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尼日利亚西南部伊巴丹市城区贫民窟中父母与青少年就性与生殖健康问题进行交流的相关因素。

Factors Associated With Parent-Adolescent Communication on Sexual and Reproductive Health Issues in Urban Slums of Ibadan, Southwest Nigeria.

机构信息

Department of Sociology and Anthropology, Faculty of Social Sciences, Obafemi Awolowo Univeristy, Ile-Ife, Nigeria.

出版信息

Community Health Equity Res Policy. 2023 Oct;44(1):3-14. doi: 10.1177/0272684X211007695. Epub 2021 Apr 6.

Abstract

In Nigeria, adolescents in urban slums are increasingly at risk of adverse sexual and reproductive health (SRH) outcomes. However, little is known about how individual factors predict parent-adolescent communication on SRH issues in a resource-poor urban setting in Ibadan. Thus, this study investigated individual factors associated with parent-adolescent communication on SRH issues in urban slums of Ibadan, southwest, Nigeria. This study is part of a larger project that explores the socio-ecological factors influencing parent-adolescent communication on SRH issues in selected slums in Ibadan, Nigeria. Within this broader framework, this paper relies on the quantitative data obtained in 10 selected slums. Interviewer-administered structured questionnaire [scripted on open data kits (ODK)] was utilized to collect data from a sample of 796 parent-adolescent dyads. Six SRH topics were investigated to describe the issues discussed. Analytical techniques utilized include; frequency counts, chi-square, and multinomial logistic regression. Parent-adolescent communication regarding SRH issues is not uncommon in urban slums of Ibadan but characterized by indirect communication, threat and warning. Parents and adolescents' age, gender, marital/relationship status, educational attainments and religion played influential role in parent-adolescent communication regarding SRH issues. These factors were identified to be significantly associated with the pattern of parent-adolescent discussion of SRH issues. Age-specific SRH education should be available to adolescents and parents need to be educated on appropriate SRH information and the best way to engage their adolescents on SRH issues.

摘要

在尼日利亚,城市贫民窟中的青少年越来越面临不良性健康和生殖健康(SRH)结果的风险。然而,在伊巴丹资源匮乏的城市环境中,个体因素如何预测父母与青少年就 SRH 问题进行沟通,这方面的了解甚少。因此,本研究调查了与伊巴丹城市贫民窟中青少年就 SRH 问题进行父母与青少年沟通相关的个体因素。这项研究是一个更大项目的一部分,该项目探讨了影响在伊巴丹选定贫民窟中父母与青少年就 SRH 问题进行沟通的社会生态因素。在这个更广泛的框架内,本文依赖于在 10 个选定贫民窟中获得的定量数据。访谈者管理的结构化问卷[脚本在开放数据工具包(ODK)上]用于从 796 对父母-青少年二人组中收集数据。调查了六个 SRH 主题以描述讨论的问题。利用的分析技术包括;频率计数、卡方检验和多项逻辑回归。在伊巴丹的城市贫民窟中,父母与青少年就 SRH 问题进行沟通并不罕见,但以间接沟通、威胁和警告为特征。父母和青少年的年龄、性别、婚姻/关系状况、教育程度和宗教在父母与青少年就 SRH 问题进行沟通方面发挥了影响作用。这些因素被确定为与父母与青少年讨论 SRH 问题的模式有显著关联。应该为青少年提供特定年龄的 SRH 教育,并且需要教育父母有关适当的 SRH 信息以及与青少年讨论 SRH 问题的最佳方式。

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