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关注弱势群体:埃塞俄比亚街头青少年获得性生殖健康服务的需求与途径。以 Nekemte 镇为例:混合方法研究。

Addressing the deprived: need and access of sexual reproductive health services to street adolescents in Ethiopia. The case of Nekemte town: mixed methods study.

作者信息

Ababor Abdo Abazinab, Tesso Desalegn Wirtu, Cheme Melese Chego

机构信息

Health Office, Buno Bedele Zone, Chora District, Bedele, Oromia, Ethiopia.

Wollega University, Institute of Health sciences, Nekemte, Ethiopia.

出版信息

BMC Res Notes. 2019 Dec 27;12(1):827. doi: 10.1186/s13104-019-4850-7.

DOI:10.1186/s13104-019-4850-7
PMID:31881920
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6935099/
Abstract

OBJECTIVES

Globally, the research knowledge gap exists in the sexual reproductive health (SRH) services of street adolescents. The intensity of the problem is high in settings like Ethiopia, where there are limited access and integration of services. This study aimed at exploring risky sexual behaviors, needs, and barriers of SRH services among street adolescents in Nekemte town. A community-based cross-sectional study design with mixed approaches was used on a sample size of 219 street adolescents. Supplementary qualitative data of 24 in-depth interviews were collected from the street adolescents and SRH service providers. Time-location sampling or venue sampling technique (VDT) was used for a quantitative study. Quantitative data were analyzed by SPSS version 24.0.

RESULTS

About 93% of street adolescents reported difficulty in accessing contraceptives. Behavioral change and sustainable access to SRH services are lacking among street adolescents. The Knowledge gap is more evident in early adolescents (10-13) period than the other classes. In general, street adolescents are deprived of access to SRH services. Mobile and flexible access to contraceptives should be designed targeting street adolescents.

摘要

目标

在全球范围内,街头青少年的性与生殖健康(SRH)服务存在研究知识差距。在埃塞俄比亚这样的环境中,问题的严重程度很高,那里的服务获取和整合有限。本研究旨在探索内克姆特镇街头青少年的危险性行为、SRH服务需求和障碍。对219名街头青少年样本采用了基于社区的混合方法横断面研究设计。从街头青少年和SRH服务提供者那里收集了24次深入访谈的补充定性数据。定量研究采用时间地点抽样或场所抽样技术(VDT)。定量数据通过SPSS 24.0版进行分析。

结果

约93%的街头青少年报告称获取避孕药具有困难。街头青少年缺乏行为改变以及对SRH服务的可持续获取。知识差距在青少年早期(10 - 13岁)比其他年龄段更为明显。总体而言,街头青少年被剥夺了获取SRH服务的机会。应针对街头青少年设计移动且灵活的避孕药具获取方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d8/6935099/a947276e2450/13104_2019_4850_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d8/6935099/a947276e2450/13104_2019_4850_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d8/6935099/a947276e2450/13104_2019_4850_Fig1_HTML.jpg

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