Edward J. Bloustein School of Planning & Public Policy, Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA.
Department of Population Studies, University of Botswana, Gaborone, Botswana.
Int Nurs Rev. 2022 Mar;69(1):86-95. doi: 10.1111/inr.12713. Epub 2021 Sep 1.
To examine adolescent contraceptive literacy and condom knowledge in Botswana.
In Botswana, adolescent HIV infection rates remain high and unintended pregnancies are the predominant reason girls drop out of school. Despite a national mandate for comprehensive sexuality education and youth-friendly health services, access to accurate sexual and reproductive health information for adolescents remains limited.
Two hundred forty adolescents attending secondary schools in Maun, Botswana, completed cross-sectional surveys in 2020. Bivariate and logistic regression examined factors associated with contraceptive literacy and self-reported condom knowledge.
Although 90% of students were aware of one or more forms of contraception, only 67% could name a method for which they knew a source and only half of sexually active respondents had used birth control during their last sexual experience. Respondents reported that teachers and family members were the most important sources of information; only 8.2% of respondents identified health professionals in that role. Adolescents who consulted nurses had eight times greater odds of reporting correct condom-use knowledge than those who consulted teachers.
The positive association between adolescents' condom-use knowledge and nurses as information resources supports a call to expand nurses' role in health education in secondary schools and clinics in Botswana. Education and training programs for health professionals that build communication skills for working with adolescents should be promoted as an essential step in youth-friendly service provision.
Contraceptive literacy among adolescents in Botswana is low and may contribute to risk behaviors that drive rates of HIV and pregnancies in this population. Interventions to reduce adolescent HIV risk behaviors and unintended pregnancy may prove more effective if they involve nurses as communicators and educators.
考察博茨瓦纳青少年的避孕文化素养和 condom 知识。
在博茨瓦纳，青少年艾滋病毒感染率仍然很高，意外怀孕是导致女孩辍学的主要原因。尽管国家要求全面开展性教育，并提供青少年友好型的卫生服务，但青少年获得准确的性健康和生殖健康信息的机会仍然有限。
2020 年，240 名在马翁上中学的青少年完成了横断面调查。采用双变量和逻辑回归分析了与避孕文化素养和自我报告 condom 知识相关的因素。
尽管 90%的学生知道一种或多种避孕方法，但只有 67%的学生能说出一种他们知道来源的方法，只有一半有性经验的受访者在最近一次性行为中使用了避孕措施。受访者表示，教师和家庭成员是最重要的信息来源；只有 8.2%的受访者认为卫生专业人员在这方面发挥了作用。向护士咨询的青少年报告 condom 使用知识正确的可能性是向教师咨询的青少年的八倍。
青少年 condom 使用知识与护士作为信息资源之间的积极关联支持了呼吁扩大护士在博茨瓦纳中学和诊所健康教育中的作用。应该推广针对卫生专业人员的教育和培训计划，以培养与青少年沟通的技能，这是提供青少年友好服务的必要步骤。
博茨瓦纳青少年的避孕文化素养较低，这可能导致风险行为，从而导致该人群中的艾滋病毒和怀孕率上升。如果将护士作为沟通者和教育者纳入其中，减少青少年艾滋病毒风险行为和意外怀孕的干预措施可能会更有效。
