College of Health Sciences, Department of Public Health, Debre Berhan University, Ethiopia.
College of Health Sciences, Department of Nursing, Debre Berhan University, Ethiopia.
Ethiop J Health Sci. 2020 Sep;30(5):817-828. doi: 10.4314/ejhs.v30i5.22.
Adolescent-parent sexual communication is an effective strategy to make healthy decisions, delay and protect from risky behavior. Thus, this systematic review and meta-analysis aimed to synthesize and estimate the level of adolescent- parent communication on sexual and reproductive health issues in Ethiopia.
Cross-sectional studies were systematically searched using databases such as PubMed, Google Scholar, Cochrane Library and gray literature. Information was extracted using a standardized form of JBI. Data were analyzed using the 'meta' packages of the Stata software (version 11.0). I-squared statistic was applied to check the heterogeneity of studies. Funnel plot and Egger's test were used to check for publication bias. P-value <0.05 on the Egger test was considered indicative of statistically significant publication bias.
A total of 359 articles were identified, of which 19 were eligible for meta-analysis. Adolescent-parent communications on SRH issues were significantly reported within the range of 25.3% to 36.9% and more preferred to discuss with their friends. The overall pooled level of adolescent parent communication was 40.70 (95%CI: 34.26-47.15). Adolescents who lived in urban areas, having good knowledge of SRH issues, adolescents who agreed on the importance of discussion and adolescents who ever had sexual intercourse were more likely to discuss SRH issues with their parents.
The overall pooled level of adolescent-parent communication was 40.70%, and also adolescent-parent communications were dominantly reported with the ranges of 25.3% to 36.9%. Being urban dweller, being knowledgeable, and being agreed on the importance of discussion were significantly associated with adolescent-parent communication. Cultural taboo, shame and lack of communication skills were reasons that hindered communication between parents and adolescents. Therefore, program implementers should work to increase adolescent-parent communication.
青少年与父母的性沟通是做出健康决策、延迟和保护免受危险行为的有效策略。因此，本系统评价和荟萃分析旨在综合和评估埃塞俄比亚青少年与父母在性与生殖健康问题上沟通的水平。
使用 PubMed、Google Scholar、Cochrane 图书馆和灰色文献等数据库系统地搜索横断面研究。使用 JBI 的标准化表格提取信息。使用 Stata 软件（版本 11.0）的“meta”包分析数据。应用 I 平方统计量检查研究的异质性。使用漏斗图和 Egger 检验检查发表偏倚。Egger 检验的 P 值<0.05 被认为存在统计学上显著的发表偏倚。
共确定了 359 篇文章，其中 19 篇符合荟萃分析的条件。青少年与父母在 SRH 问题上的沟通在 25.3%至 36.9%的范围内有显著报道，并且更倾向于与朋友讨论。青少年与父母沟通的总体综合水平为 40.70（95%CI：34.26-47.15）。居住在城市地区、对 SRH 问题有较好了解、同意讨论重要性的青少年以及曾经有过性行为的青少年更有可能与父母讨论 SRH 问题。
青少年与父母沟通的总体综合水平为 40.70%，青少年与父母的沟通也主要报告在 25.3%至 36.9%的范围内。居住在城市地区、知识渊博、同意讨论的重要性与青少年与父母的沟通显著相关。文化禁忌、羞耻感和缺乏沟通技巧是阻碍父母与青少年沟通的原因。因此，项目实施者应努力增加青少年与父母的沟通。
