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青年女夜校学生家长在性与生殖健康问题上的沟通:埃塞俄比亚阿姆哈拉地区基于社区的横断面研究

Young-parent communication on sexual and reproductive health issues among young female night students in Amhara region, Ethiopia: Community-based cross-sectional study.

机构信息

Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

出版信息

PLoS One. 2021 Jun 18;16(6):e0253271. doi: 10.1371/journal.pone.0253271. eCollection 2021.

Abstract

BACKGROUND

Young is a key stage in rapid biological and psychosocial changes affecting every aspect of the lives and an important time to set the foundation for good health in adulthood. Adolescent-parent communication is a potential path for improving sexual and reproductive health outcomes for adolescents, most of parents did not teach their adolescents about sexual and reproductive health. Even though, some researches have been done on day time students, there is no study conducted focusing on young girls attending night school in Ethiopia.

OBJECTIVE

This study aimed to assess young-parent communication on sexual and reproductive health issues and associated factors among night female students in Amhara Region, Ethiopia, 2018.

METHOD

School based quantitative cross-sectional study was employed in Amhara region among 1640 young female night students from September 15 to November 15/2018. Face-to-face interview-administered questionnaires were used to collect the data. Bi-variable and multi-variable logistic regression model were used. Odds ratio (OR) with 95% confidence interval (CI) were computed to determine the strength of association between predictor and outcome variables. P-values less than 0.05 considered as level of significance.

RESULTS

One hundred ten (37.5%) of the students had communication with their parents on at least two issues of sexual and reproductive health (SRH) issues in the last 6 months. Grade level (adjusted odd ratio (AOR) = 2.61, 95% CI (2.04, 3.34)), marital status (AOR = 1.29, 95% CI (1.03, 1.63), living arrangement (AOR = 1.50(1.13, 2.00)), utilization of youth friendly sexual and reproductive health services (AOR = 1.80, 95% CI (1.41, 2.30)), students ever had sexual intercourse (AOR = 1.50, 95% CI (1.23, 1.96)), Information about sexual and reproductive health services (AOR = 1.45(1.16, 1.80)) were associated young-parents communication on sexual and reproductive health issues.

CONCLUSION

In this study young-parent communications on sexual and reproductive health (SRH) issues was found to be limited. Therefore, teachers, health extension workers, and health professionals should strengthen comprehensive SRH education for students in school, churches, mosques, health facilities and encouraging them to participate in different health clubs in school. Parent should give education for their children sexual and reproductive health during the era of young age.

摘要

背景

青少年是一个关键阶段,在这个阶段,生物和心理社会变化迅速,影响着生活的方方面面,也是为成年期的健康奠定基础的重要时期。青少年与父母的沟通是改善青少年性健康和生殖健康结果的潜在途径,但大多数父母没有向青少年传授性健康和生殖健康知识。尽管已经对日间学生进行了一些研究,但在埃塞俄比亚,还没有针对参加夜校的年轻女孩进行的研究。

目的

本研究旨在评估埃塞俄比亚阿姆哈拉地区夜间女学生与父母就性和生殖健康问题进行沟通的情况,并探讨其相关因素,研究对象为 2018 年 9 月 15 日至 11 月 15 日期间在阿姆哈拉地区的 1640 名年轻夜间女学生。

方法

采用基于学校的横断面研究方法,对 1640 名年轻夜间女学生进行问卷调查,收集数据。采用二变量和多变量逻辑回归模型进行分析。采用比值比(OR)及其 95%置信区间(CI)来确定预测变量与结果变量之间的关联强度。P 值<0.05 为有统计学意义。

结果

在过去 6 个月内,有 110(37.5%)名学生与父母就至少两个性和生殖健康(SRH)问题进行了沟通。年级(调整后的比值比(AOR)=2.61,95%CI(2.04,3.34))、婚姻状况(AOR=1.29,95%CI(1.03,1.63))、居住安排(AOR=1.50(1.13,2.00))、利用青少年友好型性和生殖健康服务(AOR=1.80,95%CI(1.41,2.30))、学生曾有过性行为(AOR=1.50,95%CI(1.23,1.96))、性健康和生殖健康服务信息(AOR=1.45(1.16,1.80))与年轻父母在性和生殖健康问题上的沟通有关。

结论

本研究发现,年轻父母与子女在性和生殖健康问题上的沟通有限。因此,教师、健康教育工作者和卫生专业人员应加强学生在学校、教堂、清真寺、卫生设施中的全面性健康和生殖健康教育,并鼓励他们参加学校的不同健康俱乐部。父母应该在孩子年轻的时候就对他们进行性和生殖健康方面的教育。

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本文引用的文献

4
Adolescent sexual and reproductive health: The global challenges.
Int J Gynaecol Obstet. 2015 Oct;131 Suppl 1:S40-2. doi: 10.1016/j.ijgo.2015.02.006. Epub 2015 Feb 26.
9
Factors affecting parent-adolescent discussion on reproductive health issues in Harar, eastern Ethiopia: a cross-sectional study.
J Environ Public Health. 2014;2014:102579. doi: 10.1155/2014/102579. Epub 2014 May 29.

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