Mekonnen Birye Dessalegn, Wubneh Chalachew Adugna
Department of Nursing, Teda Health Science College, P.O. BOX: 790, Gondar, Ethiopia.
Department of Pediatric and Child Health Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, P.O. BOX: 196, Gondar, Ethiopia.
Adv Prev Med. 2020 Nov 4;2020:8819012. doi: 10.1155/2020/8819012. eCollection 2020.
Women die from complications of unsafe abortion in developing countries because most have little knowledge about how to safely access to abortion care. Studies on knowledge, attitude, and associated factors towards safe abortion are limited in general and particularly among private college students. Therefore, the aim of this study was to assess knowledge, attitude, and associated factors towards safe abortion among private college female students in Gondar City, Northwest Ethiopia.
An institution-based cross-sectional study was conducted from April 30, 2019, to May 30, 2019, among private college students in the Gondar town. Data were collected from 633 female students using self-administered questionnaires by a simple random sampling technique. Bivariable and multivariable logistic regression analyses were performed to identify association of dependent and independent variables using SPSS, version 20.
A total of 633 respondents participated in this study with the response rate of 97.7%. The majority (433 (68.4%)) of students had good knowledge about safe abortion. Older age (AOR = 2.79, 95% CI: 1.16, 7.29), urban residence (AOR = 2.42, 95% CI: 1.26, 4.35), family education (AOR = 3.18, 95% CI: 1.32, 7.06), and ever having heard about safe abortion (AOR = 4.36, 95% CI: 1.89, 10.83) were factors associated with knowledge of students on safe abortion. Regarding attitude, 361 (57%) of students had favorable attitude towards safe abortion. Age (AOR = 6.58, 95% CI: 2.71, 11.21) and urban residence (AOR = 1.51, 95% CI: 1.09, 2.21) were factors significantly associated with attitude towards safe abortion.
More than half of the participants have good knowledge and attitude towards safe abortion, but still a significant proportion of students have poor knowledge and unfavorable attitude. Information, education, and communication programs on youth reproductive health should be provided to address topics on safe abortion for students. Forums and panel discussions on safe abortion need to be undertaken especially, among youths and students who come from rural area.
在发展中国家，妇女死于不安全堕胎并发症，因为大多数人对如何安全获得堕胎护理知之甚少。关于安全堕胎的知识、态度及相关因素的研究总体有限，尤其是在私立大学生中。因此，本研究的目的是评估埃塞俄比亚西北部贡德尔市私立大学女学生对安全堕胎的知识、态度及相关因素。
于2019年4月30日至2019年5月30日在贡德尔镇的私立大学生中开展了一项基于机构的横断面研究。采用简单随机抽样技术，通过自填式问卷从633名女学生中收集数据。使用SPSS 20版进行双变量和多变量逻辑回归分析，以确定因变量和自变量之间的关联。
共有633名受访者参与了本研究，应答率为97.7%。大多数（433名（68.4%））学生对安全堕胎有良好的了解。年龄较大（调整后比值比[AOR]=2.79，95%置信区间[CI]：1.16，7.29）、城市居住（AOR=2.42，95%CI：1.26，4.35）、家庭教育（AOR=3.18，95%CI：1.32，7.06）以及曾听说过安全堕胎（AOR=4.36，95%CI：1.89，10.83）是与学生对安全堕胎的知识相关的因素。关于态度，361名（57%）学生对安全堕胎持积极态度。年龄（AOR=6.58，95%CI：2.71，11.21）和城市居住（AOR=1.51，95%CI：1.09，2.21）是与对安全堕胎的态度显著相关的因素。
超过一半的参与者对安全堕胎有良好的知识和态度，但仍有相当比例的学生知识匮乏且态度消极。应提供关于青少年生殖健康的信息、教育和宣传项目，以探讨学生安全堕胎的相关话题。尤其需要针对来自农村地区的青年和学生开展关于安全堕胎的论坛和小组讨论。
