青少年与父母就性和生殖健康问题进行沟通的统计学相关因素。
我们的研究结果表明，尽管青少年知道青少年和青年友好型性和生殖健康服务，但他们并没有与父母就性和生殖健康问题进行太多沟通。此外，促进服务的可及性可能对于激励青少年与父母进行沟通很重要。应进一步确定与背景和年龄相关的沟通障碍。需要在该领域进行进一步的研究，以确定特别是来自父母一方的障碍。
